HomeEconomy5 million new members until April 10

5 million new members until April 10

The Minister Delegate to the Minister of Economy and Finance, in charge of the Budget, Fouzi Lekjaa, said on Wednesday in Rabat that nearly 5 million professionals and self-employed and self-employed people have benefited from medical coverage up to on April 10.

Mr. Lekjaa, who was speaking at a meeting of the Finance, Planning and Economic Development Committee in the House of Councillors, specified that 1.9 million of these beneficiaries are principal insured persons and 3 million are dependents. .

This meeting, dedicated to the examination of the subject “Progress of the construction site of the generalization of the compulsory medical cover”, was also the occasion for the Minister to make it known that the number of files of reimbursement deposited by these categories with the National Social Security Fund (CNSS), reached about 640 thousand files until April 10.

As for people unable to pay contributions and previously subject to the medical assistance scheme (RAMED), Mr. Lekja indicated that the way has been opened to benefit from the Compulsory Health Insurance (AMO) scheme in from December 1, 2022, adding that the number of beneficiaries amounted to 9.6 million policyholders, including rights holders.

And to continue that the state budget has supported the contributions of this category to the CNSS, with a total amount of 9.5 billion dirhams (MMDH).

The Minister also mentioned the preservation of the acquired rights of this category, which benefits from the same basket of care, with free medication and hospitalization in public health establishments, assuring that the State will cover the remainder, the rate of which reaches 30% of the amount of the services invoiced.

At the level of the services provided to this category in the private sector, which are supported by the CNSS since the launch of this scheme on December 1, 2022 until April 10, 2023, Mr. Lekjaa affirmed that the number of files submitted has reached 680,000 files, including 480,000 concerning claims for reimbursement, 40,000 files for requests for reimbursement, mainly for costly and chronic illnesses, as well as 160,000 files for care in public hospitals.

These results constitute an unprecedented achievement in the history of medical coverage in Morocco, he said.

In the same vein, Mr. Lekjaa said that 1.4 million files have not yet been transferred by public hospitals, noting that 1,229,978 people in this category have benefited from the services provided by these hospitals until April 20, of which more than 1,048,092 people registered in the AMO and 163,713 beneficiaries are in the process of registering for this scheme.

Regarding the services invoiced, their amount exceeded 1.9 billion dirhams, including 857 million dirhams (MDH) for the services provided, 434 MDH transfers in the form of a fixed amount according to the number of beneficiaries and 620 MDH will be transferred for the services provided. by public hospitals, he said.

Also, Mr. Lekjaa pointed out that the average charge for each file reached nearly 1,263 dirhams for people unable to pay contributions, against 1,438 dirhams for self-employed workers (TNS) and 1,200 dirhams for employees.

For his part, the Director General of the CNSS, Hassan Boubrik, reported a growing acceleration of the Fund’s activity, noting that the number of files filed daily stood at 60,600 in April, against 22,000 in December 2020, while AMO beneficiaries reached 23.2 million people through April 2023, compared to 7.8 million in December 2020.

Regarding the registration rates of TNS until mid-April, Mr. Boubrik underlined that they amounted to 81% for people subject to the single professional contribution (260,662 registrations), 75% for physical businesses (319,776 registrations) and 69% for merchants and craftsmen who keep accounts (27,751 registrations).

In addition, the DG of the CNSS noted that the network of CNSS agencies has been expanded to currently stand at 156 agencies, including 47 new agencies, in addition to 55 mobile agencies (45 new ones), highlighting the development of partnerships with local networks, with 2,006 points for receiving AMO files and 6,677 points for registering TNS.

For their part, the members of the Finance, Planning and Economic Development Committee welcomed the measures put in place to support the AMO project and overcome the difficulties preventing citizens from benefiting from it, insisting on the fact that health reform should not be limited to the development of basic infrastructure and human resources, but should concern the treatment of dysfunctions from which this sector suffers in the field of governance.

They also called for revising and developing the legal system and institutional governance of the social security system, as well as enhancing the human resources of the CNSS and improving the control and inspection of companies by the Fund, in addition improving the attractiveness of CNSS membership by increasing the reimbursement rate for healthcare records.



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