In suspending the implementation of the new model of change in the legacy group compensation process (Legacy) is proceeded by National insurance. As stated in a company announcement, “Given the concerns recently expressed, we have decided to suspend the implementation of the new model, awaiting the new indicator. health (ECN) by ELSTAT. “
In detail, the announcement states: “In National Insurance, our strategy of ambition focuses on creating an integrated model of health insurance management, with limiting over -indebtedness, transparency in costs and overall improvement in the experience of our insureds, maintaining quality and health quality and accessibility.
In this context, we have recently announced an adjustment to the practice of compensation for a specific and limited part of the health contract portfolio for 4% of our insured persons with health insurers. Our goal was to provide timely and clearly informing our insured people about the cost and proper use of health benefits to boost transparency for the benefit of all, as well as to rationalize increased health care costs.
The proposed change:
- It did not constitute a unilateral modification of the existing terms of contracts, since where the hospital expenses are immediately allowed, the procedure would remain unchanged
- For the holders of the contracts of this portfolio, and always with the focus of continuing support of our insureds, the creation of a special network of affiliated hospitals, high standards, in which the well -known procedure for direct redemption by the company by the company had been designed.
- If the insured person was choosing a hospital outside the special network, the new reporting procedure would be in force, which provided for an information to be briefed by the company before scheduled hospitalization.
However, taking into account the concerns recently expressed, we have decided to suspend the implementation of this new model, awaiting the new Health Index (ECHR) by ELSTAT.
We continue to monitor healthy developments in the field of health and recognize that the ever -increasing cost of health care and the increased frequency and severity of medical cases are one of the biggest challenges of our time, with a direct impact on both our insurance markets and insurance markets. We always remain committed to providing high quality services with the aim of care and care for all our insureds. “
Government intervention and reaction of insurance mediation led to a solution
Government intervention and the reaction of insurance mediation have led to a solution to a post as a post on its website, shortly before the announcement of the announcement, the Athens Chamber of Commerce.
He specifically stated: “The government intervention leading to the lifting of the National Circular on Old Health Contracts proves that when insurance mediation is united then it can and brings results. They finally attributed to the efforts of the unions which, with their announcements, stated the ‘unfair’ of the company’s decision against its insureds with old health contracts. The EADE, POAD, SEMA, ESAE, SPATE, and professional Chamber of Athens, as well as Consumer Protection Associations (EKIZIO, PEKAP) with public interventions, were demanding that the national circular in question was not implemented.
And finally this was achieved, which was confirmed by the responsible Minister of Development, Takis Theodorikakos, at a meeting with ESA representatives that the particular decision of the National would not be implemented.
Market intervention with reasoned arguments showed that the law eventually prevailed, defended the interest of consumer and dominated the view of equal treatment of insured persons. In conclusion, a ‘battle’ was won with positive results for both the private insurance industry for both insured persons and insurance intermediaries demonstrating that the sympathy and the common, unity, efforts of insurance mediation are a result. “
For his part, the Association of Insurance Agents of Attica (SPATE) said in a statement: “We are satisfied with the forthcoming withdrawal of the National Insurance Circular 2025_11, which concerned the change in the compensation process of the Library Group (Legacy). Mobilization in every direction. “
Theodorikakos: Strict control over insurance companies for abusive terms and unfair practices
It is recalled that the Minister of Development Takis Theodorikakos, speaking this morning to ANT1, said on the issue: “Complaints were made to the General Secretariat for a unilateral change in the way of compensation by insurance companies, if this is the case with other insured persons, I would like to do so. I have ordered the competent services to check these cases for unfair commercial practices and abusive terms. “
The Minister of Development noted that “companies should recall the letters” and added: “Who says that a citizen who pays a insurance contract has the money to pay cash?”
“I call on insurance companies to comply with their obligations, according to their contracts with their customers,” he said.