Thirty euros at the GP, 60 euros at the specialist if you are referred by a GP: the price of certain consultations is increasing on Sunday, without impact on the vast majority of patients, who will continue to be reimbursed as before.
These increases are linked to the new agreement signed in June by Health Insurance and the unions of independent doctors, to define their relations for the period 2024-2029.
The agreement provides for "significant revaluations" for practitioners, "necessary" in view of inflation, with, in return, actions to "transform the health system", in particular collective commitments on access to care and the "relevance and quality" of care, underlines the National Health Insurance Fund (CNAM).
The reference consultation with general practitioners will therefore increase from this Sunday from 26.50 to 30 euros.
At the same time, the "one-off consultant's opinion", which remunerates the expertise provided by a specialist at the request of a general practitioner, increases from 56.50 to 60 euros.
Objective: to encourage doctors to set up in local practices, by making the activity "more attractive", particularly for general practitioners, who see a million patients per day.
No change for the wallets of the majority of French people: these rates are reimbursed by Health Insurance (70%) and supplementary insurance (30%), after deduction of the two euros of "flat-rate contribution" always due by the patient (up to a limit of 50 euros per year/patient).
– Increases at the pediatrician, psychiatrist, geriatrician… –
However, 4% of French people do not benefit from supplementary health insurance and will automatically see their remaining costs increase.
Other consultations will increase in two stages, partially on Sunday, then on July 1, for certain specialties whose incomes are lower and to respond to "public health issues."
In view of the deterioration of the mental health of young people in particular, the child psychiatry consultation will be paid 67 euros on Sunday, then 75 euros from July 1, compared to 54.70 today. It will be usable until the patient is 25 years old.
In pediatrics, the three mandatory consultations of the child that require a "certificate" from the doctor will increase to 54 euros on Sunday, then 60 euros on July 1 (currently 47.50). The other mandatory examinations (covered at 100% by Health Insurance) and routine follow-up consultations are also revalued.
The agreement creates a new pediatric expert consultation up to 16 years old, at 60 euros, upon referral (from a doctor, midwife, speech therapist, etc.) to strengthen in particular the early detection of developmental disorders and chronic pathologies.
The standard consultation with a psychiatrist will cost 55 euros on Sunday, then 57 euros in the long term (51.70 today).
Increases are planned for other specialists including medical gynecologists (40 euros in the long term compared to 33.50 today), geriatricians (42 euros compared to 31.50), neurologists (57 euros compared to 51.70), for melanoma screening by dermatologists (60 euros compared to 47.50), or for various technical procedures.
– “Improving access to care” –
From 2026, general practitioners will receive a simplified “attending physician package” (additional remuneration in addition to consultations carried out) calibrated to the composition of their patient base to promote in particular the care of elderly, precarious or chronically ill patients.
For example, the annual monitoring of a patient over 80 years old with a long-term illness will be valued at 100 euros.
In addition, the agreement simplifies and supplements the financial aid granted to doctors who set up in a medical desert, carry out "one-off" consultations in under-resourced areas or hire medical assistants to be able to take on more patients.
The agreement represents 950 million euros of additional expenditure in 2025 for Health Insurance (excluding new measures taken by the executive) and 1.6 billion in the long term.
In return, doctors are collectively committing today to "ten numerical objectives" (reducing the rate of patients with long-term illnesses without a treating physician to 2%, increasing their patient base by 2% per year, etc.) and fifteen action programs for the "relevance and quality" of care (reduction in prescriptions for sick leave, certain medications, medical transport, etc.).
The results will be monitored by an observatory and published online every quarter, starting in the first quarter of 2025.
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