Can You Be Moved from Your EPS Without Your Consent? Key Aspects of the Decree Redistributing Affiliates
If you are affiliated with an EPS that will cease operations in your territory due to the Government's health decree, which redistributes the territorial burdens of these entities, you may be transferred to larger ones such as Nueva EPS, Savia Salud, and Servicio Occidental de Salud (SOS). However, according to experts, the system lacks the operational capacity to move millions of users without affecting their care.
TL;DR
- Millions of EPS affiliates will be forcibly transferred to other EPS entities as mandated by a new government decree.
- The transfer process is intended to be completed within five days, which experts deem operationally impossible without impacting patient care.
- Individuals transferred to a new EPS must remain for a minimum of 60 days before exercising their right to choose another provider, with exceptions for family reunification and indigenous communities.
- Nueva EPS is expected to receive the largest number of affiliates (approximately 2.6 million), increasing its total to around 14.2 million, despite currently being under government intervention and experiencing financial issues.
- EPS Sanitas will lose approximately 1.27 million affiliates, while Coosalud and Asmet Salud will also experience significant net losses.
- Some EPS, such as those in the exception regime and Mallamas, Dusakawi, Anaswayuu, A.I.C., Pijaos, Ferrocarriles, and E.P.M., will retain their current affiliate populations.