Period | First week of period | Last week of period | Termination event | Fixed copayment | Coinsurance |
1. Initial period | 1 (3 January 2011) | 41 (16 October 2011) | First press report on regional copayment | None |
Pensioners 0% All medications Non-pensioners 40% Regular medicines 10% Reduced contribution medicines (€2.64 ceiling per prescription) |
2. Awareness after news publication | 42 (17 October 2011) | 77 (24 June 2012) | Introduction of the regional fixed €1 per prescription copayment | None |
Pensioners 0% All medications Non-pensioners 40% Regular medicines 10% Reduced contribution medicines (€2.64 ceiling per prescription) |
3. Fixed copayment | 78 (25 June 2012) | Non-pensioner profiles: 82 (23 July 2012) Pensioner profiles: 87 (26 August 2012) 0% copayment profile: 85 (13 August 2012) | Introduction of the changes in national coinsurance rates | €1 per prescription for all medications over €1.67* Annual limit: €61 per patient |
Pensioners 0% All medications Non-pensioners 40% Regular medicines 10% Reduced contribution medicines (€2.64 ceiling per prescription) |
4. Fixed copayment + new coinsurance rate | Non-pensioner profiles: 83 (30 July 2012) Pensioner profiles: 88 (3 September 2012) 0% copayment profile: 86 (20 August) | 107 (20 January 2013) | Suspension of regional fixed copayment | €1 per prescription for all medications over €1.67* Annual limit: €61 per patient |
Poor population
† 0% All medications Low/middle-income pensioners 10% All medications with monthly limits per patient based on income‡ Low-income non-pensioners 40% Regular medicines 10% Reduced contribution medicines (€4.13 ceiling per prescription) Middle-income non-pensioners 50% Regular medicines 10% Reduced contribution medicines (€4.13 ceiling per prescription) High-income population (pensioners § and non-pensioners) 60% Regular medicines 10% Reduced contribution medicines (€4.13 ceiling per prescription) |
5. New coinsurance rate | 108 (21 January 2013) | 183 (30 June 2014) | None |
Poor population
† 0% All medications Low/middle-income pensioners 10% All medications with monthly limits per patient based on income‡ Low-income non-pensioners 40% Regular medicines 10% Reduced contribution medicines (€4.13 ceiling per prescription) Middle-income non-pensioners 50% Regular medicines 10% Reduced contribution medicines (€4.13 ceiling per prescription) High-income population § (pensioners and non-pensioners) 60% Regular medicines 10% Reduced contribution medicines (€4.13 ceiling per prescription) |
↵*Population at risk of exclusion was not subject to copayment.
↵†Population excluded from coinsurance: minimum integration copayment, non-contributory income, unemployed without benefits and analogous situations.
↵‡Patient monthly limit based on patient income of €8 (<€18 000/year) and €18 (€18 000–€100 000/year).
↵§Pensioner patients had a monthly limit of €60.