The National Health Fund (Fonasa) has launched a database review process that will result in the reassignment of members to Tier A. The measure targets individuals who fail to record health insurance contributions for 12 consecutive months.
This update is in compliance with Law No. 21,674, which requires the institution to adjust user classifications based on their actual economic situation. The agency aims to ensure that tier assignments are consistent with declared monthly income.
The change will take effect automatically. Members currently in Tiers B, C, or D will lose their current status if the institution detects a lack of contributions for a full year.
Loss of Choice of Provider
Reassignment to Tier A directly impacts medical coverage. Affected users will lose access to the 'Free Choice' modality, preventing them from seeking care through affiliated private providers.
However, the agency confirmed that the public health network remains unchanged. Those assigned to Tier A will maintain their coverage within the public system and continue to have free access to the state health network.
Fonasa explained that the goal of the process is “to adjust the membership tier according to changes in each person's monthly income.”
To avoid these changes, the institution recommends periodically checking contribution status via the 'Mi Fonasa' platform using a 'Clave Única' or by calling 600 360 3000.
Self-employed workers can regularize their status through Previred. Meanwhile, employees should verify that their payments are being made correctly by checking directly with their employers.