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CCSS with a budget of 4.8 billion colones for 2021

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62.3% will be allocated to health insurance, 34.5% to pension insurance and 3.2% to the Non-Contributory Regime.
• Healthcare revenues decreased 1.7% compared to the estimated revenues for 2020 and 0.4% in IVM.

The budget of the Costa Rican Social Security Fund (CCSS) will reach, in 2021, ₡ 4.8 billion for health insurance and pensions, as announced in a press conference, today, by Dr. Román Macaya Hayes, president executive of the CCSS, Dr. Roberto Cervantes Barrantes, general manager, and master Luis Diego Calderón Villalobos, financial manager.

According to the institutional leaders, 62.3% of the total budget will be allocated to health insurance, 34.5% to pension insurance and 3.2% to the Non-Contributory Regime (RNC).

Dr. Román Macaya Hayes, executive president of the CCSS, assured that the national emergency has directly affected the institution, due to the increase in spending and the reduction in income, for which a rethinking of the aspects that were coming has been carried out developing to concentrate efforts and institutional capacities.

“As immediate priorities we are focused on the care of the pandemic, the protection of health and life, as well as the permanent search for institutional financial balance.”

The hierarch explained that this budget is reasonable and prudent given the economic situation in the country, but it guarantees the continuity of services and the financial sustainability of the entity in charge of providing health services throughout the country.

Macaya reported that health revenues decreased by 1.7% compared to those estimated for 2020 and by 0.4% in IVM. This has to do with the current economic situation, that is, the decrease in prices as a result of the economic slowdown, unemployment; since 80% of the income of the CCSS is from worker-employer contributions.

Dr. Roberto Cervantes Barrantes, general manager of the CCSS, explained that various activities are carried out to formulate the budget, among which the following stand out:

  • The estimate of income for both insurances.
  • The transfers included in the Budget Law of the Republic for the 2021 period are taken into account.
  • Consultations with technical units and those that administer specific resources.
  • Consultations with the health service network directorates about new programs and services, contracts, drugs, supplies and medical implements, to be considered within the financing possibilities.
  • Analysis of the Institutional Investment Portfolio to prioritize and optimize the resources included.
  • In the Disability, Old Age and Death Regime, the estimates made by the Actuarial and Economic Directorate are considered, as well as the criteria of the Pensions Management.
  • In the Non-Contributory Regime, the estimates made by the Actuarial and Economic Directorate are considered, according to the transfers included in the Budget Bill of the Republic for the 2021 period, which does not cover the total financing required according to current expenditures, nor neither are the resources to meet the goal of granting 5,000 new pensions.

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