Question 12323 — maternity health insurance

Summary

Mr. Éric Alauzet questions the Minister of Solidarity and Health on the entry into force of “100% health” in optics on January 1, 2020, more particularly on the possibilities offered to independent opticians in order to compete with the networks as well as on the use of differentiated reimbursement within the framework of “zero out-of-pocket” offers. “100% health” is a major step forward for the French who will benefit now a no-cost offer with guaranteed quality criteria, in a logic of “fair care”. This reform will concern optics on January 1, 2020. This sector has experienced increased competition in recent years due to the arrival of chains of opticians practicing discount formulas and who, unlike independent opticians, benefit from advantageous supply prices by ordering volumes. important. At the same time, the practice of differentiated reimbursement has accentuated the disparities in reimbursements provided for glasses and optical frames. These two trends have increased the cost of purchasing glasses from independent opticians for the insured. In this context, it appears necessary to question the impacts of the implementation of “100% health” for independent opticians. The grouping of opticians independent in purchasing centers would allow them to benefit from low-cost supplies of products meeting “100% health” standards and therefore to be competitive with the networks. Furthermore, in the context of “zero out-of-pocket” offers, the practice of differentiated reimbursement should be profoundly affected. So, in order to protect independent opticians, without unbalancing the “100% health” reform and disadvantage policyholders, he asks what measures could be taken to facilitate or encourage the grouping of opticians in the form of purchasing centers and what is the future of differentiated reimbursement.

Machine translation from French. The official text remains authoritative.

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