Question 13237 — maternity health insurance

Summary

Mrs. Emmanuelle Ménard draws the attention of the Minister of Solidarity and Health to the insufficient reimbursement of hearing aids for children suffering from microtia and major aplasia of the ear. In France, the ear of one child in 10,000 is affected by this disease and one child in 100,000 has both ears affected. Very expensive, these hearing aids are difficult to access for families and this especially since their treatment methods are not adapted to microtia or aplasia. In fact, health insurance only covers a minor part of this amount since, for those under 20 years old, only 60% of the actual price of the device is reimbursed. Beyond this age, social security, on a flat rate of 199.71 euros, only reimburses 60% of this sum. Far from the real cost of a hearing aid since families will have to pay between 3,000 and 6,000 euros for a child suffering from a malformation of both ears. Families who request exceptional aid from primary health insurance funds (CPAM) or departmental homes for disabled people (MDPH) are systematically sent from one service to another and receive no help, under the pretext that their child's disability is not significant enough to be taken into account. in charge. Thus, a large number of families cannot provide hearing aids for their children who find themselves failing at school. However, a child suffering from unilateral aplasia and not equipped loses 40% of information at school. In addition, a child without hearing aids risks having a greater need for speech therapy sessions, implying significant costs for social security. While the President of the Republic has made a better care of hearing aids one of the commitments of her mandate, she would like to know how she intends to improve this care to put an end to the difficulties encountered by children without hearing aids.

Machine translation from French. The official text remains authoritative.

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