Question 13450 — maternity health insurance

Summary

Ms. Manuéla Kéclard-Mondésir reminds the Minister of Solidarity and Health that during March 2018, in Martinique, around sixty parents of children suffering from major aplasia of the ear, a birth defect impacting the external and middle ear, questioned her on the question of reimbursement of hearing aids specific to this deformity and very expensive for families. In fact, there is an average of 3,000 euros left borne by the patient, after reimbursement from Social Security and mutual insurance companies, the device costing between 4,000 and 6,000 euros. However, when children are affected on both sides, families have to pay 6,000 euros. When we know that these devices must be changed every four years on average, the financial impact for families is therefore significant. A reform is currently underway for a zero out-of-pocket payment for families on traditional hearing aids, it could be useful to also extend it to devices specific to major aplasia since we know that a child with unilateral major aplasia who is not fitted with a hearing aid loses 40% of his learning abilities at school. And for adults, the situation is worsened since social security reimburses less from the age of 20. Many families request support financial assistance to the MDPH, which refuses because the child suffering from major aplasia is not considered sufficiently disabled, while those who apply to Social Security for the same purpose are refused any assistance because the child is considered too disabled, and are referred to the MDPH! The psychological impact of these inconsistencies on families is catastrophic. Also, she asks her what she plans to do to do recognize this malformation in the texts and allow sufficient equipment.

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