Question 15534 — maternity health insurance

Summary

Mr. Christophe Marion alerts the Minister of Health, Families, Autonomy and People with Disabilities to the need for continuous glucose sensors to be supported for all elderly people with diabetes. In his constituency of Loir-et-Cher as in the national requests he receives, the MP notes differences in interpretation of existing law regarding the reimbursement of these devices for people residing in nursing homes. Some primary health insurance funds (CPAM) refuse to consider that these sensors are included in the daily rate relating to care in establishments provided for by article L. 314-8 of the social action and families code while others accept it. On the health insurance forum for policyholders, an expert Ameli nevertheless states that “the Freestyle libre medical device is considered included in the care package for nursing homes without a pharmacy for indoor use” even if it adds the following clarification: “pending a clear position from the ministry”. This call from a health insurance advisor joins that made by the patients themselves, their families, their nursing homes, their association representatives and their national elected officials. For more than a year, they have all been waiting for a clarification that will end the current inequality of treatment between diabetic people housed at home, whose coverage for continuous glucose sensors is guaranteed by health insurance, and diabetic people residing in nursing homes, who end up giving up these tools due to lack of funding. Knowing that these medical devices ensure a better quality of life and care for patients while facilitating the work of staff who accompany them, he asks the Government to officially and legally recognize their care for all people with diabetes, regardless of their age and their mode of accommodation.

Machine translation from French. The official text remains authoritative.

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