Question 16601 — maternity health insurance

Summary

Mr. Philippe Fait draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the arrangements for the treatment of therapeutic contact lenses intended for patients with Marfan syndrome. Marfan syndrome is a rare genetic disease that can lead to particularly serious ophthalmological damage, including lens dislocations, which require frequently the use of specially adapted contact lenses in order to preserve the visual acuity of patients. However, several families are alerting to the fact that these lenses would no longer be covered by health insurance in certain situations, including when patients have a long-term illness (ALD). This development would represent a significant financial burden, as the equipment could reach several hundred euros and needing to be renewed regularly, particularly in children. This situation arouses great incomprehension since these lenses are not a simple comfort device but constitute an essential element in the medical treatment of rare pathologies. The MP relays the concerns of these families. Also, he asks him to please clarify the reasons leading to to the evolution of the treatment methods for these therapeutic lenses, to indicate the criteria currently used by health insurance for their reimbursement and to specify whether the Government plans to change these regulations in order to guarantee effective access to this equipment for patients suffering from Marfan syndrome and, more broadly, rare ophthalmological pathologies requiring the use of such lentils.

Machine translation from French. The official text remains authoritative.

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