Question 17272 — maternity health insurance

Summary

Mr. Nicolas Pacquot questions the Minister Delegate to the Minister of Labor, Health and Solidarity, responsible for health and prevention, on the modification of the financial coverage of consultations and dermatological care for seborrheic keratoses by the primary health insurance fund. Keratoses are superficial skin lesions that are very common in adults, particularly from the age of 40 to 50. constituting one of the first reasons for consultation with dermatologists in France. Although generally considered benign, these lesions can cause discomfort sometimes requiring the use of dermatological techniques. Notwithstanding, these acts, now considered as acts of comfort rather than medical care, are now categorized as cosmetic surgery. However, the interventions of Cosmetic surgery is not covered by compulsory social security schemes, in accordance with article R162-27 of the social security code. As a result, the treatment of seborrheic keratoses is no longer eligible for health insurance reimbursement. For example, a septuagenarian from the MP's constituency had to be treated, using nitrogen, for several seborrheic keratoses. described as benign, but causing him discomfort. The care provided by the dermatologist was not reimbursed by the CPAM, even though his previous consultations for the same procedure were covered by health insurance. Furthermore, his practitioner informed him that he faced a penalty of 450 euros if he did not respect this principle. Also, in this context, he asks him what motivated this change which prevents now the reimbursement of these procedures by health insurance and whether a review of this measure could not be considered in order to guarantee access to this care, essential for many patients.

Machine translation from French. The official text remains authoritative.

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