Question 17831 — maternity health insurance

Summary

Mr. Thierry Frappé draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the announced reduction in the reimbursement of dental care by health insurance from January 1, 2027. Today, for the dental care concerned, health insurance reimburses 60% of the reimbursement base, the remaining 40% constituting the co-payment, generally covered by the complementary health. Decree No. 2026-809 of August 21, 2026 provides that from January 1, 2027, the contribution left to the responsibility of the insured may represent between 50% and 60% of the reimbursement base, compared to 40% currently. As a result, the share financed by health insurance would be reduced from 60% today to a rate of between 40% and 50%. This development comes at a time when this support had already been lowered from 70% to 60% in 2023. This transfer of expenses to complementary health insurance, estimated at 510 million euros for dental care and prostheses, could lead to an increase in contributions and particularly penalize French people who have little or no complementary health insurance, while increasing the risk of forgoing care. Thus, he asks him to specify what rate of reimbursement by health insurance will be actually retained on January 1, 2027 and what measures the Government intends to take to prevent this reduction in coverage from resulting in an increase in the cost of health care for policyholders.

Machine translation from French. The official text remains authoritative.

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