Question 17833 — maternity health insurance

Summary

Mr. Olivier Gaillard draws the attention of the Minister of Solidarity and Health to the postponement of reimbursement of supplementary sickness benefits under the special social security scheme in mines. The National Agency for the Guarantee of Minors' Rights (ANGDM) has stopped paying since October 2018. The payment of supplementary health benefits for the last quarter of 2018 is therefore postponed to the first quarter of 2019 and will reduce the budget for the year 2019. The expectation of these sums by affiliates and rights holders constitutes a significant expense in their monthly budget. Furthermore, in 2018, a reduction in the reimbursement budget of 10% was applied. It will be 5% in 2019. This reduction will result in an increase in the reimbursement of costs, as well as an increase in the absence of care by members and their beneficiaries. The main challenge is to preserve the principle of public health for mining affiliates (there are still 200,000 pensioners and affiliates who contribute to the health, disability and retirement plans and benefit from reimbursement of health costs and retirement pension payments). This is why he asks him within what time frame reimbursements will occur, the absence of which impacts the expenses of affiliates and their rights holders. He also asks him to specify the overall directions that the Government intends to pursue in terms of health care reimbursements and retirement pension payments, and whether, in particular, an increase in the share of health reimbursements from the special mining regime is envisaged by the Government this year through the 2020 finance bill.

Machine translation from French. The official text remains authoritative.

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