Question 25189 — supplementary insurance

Summary

Mr. Jean-Pierre Door draws the attention of the Minister of Solidarity and Health to the scope of so-called responsible supplementary insurance contracts governed by Articles R. 871-1 et seq. of the Social Security Code. The main objective of these contracts is to make the patient responsible for their health expenses by encouraging them to respect the coordinated care pathway. The regulations require contracts of supplementary health insurers, subject to compliance by the insured with the coordinated care pathway, to reimburse a minimum basket of care and to respect minimum and maximum reimbursement levels. However, within the framework of health expenditure control policies, many health products or services are not or no longer reimbursed by compulsory health insurance even though they are part of pathways care. Also, he asks her if she encourages insurers to include in the care baskets these non-reimbursable health products and services contributing to the proper use of care, within the framework of these responsible contracts.

Machine translation from French. The official text remains authoritative.

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