Question 2770 — maternity health insurance

Summary

The President of the Republic announced on June 13, 2018, during the Mutualité Française Congress in Montpellier, the realization of the zero-charge remainder in the fields of optics, hearing aids and dental care. The objective is to reduce the rate of people giving up care for financial reasons. In the optics sector, this rate stands at 10.1% on average. It amounts to 17% for the 20% of French people with the lowest incomes. more modest. The Government has favored broad consultation with the stakeholders concerned: manufacturers and distributors of medical devices, health professionals, complementary health organizations and patient representatives. These consultations resulted in the signing of the draft dental agreement by two of the three unions of dental surgeons on June 21, 2018, as well as, for the optics and audiology, upon the signing of protocols of understanding by two of the three optician unions and by all unions in the hearing aid sector on June 13, 2018. The “100% health” reform will apply to baskets of necessary and quality care in the three sectors, that is to say that the devices in these baskets will make it possible to respond in a medically relevant way to health needs and under conditions corresponding to a legitimate social expectation, for example in terms of thinning glasses for very myopic people or the aesthetic quality of dental prostheses taken into account depending on the location of the tooth. This quality will be ensured both with regard to the technical performance of the medical devices, their aesthetic quality and the guarantees associated with them. To attest to this, the High Authority of Health was entered into the notices of draft nomenclature and will soon deliver its conclusions. In addition, the care offers offered will have to evolve to adapt to new techniques and the health needs of the French. Finally, a regular assessment of policyholder satisfaction, based on surveys carried out among optical and audiology patients, will ensure consistent quality of this equipment.

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