Question 2986 — maternity health insurance

Summary

Mr. Francis Vercamer draws the attention of the Minister of Solidarity and Health to the coverage by social security of additional examinations prescribed by occupational physicians, under the National Fund for Prevention, Health Education and Information (FNPEIS). As part of the individual monitoring of the state of health of employees, occupational physicians may in fact be required to carry out or prescribe examinations. complementary (biological analyses, ophthalmological, cardiological or psychiatric examinations, ENT, etc.). These examinations are part of a policy to prevent risks and harm to health, a policy identified as a priority in the 2018-2022 national health strategy announced in September 2017. In addition, the obligatory medical examination is sometimes the only medical follow-up for certain policyholders facing difficulties. access to care, which makes it an essential system for maintaining good health for these people. However, to date, health insurance is not aware of these additional test prescriptions covered by occupational health services. However, by participating in the cost of additional examinations, the national health insurance fund for employed workers would be aware of the requirements and could ensure the traceability of preventive actions, with an evaluation logic in mind. It would also help to simplify the carrying out of these examinations in the interest of policyholders. He therefore asks to what extent it would be possible to transfer the financial coverage of additional examinations prescribed by occupational physicians to health insurance.

Machine translation from French. The official text remains authoritative.

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