Question 2987 — maternity health insurance

Summary

Mrs. Perrine Goulet draws the attention of the Minister of Solidarity and Health to the new standardized estimate. The decree of April 28, 2017, relating to the information of the socially insured person or their beneficiary on the conditions of sale of products and services for hearing impaired people and optical and eyewear products, requires eyewear opticians, from January 1, 2018, to issue consumers with a new standardized quote detailing the price of each product as well as the services sold, according to a model provided in the annexes to the said decree. A distinction will thus be made between services prior to delivery, corrective optical equipment (corrective lenses and frames) and services linked to delivery and its guarantees. In optics, the nomenclature of LPP codes (list of products and services) is established on lenses, frames and lentils. Until now, the actions carried out by the optician to deliver complete corrective equipment were integrated into the LPP code of the glass, frame or lenses, thus ensuring their coverage. In this future standardized estimate, it would seem that only corrective optical equipment would benefit from coverage by health insurance and supplementary health insurance, as social security is not favorable to this. the creation of a fourth LPP code. The consumer could thus bear the cost of other services linked to the delivery - yet inseparable from the supply of medical optical equipment. Faced with this situation, she asks him to please clarify the Government's intentions in order to prevent any increase in the remainder payable by social security beneficiaries.

Machine translation from French. The official text remains authoritative.

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• Perrine Goulet · auteur

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