Question 9079 — medicine

Summary

Mr. Christophe Marion draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, to the persistence of manifestly illegal pricing practices on the part of certain teleconsultation platforms. Since the entry into force of article 53 of the social security financing law for 2023 and decree no. 2024-164 of February 29, 2024 relating to teleconsultation companies, they are authorized to operate and recognized as care providers in their own right. They are required to respect all the obligations applicable to doctors practicing in sector one, in particular the absolute ban on exceeding fees, within the framework of the enforceable rate set at 25 euros for a general medicine teleconsultation. However, several platforms, often subsidiaries of foreign players, charge patients additional service fees (application of third-party payment, additional costs in the evening and on weekends, priority care, etc.). These costs can represent almost double the normal price of a teleconsultation, without the excess portion being refundable by health insurance. They de facto introduce a break in equal access to care, by creating a “priority queue paid", as well as unfair competition and potential damage to the reputation of all teleconsultation companies. A report published in April 2025 by the Court of Auditors on teleconsultations notes that around 5% of teleconsultations by private doctors were invoiced with increases at night or on Sundays or public holidays in 2023 while teleconsultation platforms invoiced increases for around a fifth of their activity during the same periods. The MP therefore asks him if the Government plans to increase controls on teleconsultation companies and if it plans to apply sanctions, such as withdrawal of approval, to operators whose practices are illegal. He asks him if this concern will be the subject of particular attention during the telemedicine conference which was launched on 27 June 2025 by the National Health Insurance Fund (Cnam) and the General Directorate of Healthcare Supply (DGOS) to initiate a new stage of structuring the sector.

Machine translation from French. The official text remains authoritative.

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