The 100% Health reform, which entered into force on 1is January 2020 in the optical sector, did not only win. These are the lessons of a study published on 1is last February by the Carte Blanche Partenaires care network.
The platform, which analyzed nearly 2 million optical and dental care provided within its networks in 2019 and 2020, points to the paradoxical effects of the 100% Health reform, which provides for a basket with no out-of-pocket expenses. after reimbursement by compulsory health insurance and complementary health insurance and a free price basket. Its objective: to improve access to quality care for all.
Among the findings, the difference in impact of the reform between dental andoptical ; thus, in the year 2020, the baskets 100% health accounted for 7.2% of supported in optics within the Carte Blanche Partenaires network, compared to 53% for dental.
Another point observed, 56% of policyholders mixed between a frame from the 100% Health offer at € 30 and glasses from the free basket or vice versa.
As for the remainder payable by people who have opted for a free basket, it has increased from 119 million euros to 127 million euros between 2019 and 2020, an increase of 8 million euros. This increase is due to the reduction in the ceiling for reimbursement of frames by complementary organizations, which has fallen from € 150 to € 100 since the entry into force of the reform.
“It is therefore legitimate to wonder if the objective of ‘without a chargeback’ is achieved for all by the reform, at least in terms of “Asks the healthcare network.
However, as its Managing Director, Jean-François Tripodi recalls, “ the objective of the 100% Health reform is to allow those who did not have access to quality care, for economic reasons, to be able to benefit from good quality frames and glasses without any additional charges ».
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