test reimbursement rules are changing from March 1

A remainder charge will now apply for PCR and antigen screenings. The most fragile people will be able to continue to benefit from full coverage by Medicare.

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Change in the reimbursement of Covid-19 screening tests. As of March 1, third-party payment will apply for PCR and antigen tests, announced Tuesday February 28 the General Directorate of Health (DGS). A decree to this effect was published Tuesday morning in the Official Journal. This decision is justified by “the improvement of the health situation and the gradual easing of measures to respond to the epidemic”specifies the DGS.

so far, the tests were covered 100% by Medicare for vaccinated people and without medical prescription. Now, theMedicare will cover 70% of the cost of the test if it is carried out by a doctor or pharmacist, and 60% if it is carried out by a nurse. “For the vast majority of policyholders who have additional cover”the rest at 30% to 40% “will be zero”assures the DGS. “The same is true for beneficiaries of complementary health insurance”adds the management.

On the other hand, the most fragile people will be able to continue to benefit from full support by Medicare. These are patients with long-term illness, people over 65, minors, professionals in the medical and medico-social sectors,Persons benefiting from an exemption under maternity insurance and those subject to collective screening.


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