Understanding the 100% Santé offer

An auditory aid quote can quickly be worrying. Before giving up or signing, check that a 100% Santé class I offer is clearly included in the quote, along with reimbursement and the actual out-of-pocket cost.

The surprise of the quote

The appointment went well, the trial seems possible... then comes the quote. For many patients, the amount shown for hearing aids can be enough to put off the equipment. Before giving up, however, a reflex is worth adopting: check whether the document includes a 100% Santé offer.

What the offer covers

This offer can significantly reduce, or even eliminate, the out-of-pocket cost when the conditions are met. It does not make all devices free, but it requires comparing what is offered: the device class, the expected reimbursement, the trial and follow-up included.

Why device class matters

Hearing aids are divided into two main categories: Class I devices correspond to the 100% Santé basket. They meet defined technical characteristics and their price is regulated. For people aged 20 and over, this price is capped at 950 euros per ear. The rules differ for those under 20 and in certain visual impairment situations.

Class II devices and costs

Class II devices, on the other hand, are offered at free prices. They may include other options, other comfort levels or different technologies. However, the amount to be paid then depends on the fixed price, the reimbursement from the Health Insurance and the coverage planned by your complementary health insurance.

What to look for in the quote

The point to check is therefore very concrete: the standardized quote must include at least one 100% Santé offer for each ear to be equipped. The Health Insurance also specifies that the professional must offer two class I devices. If the document only presents a class II model with a significant out-of-pocket cost, explicitly ask for the class I alternative.