{"id":7142,"date":"2019-08-04T13:40:37","date_gmt":"2019-08-04T11:40:37","guid":{"rendered":"https:\/\/www.unpnc-cfdt.fr\/?p=7142"},"modified":"2019-08-04T13:40:37","modified_gmt":"2019-08-04T11:40:37","slug":"mutuelle-accord-valide","status":"publish","type":"post","link":"https:\/\/unpncnational.traitdense.com\/?p=7142","title":{"rendered":"Mutuelle : Accord valid\u00e9"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.22&#8243; hover_enabled=&#8221;0&#8243;][et_pb_row _builder_version=&#8221;3.25&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;3.27.4&#8243;]<\/p>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>La Direction a re\u0301uni les organisations syndicales repre\u0301sentatives (CFDT, FO, CFE- CGC, ALTER, SNPL, SPAF, UNSA) pour une re\u0301union de synthe\u0300se sur l\u2019avenant n\u00b01 a\u0300 l\u2019accord relatif au re\u0301gime comple\u0301mentaire Frais de Sante\u0301.<\/p>\n<p>Cet avenant a e\u0301te\u0301 valide\u0301 et donc signe\u0301 par plus de 50 % des syndicats repre\u0301sentatifs dont l\u2019UNPNC-CFDT. Il rentrera en application le 1er janvier 2020.<\/p>\n<p>Cet avenant permet d\u2019appliquer les re\u0301centes e\u0301volutions le\u0301gales sur la couverture de certains soins et e\u0301quipements sans reste a\u0300 charge pour les salarie\u0301s (\u00ab reste a\u0300 charge 0 \u00bb). Cela concerne l\u2019optique, le dentaire et l\u2019audioprothe\u0300se avec des prises en charge dans le cadre du \u00ab 100 % sante\u0301 \u00bb.<\/p>\n<h2>Sur la base du sce\u0301nario 4 comprenant de nouvelles prestations issues de la ne\u0301gociation, voici les e\u0301volutions :<\/h2>\n<ul>\n<li>Biologie \/ Analyse non rembourse\u0301e Se\u0301cu \u2192 prise en charge 50 \u20ac \/ an<\/li>\n<li>Rajout au forfait commun \u00ab autres me\u0301decines \u00bb des podologues et pe\u0301dicures non rembourse\u0301s par la Se\u0301cu \u2192 6 prises en charge de 25 \u20ac sur 2 ans parmi la liste des praticiens figurant dans la rubrique \u00ab autres me\u0301decines \u00bb<\/li>\n<li>Psychologues \/ Psychomotriciens \/ Ergothe\u0301rapeutes \u2192 sans limite d\u2019a\u0302ge pour les enfants handicape\u0301s 20 \u20ac x 25\/an<\/li>\n<li>Pharmacie 15 % (vignettes Orange) \u2192 suite a\u0300 cette dernie\u0300re ne\u0301gociation remboursement du Ticket Mode\u0301rateur<\/li>\n<li>Pilule contraceptive non rembourse\u0301e Se\u0301cu \u2192 prise en charge 40 \u20ac \/ an \uf0c6Honoraires hospitalisation Acte Technique Me\u0301dical \u2013 me\u0301decin OPTAM\/OPTAM-CO : passage de remboursement de 85 a\u0300 200 % BRSS<\/li>\n<li>Honoraires hospitalisation Acte Technique Me\u0301dical \u2013 me\u0301decin NON OPTAM\/OPTAM-CO \u2192 passage de remboursement de 65 a\u0300 100 % BRSS \uf0c6Appareillage Aide Auditive \u2192 mise en place a\u0300 compter du 1er janvier 2021 du \u00ab 100 % sante\u0301 \u00bb. Pour les autres prestations, remboursement maxi 1 700 \u20ac par aide<\/li>\n<li>Optique \u2192 mise en place du \u00ab 100% sante\u0301 \u00bb. Autres prestations : 60 % BRSS + voir grille optique Sante\u0301clair<\/li>\n<li>Dentaire :\n<ul>\n<li>Inlay onlay suite modification de la base remboursement TM + 200 % BRSS<\/li>\n<li>Soins \/ Prothe\u0300ses dentaires : mise en place du \u00ab 100% sante\u0301 \u00bb. Autres prestations TM + 25 % BRSS<\/li>\n<li>Couronnes\/inter bridge\/ inlay core codifie\u0301es et non rembourse\u0301es se\u0301cu : 500 \u20ac par an<\/li>\n<li>Prothe\u0300ses provisoires : prise en charge 70 % + 53 \u20ac<\/li>\n<li>Implantologie : 3 implants par an<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"layoutArea\">\n<p>L\u2019alignement du remboursement des bases optiques enfants sur celles des adultes est aussi une avance\u0301e \u2192 meilleur remboursement sur une me\u0302me grille.<\/p>\n<\/div>\n<p>La proposition de la Direction d\u2019abaisser le plafond maxi de remboursement frais dentaire de 4 500 a\u0300 3 000 \u20ac n\u2019a pas e\u0301te\u0301 retenue. Ce plafond restera donc a\u0300 4 500 \u20ac.<\/p>\n<p>Au-dela\u0300 des modifications apporte\u0301es a\u0300 la grille de prestations, il a e\u0301te\u0301 convenu de proroger l\u2019application de l\u2019accord collectif de 2017 de 2 anne\u0301es soit une jusqu\u2019au 31\/12\/2022.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"page\" title=\"Page 2\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p><span style=\"color: #ff6600;\"><strong>LEXIQUE :<\/strong><\/span><\/p>\n<p><span style=\"color: #ff6600;\"><strong>BRSS : Base de remboursement de la Se\u0301curite\u0301 Sociale.<\/strong><\/span><\/p>\n<p><span style=\"color: #ff6600;\"><strong>TM: Ticket mode\u0301rateur (Delta entre la BRSS et le remboursement re\u0301el de la Se\u0301curite\u0301 Sociale)<\/strong><\/span><\/p>\n<p><span style=\"color: #ff6600;\"><strong>OPTAM : Option pratique tarifaire mai\u0302trise\u0301e<\/strong><\/span><\/p>\n<p><span style=\"color: #ff6600;\"><strong>OPTAM-CO: Option pratique tarifaire maitrise\u0301e pour les chirurgiens et les obste\u0301triciens.<\/strong><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.4.1&#8243; hover_enabled=&#8221;0&#8243;]<\/p>\n<p>version app =&gt; <a href=\"https:\/\/unpncnational.traitdense.com\/wp-content\/uploads\/2019\/08\/INFO-UNPNC-frais-de-sante.pdf\">Lire l&#8217;article en pdf<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row padding_mobile=&#8221;off&#8221; column_padding_mobile=&#8221;on&#8221; admin_label=&#8221;Ligne&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; width=&#8221;89%&#8221; width_tablet=&#8221;80%&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;89%&#8221; max_width_tablet=&#8221;80%&#8221; max_width_last_edited=&#8221;on|desktop&#8221; make_fullwidth=&#8221;on&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;Obtenir l&#8217;article en PDF&#8221; button_url=&#8221;https:\/\/unpncnational.traitdense.com\/wp-content\/uploads\/2019\/08\/INFO-UNPNC-frais-de-sante.pdf&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;T\u00e9l\u00e9charger le fichier PDF&#8221; admin_label=&#8221;Appel d&#8217;action: PDF&#8221; _builder_version=&#8221;3.18.4&#8243; background_color=&#8221;#001d49&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; button_letter_spacing_hover=&#8221;0&#8243; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;0&#8243; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]<\/p>\n<h3 style=\"text-align: center;\">\u00a0<\/h3>\n<p>[\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.22&#8243; hover_enabled=&#8221;0&#8243;][et_pb_row _builder_version=&#8221;3.25&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;3.27.4&#8243;] La Direction a re\u0301uni les organisations syndicales repre\u0301sentatives (CFDT, FO, CFE- CGC, ALTER, SNPL, SPAF, UNSA) pour une re\u0301union de synthe\u0300se sur l\u2019avenant n\u00b01 a\u0300 l\u2019accord relatif au re\u0301gime comple\u0301mentaire Frais de Sante\u0301. Cet avenant a e\u0301te\u0301 valide\u0301 et donc signe\u0301 par plus de 50 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7152,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"","ocean_second_sidebar":"","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"","ocean_custom_header_template":"","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"","ocean_menu_typo_font_family":"","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"on","ocean_gallery_id":[],"footnotes":""},"categories":[245],"tags":[],"class_list":["post-7142","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualites-air-france","entry","has-media"],"_links":{"self":[{"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=\/wp\/v2\/posts\/7142","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7142"}],"version-history":[{"count":0,"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=\/wp\/v2\/posts\/7142\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=\/wp\/v2\/media\/7152"}],"wp:attachment":[{"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7142"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7142"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/unpncnational.traitdense.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}