MGEN-approved optician
Health insurance does not reimburse the full cost of health care. To remedy this, there are various supplementary health insurance providers. The latter is an insurance contract that supplements French national health insurance reimbursements or treatment not covered by this fund. Find out more about MGEN (mutuelle générale de l'enseignement national) here. You'll learn who can subscribe to this supplementary health insurance providers, its advantages and its various free services. Mymonture, an approved MGEN optician, tells you all about it.
What is the history of MGEN supplementary health insurance providers?
The supplementary health insurance providers were founded in 1946 by the SNI (syndicat national des instituteurs). At that time, French national health insurance was being introduced. Today, in addition to medical and social establishments, MGEN manages psychiatric hospitals, medical clinics, retirement homes and health centers for all its members. Since 2012, MGEN, along with other supplementary health insurance providers (Harmonie Mutuelle, Mutuelle Mare-Gaillard, MGEFI, MNT, Harmonie Fonction Publique), has been part of the VYV group (a mutual health and social protection union).
Who can subscribe to MGEN's complementary health insurance?
Unlike other supplementary health insurance providers, the Mutuelle Générale de l'Education Nationale manages the compulsory health insurance scheme for its employees. It covers teachers in the national education system, as well as staff in the higher education, ecological transition, sports, culture, research and innovation sectors. It also offers group health and provident contracts to companies and associations, with significant discounts.
What are the advantages of supplementary health insurance providers?
The main advantage of MGEN 's complementary health insurance is the amount of your contributions. It takes your income into account. Expenses are covered immediately. They are reimbursed from the 1st day of membership. Supplementary health insurance providers are also available for non-teaching spouses. Supplementary health insurance providers cover your children up to the age of 29. MGEN provides its members with counselling and psychological support services. Thanks to its special partnerships, the supplementary health insurance providers offer adapted vacation centers throughout France, as well as leisure, cultural and sports centers. MGEN also covers a range of life events, including student life, travel insurance, furniture insurance and savings and retirement solutions.
The various services offered by MGEN's supplementary health insurance providers?
Third-party payment management THIRD-PARTY PAYMENT
MGEN reimbursements remain the same as for all French policyholders. MGEN supplementary health insurance works like all supplementary health insurance providers. The basic reimbursement covers only the co-payment. For example, for a consultation with your GP costing €25, the health insurance will reimburse 70%, i.e. €17.50 (minus the €1 fixed contribution), plus a further €6.50 paid by the supplementary health insurance providers. Depending on the contract you take out, you may be reimbursed for less common medical services (osteopathy, naturopathy, etc.).
The '100% Santé' scheme (full cover)
The class A basket corresponds to 100% reimbursement. It covers the cost of optical, dental and hearing prostheses. Coverage is total, i.e. with a remaining out-of-pocket expense of €0. Expenses are paid by health insurance and supplementary health insurance providers. The '100% Santé' scheme (full cover) must meet European standards. For optics, it includes 16 frames for adults and 10 frames for children, available in two colors. The selling price may not exceed €30. The lenses cover all visual corrections, and several treatments are included, including lens thinning, anti-reflective, anti-scratch and anti-UV. To benefit from the '100% Santé' scheme (full cover), you must present your optician with a prescription from your ophthalmologist or one of the practitioners covered by this new regulation. You can also choose a free rate called class B. This allows you to select your products according to your needs and wishes, but with an out-of-pocket expense.
The different reimbursement formulas with MGEN
mGEN offers 4 levels of complementary health insurance:
- MGEN initiale covers essential needs,
- MGEN équilibre provides better reimbursements, particularly for excess fees,
- MGEN référence is a reinforced offer to cover remaining expenses for optical, dental and orthodontic care,
- The MGEN intégrale corresponds to optimal protection for all coverages.
MGEN-approved optician - Mymonture offers you a range of services
MyMonture.com offers you numerous financial advantages and free assistance in choosing your eyewear. We give you the opportunity to buy your eyewear at half the price of a traditional optician, with the same service and product quality. As with all online purchases, there's no need to go anywhere. You can choose your frames online with complete peace of mind. And if you have any questions, you can contact us by phone or via our website by filling in the dedicated form. All our frames come from top French and foreign brands, and are genuine. Our team has earned their trust, and as a result, we can now offer you over 60 major brands with more than 6,000 references. You'll appreciate the quality of our French-origin lenses. Our opticians source them from the French Essilor group, one of the world's leading designers of ophthalmic optical equipment.
Never tried buying your prescription glasses over the Internet? To put your mind at rest, we'll send you 2 or 3 frames to your home address and let you try them out for 7 days. With MyMonture and thanks to the Internet, you'll discover a new way oftrying on your glasses in 3D. It's quick and easy. Just follow our instructions. Our opticians will be happy to guide you. Online third-party payment with Mymonture. Thanks to our state-qualified opticians, we are approved by the French health insurance system and all supplementary health insurance providers and networks. As a result, you can buy your eyewear free of charge, with 0% out-of-pocket expenses or very low out-of-pocket expenses.
Like all city opticians, we offer a '100% Santé' (full cover) scheme. To better assist you, you can obtain an approved estimate on our website, with an automatic calculation based on your corrective needs. This applies to all supplementary health insurance providers. On our site, we offer you advantageous prices with 5 times more frames than in a traditional store. If you are not satisfied with your order, you have 30 days to return it. We'll refund or exchange it. With MyMonture, have your glasses serviced by one of our online opticians or in one of our French stores.
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