Pro BTP-approved optician
As you know, health insurance covers part of your healthcare costs. Unfortunately, coverage is still very inadequate. Subscribing to a supplementary health insurance provider is therefore an ideal way of reducing the limits of French national health insurance. MyMonture is approved by all supplementary health insurance providers and networks, including PRO BTP. Here is a brief presentation of the group's supplementary health insurance providers. Below you'll find answers to a number of questions: who can benefit from PRO BTP contracts? What are the advantages and services offered by supplementary health insurance providers PRO BTP?
Who is the PRO BTP social protection group?
Created in 1993, the PRO BTP social protection group offers a range of services: health, provident, supplementary pension, savings, vacation, car and home insurance. In the healthcare field, PRO BTP has signed a partnership agreement with Groupama for the Sévéane healthcare network. The supplementary health insurance providers PRO BTP offers different types of contracts for specific profiles.
Who can subscribe to the PRO BTP supplementary health insurance providers?
BTP santé or Pro BTP supplementary health insurance providers are aimed at all construction professionals. This supplementary health insurance provider is open to all small and large companies, as well as independent craftsmen (painters, masons, carpenters, etc.). Retired construction workers, apprentices, architects and site supervisors are also eligible. As for dependents, i.e. children, husbands or wives, they can benefit from contracts presented by the supplementary health insurance providers PRO BTP.
What are the advantages of PRO BTP complementary health insurance?
With supplementary health insurance providers PRO BTP, there is no medical questionnaire to fill in, and no waiting period. Coverage begins as soon as the contract is signed. In the event of redundancy, for example, BTP Santé will maintain your rights for a period of 36 months, whereas the law imposes a maximum of 12 months. PRO BTP's complementary health insurance provides social assistance for the most disadvantaged members, and discounts for apprentices and pensioners. The supplementary health insurance providers' strong point is the number of contracts available. It offers both individual and community contracts at attractive rates.
The various services offered by supplementary health insurance providers PRO BTP
Supplementary health insurance providers PRO BTP offer a range of services and reimbursement formulas for your healthcare costs.
Third-party payment management THIRD-PARTY PAYMENT
The basic package (available to all supplementary health insurance providers) covers the minimum reimbursement required by current regulations, i.e. the co-payment. This covers hospitalization, routine treatment, optical and dental care, and preventive care. (As a reminder, the co-payment corresponds to the difference between the price paid for a procedure, the tariff for which is set by the health insurance fund, minus the reimbursement from the same fund). It is possible to top up basic cover by paying higher contributions, thereby obtaining higher reimbursements. This means that the PRO BTP supplementary health insurance providers can reimburse the patient's co-payment, as well as non-conventional medical services such as osteopathy, acupuncture, homeopathy, nutrition, chiropractic, naturopathy, periodontal check-ups, cures, extra fees charged by certain practitioners, etc Depending on the healthcare professional you consult, with total third-party payment, you pay nothing at all, while with partial third-party payment, you pay only that part of the cost not covered by French national health insurance. This is where supplementary health insurance providers come in to reimburse you.
100% health care
100% health is the total reimbursement (also known as €0 out-of-pocket expenses) of hearing aids, dental prostheses and eyeglasses. You can now choose between two options. You can select the 100% health basket (known as class A) or opt for a free rate known as class B. With the 100% health basket, you are fully reimbursed for your expenses and, above all, you pay nothing. With the free rate, you choose the lenses and frames you like, and the hearing aids and dental prostheses you find most suited to your situation. To benefit from 100% health, all you need is a prescription from a doctor, such as an ophthalmologist, ENT specialist or other physician practicing the relevant activities.
Different reimbursement formulas with PRO BTP
PRO BTP supplementary health insurance providers offer 13 levels of cover. These contracts are classified for hospital care from S1 to S5/06 and for other types of care from P1 to P6 (doctors, pharmacy, dental, optical, etc.). With formulas S1, S2, S3 and S4, for a consultation with your GP costing €25, you will be reimbursed €16.50 by French national health insurance and €7.50 by supplementary health insurance providers. The remaining €1 is your fixed contribution to French national health insurance.
In any case, when you opt for 100% healthcare for optical equipment (lenses and frames), a ceramic-metal crown on the first premolars or a hearing aid, you're fully reimbursed and, above all, you pay nothing. These healthcare professionals are reimbursed directly by your health insurance fund and supplementary health insurance providers PROF BTP.
Why choose Opticien Agréé PRO BTP - Mymonture?
With MyMonture, you benefit from numerous free services and quality products. First of all, you don't have to go anywhere - you can order your glasses from the comfort of your own home. The frames we distribute are, of course, authentic and come from the world's leading brands. Our platform offers you a wide choice of frames, up to 5 times larger than a traditional optician.
To serve you better, we offer you a free 10-day trial of several frames at your home. If you are not satisfied with your order, you now have 30 days to return your items. We'll exchange them or refund your money. Our products are half the price of traditional opticians. And yet we offer the same service and product quality. Thanks to our state-qualified opticians, you can benefit from online third-party payment with MyMonture, in particular with supplementary health insurance providers PRO BTP. This means you can pay nothing or only a small out-of-pocket expense. Our team is reimbursed directly by your insurance companies. We practice 100% healthcare.
In order to be completely transparent and to let you know your out-of-pocket expenses, the site has set up an automatic calculation based on your correction. You'll receive an approved quote from your own supplementary health insurance providers. As for the lenses, they are of French origin and come from the Essilor group, renowned for the quality of their products. To further enhance your satisfaction, your online optician offers you a second pair of glasses for just €1 more. Finally, you can contact us by phone, via our online form or in one of our French stores for the care and cleaning of your glasses.
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