Sévéane

Optical care and equipment generally represent fairly high budgets. The proportion of costs covered by the French health insurance system is limited, and out-of-pocket expenses remain high. Policyholders therefore need supplementary health insurance and complementary surcharges to reduce their out-of-pocket expenses. It's important to remember that the French health insurance system reimburses only a small part of the bill. Sévéane makes up for this by offering you 2 times less than you would pay at a traditional optician, with services of equivalent quality.

The network is made up of affiliated opticians, including your Sévéane partner optician, Mymonture. The group gives PRO BTP and Groupama policyholders access to high-quality equipment at attractive prices. Sévéane helps you benefit from €0 or very low out-of-pocket expenses. Sévéane allows you to choose your frames from a selection 5 times larger than in a traditional store. You'll also get all the technical explanations you need about your equipment, as well as the cost of your purchase. The Sévéane network offers you all the advantages you can enjoy at Mymonture.com.

Sévéane network benefits: for whom and why?

The Sévéane network is based on an Economic Interest Group model. This grouping is the result of an association between Groupama and Pro BTP. The latter is an insurer specializing in supplementary health insurance for the construction industry. Sévéane was founded to cover a wide range of healthcare needs. Individuals, employees, self-employed workers, self-employed professionals and families have easier access to services that are expensive and poorly reimbursed. The network aims to improve the coverage offered by your complementary health insurance. To this end, it offers you the opportunity to benefit from services whose prices are calculated with a discount on frames and free services.

Sévéane negotiates these advantages on a wide choice of frames and lenses. To guarantee the best prices, the network works with qualified professionals. Mymonture integrates this list of online and traditional opticians. Your optician undertakes to respect precise quality criteria and to offer equipment approved by all supplementary health insurance providers in the network. The aim is not just to enable you to buy lenses of French origin. Your optician can also send you the brand-name frames you want to try out. In addition to negotiated rates, policyholders and their beneficiaries are entitled to a number of guarantees, including a no-deductible breakage guarantee. Validated purchases are also guaranteed "satisfied or exchanged". Progressive lenses are guaranteed for 6 months. Equipment can be replaced in the event of intolerance. Anti-reflective coatings and lens hardening are guaranteed for 24 months.

Coverage is prioritized for all equipment prescribed by your ophthalmologist. It applies to all European-quality lenses listed in the Sévéane partner catalog. With Mymonture services and quality, this coverage must include the purchase of class B corrective lenses. Is the wearer under 16? Glasses are supplied with treatments and corrections prescribed by a professional. The Sévéane network offers discounts on prismatic lenses to correct convergence or anisometropia.

Thanks to your supplementary health insurance providers, you can buy your glasses for nothing. Sévéane's various schemes reduce or eliminate out-of-pocket expenses within reason. At Mymonture, the glasses quote is approved by all supplementary health insurance providers. The final amount also takes into account the cost of your second pair of corrective lenses, from €1 upwards. Beneficiaries of Sévéane care are first registered with partner supplementary health insurance providers. Benefits are available through individual or group supplementary health insurance providers. If yours is the one imposed by your employer, the Sévéane care and equipment benefits remain the same. The scope and cost of benefits vary according to your compulsory health insurance scheme. Your Sévéane Mymonture-approved optician can help you obtain the best conditions for complementary optical healthcare. Provisions are designed to meet your optical needs.

Coverage solutions at your Mymonture optician

Mymonture offers you many advantages. You can obtain a quote directly online, while ensuring that the document is recognized by supplementary health insurance providers. You're free to choose your equipment. Your optician imposes nothing on you. The policyholder can select frames and lenses from carefully selected frames of reference. Levels of cover are defined according to your sector of activity, your medical history in optical care and your contribution possibilities. The mutualist network emphasizes the possibility of obtaining a controlled bill, even for mixed equipment. The origin of lenses can be traced: Mymonture is supplied by partners approved by the network.

THIRD-PARTY PAYMENT Sévéane third-party payment system

Simply present your Vitale card and a valid third-party payment certificate, and Mymonture will take care of transmitting proof of your purchase. Your optician sends the estimate, the invoice and the buyer's identifiers to the mutualist network. This includes transferring the documents to the basic social security scheme, as well as to the supplementary health insurance. Mymonture's online third-party payment eliminates the need to pay for the purchase when the basket is validated. The THIRD-PARTY PAYMENT agent can be contacted in person. The solution covers all or part of the purchase. Coverage conditions are defined according to the formula chosen and the treatments ordered.

100% optical reimbursement

Your optical purchases from your Sévéane - Mymonture partner optician are also subject to the reform of the 100% Health basket. This scheme allows you to purchase optical equipment without delay. The cost of the purchase includes the price of the frame, 2 lenses, corrections and the total cost of the acquisition. The 100% Health Glasses offer guarantees reimbursement by insurance and supplementary health insurance providers. You can assess the cost of your glasses with trusted opticians. The wearer's estimate can be calculated using the 100% Santé calculation tool on the platform, with automatic estimation based on your correction. For the second pair of glasses, the guarantees, benefits and levels of reimbursement are the same. If the purchaser is under 18, coverage can be requested every year. If the wearer is over 18, coverage can only be requested every 24 months. In the event of a justifiable change in eyesight, the coverage period is extended to one year.

Sévéane rates at Mymonture

The Sévéane network offers extensive coverage of the entire Mymonture catalog. Have you chosen your equipment from among the basic models, or have you opted to mix and match? Your supplementary health insurance providers can now estimate their contribution. Sévéane rates cover frames up to 20%. While lenses are covered up to 40%, contact lenses are reimbursed at only 10%. The adjustment of these rates is entirely defined by the conditions of the Plans to which you have subscribed. In absolute terms, reimbursement ceilings should be adapted to your financial means. By joining the Sévéane network, your Sévéane - Mymonture partner optician is committed to providing services that meet its criteria. The supplementary health insurance providers network offers attractive levels of coverage, whatever your monthly payments. The network enables policyholders to benefit from what all partner providers have to offer.