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How long do patients wait for authorisation for a dental prosthesis?

When a patient needs a dental prosthesis, the dentist must first send a cost estimate to the Medical Control of the Social Security (CMSS). Without the authorisation of the CMSS, the patient will not be reimbursed for the dental prosthesis. DP MPs Corinne Cahen and Carole Hartmann have asked the minister responsible how many estimates have been received this year, how long the waiting times currently are and whether interim solutions can be proposed to a patient until the CMSS has given its approval.

Question

« Après une chimiothérapie, il peut arriver qu’un patient perde ses dents. Pour obtenir une prothèse dentaire, un traitement chez le dentiste est nécessaire.

La plupart des actes concernant les prothèses dentaires nécessitent l’accord préalable du contrôle médical de la sécurité sociale (CMSS) pour être remboursés. Les délais d’attente semblent toutefois très longs.

Dans ce contexte, nous aimerions poser les questions suivantes à Madame la Ministre de la Santé et de la Sécurité sociale :

  • Combien de devis le CMSS a-t-il déjà reçus cette année de la part de dentistes pour accord préalable ? Combien de devis ont été refusés et combien ont reçu un avis favorable ?
  • Quels sont les délais d’attente actuels pour obtenir une réponse du CMSS ?
  • Comment ces délais d’attente pourraient-ils être réduits ?

Être privé de dents saines pendant des semaines réduit considérablement la qualité de vie d’une personne.

  • Quelles solutions transitoires peuvent être proposées à un patient dans l’attente de l’accord préalable du CMSS pour un devis de prothèse dentaire ? »
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