Eligibility for 100% paid glasses?

Just looking at some online advertising by an optician and I’d prefer to buy 100% paid glasses if possible - I only wear them in front of the computer and to read so no way do they need to be fancy. But I’m not sure whether I’m eligible. Please could someone explain this paragraph. Thanks.

Pour bénéficier de l’offre 100 % Santé, dite de « classe A » ou « panier A », il est nécessaire d’être titulaire d’un contrat de complémentaire santé responsable à jour ou d’une complémentaire santé solidaire (ex CMU-c).

Also, if I am eligible, can I buy two different pairs? I don’t like varilux or bifocal so what I do at the moment is have two plain lenses - one for close reading and one for medium distance / computer work.

Thanks for any help/advice. Sue

As I understand it… I’m with CPAM and my chosen level of Mutuelle does pay towards my glasses… so I should be able to have the 100% ones…

I investigated this only last week… and looked at frames (they’ll do, I’m thinking…)

Sadly, I have to have prisms or my eyes go every which way… and never the twain shall meet. Which removes me from the 100% offer… aaaargh.

If you’re in the French health system and your chosen level of Mutuelle refunds some of your “eyes” I reckon you’ll be OK.

Thanks Stella. I’m pretty sure they cover something, so maybe ok.

Can’t understand why French Santé won’t pay just a few pennies towards prisms, when I so badly need them to see… but if Santé won’t touch 'em, I’m out in the cold for the 100%…

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The 100% santé means with the most basic of mutuelles you pay nothing. Everyone is eligible for these glasses, so the qualifier refers to the mutuelle not you. We don’t have a mutuelle so OH had to pay I think it was 30€ for them. They are the equivalent of old NHS glasses (if you remember them?) so nothing fancy.

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Usually, your mutuelle contract will indicate whether or not they are partnered with one or groups that work with one or brands of opticians to provide a small selection of spec frames covered by the 100% guarantee.

I didn’t like any of the frames that Krys had in that range, and I wanted varifocals, so ended up paying quite a lot more, but still well covered by the mutuelle for the type of frame and quality of lenses (working in front of a screen for 8 hours a day, I was prepared to fork out for something decent). Still significantly cheaper than my first pair of varifocals, despite the improvements in technology.

That is what I thought and asked my Opticien to repeat what she was saying, several times. She was adamant that the prisms meant I was not eligible… and I was so incredulous… since it’s impossible to walk about, let alone drive without prisms in my glasses.

I’ve received the quote and I’m going back in next week… and have another go at understanding just why I am stuck “in the expensive track”… when I was quite happy to go for the 100% stuff…

Don’t do fancy when it comes to glasses. Complete waste of money. The only person who is going to see them is OH. :grin:

@Stella found this on the Ameli relevant page. Does this help?

Par ailleurs, des restrictions de prise en charge sont apportées :

Les rescrictions de prise en charge selon l’équipement|

Équipement Indication limitative de prise en charge
Correction prismatique Strabisme accompagné de diplopie
Verres progressifs pour enfants Incomitance loin/près
Verres teintés Photophobie permanente, DMLA après chirurgie de la cataracte
Verres neutres * avec prisme incorporé
  • verres teintés dans conditions ci-dessus
  • verre plan (unique) en cas d’atteinte unilatérale|

Can’t see anything in my contract. But in fact don’t they have to provide this type of lens/frame? So could be any optician surely.

Every optician must now provide these - but only for simple lenses!

Thanks Jane. Which is what I’m happy with - loathe varilux, (or rather varifocal) think they are really bad for natural movement of the head and eyes.

So may as well go for some little understated specs:

dame-edna-everage-2c19ff4b-56b3-4dc3-bf26-4da65cb5584-resize-750

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I have a very cheap €49 mutuelle (I’m over 70) and got a pair of new, varilux glasses for €0 at my local optician. Only drawback was that I had to accept some pretty naff frames. But they have all the fixtures and fittings - thinned down lenses, special coating etc. I had asked for new lenses to be put in my old frames … but that would’ve cost me €270. Incidentally, I got this done with a ‘prescription’ from my généraliste which simply stated ‘Une paire de lunettes’: no need for a visit to the Opthalmo.

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Looking at some of the comments here, I’m a bit confused. First @Stella , what do you mean by ‘prisms’ ?. Also, my wife has just got 2 pairs of varifocal glasses, with a complex prescription 100% santé, so it’s definitely possible. Maybe it depends on the level of cover from your mutuelle ?
Edit: reading futher, I see what ‘prisms’ are. I had visions of two actual prisms attached to the front of your glasses :grin::grin:

Nah… I have diamonds studded all around the frames… :rofl: :rofl: but the “prisms” are in the lenses themselves.

I’m going back this afternoon to discuss further…

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Do I need an ordnance from my doctor?

You’ll need an ordonnance from somebody, @SuePJ . I went to the opthalmalogue and she gave me one but your MT would be easier if he/she will do one for you…

Yes - me too - it definitely applies to varifocals.

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SuePJ,
You should try ready-made reading glasses. I have been using them for 20 years and occasionally changing the magnification. They come in a variety of mags. Lidl sell them once or twice a year for €2 +. Market stalls are dearer at €6 or 2 for €5

To find out what you need, just go to a market stall and try them out. The only mag you can’t get from Lidl or the mkts is 120 mag. I got my 120s from a € shop in Gorey, Co Wexford!

I have to use normal glasses for everyday usage, and started using ready-mades, because I lost my reading glasses twice on trains! Expensive!!

I know it sounds corny, but I just slip the readers behind my glasses and get the required result.

My french friends and local restaurants call me “Mr 2 glasses”!

In my clock workshop, I use 250 and for small print reference books. For computer work I use 120. For my Kindle I use the 120.

Hope this helps. VF

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