The DREES published a report on 18 February 2026 examining the impact of healthcare delisting on households. According to the study, several delisting scenarios could generate significant savings, allowing the national health insurance system to save up to €1 billion.
Unsurprisingly, these savings would have uneven effects depending on income, age, and health status. In theory, such measures could enable the health insurance system to achieve savings of up to €1 billion.
The central scenario is based on doubling medical deductibles: €2.30 per service for medicines and allied health professionals, with the annual cap increasing from €50 to €100. This increase in deductibles would directly penalize the heaviest users of healthcare: people in poor health as well as older individuals. For example, for a person aged 75 or over, the additional annual cost would be significantly higher than for younger households (€57 compared with €15 for those under 40). As a result, this increase could lead to foregone care among households in need.
An increase in the co-payment rate, by contrast, would largely be covered by complementary health insurers, leading to higher insurance premiums. This increase would therefore be more pronounced for retirees, particularly if the measure targeted medicines.
Finally, the study shows that an increase in compulsory levies would weigh less heavily on the poorest households than delisting measures.
Full report available at the following link: https://drees.solidarites-sante.gouv.fr/publications-communique-de-presse/les-dossiers-de-la-drees/260218_DD_évaluation-impact-ménages-déremboursement-partiel-soins