Caisse nationale de santé - Statuts.

DU GRAND-DUCHÉ DE LUXEMBOURG



N° 12 du 21 janvier 2025

Caisse nationale de santé - Statuts.

Par arrêté ministériel du 15 janvier 2025, les modifications au fichier B3 de l’annexe A des statuts de la

Caisse nationale de santé, arrêtées par le conseil d’administration de la Caisse nationale de santé en date

du 23 octobre 2024, sont approuvées.

Les modifications produisent leurs effets au 1er janvier 2025.

Annexe

Suit le fichier annexé.

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Fichier B3: Modifications avec effet au 01.01.2025-Conseil d'administration du 23.10.2024

Q01A1

Dispositif de correction auditive de classe 1

applicable au montant forfaitaire (€) de

Taux de remboursement de

950,00

100%

Montant maximal remboursable (€)

950,00

Acuitis

Code Tarif

Nom commercial

PA18275

Mélodie.C

PA18276

Mélodie.R

PA18277

Mélodie.U

PA200539

MELODIE.E

AudioService

Code Tarif

Nom commercial

PA18004

DUO 3 G3

PA18005

DUO 4 G3

PA18007

HP 3 G3

PA18008

HP 4 G3

PA18013

P 3 G3

PA18014

P 4 G3

PA18026

XS 3 G3

PA18027

XS 4 G3

Bernafon

Code Tarif

Nom commercial

PA18032

Nevara 1 CPx

PA18033

Nevara 1 N

PA18034

Nevara 1 NR

PA18035

Nevara 1 P

PA18036

Nevara 1 PR

Kind

Code Tarif

Nom commercial

PA17074

KINDinicio 1100

PA17075

KINDinicio 1200

PA17076

KINDinicio 1300

PA17077

KINDinicio 1400

PA17078

KINDinicio 1600

PA17079

KINDinicio 1700

PA17080

KINDinicio 1800

PA18216

KINDevo 1120

PA18217

KINDevo 1220

PA18218

KINDevo 1420

PA18219

KINDevo 1420R

PA18220

KINDevo 1620

PA18221

KINDevo 1620P

PA190450

KINDevo 1430R

PA190454

KINDvitalo 1200

PA190458

KINDvitalo 1400

PA190462

KINDvitalo 1400R

PA191155

KINDduro 1110

PA191156

KINDduro 1110P

PA200756

KINDwings 1200

PA200757

KINDwings 1400

PA201229

KINDevo 1230R

PA201230

KINDevo 1630R

PA201231

KINDevo 1630RM

PA201232

KINDevo 1630RP

PA201252

KINDvitalo 1200R

PA201253

KINDvitalo 1600R

PA201254

KINDvitalo 1600RM

PA201255

KINDvitalo 1600RP

PA230369

KINDaluna 1100

PA230370

KINDaluna 1200

PA230371

KINDaluna 1400

PA230372

KINDaluna 1600

PA230373

KINDaluna 1700

PA230374

KINDaluna 1800

Oticon

Code Tarif

Nom commercial

PA181162

Siya 2 mini EX

PA181164

Siya 2 IdO

PA181166

Siya 2 BTE

PA200194

Geno 2 miniRITE

PA200195

Geno 2 BTE

PA200196

Geno 2 ITE

PA200197

Geno 2 miniBTE

PA220995

Jet 2 miniRITE

PA220996

Jet 2 miniRITE T

PA220997

Jet 2 BTE

PA220998

Jet 2 BTE PP

PA220999

Jet 2 ITE

OuïeZen

Code Tarif

Nom commercial

PA220288

OZ 15 G4 Ric 312

Page 1 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Resound

Code Tarif

Nom commercial

PA18183

Enya 3 intra

PA18184

Enya 362

PA18185

Enya 367

PA18186

Enya 377

PA18187

Enya 388

Signia

Code Tarif

Nom commercial

PA190739

Motion Charge&Go 1NX

PA190741

Pure Charge&Go 1NX

PA191220

Motion 13 1NX

PA191222

Motion 13P 1NX

PA191231

Pure 10 1NX

PA191233

Pure 312 1NX

PA191235

Pure 13 1NX

PA191243

Silk 1NX

PA191245

Styletto 1NX

PA200979

Styletto X 1X

PA200981

Pure Charge&Go 1X

PA200983

Pure 312 1X

PA200984

Insio NX1

PA200986

Silk 1X

PA210114

Motion C&G 1X

PA210115

Motion C&G P 1X

PA210116

Motion C&G SP 1X

PA211036

Pure C&G 1AX

PA211038

Pure C&G T 1AX

PA220103

Pure 312 1AX

PA220916

Styletto 1AX

PA220918

Insio C&G 1AX

Starkey

Code Tarif

Nom commercial

PA18109

Halo2 i1000

PA18115

Muse i1000 BTE

PA18116

Muse i1000 PP BTE

PA18117

Muse i1000 IC

PA18118

Muse i1000 RIC

PA190629

Axio i6 BTE

PA190630

Axio i6 MiniBTE

PA190631

Muse iQ i1000 BTE

PA190632

Muse iQ i1000 BTE PowerPlus

PA190633

Muse iQ i1000 RIC

PA190634

Muse iQ i1000 CIC

Unitron

Code Tarif

Nom commercial

PA18135

T Insera 500 Omni

PA18136

T Insera 500 W Dir

PA18137

T Insera 500 W Omni

PA18148

T Moxi Dura 500

PA18153

T Moxi Fit 500

PA18158

T Moxi Kiss 500

PA18166

T Stride M 500

PA18171

T Stride P 500

PA18175

T Stride P Dura 500

PA18189

T Moxi All 500

PA18331

T Max SP 500

PA18336

T Max UP 500

PA201004

Shine Rev+ RIC

PA201005

Shine Rev+ M

PA201006

Shine Rev+ P

PA201007

Shine Rev+ UP

PA220417

Moxi B1 R

PA220418

Moxi B1 312

PA220419

Stride B1 UP

PA220420

Stride B1 PR

PA220686

Moxi B1-312

Q01AS1

Extension stéréoacousique du forfait Q01A1

applicable au montant forfaitaire (€) de

Taux de remboursement de

950,00

100%

Montant maximal remboursable (€)

950,00

Acuitis

Code Tarif

Nom commercial

PB18275

Mélodie.C

PB18276

Mélodie.R

PB18277

Mélodie.U

PB200539

MELODIE.E

Page 2 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

AudioService

Code Tarif

Nom commercial

PB18004

DUO 3 G3

PB18005

DUO 4 G3

PB18007

HP 3 G3

PB18008

HP 4 G3

PB18013

P 3 G3

PB18014

P 4 G3

PB18026

XS 3 G3

PB18027

XS 4 G3

Bernafon

Code Tarif

Nom commercial

PB18032

Nevara 1 CPx

PB18033

Nevara 1 N

PB18034

Nevara 1 NR

PB18035

Nevara 1 P

PB18036

Nevara 1 PR

Kind

Code Tarif

Nom commercial

PB17074

KINDinicio 1100

PB17075

KINDinicio 1200

PB17076

KINDinicio 1300

PB17077

KINDinicio 1400

PB17078

KINDinicio 1600

PB17079

KINDinicio 1700

PB17080

KINDinicio 1800

PB18216

KINDevo 1120

PB18217

KINDevo 1220

PB18218

KINDevo 1420

PB18219

KINDevo 1420R

PB18220

KINDevo 1620

PB18221

KINDevo 1620P

PB190450

KINDevo 1430R

PB190454

KINDvitalo 1200

PB190458

KINDvitalo 1400

PB190462

KINDvitalo 1400R

PB191155

KINDduro 1110

PB191156

KINDduro 1110P

PB200756

KINDwings 1200

PB200757

KINDwings 1400

PB201229

KINDevo 1230R

PB201230

KINDevo 1630R

PB201231

KINDevo 1630RM

PB201232

KINDevo 1630RP

PB201252

KINDvitalo 1200R

PB201253

KINDvitalo 1600R

PB201254

KINDvitalo 1600RM

PB201255

KINDvitalo 1600RP

PB230369

KINDaluna 1100

PB230370

KINDaluna 1200

PB230371

KINDaluna 1400

PB230372

KINDaluna 1600

PB230373

KINDaluna 1700

PB230374

KINDaluna 1800

Oticon

Code Tarif

Nom commercial

PB181162

Siya 2 mini EX

PB181164

Siya 2 IdO

PB181166

Siya 2 BTE

PB200194

Geno 2 miniRITE

PB200195

Geno 2 BTE

PB200196

Geno 2 ITE

PB200197

Geno 2 miniBTE

PB220995

Jet 2 miniRITE

PB220996

Jet 2 miniRITE T

PB220997

Jet 2 BTE

PB220998

Jet 2 BTE PP

PB220999

Jet 2 ITE

OuïeZen

Code Tarif

Nom commercial

PB220288

OZ 15 G4 Ric 312

Resound

Code Tarif

Nom commercial

PB18183

Enya 3 intra

PB18184

Enya 362

PB18185

Enya 367

PB18186

Enya 377

PB18187

Enya 388

Page 3 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Signia

Code Tarif

Nom commercial

PB190739

Motion Charge&Go 1NX

PB190741

Pure Charge&Go 1NX

PB191220

Motion 13 1NX

PB191222

Motion 13P 1NX

PB191231

Pure 10 1NX

PB191233

Pure 312 1NX

PB191235

Pure 13 1NX

PB191243

Silk 1NX

PB191245

Styletto 1NX

PB200979

Styletto X 1X

PB200981

Pure Charge&Go 1X

PB200983

Pure 312 1X

PB200984

Insio NX1

PB200986

Silk 1X

PB210114

Motion C&G 1X

PB210115

Motion C&G P 1X

PB210116

Motion C&G SP 1X

PB211036

Pure C&G 1AX

PB211038

Pure C&G T 1AX

PB220103

Pure 312 1AX

PB220916

Styletto 1AX

PB220918

Insio C&G 1AX

Starkey

Code Tarif

Nom commercial

PB18109

Halo2 i1000

PB18115

Muse i1000 BTE

PB18116

Muse i1000 PP BTE

PB18117

Muse i1000 IC

PB18118

Muse i1000 RIC

PB190629

Axio i6 BTE

PB190630

Axio i6 MiniBTE

PB190631

Muse iQ i1000 BTE

PB190632

Muse iQ i1000 BTE PowerPlus

PB190633

Muse iQ i1000 RIC

PB190634

Muse iQ i1000 CIC

Unitron

Code Tarif

Nom commercial

PB18135

T Insera 500 Omni

PB18136

T Insera 500 W Dir

PB18137

T Insera 500 W Omni

PB18148

T Moxi Dura 500

PB18153

T Moxi Fit 500

PB18158

T Moxi Kiss 500

PB18166

T Stride M 500

PB18171

T Stride P 500

PB18175

T Stride P Dura 500

PB18189

T Moxi All 500

PB18331

T Max SP 500

PB18336

T Max UP 500

PB201004

Shine Rev+ RIC

PB201005

Shine Rev+ M

PB201006

Shine Rev+ P

PB201007

Shine Rev+ UP

PB220417

Moxi B1 R

PB220418

Moxi B1 312

PB220419

Stride B1 UP

PB220420

Stride B1 PR

PB220686

Moxi B1-312

Q01A2

Dispositif de correction auditive de classe 2

applicable au montant forfaitaire (€) de

Taux de remboursement de

950,00

100%

Montant maximal remboursable (€)

950,00

Acuitis

Code Tarif

Nom commercial

PA18281

Prélude.C

PA18282

Prélude.E

PA18283

Prélude.R

PA200540

PRELUDE.M

PA200541

PRELUDE.D

PA200542

PRELUDE.RD

PA221031

PRELUDE.RDS

AudioService

Code Tarif

Nom commercial

PA18028

XS 6 G3

PA190333

Duo 6 G4

PA190334

P 6 G4

PA190335

Mood 6 G4

PA220287

Mood 8 G6 - 312

Page 4 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Bernafon

Code Tarif

Nom commercial

PA190183

Bernafon Zerena 1 MNR

PA190184

Bernafon Zerena 1 BTE

PA190185

Bernafon Zerena 1 IC

PA200670

Bernafon Viron 3 MNR TR

PA200671

Bernafon Viron 1 MNR TR

Kind

Code Tarif

Nom commercial

PA18050

KINDlink 2420

PA18194

KINDduro 2200P

PA18195

KINDduro 2400

PA18196

KINDduro 2600

PA18197

KINDduro 2600P

PA18198

KINDduro 2700

PA18199

KINDduro 2700P

PA18200

KINDduro 2800

PA18222

KINDevo 2120

PA18223

KINDevo 2220

PA18224

KINDevo 2420

PA18225

KINDevo 2420R

PA18226

KINDevo 2620

PA18227

KINDevo 2620P

PA18228

KINDevo 2720

PA18229

KINDevo 2720P

PA190444

KINDevo 2230

PA190447

KINDevo 2430

PA190451

KINDevo 2430R

PA190455

KINDvitalo 2200

PA190459

KINDvitalo 2400

PA190463

KINDvitalo 2400R

PA200758

KINDwings 2200

PA200759

KINDwings 2400

PA201233

KINDevo 2230R

PA201234

KINDevo 2630R

PA201235

KINDevo 2630RM

PA201236

KINDevo 2630RP

PA201256

KINDvitalo 2200R

PA201257

KINDvitalo 2600R

PA201258

KINDvitalo 2600RM

PA201259

KINDvitalo 2600RP

PA220802

KINDvitalo 1220

PA220803

KINDvitalo 1420

PA220804

KINDvitalo 1220R

PA220805

KINDvitalo 1420R

PA220809

KINDvitalo 1620R

PA220839

KINDevo 1740

PA230353

KINDvitalo 1120

PA230357

KINDvitalo 1720

Oticon

Code Tarif

Nom commercial

PA181161

Siya 1 mini EX

PA181163

Siya 1 IdO

PA181165

Siya 1 BTE

PA191211

Xceed 3 UP

PA191212

Xceed 3 SP

PA200190

Geno 1 miniRITE

PA200191

Geno 1 BTE

PA200192

Geno 1 ITE

PA200193

Geno 1 miniBTE

PA200657

Ruby 2 BTE 105

PA200659

Ruby 2 miniRITE

PA200661

Ruby 2 miniRITE T

PA200663

Ruby 2 miniRITE R

PA220387

Zircon 2 miniRITE R

PA220388

Zircon 2 miniRITE T

PA220389

Zircon 2 miniBTE R

PA220390

Zircon 2 miniBTE T

PA220904

Own 5 CIC

PA220909

Own 5 ITE

PA220914

Own 5 IIC

PA220990

Jet 1 miniRITE

PA220991

Jet 1 miniRITE T

PA220992

Jet 1 BTE

PA220993

Jet 1 BTE PP

PA220994

Jet 1 ITE

Page 5 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Phonak

Code Tarif

Nom commercial

PA17087

Boléro B30

PA17091

Audéo B30

PA18061

Naïda B 30

PA18068

Sky B 30

PA18069

Sky B 30 RIC

PA18079

Virto B 30

PA190315

Audeo M30 312

PA190316

Audeo M30 R

PA191181

Bolero M30-M

PA191185

Bolero M30-PR

PA191189

Sky M30-M

PA191193

Sky M30-SP

PA191197

Sky M30-PR

PA191250

Audéo M30 312T

PA191254

Audéo M30 13T

PA200435

Naida M30-SP

PA200524

Virto M30-10 NW

PA200528

Virto M30 312

PA200901

Audeo P30-312

PA200902

Audeo P30-13T

PA200903

Audeo P30-R

PA210267

Naida P30-UP

PA210268

Naida P30-PR

PA220577

Virto P 30-10 NW

PA220581

Virto P 30-312 NW

PA220585

Virto P 30-312

PA221138

Audeo L30-R

PA221142

Audeo L30-RL

PA221146

Audeo L30-RT

PA221250

Audéo P30-RL

Resound

Code Tarif

Nom commercial

PA18083

Enya 4 intra

PA18084

Enya 462

PA18085

Enya 467

PA18086

Enya 477

PA18087

Enya 488

PA18088

Enzo 3D 598

PA18091

LiNX 3D 561 Zpower

PA18341

LiNX 3D 5 intra

Signia

Code Tarif

Nom commercial

PA190740

Motion Charge&Go 2NX

PA190742

Pure Charge&Go 2NX

PA191221

Motion 13 2NX

PA191223

Motion 13P 2NX

PA191232

Pure 10 2NX

PA191234

Pure 312 2NX

PA191236

Pure 13 2NX

PA191244

Silk 2NX

PA191246

Styletto 2NX

PA200978

Styletto X 2X

PA200980

Pure Charge&Go 2X

PA200982

Pure 312 2X

PA200985

Insio NX2

PA200987

Silk 2X

PA210117

Motion C&G 2X

PA210118

Motion C&G P 2X

PA210119

Motion C&G SP 2X

PA210382

Active

PA211035

Pure C&G 2AX

PA211037

Pure C&G T 2AX

PA220102

Pure 312 2AX

PA220915

Styletto 2AX

PA220917

Insio C&G 2AX

Page 6 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Starkey

Code Tarif

Nom commercial

PA18110

Halo2 i1200

PA18119

Muse i1200 BTE

PA18120

Muse i1200 PP BTE

PA18121

Muse i1200 IC

PA18122

Muse i1200 RIC

PA190626

Livio 1000 BTE

PA190627

Livio 1000 RIC

PA190628

Livio 1000 RIC-R

PA190635

Muse iQ i1200 BTE

PA190636

Muse iQ i1200 BTE PowerPlus

PA190637

Muse iQ i1200 RIC

PA190638

Muse iQ i1200 CIC

PA200750

Livio AI 1000 ITC-R

PA200751

Livio AI 1000 BTE 13

PA200752

Livio AI 1000 mRIC 312

PA200753

Livio AI 1000 RIC 312

PA200754

Livio AI 1000 RIC-R

PA200755

Livio 1000 ITC-R

PA201109

Livio AI 1000 BTE-R

PA220560

Evolv AI 1000 ITC-R

PA220561

Evolv AI 1000 ITE-R

PA220562

Evolv AI 1000 BTE 13

PA220563

Evolv AI 1000 BTE-R

PA220564

Evolv AI 1000 mRIC 312

PA220565

Evolv AI 1000 RIC 312

PA220566

Evolv AI 1000 RIC-R

PA220567

Evolv AI 1000 CIC 312 NW

PA220568

Evolv AI 1000 CIC 10 NW

Unitron

Code Tarif

Nom commercial

PA18138

T Insera 600 Omni

PA18139

T Insera 600 W Dir

PA18140

T Insera 600 W Omni

PA18149

T Moxi Dura 600

PA18154

T Moxi Fit 600

PA18159

T Moxi Kiss 600

PA18167

T Stride M 600

PA18172

T Stride P 600

PA18176

T Stride P Dura 600

PA18190

T Moxi All 600

PA18332

T Max SP 600

PA18337

T Max UP 600

PA191162

D Moxi Jump 3 R

PA191166

D Moxi Jump R T 3

PA191170

D Moxi Fit 3

PA191174

D Stride P R 3

PA200705

DX Moxi Jump R T 3

PA200709

DX Moxi Fit 3

PA200713

DX Moxi Move R 3

PA200717

DX Stride P R 3

PA211200

DX Insera 3 10A Omni

PA211204

DX Insera 3 312 Omni

PA211208

DX Insera 3 W 312 Dir

PA211212

Moxi B3-312

PA211216

Moxi B3-R

PA211220

Moxi B3-RT

PA211296

DX Stride M 3

PA220687

Stride B3-PR

PA220691

Stride B3-UP

WIDEX

Code Tarif

Nom commercial

PA13060

Menu 5

PA18303

Evoke 110 CIC

PA18304

Evoke 110 Fashion

PA18305

Evoke 110 Fashion Mini

PA18306

Evoke 110 Fashion Power

PA18307

Evoke 110 Fusion2

PA18308

Evoke 110 Passion

PA18309

Evoke 110 XP

PA200784

Moment 110 RIC 312 D

PA200785

Moment 110 RIC 10

PA200786

Moment 110 mRIC R D

PA200787

Moment 110 CIC/XP

PA221028

Moment 110 BTE 13 D

PA221029

Moment 110 BTE 312

PA221030

Moment 110 BTE R D

Page 7 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Q01AS2

Extension stéréoacousique du forfait Q01A2

applicable au montant forfaitaire (€) de

Taux de remboursement de

950,00

100%

Montant maximal remboursable (€)

950,00

Acuitis

Code Tarif

Nom commercial

PB18281

Prélude.C

PB18282

Prélude.E

PB18283

Prélude.R

PB200540

PRELUDE.M

PB200541

PRELUDE.D

PB200542

PRELUDE.RD

PB221031

PRELUDE.RDS

AudioService

Code Tarif

Nom commercial

PB18028

XS 6 G3

PB190333

Duo 6 G4

PB190334

P 6 G4

PB190335

Mood 6 G4

PB220287

Mood 8 G6 - 312

Bernafon

Code Tarif

Nom commercial

PB190183

Bernafon Zerena 1 MNR

PB190184

Bernafon Zerena 1 BTE

PB190185

Bernafon Zerena 1 IC

PB200670

Bernafon Viron 3 MNR TR

PB200671

Bernafon Viron 1 MNR TR

Kind

Code Tarif

Nom commercial

PB18050

KINDlink 2420

PB18194

KINDduro 2200P

PB18195

KINDduro 2400

PB18196

KINDduro 2600

PB18197

KINDduro 2600P

PB18198

KINDduro 2700

PB18199

KINDduro 2700P

PB18200

KINDduro 2800

PB18222

KINDevo 2120

PB18223

KINDevo 2220

PB18224

KINDevo 2420

PB18225

KINDevo 2420R

PB18226

KINDevo 2620

PB18227

KINDevo 2620P

PB18228

KINDevo 2720

PB18229

KINDevo 2720P

PB190444

KINDevo 2230

PB190447

KINDevo 2430

PB190451

KINDevo 2430R

PB190455

KINDvitalo 2200

PB190459

KINDvitalo 2400

PB190463

KINDvitalo 2400R

PB200758

KINDwings 2200

PB200759

KINDwings 2400

PB201233

KINDevo 2230R

PB201234

KINDevo 2630R

PB201235

KINDevo 2630RM

PB201236

KINDevo 2630RP

PB201256

KINDvitalo 2200R

PB201257

KINDvitalo 2600R

PB201258

KINDvitalo 2600RM

PB201259

KINDvitalo 2600RP

PB220802

KINDvitalo 1220

PB220803

KINDvitalo 1420

PB220804

KINDvitalo 1220R

PB220805

KINDvitalo 1420R

PB220809

KINDvitalo 1620R

PB220839

KINDevo 1740

PB230353

KINDvitalo 1120

PB230357

KINDvitalo 1720

Page 8 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Oticon

Code Tarif

Nom commercial

PB181161

Siya 1 mini EX

PB181163

Siya 1 IdO

PB181165

Siya 1 BTE

PB191211

Xceed 3 UP

PB191212

Xceed 3 SP

PB200190

Geno 1 miniRITE

PB200191

Geno 1 BTE

PB200192

Geno 1 ITE

PB200193

Geno 1 miniBTE

PB200657

Ruby 2 BTE 105

PB200659

Ruby 2 miniRITE

PB200661

Ruby 2 miniRITE T

PB200663

Ruby 2 miniRITE R

PB220387

Zircon 2 miniRITE R

PB220388

Zircon 2 miniRITE T

PB220389

Zircon 2 miniBTE R

PB220390

Zircon 2 miniBTE T

PB220904

Own 5 CIC

PB220909

Own 5 ITE

PB220914

Own 5 IIC

PB220990

Jet 1 miniRITE

PB220991

Jet 1 miniRITE T

PB220992

Jet 1 BTE

PB220993

Jet 1 BTE PP

PB220994

Jet 1 ITE

Phonak

Code Tarif

Nom commercial

PB17087

Boléro B30

PB17091

Audéo B30

PB18061

Naïda B 30

PB18068

Sky B 30

PB18069

Sky B 30 RIC

PB18079

Virto B 30

PB190315

Audeo M30 312

PB190316

Audeo M30 R

PB191181

Bolero M30-M

PB191185

Bolero M30-PR

PB191189

Sky M30-M

PB191193

Sky M30-SP

PB191197

Sky M30-PR

PB191250

Audéo M30 312T

PB191254

Audéo M30 13T

PB200435

Naida M30-SP

PB200524

Virto M30-10 NW

PB200528

Virto M30 312

PB200901

Audeo P30-312

PB200902

Audeo P30-13T

PB200903

Audeo P30-R

PB210267

Naida P30-UP

PB210268

Naida P30-PR

PB220577

Virto P 30-10 NW

PB220581

Virto P 30-312 NW

PB220585

Virto P 30-312

PB221138

Audeo L30-R

PB221142

Audeo L30-RL

PB221146

Audeo L30-RT

PB221250

Audéo P30-RL

Resound

Code Tarif

Nom commercial

PB18083

Enya 4 intra

PB18084

Enya 462

PB18085

Enya 467

PB18086

Enya 477

PB18087

Enya 488

PB18088

Enzo 3D 598

PB18091

LiNX 3D 561 Zpower

PB18341

LiNX 3D 5 intra

Page 9 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Signia

Code Tarif

Nom commercial

PB190740

Motion Charge&Go 2NX

PB190742

Pure Charge&Go 2NX

PB191221

Motion 13 2NX

PB191223

Motion 13P 2NX

PB191232

Pure 10 2NX

PB191234

Pure 312 2NX

PB191236

Pure 13 2NX

PB191244

Silk 2NX

PB191246

Styletto 2NX

PB200978

Styletto X 2X

PB200980

Pure Charge&Go 2X

PB200982

Pure 312 2X

PB200985

Insio NX2

PB200987

Silk 2X

PB210117

Motion C&G 2X

PB210118

Motion C&G P 2X

PB210119

Motion C&G SP 2X

PB210382

Active

PB211035

Pure C&G 2AX

PB211037

Pure C&G T 2AX

PB220102

Pure 312 2AX

PB220915

Styletto 2AX

PB220917

Insio C&G 2AX

Starkey

Code Tarif

Nom commercial

PB18110

Halo2 i1200

PB18119

Muse i1200 BTE

PB18120

Muse i1200 PP BTE

PB18121

Muse i1200 IC

PB18122

Muse i1200 RIC

PB190626

Livio 1000 BTE

PB190627

Livio 1000 RIC

PB190628

Livio 1000 RIC-R

PB190635

Muse iQ i1200 BTE

PB190636

Muse iQ i1200 BTE PowerPlus

PB190637

Muse iQ i1200 RIC

PB190638

Muse iQ i1200 CIC

PB200750

Livio AI 1000 ITC-R

PB200751

Livio AI 1000 BTE 13

PB200752

Livio AI 1000 mRIC 312

PB200753

Livio AI 1000 RIC 312

PB200754

Livio AI 1000 RIC-R

PB200755

Livio 1000 ITC-R

PB201109

Livio AI 1000 BTE-R

PB220560

Evolv AI 1000 ITC-R

PB220561

Evolv AI 1000 ITE-R

PB220562

Evolv AI 1000 BTE 13

PB220563

Evolv AI 1000 BTE-R

PB220564

Evolv AI 1000 mRIC 312

PB220565

Evolv AI 1000 RIC 312

PB220566

Evolv AI 1000 RIC-R

PB220567

Evolv AI 1000 CIC 312 NW

PB220568

Evolv AI 1000 CIC 10 NW

Unitron

Code Tarif

Nom commercial

PB18138

T Insera 600 Omni

PB18139

T Insera 600 W Dir

PB18140

T Insera 600 W Omni

PB18149

T Moxi Dura 600

PB18154

T Moxi Fit 600

PB18159

T Moxi Kiss 600

PB18167

T Stride M 600

PB18172

T Stride P 600

PB18176

T Stride P Dura 600

PB18190

T Moxi All 600

PB18332

T Max SP 600

PB18337

T Max UP 600

PB191162

D Moxi Jump 3 R

PB191166

D Moxi Jump R T 3

PB191170

D Moxi Fit 3

PB191174

D Stride P R 3

PB200705

DX Moxi Jump R T 3

PB200709

DX Moxi Fit 3

PB200713

DX Moxi Move R 3

PB200717

DX Stride P R 3

PB211200

DX Insera 3 10A Omni

PB211204

DX Insera 3 312 Omni

PB211208

DX Insera 3 W 312 Dir

PB211212

Moxi B3-312

PB211216

Moxi B3-R

PB211220

Moxi B3-RT

PB211296

DX Stride M 3

PB220687

Stride B3-PR

PB220691

Stride B3-UP

Page 10 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

WIDEX

Code Tarif

Nom commercial

PB13060

Menu 5

PB18303

Evoke 110 CIC

PB18304

Evoke 110 Fashion

PB18305

Evoke 110 Fashion Mini

PB18306

Evoke 110 Fashion Power

PB18307

Evoke 110 Fusion2

PB18308

Evoke 110 Passion

PB18309

Evoke 110 XP

PB200784

Moment 110 RIC 312 D

PB200785

Moment 110 RIC 10

PB200786

Moment 110 mRIC R D

PB200787

Moment 110 CIC/XP

PB221028

Moment 110 BTE 13 D

PB221029

Moment 110 BTE 312

PB221030

Moment 110 BTE R D

Q01A3

Dispositif de correction auditive de classe 3

applicable au montant forfaitaire (€) de

Taux de remboursement de

950,00

100%

Montant maximal remboursable (€)

950,00

Acuitis

Code Tarif

Nom commercial

PA18272

Concerto.C

PA18273

Concerto.E

PA18274

Concerto.R

PA18278

Philharmonie.C

PA18279

Philharmonie.E

PA18280

Philharmonie.R

PA18284

Symphonie.C

PA18285

Symphonie.E

PA18286

Symphonie.R

PA200543

CONCERTO.M

PA200544

CONCERTO.D

PA200545

CONCERTO.RD

PA200546

SYMPHONIE.M

PA200547

SYMPHONIE.D

PA200548

SYMPHONIE.RD

PA200549

PHILHARMONIE.M

PA200550

PHILHARMONIE.D

PA200551

PHILHARMONIE.RD

PA221032

CONCERTO.RDS

PA221033

SYMPHONIE.RDS

PA221034

PHILHARMONIE.RDS

AudioService

Code Tarif

Nom commercial

PA18003

Duo 16 G4

PA18006

HP 12 G4

PA18009

HP 8 G4

PA18010

ICON 12 G4

PA18011

ICON 8 G4

PA18012

P 16 G4

PA18015

QuiX 16 G4

PA18016

Rixx 16 G4

PA18017

SINA 12 G4

PA18018

SINA 8 G4

PA18019

SINA HYPE 12 G4

PA18020

SINA HYPE 8 G4

PA18021

Sun 16 G4

PA18022

VEGA 12 G4

PA18023

VEGA 8 G4

PA18024

VEGA HYPE 12 G4

PA18025

VEGA HYPE 8 G4

PA18029

XS 8 G3

PA190845

XS 8 G4

PA210484

Mood 8 G5

Page 11 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Bernafon

Code Tarif

Nom commercial

PA18030

Juna 7 P

PA18031

Juna 9 P

PA18037

Saphira 3 CPx

PA18038

Saphira 3 N

PA18039

Saphira 3 NR

PA18040

Saphira 3 P

PA18041

Saphira 3 PR

PA18042

Saphira 5 N

PA18043

Saphira 5 NR

PA18044

Saphira 5 P

PA18045

Saphira 5 PR

PA190186

Bernafon Zerena 3 MNR

PA190187

Bernafon Zerena 3 BTE

PA190188

Bernafon Zerena 3 IC

PA190189

Bernafon Zerena 5 MNR

PA190190

Bernafon Zerena 5 BTE

PA190191

Bernafon Zerena 5 IC

PA190192

Bernafon Zerena 7 MNR

PA190193

Bernafon Zerena 7 BTE

PA190194

Bernafon Zerena 7 IC

PA190195

Bernafon Zerena 9 MNR

PA190196

Bernafon Zerena 9 BTE

PA190197

Bernafon Zerena 9 IC

PA191147

Bernafon Saphira CIC/ITC/IIC

PA191148

Bernafon Leox 3 SP

PA191149

Bernafon Leox 3 UP

PA191150

Bernafon Leox 7 SP

PA191151

Bernafon Leox 7 UP

PA200201

Bernafon Viron 5 MNR TR

PA200202

Bernafon Viron 7 MNR TR

PA200203

Bernafon Viron 9 MNR TR

PA220586

ALPHA 5 miniRITE T R

PA220587

ALPHA 5 miniRITE T

PA220588

ALPHA 7 miniRITE T R

PA220589

ALPHA 7 miniRITE T

PA220590

ALPHA 9 miniRITE T R

PA220591

ALPHA 9 miniRITE T

Page 12 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Kind

Code Tarif

Nom commercial

PA18047

KINDduro 3200P

PA18048

KINDduro 4200P

PA18049

KINDduro 5200P

PA18051

KINDlink 3420

PA18052

KINDlink 4420

PA18053

KINDlink 5420

PA18201

KINDduro 3600

PA18202

KINDduro 3600P

PA18203

KINDduro 3700

PA18204

KINDduro 3700P

PA18205

KINDduro 3800

PA18206

KINDduro 4600

PA18207

KINDduro 4600P

PA18208

KINDduro 4700

PA18209

KINDduro 4700P

PA18210

KINDduro 4800

PA18211

KINDduro 5600

PA18212

KINDduro 5600P

PA18213

KINDduro 5700

PA18214

KINDduro 5700P

PA18215

KINDduro 5800

PA18230

KINDevo 3120

PA18231

KINDevo 3220

PA18232

KINDevo 3420

PA18233

KINDevo 3420R

PA18234

KINDevo 3620

PA18235

KINDevo 3620P

PA18236

KINDevo 3720

PA18237

KINDevo 3720P

PA18238

KINDevo 3820

PA18239

KINDevo 4120

PA18240

KINDevo 4220

PA18241

KINDevo 4420

PA18242

KINDevo 4420R

PA18243

KINDevo 4620

PA18244

KINDevo 4620P

PA18245

KINDevo 4720

PA18246

KINDevo 4720P

PA18247

KINDevo 4820

PA18248

KINDevo 5120

PA18249

KINDevo 5220

PA18250

KINDevo 5420

PA18251

KINDevo 5420R

PA18252

KINDevo 5620

PA18253

KINDevo 5620P

PA18254

KINDevo 5720

PA18255

KINDevo 5720P

PA18256

KINDevo 5820

PA18344

KINDakira HS

PA18345

KINDakira HP

PA18346

KINDakira Ex

PA18347

KINDakira SP

PA18348

KINDnido 5100

PA18349

KINDnido 5200

PA18350

KINDnido 5200P

PA190436

KINDduro 3210P

PA190437

KINDduro 5210P

PA190438

KINDduro 3410

PA190439

KINDduro 5410

PA190440

KINDduro 5410R

PA190441

KINDakira 5210P

PA190442

KINDakira 5410

PA190443

KINDakira 5410R

PA190445

KINDevo 3230

PA190446

KINDevo 5230

PA190448

KINDevo 3430

PA190449

KINDevo 5430

PA190452

KINDevo 3430R

PA190453

KINDevo 5430R

PA190456

KINDvitalo 3200

PA190457

KINDvitalo 5200

PA190460

KINDvitalo 3400

PA190461

KINDvitalo 5400

PA190464

KINDvitalo 3400R

PA190465

KINDvitalo 5400R

PA191152

KINDakira 5110

PA191153

KINDakira 5110P

PA191154

KINDakira 5410C

PA191157

KINDduro 3110

PA191158

KINDduro 3110P

PA191159

KINDduro 5110

PA191160

KINDduro 5110P

PA201237

KINDevo 3230R

PA201238

KINDevo 3630R

PA201239

KINDevo 3630RM

PA201240

KINDevo 3630RP

PA201241

KINDevo 5230R

PA201242

KINDevo 5630R

PA201243

KINDevo 5630RM

PA201244

KINDevo 5630RP

Page 13 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

PA201245

KINDvitalo 5210

PA201246

KINDvitalo 5210R

PA201247

KINDvitalo 5410

PA201248

KINDvitalo 5410R

PA201249

KINDvitalo 5610R

PA201250

KINDvitalo 5610RM

PA201251

KINDvitalo 5610RP

PA201260

KINDvitalo 3200R

PA201261

KINDvitalo 3600R

PA201262

KINDvitalo 3600RM

PA201263

KINDvitalo 3600RP

PA210229

KINDduro 2410

PA210230

KINDduro 2410R

PA210231

KINDduro 2210P

PA220810

KINDvitalo 2220

PA220811

KINDvitalo 2420

PA220812

KINDvitalo 2220R

PA220813

KINDvitalo 2420R

PA220817

KINDvitalo 2620R

PA220818

KINDvitalo 3220

PA220819

KINDvitalo 3420

PA220820

KINDvitalo 3220R

PA220821

KINDvitalo 3420R

PA220825

KINDvitalo 3620R

PA220826

KINDvitalo 5220

PA220827

KINDvitalo 5420

PA220828

KINDvitalo 5220R

PA220829

KINDvitalo 5420R

PA220833

KINDvitalo 5620R

PA220843

KINDevo 2740

PA220847

KINDevo 3740

PA220851

KINDevo 5740

PA220852

KINDduro 2220C

PA220853

KINDduro 2420C

PA220854

KINDduro 2220R

PA220855

KINDduro 2420R

PA220856

KINDduro 3220C

PA220857

KINDduro 3420C

PA220858

KINDduro 3220R

PA220859

KINDduro 3420R

PA220860

KINDduro 5220C

PA220861

KINDduro 5420C

PA220862

KINDduro 5220R

PA220863

KINDduro 5420R

PA220865

KINDakira 5220C

PA220866

KINDakira 5420C

PA220867

KINDakira 5220R

PA220868

KINDakira 5420R

PA220971

KINDduro 2620

PA220974

KINDduro 3620

PA220977

KINDduro 5620

PA220979

KINDduro 2720

PA220981

KINDduro 3720

PA220983

KINDduro 5720

PA220985

KINDduro 2820

PA220987

KINDduro 3820

PA220989

KINDduro 5820

PA230354

KINDvitalo 2120

PA230355

KINDvitalo 3120

PA230356

KINDvitalo 5120

PA230358

KINDvitalo 2720

PA230359

KINDvitalo 3720

PA230360

KINDvitalo 5720

PA230361

KINDduro 3230C

PA230362

KINDduro 3430C

PA230363

KINDduro 3230R

PA230364

KINDduro 3430R

PA230365

KINDduro 5230C

PA230366

KINDduro 5430C

PA230367

KINDduro 5230R

PA230368

KINDduro 5430R

Page 14 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Oticon

Code Tarif

Nom commercial

PA190317

OPN S1 Rite

PA190318

OPN S2 Rite

PA190319

OPN S3 Rite

PA190320

OPN S1 HdO

PA190321

OPN S2 HdO

PA190322

OPN S3 HdO

PA190323

OPN 1 IIC 75

PA190324

OPN 1 IIC 85

PA190325

OPN 1 CIC 75

PA190326

OPN 1 CIC 85

PA190327

OPN 1 ITC 75

PA190328

OPN 1 ITC 85

PA190329

OPN 1 ITC 90

PA190330

OPN 1 ITC 100

PA190331

OPN 2 IIC / CIC / ITC

PA190332

OPN 3 IIC / CIC / ITC

PA190506

OPN S1 miniRITE

PA190507

OPN S1 miniRITE-R

PA190508

OPN S2 miniRITE

PA190509

OPN S2 miniRITE-R

PA190510

OPN S3 miniRITE

PA190511

OPN S3 miniRITE-R

PA191200

Opn Play 1 miniRITE T

PA191201

Opn Play 1 miniRITE R

PA191202

Opn Play 1 BTE

PA191203

Opn Play 2 miniRITE

PA191204

Opn Play 2 miniRITE T

PA191205

Opn Play 2 miniRITE R

PA191206

Opn Play 2 BTE

PA191207

Xceed 1 UP

PA191208

Xceed 1 SP

PA191209

Xceed 2 UP

PA191210

Xceed 2 SP

PA191213

Xceed Play 1 UP

PA191214

Xceed Play 1 SP

PA191215

Xceed Play 2 UP

PA191216

Xceed Play 2 SP

PA191217

Sensei Pro SP

PA191299

Opn Play 1 miniRITE

PA200656

Ruby 1 BTE 105

PA200658

Ruby 1 miniRITE

PA200660

Ruby 1 miniRITE T

PA200662

Ruby 1 miniRITE R

PA201278

More 1 miniRITE-R

PA201279

More 2 miniRITE-R

PA201280

More 3 miniRITE-R

PA220311

More 1 miniBTE R

PA220312

More 1 miniBTE T

PA220313

More 2 miniBTE R

PA220314

More 2 miniBTE T

PA220315

More 3 miniBTE R

PA220316

More 3 miniBTE T

PA220383

Zircon 1 miniRITE R

PA220384

Zircon 1 miniRITE T

PA220385

Zircon 1 miniBTE R

PA220386

Zircon 1 miniBTE T

PA220391

Play PX 1 miniRITE R

PA220392

Play PX 1 miniRITE T

PA220393

Play PX 1 miniBTE R

PA220394

Play PX 1 miniBTE T

PA220395

Play PX 2 miniRITE R

PA220396

Play PX 2 miniRITE T

PA220397

Play PX 2 miniBTE R

PA220398

Play PX 2 miniBTE T

PA220900

Own 1 CIC

PA220901

Own 2 CIC

PA220902

Own 3 CIC

PA220903

Own 4 CIC

PA220905

Own 1 ITE

PA220906

Own 2 ITE

PA220907

Own 3 ITE

PA220908

Own 4 ITE

PA220910

Own 1 IIC

PA220911

Own 2 IIC

PA220912

Own 3 IIC

PA220913

Own 4 IIC

PA230375

Real 1 miniRITE T

PA230376

Real 2 miniRITE T

PA230377

Real 3 miniRITE T

PA230378

Real 1 miniRITE R

PA230379

Real 2 miniRITE R

PA230380

Real 3 miniRITE R

PA230381

Real 1 miniBTE R

PA230382

Real 2 miniBTE R

PA230383

Real 3 miniBTE R

PA230384

Real 1 miniBTE T

PA230385

Real 2 miniBTE T

PA230386

Real 3 miniBTE T

Page 15 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

OuïeZen

Code Tarif

Nom commercial

PA220289

OZ 20 G6 Ric LI

PA220290

OZ 20 G6 Ric 312

PA220291

OZ 20 G6 SLIM

PA220292

OZ 20 G6 ITE

PA220293

OZ 40 G6 Ric LI

PA220294

OZ 40 G6 Ric 312

PA220295

OZ 40 G6 SLIM

PA220296

OZ 40 G6 ITE

Page 16 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Phonak

Code Tarif

Nom commercial

PA17088

Boléro B50

PA17089

Boléro B70

PA17090

Boléro B90

PA17092

Audéo B50

PA17093

Audéo B70

PA17094

Audéo B90

PA17095

Virto B70 Titanium

PA17096

Virto B90 Titanium

PA18054

Audéo B 50 direct

PA18055

Audéo B 70 direct

PA18056

Audéo B 90 direct

PA18057

Bolero B50-PR

PA18058

Bolero B70-PR

PA18059

Bolero B90-PR

PA18062

Naïda B 50

PA18063

Naïda B 50 R-RIC

PA18064

Naïda B 70

PA18065

Naïda B 70 R-RIC

PA18066

Naïda B 90

PA18067

Naïda B 90 R-RIC

PA18070

Sky B 50

PA18071

Sky B 50 PR

PA18072

Sky B 50 RIC

PA18073

Sky B 70

PA18074

Sky B 70 PR

PA18075

Sky B 70 RIC

PA18076

Sky B 90

PA18077

Sky B 90 PR

PA18078

Sky B 90 RIC

PA18080

Virto B 50

PA18081

Virto B 70

PA18082

Virto B 90

PA181177

Audéo M90 312

PA181178

Audéo M70 312

PA181179

Audéo M50 312

PA181180

Audéo M90 R

PA181181

Audéo M70 R

PA181182

Audéo M50 R

PA18181

Naida Link Ric

PA18182

Naida Link UP

PA191178

Bolero M90-M

PA191179

Bolero M70-M

PA191180

Bolero M50-M

PA191182

Bolero M90-PR

PA191183

Bolero M70-PR

PA191184

Bolero M50-PR

PA191186

Sky M90-M

PA191187

Sky M70-M

PA191188

Sky M50-M

PA191190

Sky M90-SP

PA191191

Sky M70-SP

PA191192

Sky M50-SP

PA191194

Sky M90-PR

PA191195

Sky M70-PR

PA191196

Sky M50-PR

PA191247

Audéo B50-R

PA191248

Audéo B70-R

PA191249

Audéo B90-R

PA191251

Audéo M50 312T

PA191252

Audéo M70 312T

PA191253

Audéo M90 312T

PA191255

Audéo M50 13T

PA191256

Audéo M70 13T

PA191257

Audéo M90 13T

PA200436

Naida M50-SP

PA200437

Naida M70-SP

PA200438

Naida M90-SP

PA200521

Virto M90-10 NW

PA200522

Virto M70-10 NW

PA200523

Virto M50-10 NW

PA200525

Virto M90 312

PA200526

Virto M70 312

PA200527

Virto M50 312

PA200876

Virto Titanium M90

PA200877

Virto Titanium M70

PA200900

Audeo P50-R

PA200992

Audeo P90-312

PA200993

Audeo P90-13T

PA200994

Audeo P90-R

PA200995

Audeo P70-312

PA200996

Audeo P70-13T

PA200997

Audeo P70-R

PA200998

Audeo P50-312

PA200999

Audeo P50-13T

PA210261

Naida P90-UP

PA210262

Naida P90-PR

PA210263

Naida P70-UP

PA210264

Naida P70-PR

PA210265

Naida P50-UP

PA210266

Naida P50-PR

Page 17 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

PA220574

Virto P 90-10 NW

PA220575

Virto P 70-10 NW

PA220576

Virto P 50-10 NW

PA220578

Virto P 90-312 NW

PA220579

Virto P 70-312 NW

PA220580

Virto P 50-312 NW

PA220582

Virto P 90-312

PA220583

Virto P 70-312

PA220584

Virto P 50-312

PA220781

Audéo P90-R Fit

PA220782

Audéo P70-R Fit

PA220800

Sky Link M

PA221135

Audeo L90-R

PA221136

Audeo L70-R

PA221137

Audeo L50-R

PA221139

Audeo L90-RL

PA221140

Audeo L70-RL

PA221141

Audeo L50-RL

PA221143

Audeo L90-RT

PA221144

Audeo L70-RT

PA221145

Audeo L50-RT

PA221247

Audéo P90-RL

PA221248

Audéo P70-RL

PA221249

Audéo P50-RL

Resound

Code Tarif

Nom commercial

PA18089

Enzo 3D 798

PA18090

Enzo 3D 998

PA18092

LiNX 3D 761 Zpower

PA18093

LiNX 3D 961 Zpower

PA18291

LiNX Quattro 761

PA18292

LiNX Quattro 762

PA18293

LiNX Quattro 961

PA18294

LiNX Quattro 962

PA18342

LiNX 3D 7 intra

PA18343

LiNX 3D 9 intra

PA190843

LiNX Quattro 561

PA190844

LiNX Quattro 562

PA200858

LiNX Quattro 9 CIC-W

PA200859

LiNX Quattro 9 ITC-W

PA200860

LiNX Quattro 7 CIC-W

PA200861

LiNX Quattro 7 ITC-W

PA200862

LiNX Quattro 5 CIC-W

PA200863

LiNX Quattro 5 ITC-W

PA200864

LiNX Quattro 977

PA200865

LiNX Quattro 777

PA200866

LiNX Quattro 577

PA200867

LiNX Quattro 988

PA200868

LiNX Quattro 788

PA200869

LiNX Quattro 588

PA200870

Enzo Quattro 998

PA200871

Enzo Quattro 988

PA200872

Enzo Quattro 798

PA200873

Enzo Quattro 788

PA200874

Enzo Quattro 598

PA200875

Enzo Quattro 588

PA210269

ONE 961 R

PA210270

ONE 961 312

PA210271

ONE 962 13

PA210272

ONE 761 R

PA210273

ONE 761 312

PA210274

ONE 762 13

PA210275

ONE 561 R

PA210276

ONE 561 312

PA210277

ONE 562 13

Page 18 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Signia

Code Tarif

Nom commercial

PA18095

Motion 13 3NX

PA18096

Motion 13 5NX

PA18097

Motion 13 7NX

PA18098

Pure 13 3NX

PA18099

Pure 13 5NX

PA18100

Pure 13 7NX

PA18103

Pure 312 3NX

PA18104

Pure 312 5NX

PA18105

Pure 312 7NX

PA181203

Styletto 3Nx

PA181204

Styletto 5Nx

PA181205

Styletto 7Nx

PA18262

Motion 13P 3NX

PA18263

Motion 13P 5NX

PA18264

Motion 13P 7NX

PA18265

Pure Charge&Go 3NX

PA18266

Pure Charge&Go 5NX

PA18267

Pure Charge&Go 7NX

PA18269

Silk 3NX

PA18270

Silk 5NX

PA18271

Silk 7NX

PA18295

Insio 3NX

PA18296

Insio 5NX

PA18297

Insio 7NX

PA18300

Pure 10 3Nx

PA18301

Pure 10 5Nx

PA18302

Pure 10 7Nx

PA190312

Motion Charge&Go 3NX

PA190313

Motion Charge&Go 5NX

PA190314

Motion Charge&Go 7NX

PA190503

Styletto Connect 5Nx

PA190504

Styletto Connect 7Nx

PA190505

Styletto Connect 3NX

PA191237

Pure 312 3X

PA191238

Pure 312 5X

PA191239

Pure 312 7X

PA191240

Pure Charge & Go 3X

PA191241

Pure Charge & Go 5X

PA191242

Pure Charge & Go 7X

PA200664

Styletto X 3X

PA200665

Styletto X 5X

PA200666

Styletto X 7X

PA200988

Silk 3X

PA200989

Silk 5X

PA200990

Silk 7X

PA210120

Motion C&G 3X

PA210121

Motion C&G P 3X

PA210122

Motion C&G SP 3X

PA210123

Motion C&G 5X

PA210124

Motion C&G P 5X

PA210125

Motion C&G SP 5X

PA210126

Motion C&G 7X

PA210127

Motion C&G P 7X

PA210128

Motion C&G SP 7X

PA210381

Active Pro

PA210788

Pure C&G 7AX

PA210789

Pure C&G 5AX

PA210790

Pure C&G 3AX

PA210791

Pure C&G T 7AX

PA210792

Pure C&G T 5AX

PA210793

Pure C&G T 3AX

PA211032

Insio C&G 7AX

PA211033

Insio C&G 5AX

PA211034

Insio C&G 3AX

PA211224

Styletto 5AX

PA211225

Styletto 7AX

PA211226

Pure 312 3AX

PA211227

Pure 312 5AX

PA211228

Pure 312 7AX

PA220305

Styletto 3AX

Page 19 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Starkey

Code Tarif

Nom commercial

PA18111

Halo iQ i1600

PA18112

Halo iQ i2000

PA18113

Halo iQ i2400

PA18123

Muse iQ i1600 BTE

PA18124

Muse iQ i1600 PP BTE

PA18125

Muse iQ i1600 IC

PA18126

Muse iQ i1600 RIC

PA18127

Muse iQ i2000 BTE

PA18128

Muse iQ i2000 PP BTE

PA18129

Muse iQ i2000 IC

PA18130

Muse iQ i2000 RIC

PA18131

Muse iQ i2400 BTE

PA18132

Muse iQ i2400 PP BTE

PA18133

Muse iQ i2400 IC

PA18134

Muse iQ i2400 RIC

PA18287

SoundLens 1600

PA18288

SoundLens 2000

PA18289

SoundLens 2400

PA18290

SoundLens i2400

PA190612

Livio AI 2400 BTE

PA190613

Livio AI 2400 RIC

PA190614

Livio 2400 BTE

PA190615

Livio 2400 RIC

PA190616

Livio 2400 RIC-R

PA190617

Livio 2000 BTE

PA190618

Livio 2000 RIC

PA190619

Livio 2000 RIC-R

PA190620

Livio 1600 BTE

PA190621

Livio 1600 RIC

PA190622

Livio 1600 RIC-R

PA190623

Livio 1200 BTE

PA190624

Livio 1200 RIC

PA190625

Livio 1200 RIC-R

PA200729

Livio Edge AI 2400 ITC-R

PA200730

Livio Edge AI 2400 BTE

PA200731

Livio Edge AI 2400 mRIC 312

PA200732

Livio Edge AI 2400 RIC 312

PA200733

Livio Edge AI 2400 RIC-R

PA200734

Livio AI 2000 ITC-R

PA200735

Livio AI 2000 BTE 13

PA200736

Livio AI 2000 mRIC 312

PA200737

Livio AI 2000 RIC 312

PA200738

Livio AI 2000 RIC-R

PA200739

Livio AI 1600 ITC-R

PA200740

Livio AI 1600 BTE 13

PA200741

Livio AI 1600 mRIC 312

PA200742

Livio AI 1600 RIC 312

PA200743

Livio AI 1600 RIC-R

PA200744

Livio AI 1200 ITC-R

PA200745

Livio AI 1200 BTE 13

PA200746

Livio AI 1200 mRIC 312

PA200747

Livio AI 1200 RIC 312

PA200748

Livio AI 1200 RIC-R

PA200749

Livio 1200 ITC-R

PA201108

Livio Edge AI 2400 BTE-R

PA201110

Livio AI 1200 BTE-R

PA201111

Livio AI 1600 BTE-R

PA201112

Livio AI 2000 BTE-R

PA220521

Evolv AI 2400 ITC-R

PA220522

Evolv AI 2400 ITE-R

PA220523

Evolv AI 2400 BTE 13

PA220524

Evolv AI 2400 BTE-R

PA220525

Evolv AI 2400 mRIC 312

PA220526

Evolv AI 2400 RIC 312

PA220527

Evolv AI 2400 RIC-R

PA220528

Evolv AI 2400 IIC NW

PA220529

Evolv AI 2400 CIC 312 NW

PA220530

Evolv AI 2400 CIC 10 NW

PA220531

Evolv AI 2000 ITC-R

PA220532

Evolv AI 2000 ITE-R

PA220533

Evolv AI 2000 BTE 13

PA220534

Evolv AI 2000 BTE-R

PA220535

Evolv AI 2000 mRIC 312

PA220536

Evolv AI 2000 RIC 312

PA220537

Evolv AI 2000 RIC-R

PA220538

Evolv AI 2000 IIC NW

PA220539

Evolv AI 2000 CIC 312 NW

PA220540

Evolv AI 2000 CIC 10 NW

PA220541

Evolv AI 1600 ITC-R

PA220542

Evolv AI 1600 ITE-R

PA220543

Evolv AI 1600 BTE 13

PA220544

Evolv AI 1600 BTE-R

PA220545

Evolv AI 1600 mRIC 312

PA220546

Evolv AI 1600 RIC 312

PA220547

Evolv AI 1600 RIC-R

PA220548

Evolv AI 1600 IIC NW

PA220549

Evolv AI 1600 CIC 312 NW

PA220550

Evolv AI 1600 CIC 10 NW

PA220551

Evolv AI 1200 ITC-R

PA220552

Evolv AI 1200 ITE-R

Page 20 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

PA220553

Evolv AI 1200 BTE 13

PA220554

Evolv AI 1200 BTE-R

PA220555

Evolv AI 1200 mRIC 312

PA220556

Evolv AI 1200 RIC 312

PA220557

Evolv AI 1200 RIC-R

PA220558

Evolv AI 1200 CIC 312 NW

PA220559

Evolv AI 1200 CIC 10 NW

Page 21 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Unitron

Code Tarif

Nom commercial

PA18141

T Insera 700 Omni

PA18142

T Insera 700 W Dir

PA18143

T Insera 700 W Omni

PA18144

T Insera 800 Omni

PA18145

T Insera 800 W Dir

PA18146

T Insera 800 W Omni

PA18147

T Insera Pro W Dir

PA18150

T Moxi Dura 700

PA18151

T Moxi Dura 800

PA18152

T Moxi Dura Pro

PA18155

T Moxi Fit 700

PA18156

T Moxi Fit 800

PA18157

T Moxi Fit Pro

PA18160

T Moxi Kiss 700

PA18161

T Moxi Kiss 800

PA18162

T Moxi Kiss Pro

PA18163

T Moxi Now 700

PA18164

T Moxi Now 800

PA18165

T Moxi Now Pro

PA18168

T Stride M 700

PA18169

T Stride M 800

PA18170

T Stride M Pro

PA18173

T Stride P 700

PA18174

T Stride P 800

PA18177

T Stride P Dura 700

PA18178

T Stride P Dura 800

PA18179

T Stride P Dura Pro

PA18180

T Stride P Pro

PA18191

T Moxi All 700

PA18192

T Moxi All 800

PA18193

T Moxi All Pro

PA18333

T Max SP 700

PA18334

T Max SP 800

PA18335

T Max SP Pro

PA18338

T Max UP 700

PA18339

T Max UP 800

PA18340

T Max UP Pro

PA191163

D Moxi Jump 5 R

PA191164

D Moxi Jump 7 R

PA191165

D Moxi Jump 9 R

PA191167

D Moxi Jump R T 5

PA191168

D Moxi Jump R T 7

PA191169

D Moxi Jump R T 9

PA191171

D Moxi Fit 5

PA191172

D Moxi Fit 7

PA191173

D Moxi Fit 9

PA191175

D Stride P R 5

PA191176

D Stride P R 7

PA191177

D Stride P R 9

PA200706

DX Moxi Jump R T 5

PA200707

DX Moxi Jump R T 7

PA200708

DX Moxi Jump R T 9

PA200710

DX Moxi Fit 5

PA200711

DX Moxi Fit 7

PA200712

DX Moxi Fit 9

PA200714

DX Moxi Move R 5

PA200715

DX Moxi Move R 7

PA200716

DX Moxi Move R 9

PA200718

DX Stride P R 5

PA200719

DX Stride P R 7

PA200720

DX Stride P R 9

PA211201

DX Insera 5 10A Omni

PA211202

DX Insera 7 10A Omni

PA211203

DX Insera 9 10A Omni

PA211205

DX Insera 5 312 Omni

PA211206

DX Insera 7 312 Omni

PA211207

DX Insera 9 312 Omni

PA211209

DX Insera 5 W 312 Dir

PA211210

DX Insera 7 W 312 Dir

PA211211

DX Insera 9 W 312 Dir

PA211213

Moxi B5-312

PA211214

Moxi B7-312

PA211215

Moxi B9-312

PA211217

Moxi B5-R

PA211218

Moxi B7-R

PA211219

Moxi B9-R

PA211221

Moxi B5-RT

PA211222

Moxi B7-RT

PA211223

Moxi B9-RT

PA211297

DX Stride M 5

PA211298

DX Stride M 7

PA211299

DX Stride M 9

PA220688

Stride B5-PR

PA220689

Stride B7-PR

PA220690

Stride B9-PR

PA220692

Stride B5-UP

PA220693

Stride B7-UP

PA220694

Stride B9-UP

Page 22 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

WIDEX

Code Tarif

Nom commercial

PA13061

Menu 10

PA18310

Evoke 220 CIC

PA18311

Evoke 220 Fashion

PA18312

Evoke 220 Fashion Mini

PA18313

Evoke 220 Fashion Power

PA18314

Evoke 220 Fusion2

PA18315

Evoke 220 Passion

PA18316

Evoke 220 XP

PA18317

Evoke 330 CIC

PA18318

Evoke 330 Fashion

PA18319

Evoke 330 Fashion Mini

PA18320

Evoke 330 Fashion Power

PA18321

Evoke 330 Fusion2

PA18322

Evoke 330 Passion

PA18323

Evoke 330 XP

PA18324

Evoke 440 CIC

PA18325

Evoke 440 Fashion

PA18326

Evoke 440 Fashion Mini

PA18327

Evoke 440 Fashion Power

PA18328

Evoke 440 Fusion2

PA18329

Evoke 440 Passion

PA18330

Evoke 440 XP

PA200772

Moment 440 RIC 312 D

PA200773

Moment 440 RIC 10

PA200774

Moment 440 mRIC R D

PA200775

Moment 440 CIC/XP

PA200776

Moment 330 RIC 312 D

PA200777

Moment 330 RIC 10

PA200778

Moment 330 mRIC R D

PA200779

Moment 330 CIC/XP

PA200780

Moment 220 RIC 312 D

PA200781

Moment 220 RIC 10

PA200782

Moment 220 mRIC R D

PA200783

Moment 220 CIC/XP

PA221019

Moment 440 BTE 13 D

PA221020

Moment 440 BTE 312

PA221021

Moment 440 BTE R D

PA221022

Moment 330 BTE 13 D

PA221023

Moment 330 BTE 312

PA221024

Moment 330 BTE R D

PA221025

Moment 220 BTE 13 D

PA221026

Moment 220 BTE 312

PA221027

Moment 220 BTE R D

Q01AS3

Extension stéréoacousique du forfait Q01A3

applicable au montant forfaitaire (€) de

Taux de remboursement de

950,00

100%

Montant maximal remboursable (€)

950,00

Acuitis

Code Tarif

Nom commercial

PB18272

Concerto.C

PB18274

Concerto.R

PB18278

Philharmonie.C

PB18279

Philharmonie.E

PB18280

Philharmonie.R

PB18284

Symphonie.C

PB18285

Symphonie.E

PB18286

Symphonie.R

PB200543

CONCERTO.M

PB200544

CONCERTO.D

PB200545

CONCERTO.RD

PB200546

SYMPHONIE.M

PB200547

SYMPHONIE.D

PB200548

SYMPHONIE.RD

PB200549

PHILHARMONIE.M

PB200550

PHILHARMONIE.D

PB200551

PHILHARMONIE.RD

PB221032

CONCERTO.RDS

PB221033

SYMPHONIE.RDS

PB221034

PHILHARMONIE.RDS

Page 23 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

AudioService

Code Tarif

Nom commercial

PB18003

Duo 16 G4

PB18006

HP 12 G4

PB18009

HP 8 G4

PB18010

ICON 12 G4

PB18011

ICON 8 G4

PB18012

P 16 G4

PB18015

QuiX 16 G4

PB18016

Rixx 16 G4

PB18017

SINA 12 G4

PB18018

SINA 8 G4

PB18019

SINA HYPE 12 G4

PB18020

SINA HYPE 8 G4

PB18021

Sun 16 G4

PB18022

VEGA 12 G4

PB18023

VEGA 8 G4

PB18024

VEGA HYPE 12 G4

PB18025

VEGA HYPE 8 G4

PB18029

XS 8 G3

PB190845

XS 8 G4

PB210484

Mood 8 G5

Bernafon

Code Tarif

Nom commercial

PB18030

Juna 7 P

PB18031

Juna 9 P

PB18037

Saphira 3 CPx

PB18038

Saphira 3 N

PB18039

Saphira 3 NR

PB18040

Saphira 3 P

PB18041

Saphira 3 PR

PB18042

Saphira 5 N

PB18043

Saphira 5 NR

PB18044

Saphira 5 P

PB18045

Saphira 5 PR

PB190186

Bernafon Zerena 3 MNR

PB190187

Bernafon Zerena 3 BTE

PB190188

Bernafon Zerena 3 IC

PB190189

Bernafon Zerena 5 MNR

PB190190

Bernafon Zerena 5 BTE

PB190191

Bernafon Zerena 5 IC

PB190192

Bernafon Zerena 7 MNR

PB190193

Bernafon Zerena 7 BTE

PB190194

Bernafon Zerena 7 IC

PB190195

Bernafon Zerena 9 MNR

PB190196

Bernafon Zerena 9 BTE

PB190197

Bernafon Zerena 9 IC

PB191147

Bernafon Saphira CIC/ITC/IIC

PB191148

Bernafon Leox 3 SP

PB191149

Bernafon Leox 3 UP

PB191150

Bernafon Leox 7 SP

PB191151

Bernafon Leox 7 UP

PB200201

Bernafon Viron 5 MNR TR

PB200202

Bernafon Viron 7 MNR TR

PB200203

Bernafon Viron 9 MNR TR

PB220586

ALPHA 5 miniRITE T R

PB220587

ALPHA 5 miniRITE T

PB220588

ALPHA 7 miniRITE T R

PB220589

ALPHA 7 miniRITE T

PB220590

ALPHA 9 miniRITE T R

PB220591

ALPHA 9 miniRITE T

Page 24 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Kind

Code Tarif

Nom commercial

PB18047

KINDduro 3200P

PB18048

KINDduro 4200P

PB18049

KINDduro 5200P

PB18051

KINDlink 3420

PB18052

KINDlink 4420

PB18053

KINDlink 5420

PB18201

KINDduro 3600

PB18202

KINDduro 3600P

PB18203

KINDduro 3700

PB18204

KINDduro 3700P

PB18205

KINDduro 3800

PB18206

KINDduro 4600

PB18207

KINDduro 4600P

PB18208

KINDduro 4700

PB18209

KINDduro 4700P

PB18210

KINDduro 4800

PB18211

KINDduro 5600

PB18212

KINDduro 5600P

PB18213

KINDduro 5700

PB18214

KINDduro 5700P

PB18215

KINDduro 5800

PB18230

KINDevo 3120

PB18231

KINDevo 3220

PB18232

KINDevo 3420

PB18233

KINDevo 3420R

PB18234

KINDevo 3620

PB18235

KINDevo 3620P

PB18236

KINDevo 3720

PB18237

KINDevo 3720P

PB18238

KINDevo 3820

PB18239

KINDevo 4120

PB18240

KINDevo 4220

PB18241

KINDevo 4420

PB18242

KINDevo 4420R

PB18243

KINDevo 4620

PB18244

KINDevo 4620P

PB18245

KINDevo 4720

PB18246

KINDevo 4720P

PB18247

KINDevo 4820

PB18248

KINDevo 5120

PB18249

KINDevo 5220

PB18250

KINDevo 5420

PB18251

KINDevo 5420R

PB18252

KINDevo 5620

PB18253

KINDevo 5620P

PB18254

KINDevo 5720

PB18255

KINDevo 5720P

PB18256

KINDevo 5820

PB18344

KINDakira HS

PB18345

KINDakira HP

PB18346

KINDakira Ex

PB18347

KINDakira SP

PB18348

KINDnido 5100

PB18349

KINDnido 5200

PB18350

KINDnido 5200P

PB190436

KINDduro 3210P

PB190437

KINDduro 5210P

PB190438

KINDduro 3410

PB190439

KINDduro 5410

PB190440

KINDduro 5410R

PB190441

KINDakira 5210P

PB190442

KINDakira 5410

PB190443

KINDakira 5410R

PB190445

KINDevo 3230

PB190446

KINDevo 5230

PB190448

KINDevo 3430

PB190449

KINDevo 5430

PB190452

KINDevo 3430R

PB190453

KINDevo 5430R

PB190456

KINDvitalo 3200

PB190457

KINDvitalo 5200

PB190460

KINDvitalo 3400

PB190461

KINDvitalo 5400

PB190464

KINDvitalo 3400R

PB190465

KINDvitalo 5400R

PB191152

KINDakira 5110

PB191153

KINDakira 5110P

PB191154

KINDakira 5410C

PB191157

KINDduro 3110

PB191158

KINDduro 3110P

PB191159

KINDduro 5110

PB191160

KINDduro 5110P

PB201237

KINDevo 3230R

PB201238

KINDevo 3630R

PB201239

KINDevo 3630RM

PB201240

KINDevo 3630RP

PB201241

KINDevo 5230R

PB201242

KINDevo 5630R

PB201243

KINDevo 5630RM

PB201244

KINDevo 5630RP

Page 25 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

PB201245

KINDvitalo 5210

PB201246

KINDvitalo 5210R

PB201247

KINDvitalo 5410

PB201248

KINDvitalo 5410R

PB201249

KINDvitalo 5610R

PB201250

KINDvitalo 5610RM

PB201251

KINDvitalo 5610RP

PB201260

KINDvitalo 3200R

PB201261

KINDvitalo 3600R

PB201262

KINDvitalo 3600RM

PB201263

KINDvitalo 3600RP

PB210229

KINDduro 2410

PB210230

KINDduro 2410R

PB210231

KINDduro 2210P

PB220810

KINDvitalo 2220

PB220811

KINDvitalo 2420

PB220812

KINDvitalo 2220R

PB220813

KINDvitalo 2420R

PB220817

KINDvitalo 2620R

PB220818

KINDvitalo 3220

PB220819

KINDvitalo 3420

PB220820

KINDvitalo 3220R

PB220821

KINDvitalo 3420R

PB220825

KINDvitalo 3620R

PB220826

KINDvitalo 5220

PB220827

KINDvitalo 5420

PB220828

KINDvitalo 5220R

PB220829

KINDvitalo 5420R

PB220833

KINDvitalo 5620R

PB220843

KINDevo 2740

PB220847

KINDevo 3740

PB220851

KINDevo 5740

PB220852

KINDduro 2220C

PB220853

KINDduro 2420C

PB220854

KINDduro 2220R

PB220855

KINDduro 2420R

PB220856

KINDduro 3220C

PB220857

KINDduro 3420C

PB220858

KINDduro 3220R

PB220859

KINDduro 3420R

PB220860

KINDduro 5220C

PB220861

KINDduro 5420C

PB220862

KINDduro 5220R

PB220863

KINDduro 5420R

PB220865

KINDakira 5220C

PB220866

KINDakira 5420C

PB220867

KINDakira 5220R

PB220868

KINDakira 5420R

PB220971

KINDduro 2620

PB220974

KINDduro 3620

PB220977

KINDduro 5620

PB220979

KINDduro 2720

PB220981

KINDduro 3720

PB220983

KINDduro 5720

PB220985

KINDduro 2820

PB220987

KINDduro 3820

PB220989

KINDduro 5820

PB230354

KINDvitalo 2120

PB230355

KINDvitalo 3120

PB230356

KINDvitalo 5120

PB230358

KINDvitalo 2720

PB230359

KINDvitalo 3720

PB230360

KINDvitalo 5720

PB230361

KINDduro 3230C

PB230362

KINDduro 3430C

PB230363

KINDduro 3230R

PB230364

KINDduro 3430R

PB230365

KINDduro 5230C

PB230366

KINDduro 5430C

PB230367

KINDduro 5230R

PB230368

KINDduro 5430R

Page 26 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Oticon

Code Tarif

Nom commercial

PB190317

OPN S1 Rite

PB190318

OPN S2 Rite

PB190319

OPN S3 Rite

PB190320

OPN S1 HdO

PB190321

OPN S2 HdO

PB190322

OPN S3 HdO

PB190323

OPN 1 IIC 75

PB190324

OPN 1 IIC 85

PB190325

OPN 1 CIC 75

PB190326

OPN 1 CIC 85

PB190327

OPN 1 ITC 75

PB190328

OPN 1 ITC 85

PB190329

OPN 1 ITC 90

PB190330

OPN 1 ITC 100

PB190331

OPN 2 IIC / CIC / ITC

PB190332

OPN 3 IIC / CIC / ITC

PB190506

OPN S1 miniRITE

PB190507

OPN S1 miniRITE-R

PB190508

OPN S2 miniRITE

PB190509

OPN S2 miniRITE-R

PB190510

OPN S3 miniRITE

PB190511

OPN S3 miniRITE-R

PB191200

Opn Play 1 miniRITE T

PB191201

Opn Play 1 miniRITE R

PB191202

Opn Play 1 BTE

PB191203

Opn Play 2 miniRITE

PB191204

Opn Play 2 miniRITE T

PB191205

Opn Play 2 miniRITE R

PB191206

Opn Play 2 BTE

PB191207

Xceed 1 UP

PB191208

Xceed 1 SP

PB191209

Xceed 2 UP

PB191210

Xceed 2 SP

PB191213

Xceed Play 1 UP

PB191214

Xceed Play 1 SP

PB191215

Xceed Play 2 UP

PB191216

Xceed Play 2 SP

PB191217

Sensei Pro SP

PB191299

Opn Play 1 miniRITE

PB200656

Ruby 1 BTE 105

PB200658

Ruby 1 miniRITE

PB200660

Ruby 1 miniRITE T

PB200662

Ruby 1 miniRITE R

PB201278

More 1 miniRITE-R

PB201279

More 2 miniRITE-R

PB201280

More 3 miniRITE-R

PB220311

More 1 miniBTE R

PB220312

More 1 miniBTE T

PB220313

More 2 miniBTE R

PB220314

More 2 miniBTE T

PB220315

More 3 miniBTE R

PB220316

More 3 miniBTE T

PB220383

Zircon 1 miniRITE R

PB220384

Zircon 1 miniRITE T

PB220385

Zircon 1 miniBTE R

PB220386

Zircon 1 miniBTE T

PB220391

Play PX 1 miniRITE R

PB220392

Play PX 1 miniRITE T

PB220393

Play PX 1 miniBTE R

PB220394

Play PX 1 miniBTE T

PB220395

Play PX 2 miniRITE R

PB220396

Play PX 2 miniRITE T

PB220397

Play PX 2 miniBTE R

PB220398

Play PX 2 miniBTE T

PB220900

Own 1 CIC

PB220901

Own 2 CIC

PB220902

Own 3 CIC

PB220903

Own 4 CIC

PB220905

Own 1 ITE

PB220906

Own 2 ITE

PB220907

Own 3 ITE

PB220908

Own 4 ITE

PB220910

Own 1 IIC

PB220911

Own 2 IIC

PB220912

Own 3 IIC

PB220913

Own 4 IIC

PB230375

Real 1 miniRITE T

PB230376

Real 2 miniRITE T

PB230377

Real 3 miniRITE T

PB230378

Real 1 miniRITE R

PB230379

Real 2 miniRITE R

PB230380

Real 3 miniRITE R

PB230381

Real 1 miniBTE R

PB230382

Real 2 miniBTE R

PB230383

Real 3 miniBTE R

PB230384

Real 1 miniBTE T

PB230385

Real 2 miniBTE T

PB230386

Real 3 miniBTE T

Page 27 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

OuïeZen

Code Tarif

Nom commercial

PB220289

OZ 20 G6 Ric LI

PB220290

OZ 20 G6 Ric 312

PB220291

OZ 20 G6 SLIM

PB220292

OZ 20 G6 ITE

PB220293

OZ 40 G6 Ric LI

PB220294

OZ 40 G6 Ric 312

PB220295

OZ 40 G6 SLIM

PB220296

OZ 40 G6 ITE

Page 28 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Phonak

Code Tarif

Nom commercial

PB17088

Boléro B50

PB17089

Boléro B70

PB17090

Boléro B90

PB17092

Audéo B50

PB17093

Audéo B70

PB17094

Audéo B90

PB17095

Virto B70 Titanium

PB17096

Virto B90 Titanium

PB18054

Audéo B 50 direct

PB18055

Audéo B 70 direct

PB18056

Audéo B 90 direct

PB18057

Bolero B50-PR

PB18058

Bolero B70-PR

PB18059

Bolero B90-PR

PB18062

Naïda B 50

PB18063

Naïda B 50 R-RIC

PB18064

Naïda B 70

PB18065

Naïda B 70 R-RIC

PB18066

Naïda B 90

PB18067

Naïda B 90 R-RIC

PB18070

Sky B 50

PB18071

Sky B 50 PR

PB18072

Sky B 50 RIC

PB18073

Sky B 70

PB18074

Sky B 70 PR

PB18075

Sky B 70 RIC

PB18076

Sky B 90

PB18077

Sky B 90 PR

PB18078

Sky B 90 RIC

PB18080

Virto B 50

PB18081

Virto B 70

PB18082

Virto B 90

PB181177

Audéo M90 312

PB181178

Audéo M70 312

PB181179

Audéo M50 312

PB181180

Audéo M90 R

PB181181

Audéo M70 R

PB181182

Audéo M50 R

PB18181

Naida Link Ric

PB18182

Naida Link UP

PB191178

Bolero M90-M

PB191179

Bolero M70-M

PB191180

Bolero M50-M

PB191182

Bolero M90-PR

PB191183

Bolero M70-PR

PB191184

Bolero M50-PR

PB191186

Sky M90-M

PB191187

Sky M70-M

PB191188

Sky M50-M

PB191190

Sky M90-SP

PB191191

Sky M70-SP

PB191192

Sky M50-SP

PB191194

Sky M90-PR

PB191195

Sky M70-PR

PB191196

Sky M50-PR

PB191247

Audéo B50-R

PB191248

Audéo B70-R

PB191249

Audéo B90-R

PB191251

Audéo M50 312T

PB191252

Audéo M70 312T

PB191253

Audéo M90 312T

PB191255

Audéo M50 13T

PB191256

Audéo M70 13T

PB191257

Audéo M90 13T

PB200436

Naida M50-SP

PB200437

Naida M70-SP

PB200438

Naida M90-SP

PB200521

Virto M90-10 NW

PB200522

Virto M70-10 NW

PB200523

Virto M50-10 NW

PB200525

Virto M90 312

PB200526

Virto M70 312

PB200527

Virto M50 312

PB200876

Virto Titanium M90

PB200877

Virto Titanium M70

PB200900

Audeo P50-R

PB200992

Audeo P90-312

PB200993

Audeo P90-13T

PB200994

Audeo P90-R

PB200995

Audeo P70-312

PB200996

Audeo P70-13T

PB200997

Audeo P70-R

PB200998

Audeo P50-312

PB200999

Audeo P50-13T

PB210261

Naida P90-UP

PB210262

Naida P90-PR

PB210263

Naida P70-UP

PB210264

Naida P70-PR

PB210265

Naida P50-UP

PB210266

Naida P50-PR

Page 29 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

PB220574

Virto P 90-10 NW

PB220575

Virto P 70-10 NW

PB220576

Virto P 50-10 NW

PB220578

Virto P 90-312 NW

PB220579

Virto P 70-312 NW

PB220580

Virto P 50-312 NW

PB220582

Virto P 90-312

PB220583

Virto P 70-312

PB220584

Virto P 50-312

PB220781

Audéo P90-R Fit

PB220782

Audéo P70-R Fit

PB220800

Sky Link M

PB221135

Audeo L90-R

PB221136

Audeo L70-R

PB221137

Audeo L50-R

PB221139

Audeo L90-RL

PB221140

Audeo L70-RL

PB221141

Audeo L50-RL

PB221143

Audeo L90-RT

PB221144

Audeo L70-RT

PB221145

Audeo L50-RT

PB221247

Audéo P90-RL

PB221248

Audéo P70-RL

PB221249

Audéo P50-RL

Resound

Code Tarif

Nom commercial

PB18089

Enzo 3D 798

PB18090

Enzo 3D 998

PB18092

LiNX 3D 761 Zpower

PB18093

LiNX 3D 961 Zpower

PB18291

LiNX Quattro 761

PB18292

LiNX Quattro 762

PB18293

LiNX Quattro 961

PB18294

LiNX Quattro 962

PB18342

LiNX 3D 7 intra

PB18343

LiNX 3D 9 intra

PB190843

LiNX Quattro 561

PB190844

LiNX Quattro 562

PB200858

LiNX Quattro 9 CIC-W

PB200859

LiNX Quattro 9 ITC-W

PB200860

LiNX Quattro 7 CIC-W

PB200861

LiNX Quattro 7 ITC-W

PB200862

LiNX Quattro 5 CIC-W

PB200863

LiNX Quattro 5 ITC-W

PB200864

LiNX Quattro 977

PB200865

LiNX Quattro 777

PB200866

LiNX Quattro 577

PB200867

LiNX Quattro 988

PB200868

LiNX Quattro 788

PB200869

LiNX Quattro 588

PB200870

Enzo Quattro 998

PB200871

Enzo Quattro 988

PB200872

Enzo Quattro 798

PB200873

Enzo Quattro 788

PB200874

Enzo Quattro 598

PB200875

Enzo Quattro 588

PB210269

ONE 961 R

PB210270

ONE 961 312

PB210271

ONE 962 13

PB210272

ONE 761 R

PB210273

ONE 761 312

PB210274

ONE 762 13

PB210275

ONE 561 R

PB210276

ONE 561 312

PB210277

ONE 562 13

Page 30 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Signia

Code Tarif

Nom commercial

PB18095

Motion 13 3NX

PB18096

Motion 13 5NX

PB18097

Motion 13 7NX

PB18098

Pure 13 3NX

PB18099

Pure 13 5NX

PB18100

Pure 13 7NX

PB18103

Pure 312 3NX

PB18104

Pure 312 5NX

PB18105

Pure 312 7NX

PB181203

Styletto 3Nx

PB181204

Styletto 5Nx

PB181205

Styletto 7Nx

PB18265

Pure Charge&Go 3NX

PB18266

Pure Charge&Go 5NX

PB18267

Pure Charge&Go 7NX

PB18269

Silk 3NX

PB18270

Silk 5NX

PB18271

Silk 7NX

PB18295

Insio 3NX

PB18296

Insio 5NX

PB18297

Insio 7NX

PB18300

Pure 10 3Nx

PB18301

Pure 10 5Nx

PB18302

Pure 10 7Nx

PB190312

Motion Charge&Go 3NX

PB190313

Motion Charge&Go 5NX

PB190314

Motion Charge&Go 7NX

PB190503

Styletto Connect 5Nx

PB190504

Styletto Connect 7Nx

PB190505

Styletto Connect 3NX

PB191237

Pure 312 3X

PB191238

Pure 312 5X

PB191239

Pure 312 7X

PB191240

Pure Charge & Go 3X

PB191241

Pure Charge & Go 5X

PB191242

Pure Charge & Go 7X

PB200664

Styletto X 3X

PB200665

Styletto X 5X

PB200666

Styletto X 7X

PB200988

Silk 3X

PB200989

Silk 5X

PB200990

Silk 7X

PB210120

Motion C&G 3X

PB210121

Motion C&G P 3X

PB210122

Motion C&G SP 3X

PB210123

Motion C&G 5X

PB210124

Motion C&G P 5X

PB210125

Motion C&G SP 5X

PB210126

Motion C&G 7X

PB210127

Motion C&G P 7X

PB210128

Motion C&G SP 7X

PB210381

Active Pro

PB210788

Pure C&G 7AX

PB210789

Pure C&G 5AX

PB210790

Pure C&G 3AX

PB210791

Pure C&G T 7AX

PB210792

Pure C&G T 5AX

PB210793

Pure C&G T 3AX

PB211032

Insio C&G 7AX

PB211033

Insio C&G 5AX

PB211034

Insio C&G 3AX

PB211224

Styletto 5AX

PB211225

Styletto 7AX

PB211226

Pure 312 3AX

PB211227

Pure 312 5AX

PB211228

Pure 312 7AX

PB220305

Styletto 3AX

Page 31 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Starkey

Code Tarif

Nom commercial

PB18111

Halo iQ i1600

PB18112

Halo iQ i2000

PB18113

Halo iQ i2400

PB18123

Muse iQ i1600 BTE

PB18124

Muse iQ i1600 PP BTE

PB18125

Muse iQ i1600 IC

PB18126

Muse iQ i1600 RIC

PB18127

Muse iQ i2000 BTE

PB18128

Muse iQ i2000 PP BTE

PB18129

Muse iQ i2000 IC

PB18130

Muse iQ i2000 RIC

PB18131

Muse iQ i2400 BTE

PB18132

Muse iQ i2400 PP BTE

PB18133

Muse iQ i2400 IC

PB18134

Muse iQ i2400 RIC

PB18287

SoundLens 1600

PB18288

SoundLens 2000

PB18289

SoundLens 2400

PB18290

SoundLens i2400

PB190612

Livio AI 2400 BTE

PB190613

Livio AI 2400 RIC

PB190614

Livio 2400 BTE

PB190615

Livio 2400 RIC

PB190616

Livio 2400 RIC-R

PB190617

Livio 2000 BTE

PB190618

Livio 2000 RIC

PB190619

Livio 2000 RIC-R

PB190620

Livio 1600 BTE

PB190621

Livio 1600 RIC

PB190622

Livio 1600 RIC-R

PB190623

Livio 1200 BTE

PB190624

Livio 1200 RIC

PB190625

Livio 1200 RIC-R

PB200729

Livio Edge AI 2400 ITC-R

PB200730

Livio Edge AI 2400 BTE

PB200731

Livio Edge AI 2400 mRIC 312

PB200732

Livio Edge AI 2400 RIC 312

PB200733

Livio Edge AI 2400 RIC-R

PB200734

Livio AI 2000 ITC-R

PB200735

Livio AI 2000 BTE 13

PB200736

Livio AI 2000 mRIC 312

PB200737

Livio AI 2000 RIC 312

PB200738

Livio AI 2000 RIC-R

PB200739

Livio AI 1600 ITC-R

PB200740

Livio AI 1600 BTE 13

PB200741

Livio AI 1600 mRIC 312

PB200742

Livio AI 1600 RIC 312

PB200743

Livio AI 1600 RIC-R

PB200744

Livio AI 1200 ITC-R

PB200745

Livio AI 1200 BTE 13

PB200746

Livio AI 1200 mRIC 312

PB200747

Livio AI 1200 RIC 312

PB200748

Livio AI 1200 RIC-R

PB200749

Livio 1200 ITC-R

PB201108

Livio Edge AI 2400 BTE-R

PB201110

Livio AI 1200 BTE-R

PB201111

Livio AI 1600 BTE-R

PB201112

Livio AI 2000 BTE-R

PB220521

Evolv AI 2400 ITC-R

PB220522

Evolv AI 2400 ITE-R

PB220523

Evolv AI 2400 BTE 13

PB220524

Evolv AI 2400 BTE-R

PB220525

Evolv AI 2400 mRIC 312

PB220526

Evolv AI 2400 RIC 312

PB220527

Evolv AI 2400 RIC-R

PB220528

Evolv AI 2400 IIC NW

PB220529

Evolv AI 2400 CIC 312 NW

PB220530

Evolv AI 2400 CIC 10 NW

PB220531

Evolv AI 2000 ITC-R

PB220532

Evolv AI 2000 ITE-R

PB220533

Evolv AI 2000 BTE 13

PB220534

Evolv AI 2000 BTE-R

PB220535

Evolv AI 2000 mRIC 312

PB220536

Evolv AI 2000 RIC 312

PB220537

Evolv AI 2000 RIC-R

PB220538

Evolv AI 2000 IIC NW

PB220539

Evolv AI 2000 CIC 312 NW

PB220540

Evolv AI 2000 CIC 10 NW

PB220541

Evolv AI 1600 ITC-R

PB220542

Evolv AI 1600 ITE-R

PB220543

Evolv AI 1600 BTE 13

PB220544

Evolv AI 1600 BTE-R

PB220545

Evolv AI 1600 mRIC 312

PB220546

Evolv AI 1600 RIC 312

PB220547

Evolv AI 1600 RIC-R

PB220548

Evolv AI 1600 IIC NW

PB220549

Evolv AI 1600 CIC 312 NW

PB220550

Evolv AI 1600 CIC 10 NW

PB220551

Evolv AI 1200 ITC-R

PB220552

Evolv AI 1200 ITE-R

Page 32 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

PB220553

Evolv AI 1200 BTE 13

PB220554

Evolv AI 1200 BTE-R

PB220555

Evolv AI 1200 mRIC 312

PB220556

Evolv AI 1200 RIC 312

PB220557

Evolv AI 1200 RIC-R

PB220558

Evolv AI 1200 CIC 312 NW

PB220559

Evolv AI 1200 CIC 10 NW

Page 33 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

Unitron

Code Tarif

Nom commercial

PB18141

T Insera 700 Omni

PB18142

T Insera 700 W Dir

PB18143

T Insera 700 W Omni

PB18144

T Insera 800 Omni

PB18145

T Insera 800 W Dir

PB18146

T Insera 800 W Omni

PB18147

T Insera Pro W Dir

PB18150

T Moxi Dura 700

PB18151

T Moxi Dura 800

PB18152

T Moxi Dura Pro

PB18155

T Moxi Fit 700

PB18156

T Moxi Fit 800

PB18157

T Moxi Fit Pro

PB18160

T Moxi Kiss 700

PB18161

T Moxi Kiss 800

PB18162

T Moxi Kiss Pro

PB18163

T Moxi Now 700

PB18164

T Moxi Now 800

PB18165

T Moxi Now Pro

PB18168

T Stride M 700

PB18169

T Stride M 800

PB18170

T Stride M Pro

PB18173

T Stride P 700

PB18174

T Stride P 800

PB18177

T Stride P Dura 700

PB18178

T Stride P Dura 800

PB18179

T Stride P Dura Pro

PB18180

T Stride P Pro

PB18191

T Moxi All 700

PB18192

T Moxi All 800

PB18193

T Moxi All Pro

PB18333

T Max SP 700

PB18334

T Max SP 800

PB18335

T Max SP Pro

PB18338

T Max UP 700

PB18339

T Max UP 800

PB18340

T Max UP Pro

PB191163

D Moxi Jump 5 R

PB191164

D Moxi Jump 7 R

PB191165

D Moxi Jump 9 R

PB191167

D Moxi Jump R T 5

PB191168

D Moxi Jump R T 7

PB191169

D Moxi Jump R T 9

PB191171

D Moxi Fit 5

PB191172

D Moxi Fit 7

PB191173

D Moxi Fit 9

PB191175

D Stride P R 5

PB191176

D Stride P R 7

PB191177

D Stride P R 9

PB200706

DX Moxi Jump R T 5

PB200707

DX Moxi Jump R T 7

PB200708

DX Moxi Jump R T 9

PB200710

DX Moxi Fit 5

PB200711

DX Moxi Fit 7

PB200712

DX Moxi Fit 9

PB200714

DX Moxi Move R 5

PB200715

DX Moxi Move R 7

PB200716

DX Moxi Move R 9

PB200718

DX Stride P R 5

PB200719

DX Stride P R 7

PB200720

DX Stride P R 9

PB211201

DX Insera 5 10A Omni

PB211202

DX Insera 7 10A Omni

PB211203

DX Insera 9 10A Omni

PB211205

DX Insera 5 312 Omni

PB211206

DX Insera 7 312 Omni

PB211207

DX Insera 9 312 Omni

PB211209

DX Insera 5 W 312 Dir

PB211210

DX Insera 7 W 312 Dir

PB211211

DX Insera 9 W 312 Dir

PB211213

Moxi B5-312

PB211214

Moxi B7-312

PB211215

Moxi B9-312

PB211217

Moxi B5-R

PB211218

Moxi B7-R

PB211219

Moxi B9-R

PB211221

Moxi B5-RT

PB211222

Moxi B7-RT

PB211223

Moxi B9-RT

PB211297

DX Stride M 5

PB211298

DX Stride M 7

PB211299

DX Stride M 9

PB220688

Stride B5-PR

PB220689

Stride B7-PR

PB220690

Stride B9-PR

PB220692

Stride B5-UP

PB220693

Stride B7-UP

PB220694

Stride B9-UP

Page 34 de 35

JOURNAL OFFICIEL du Grand-Duché de Luxembourg

du Grand-Duché de Luxembourg

MÉMORIAL A - 12 du 21 janvier 2025

WIDEX

Code Tarif

Nom commercial

PB13061

Menu 10

PB18310

Evoke 220 CIC

PB18311

Evoke 220 Fashion

PB18312

Evoke 220 Fashion Mini

PB18313

Evoke 220 Fashion Power

PB18314

Evoke 220 Fusion2

PB18315

Evoke 220 Passion

PB18316

Evoke 220 XP

PB18317

Evoke 330 CIC

PB18318

Evoke 330 Fashion

PB18319

Evoke 330 Fashion Mini

PB18320

Evoke 330 Fashion Power

PB18321

Evoke 330 Fusion2

PB18322

Evoke 330 Passion

PB18323

Evoke 330 XP

PB18324

Evoke 440 CIC

PB18325

Evoke 440 Fashion

PB18326

Evoke 440 Fashion Mini

PB18327

Evoke 440 Fashion Power

PB18328

Evoke 440 Fusion2

PB18329

Evoke 440 Passion

PB18330

Evoke 440 XP

PB200772

Moment 440 RIC 312 D

PB200773

Moment 440 RIC 10

PB200774

Moment 440 mRIC R D

PB200775

Moment 440 CIC/XP

PB200776

Moment 330 RIC 312 D

PB200777

Moment 330 RIC 10

PB200778

Moment 330 mRIC R D

PB200779

Moment 330 CIC/XP

PB200780

Moment 220 RIC 312 D

PB200781

Moment 220 RIC 10

PB200782

Moment 220 mRIC R D

PB200783

Moment 220 CIC/XP

PB221019

Moment 440 BTE 13 D

PB221020

Moment 440 BTE 312

PB221021

Moment 440 BTE R D

PB221022

Moment 330 BTE 13 D

PB221023

Moment 330 BTE 312

PB221024

Moment 330 BTE R D

PB221025

Moment 220 BTE 13 D

PB221026

Moment 220 BTE 312

PB221027

Moment 220 BTE R D

Q05R

Frais de réparation - Pour les enfants et jeunes <18 ans. Jusqu’à concurrence de

25% du montant forfaitaire du dispositif de correction auditive.

applicable au montant forfaitaire (€) de

Taux de remboursement de

100%

Montant maximal remboursable (€)

Code Tarif

Nom commercial

PREP01H

Frais de réparation

Q06X

Supplément pour les enfants et jeunes <18ans au dispositif de correction auditive

de classe 3

applicable au montant forfaitaire (€) de

Taux de remboursement de

450,00

100%

Montant maximal remboursable (€)

450,00

Code Tarif

Nom commercial

PAFOR18

Supplément moins 18 ans

Q06XS

Supplément pour les enfants et jeunes <18ans à l'extension stéréoacousique du

dispositif de correction auditive de classe 3

applicable au montant forfaitaire (€) de

Taux de remboursement de

450,00

100%

Montant maximal remboursable (€)

450,00

Code Tarif

Nom commercial

PBFOR18

Supplément stéréo moins 18 ans

Page 35 de 35