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Health: how does mutual insurance reimbursement work?

2024-02-22T07:51:45.865Z

Highlights: It is essential to send this document to obtain reimbursement of sums which can quickly add up. If you go to see a psychiatrist, the cost of the consultation can rise to more than 80 euros. The invoice will indicate the amount paid by the social security and the amount you have paid. You must then indicate the total amount of the service and the mutual will reimburse you. When you are hospitalized, the mutual insurance company can reimburse you over time. Good to know: know that you will be able to follow reimbursements on your personal mutual space, but also on Ameli.fr.


It is not always easy to understand how mutual insurance or social security reimbursement works. You are reimbursed by Assura


Have you just come out of an appointment with the osteopath, the dentist or the psychiatrist?

Your healthcare professional has certainly given you an invoice to send to your mutual insurance company.

It is essential to send this document to obtain reimbursement of sums which can quickly add up.

I compare mutual insurance companies for better reimbursement of my health costs

How to send your invoices to the mutual?

Most mutual insurance companies offer very practical applications for sending your invoices.

To send your invoice, you can simply take a photo of the professional's invoice.

This shows your remaining liability.

It is this amount or part of it that the mutual will reimburse.

You can also send it to the postal address of your mutual insurance company.

It is also better to send a copy of this invoice so as not to lose it...

Let's take an example of reimbursement and its calculation.

If you go to see a psychiatrist, the cost of the consultation can rise to more than 80 euros in the event of excess fees.

In this case, Social Security may cover half of the session (payment is generally made with your Vitale card) and you will have to pay the rest on site.

The invoice will indicate the amount paid by the social security and the amount you have paid.

You must then indicate the total amount of the service and the mutual will reimburse you for the amount you paid.

It is essential to compare contracts to obtain better reimbursement, especially if you go to see specialists who charge overcharges.

>>SERVICE: I compare mutual insurance companies so as not to have too high out-of-pocket costs

What is the mutual reimbursement deadline?

The mutual insurance company generally does not take long to reimburse you on invoice.

Once received, the invoice is paid within 48 hours.

In certain cases, this period may be extended.

This is particularly the case when you must certify that you have paid for the consultation.

In this case, you must take additional steps to obtain the reimbursement which will be made shortly.

Likewise, when you need to send another supporting document, the mutual company can contact you again to obtain the invoice.

This is the case when it comes to large expenses.

Finally, let's take another example.

When you are hospitalized, the mutual insurance company can reimburse you over time.

For example, you must advance room and hospitalization costs while waiting for certification from the hospital.

It is possible to wait 1 month for this document!

Once you receive the document, do not delay in sending it to your mutual insurance company.

She will then take care of reimbursing you.

The key is to always provide proof of payment or certify it on your honor so as not to waste time in receiving reimbursement for the expenses advanced.

Good to know: know that you will be able to follow reimbursements on your personal mutual space, but also on Ameli.fr.

Source: leparis

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