It is quite common for a child to be referred to a speech therapist.
A specialist in language and learning disorders, this specialist doctor is not authorized to charge excess fees.
Reimbursed at 60% by Social Security, the speech therapist is fully covered if you have mutual insurance!
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How much does a session with the speech therapist cost?
A simple assessment with a speech therapist costs between €40 and €75.
Regarding rehabilitation sessions, the price is lower and depends on the disorder to be treated.
The calculation of the speech therapist's price is quite unusual: each speech therapy procedure is categorized according to an AMO code (Medical Speech Therapy Act).
This code is a multiplier coefficient defined by Health Insurance.
So how do you calculate the price of a session with the speech therapist?
Simply take the AMO code associated with the disorder and multiply it by 2.60 for mainland France or by 2.72 for the overseas departments.
To find details of the price list for a speech therapist consultation, go to the Ameli.fr website
Let's take an example: the rehabilitation of graphics and writing disorders is an AMO 10 code. If you live in France, you must multiply 10 by 2.60: the speech therapist consultation costs you €22.60.
Good to know: speech therapists are not authorized to overcharge their fees.
They all charge the same rates regardless of where the healthcare professional practices!
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What Social Security reimbursement for the speech therapist?
Social Security reimburses speech therapy sessions at 60% of the session price.
If we take our example above, for a session costing €22.60, Social Security will reimburse you €13.56.
Be careful, however, the assessment by a speech therapist is covered by Social Security provided you have a medical prescription.
Concerning rehabilitation sessions, it is obligatory to request prior agreement from your CPAM (Primary Health Insurance Fund).
What is it about ?
This is a request for support made by the speech therapist or yourself using a form downloadable from the Ameli.fr website.
If your request is accepted, you will receive a refund for all of your speech therapy sessions.
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Child speech therapist: what is covered by mutual insurance?
The mutual reimburses speech therapy sessions up to 40%.
This is the remainder payable after the Social Security reimbursement.
As speech therapists do not charge excess fees, basic health insurance for your children is sufficient!
We are talking here about a mutual contract with 100% BRSS (Social Security Reimbursement Basis) coverage.
This means that your supplement supplements Social Security to obtain full reimbursement of your health expenses.
For a speech therapy consultation: 60% by Social Security and 40% by mutual insurance.
Please note: the price and reimbursement of speech therapist care are identical for children and adults.
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