Compulsory health care insurance covers the cost of many health services (consultations, drugs, hospital costs, etc.). In whole or in part (of the official price).
When the insurance is partially involved, your mutual insurance company covers part of the medical costs, while you play the amount of the expenses that remain at your expense as a patient (also called “ co-payment ”).
One of our goals is to make financial management healthcare accessible to as many people as possible, including in difficult situations. We have, therefore, implemented several measures that make it easier for you to pay for your health care.
On this page :
Necessary measures, for everyone
Additional steps, depending on your financial situation
Exceptional action via the Special Solidarity Fund
Necessary measures, for everyone
The full invoice guarantees your household spends no more than an annual ceiling amount for their health care.
The global medical file (DMG) allows you to be better reimbursed for a consultation with the general practitioner.
The dispatch to a specialist by a general practitioner, you can pay less for consultation with the specialist.
The third-party payment allows you to pay only the part of the medical expenses at your expense, in particular during hospitalization or the pharmacy.
Consulting an approved healthcare provider (doctor, dentist, physiotherapist, etc.) guarantees that you only pay the official rate.
Starting a treatment path for type 2 diabetes or chronic renal failure allows you to be fully reimbursed for consultations with your general practitioner and with the specialist for your disease.
Obtaining ” chronic condition status ” may give you the benefit of third-party payment or a reduction in the maximum annual amount within the framework of the maximum to be billed.
Additional measures, depending on your financial situation
The increased intervention allows you to reduce the number of medical costs that remain at your expense.
The maximum social bill ensures that your household does not pay more than a maximum amount per year for their health care.
The third-party social payer allows you to pay only the part of the medical costs payable by you during your consultation with the general practitioner.
Exceptional measure via the Special Solidarity Fund
Do you need a medical benefit that is not reimbursed by health care insurance? In exceptional cases, for a severe condition, you can get a response fiscal Special Fund of solidarity.
To know more, click here.
DIGITOLOGY 