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Guidance on CPAM and Mutuelle

Posted by Sevendaver-252003 - Created: 6 years ago
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3 replies (Showing replies: 1 to 3)

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Posted by ESS-209984 - 6 years ago

I would go to CPAM with all your paperwork and make sure that the registration is working correctly.

Take a photocopy first so you are happy to leave them any originals they require.   They will be able to tell you if you also need to send a copy of the receipts to the Mutuelle - and be careful, as the mutuelle likes to see the originals!

Sign up to view your CPAM account online, then you can see what they have paid on your behalf and make sure that all your bills have been included.   CPAM also require the details from your Mutuelle so they will automatically send the data to them for you to get the top-up paid directly into your account.

Presumably as part of the process you gave your RIB to CPAM and the Mutuelle, so refunds should start to come your way shortly!

As they say in this part of the world 'courage!'...

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Posted by Squeaky-882728 - 6 years ago

Hi Sevendaver,

Are you asking what to do about future medical treatment, prescriptions, etc, or those from your lab?

If it's the ones from the lab, the CPAM and your mutuelle will only reimburse the feuilles de soin (brown forms/receipts) which post-date the acceptance date on your attestation.  So if, for example, your attestation, even though only received 05/12/2013 carries a date on it for validation purposes of, for example 01/01/2013 and your tests fall into the period of validation they will be reimbursed. If that's the case, do as nissa says and go in person with your feuilles de soin (keep copies!) and present them to your CPAM. Normally your CPAM will do the necessary regarding your mutuelle - you should have nothing to do there.

So far as from now on is concerned, until you receive your cartes vitales you'll continue to get feuilles de soin and send them to the CPAM for reimbursement. Once you get your cards it's plain sailing - all done automatically!  Hope this helps and if I've missed the point, please tell me! :)

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Posted by nissalabella - 6 years ago

Hi, as a rule, you should always present your 'carte vitale' and your attestation from your mutuelle wherever you go (labs, chemists, hospitals, GPs...) and get you registered with them.

I understand that you didn't have the right papers when you had to go thru medial exams.  In that case, you should, as you say, have a bunch of "feuilles de maladie, invoices from different places, etc." and they need to reach your CPAM (better if you go there with everything, at least you will get the right papers which will allow you to send papers CPAM will then give you to your mutuelle to have their part of what you paid refunded.  It all sounds a bit complicated, to start with, but once you've done it, you will be in your GP, your - or any - chemist, your lab, your specialist(s), etc...

Hope I made it as clear as possible.

All the best,