Health insurance is a branch of social security and ensures that risk management is to improve population health.
The insurance covers your medical expenses, in part or in whole, if you reside legally on French territory for a period exceeding three months.
An application must be made to your primary insurance-fund (CPAM) regional to confirm your eligibility.
Supports Health Insurance
Anyone with a vital card and social security number can claim reimbursement of health insurance. Disease, drug, dental, optical, maternity, health insurance pays all medical posts contracted according to a schedule established.
The schedule set by the insurance called the agreement rate (TC). Your repayments are calculated on a percentage principle. Dental and optical positions in this case are assumed at 65% of TC.
Drugs
- 100% for drugs thumbnail to white barred, recognized as irreplaceable and expensive.- 65% for drugs to white sticker.
- 35% for drugs in blue sticker.
- 15% for drugs in orange sticker.
views
| Doctor consulted | Base Rate | reimbursement rate reimbursement | Recovered * | |
|---|---|---|---|---|
| Generalist sector 1 | € 23 | € 23 | 70% | € 15.10 |
| Generalist sector 2 | fees free | € 23 | 70% | € 15.10 |
| Specialist | sector 1 € 25 € 25 | 70% | 16.50 € | |
| Specialist sector 2 | fees free | € 23 | 70% | € 15.10 |
| Neuropsychiatrist Neurologist Psychiatrist sector 1 | € 37 | € 37 | 70% | € 24.90 |
| Neuropsychiatrist Neurologist Psychiatrist sector 2 | fees free | € 34.30 | 70% | € 23.01 |
Dental
| Dental Care | Tariff conventional | Reimbursement Rate | Recovered (1) |
|---|---|---|---|
| Descaling | € 28.92 | 70% | € 20.24 |
| Treatment of caries a face | € 16.87 | 70% | € 11.80 |
| Treatment of caries both sides | € 28.92 | 70% | € 20.24 |
| treatment of caries and three faces | € 40.97 | 70% | € 28.67 |
| Devitalization an incisor or a canine | € 33.74 | 70% | € 23.61|
| Devitalization a bicuspid | € 48.20 | 70% | € 33.74 |
| Devitalization a molar | € 81.94 | 70% | € 57.35 |
| Extraction of a tooth | € 16.72 | 70% | € 11.70 |
| a permanent tooth extraction | € 33.44 | 70% | € 23.40 |
limit health insurance health insurance
limit his reimbursements. The rest of your dependents, co-payments can be supported by a mutual complementary health or health insurance. It is also strongly recommended to acquire a mutual, it allows a refund actual expenses arising from your medical care.
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