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Claiming Back Medical Costs Between Attestations?


Sharkster
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Our E106 ran out on the 6th Jan so I have contacted Newcastle and now received the letter stating I no longer have cover.  From what I understand I take this to the local CPAM office who will issue me with a form to declare my worldwide income.  From that they will calculate my social charge (8%?) which I will then pay and will be issued a new attestation which means I will have health cover again.  Firstly do I have this correct?  Secondly in the interim I am without state cover, if I use a doctor, dentist etc. will I be able to claim the costs back once I have my new attestation - meaning will it be back dated to Jan 6th.  Any advise greatly appreciated.

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You should have applied for your renewal before your E106 ran out, but if you contact your CPAM straight away and explain matters, then you should be covered whilst you sort things out.

My E106 expired on 6th January too, but I set the ball rolling in early December by obtaining the CMU questionnaire which I completed and returned to them. By 4th January, I'd still not heard from them (I was due to have some blood tests and visit a specialist the following week), so I phoned them to chase things up.  They said they were still processing my dossier due to a backlog of work, but confirmed that I would still be covered.  I used my carte vitale without any problems and a week later, I received my new attestation, then updated the carte in my local chemist - all done.

Your new attestation letter will show the cotisations that are due.  These will be collected by URSSAF from your bank account on an instalment basis.

 

 

 

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Don't wait Beryl, it is not a formality!!! I got one after a year that was wrongly issued, I had two years of an E106, but when it actually expired, no letter arived telling me that.  I phoned Newcastle to be told that they no longer sent them out, but when I phoned to chase it after a couple of weeks, I was told that they are automatically issued, so who knows the truth of it.

To avoid problems, get on to Newcastle now if your E 106 expired at the end of 2006, the letter would have been issued long before now if it was coming.  You will normally be covered for charges in the interim period between E 106 cover ending and joining the CMU.

 Further to SD's post, if you have had an E 106 for two years you will be expected to provide evidence of income for cotisation calculations by way of an advice of French income tax paid, so you take that with you plus all the documents that you took when you took your E 106 and go to your local CPAM, there is no need to complete any forms if you do it that way.  If, for any reason you don't have a tax advice, you can do an attestation of income based on UK  support documents like statements, P60s etc.

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Thanks Ron

I have chased it up, I had read conflicting stories about how important this sign off letter was.

I would rather post all the documents and forms off as I don't like driving that far [:$]

I have printed off the form but I am, as ever, confused.

I completed a tax form in May 06 and have my revenu fiscal de référence. That was for my income for the previous year.

The form asks me what my income was for the period the year 2006, this amount being higher than the income on my tax form.

I will put the higher figure down obviously and send the tax document off too. That should suffice shouldn't it?

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[quote user="beryl"]

Is this the correct form please?

http://www.cmu.fr/userdocs/2124-1.pdf

I have to sort this out too but I was waiting on the letter from the UK stating I was no longer entitled.

[/quote]

Can anybody confirm this is the right form as I am currently sorting out my tax for 2005 as I did not have an income so did not submit a return (I now this is wrong as have already asked advice).  If so I can complete this and take along lots of bank statements and get it sorted out this week.

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I didn't receive an automatic refusal letter from the DWP , so I told the CPAM girl I could send her a copy of the original DWP issue letter that stated I would have to make by own arrangements on its expiry.  She said that would do fine, but after I posted it, I realised it was in English, so I e-mailed Newcastle and they sent me the proper form in French.

The CMU application form (the one in the above link) asks you for your income for the previous year.  The forms cover the period September to August so you need to declare your 2005 income, from your (latest) 2006 tax advice (avis d'impots).  Besides, you haven't yet declared your 2006 income!. 

If you enter your revenu fiscale de reference in line 2 on the last page of the application form and attach a copy of your tax avis, then that's all that 's required.  No need send a copy of your original tax declaration form.

 

 

 

 

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SD said  "No need send a copy of your original tax declaration form"

Not so SD, we and others we have assisted at our CPAM in 12 have had to provide a copy of the tax advice AND the return and have had it requested by letter from Rodez, I would have thought by now that you would know that what goes in one area is not the same in another and there are few "norms" in functionnaire land!!

We all  know from our and other's experience just how different one official's view can be to another.  There is no way that you would get away with getting into CMU at most CPAMs without a letter from the UK saying that you were no longer covered by an E 106 as many will attest, so you were just lucky to meet a functionnaire who applied common sense, the fact we had to reproduce all our documents when going into the CMU when we had obviously already produced them to get a carte vitale in the first place shows just how inflexible the whole process can be.

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Ron

The CMU form asks you to enclose a copy of your avis d'imposition, or if you you haven't got it, your tax declaration.  So if you have the avis, then that's all you need to send because it shows your revenue fiscale de reference which they need to calculate your cotisations. If you don't have the avis yet (this could depend on which month you're renewing) then they will use the declaration to calculate the RFR manually.  There's just no point in CPAM asking for both forms.

With regards to other documents, the CMU form states that if you are already subscribed, then you only need to provide a copy of your currrent attestation.

Those are the published national standard "norms" for CMU applications, so I suspect that one of the clerks at your CPAM has misread their procedures somewhere along the line.

 

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Just a reminder that problems with intractable CPAM officials can often get sorted via the English-speaking help line, 0820 90 42 12. Even if you don't really need the English speaking aspect, the people on the phone are used to dealing with the sort of problems that the British encounter n France.

It's not exactly unknown for one official to demand more than the basic information while another is quite happy with less. It happens all over the world, not only in France. Though if there was a world championship, France would be a serious contender...

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[quote user="Will"]

It's not exactly unknown for one official to demand more than the basic information while another is quite happy with less. It happens all over the world, not only in France. Though if there was a world championship, France would be a serious contender...

[/quote]

I shouldn't have counted my chickens!

I sent off the completed CMU form, a copy of my E106 and the tax form.

I had a phone call this morning stating they need my RIB and copies of Birth and Marriage Certificates.  I stated that they took copies all of these when I first registered my E106 with them but NON , I have got to go and see them on Tuesday.[:@]

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The original question was could you claim back - does anyone have an answer as the CPAM took my card off of me (I have to get a new number as I now go onto my husbands file).  They also took my husbands card as it was cracked and they said he would get a new on.  3 weeks later and no attestations and no cards but I have to go for blood tests next week, plus visit my doctor plus pick up my medication.  Can I claim back - and how if I have no card to present (ie is there a form I can ask the lab to complete??).

P.S.  I will ring the CPAM helpline if cards not received in time but seeking personal experience from you good people.

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[quote user="La Vette"]

The original question was could you claim back - does anyone have an answer as the CPAM took my card off of me (I have to get a new number as I now go onto my husbands file).  They also took my husbands card as it was cracked and they said he would get a new on.  3 weeks later and no attestations and no cards but I have to go for blood tests next week, plus visit my doctor plus pick up my medication.  Can I claim back - and how if I have no card to present (ie is there a form I can ask the lab to complete??).

P.S.  I will ring the CPAM helpline if cards not received in time but seeking personal experience from you good people.

[/quote]There is a brown form - can anybody say what that's called? - which most medical establishments here will fill in for you so you can claim it back.  Provided you have confirmed with your CPAM that you are in the system, you can claim back the money by sending them this form.  When we first came here, before our documents were issued, this is what we did for some treatment the OH needed.  All the money came back into our account when the claim was verifed.

If in doubt, I have always found that a visit in person to the CPAM yields the best results.  Is yours near you?

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It's a feuille de soins  pharmacien ou fournisseur. I have one in front of me.

If your card does not come in time, I would just fill the form in and send it off to CPAM.  This is what I have done when my E106 was valid and I am still doing it now until I get my card.

If they give you a prescription for anything attach a copy of that and the vignettes from the boxes of pills etc. That has caught me out and cost me in the past!

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If I get one of these brown or green ones from the doctor, dentist, or nurse, or who ever else, they are usually NOT filled in and that has to be done by ourselves.

As was said, the pharmacie vignettes are important, as is having the orignal or copy of the prescription attached to the brown form. Those vignettes which were mentioned have to be stuck on, if you forget then they usually return the form to get these things 'stuck' on, but if I have forgotten, there is little  likelihood of me still having them and they won't reimburse without them, even if the presciption is there.

 

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I was doing the feuille de soins thing for ages, well, two years to be precise, because my local CPAM was one of those which does not issue cartes vitales to holders of certain E forms (I was using E101/E128). It just proves the fact that a carte vitale is not essential, it just makes things easier and a bit faster. And the doctor has only recently started using cards herself - before that you always got the brown form.

The doctor, pharmacy or whatever should fill in their details on the form (usually by rubber stamp or pre-printed) as well as the amount paid - that is important because it is your receipt. The pharmacy should also stick the vignettes (labels) on the form - not all do. The all you have to do is to fill in your name and social security number, sign it, and send it off. If claiming for medication or similar, you enclose a copy of the prescription. Just send it to CPAM or whatever, and wait.

There are numerous ways of dealing with the top up insurance. Some are automatically notified, others you have to claim yourself.

That's it - pretty simple really. Just remember to keep a photocopy of everything you send off. You may never need it, but you probably will one day.

 

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Lets face it, we had those forms to fill in for a long long time. All the issuer had to do was put one's name, sometimes one's date of birth and the seçu code(s) and amount,  sign it and add their seçu registration number. The rest was entirely up to us to fill in and it was always best to do it right as not only would it hold up payments, but could mean non payment. Payments used to take from a month to three months anyway. AND then we would have to send off the reimbursement form from the Caisse de Maladie when we eventually got it to our mutualist and then wait again.

Local pharmacies have varied between those who always stuck the vignettes on, to those that sometimes forgot, and others that left it up to the customer to do it themselves. And still do.

We still have quite a few people around here that don't use the carte vitale system. I do appreciate it when it is used, but I never count on it and always have my cheque book to hand as some who don't take the carte vitale don't take CB's either.

None of this is 'hard', one just has be prepared to wait for reimbursements and fill those forms in properly.

 

ps photocopy everything like Will said.

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Thank you all for your info.  I have to have blood tests at the end of this week, then I have to see my doctor with the results and from that he will give me a prescription.  In all it will cost around 500 euros, so I really hope to get it back.  We have been in the system for around 15 months but are just changing over to the CMU.
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Having just gone through the same procedure ourselves when our E106 ran out (quite painless) we are now waiting for a replacement Carte Vitale for madame. The very helpful guy at our lcal CPAM told us to pay up and hang on to any prescription/treatment receipts and then submit them when the new Carte arrives. Then the remboursements will be made as they had been before
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