Senrabbit Posted August 3, 2006 Share Posted August 3, 2006 [:'(]HiI wonder if anyone can throw any light onto the recent changes within CPAM, which seem to be having an impact (sorry about the pun) upon dental charges? During the last year I have had 3 teeth extracted due to root/decay/pain problems. On all three occasions, an initial visit to the dentist developed into a referral to a specialist at the hospital in Poitiers for extraction.(There appears to be some risk of my teeth braking) On all occasions I have given to understand that all work was essential and necessary, if I am to stem any infection/further pain etc etc. On the first two occasions, I had to pay something towards the cost of extraction, around 57euros. In June of this year, I had the third tooth removed, paid 75 euros and received the brown form, which I duly sent off to CPAM. Today, I have received a letter saying basically that they are not going to reimburse me at all, yet they did pay the 19 euros for the original dental appointments. I have a carte vital and I am covered under an E121Also my friend as recently had treatment, again deemed to be essential, and referred to the same hospital, albeit with a different specialist. The cost of her treatment came to over 600 euros. Again she has a carte vital. CPAM have said they are not going to reimburse her at all. Adding insult to injury, she has also been informed that her top up insurance provider, which incidentally is one the more popular top up insurers, that they wont be helping out either. So does anyone know why it appears that little or nothing is covered when it comes to a visit to the dentist. I can understand that "cosmetic" or non essential work wouldn’t be covered, but surely if you have gone to the dentist because you are having a problem, which invariably is giving you pain and discomfort, then the whole treatment of same comes under essential treatment and therefore should be covered? Hopefully somebody can shed some light on what’s going . Link to comment Share on other sites More sharing options...
Patf Posted August 3, 2006 Share Posted August 3, 2006 I remember reading somewhere that there were to be big reductions in reimbursements for dental work around summer this year. I had a lot of work done up to April and just got covered by the old rates. They say that for dental work you need a top-up of 300% to be completely covered which we can't afford. Like you, on E121. Pat. Link to comment Share on other sites More sharing options...
Rob Roy Posted August 3, 2006 Share Posted August 3, 2006 Sorry I can't answer your query - but can tell you that my husband has just finished having root canal treatment at the dentist (a total of 4 visits) and has been reimbursed 70%. He has a Carte Vitale but has lived here too long to have an E121 now. Link to comment Share on other sites More sharing options...
tj Posted August 3, 2006 Share Posted August 3, 2006 HiI am having ongoing treatments at the dentist and I give my carte vital, pay the dentist and duly receive the 70% by cheque ?I also have a collection of those brown forms which were returned to me saying, they required a specialists prescription before they would pay, what they were saying is the work may have been my choice rather than prescribed. Link to comment Share on other sites More sharing options...
Nick Trollope Posted August 3, 2006 Share Posted August 3, 2006 As I understand it (new-ish rules), you must have a devis for all non-emergency dental work, which you present to CPAM (or your mutuelle) for authorisation before you have the treatment. Our Dentist provided us with a devis, charging 20€ (for the consultation, of which we received 19€ back - remember that noone can get all 20€ any more) which was around 1100€, of which we got about 800 back - we don't have a particularly good top-up for dentistry. Worked for us.... Link to comment Share on other sites More sharing options...
Senrabbit Posted August 4, 2006 Author Share Posted August 4, 2006 Thanks for the replies. I know my friend received a devis for her work (600e), but the issue was never raised with me on any of the 3 visits. The problem of course is that if you are in pain and need the treatment, what you do. Which leads me to question what is deemed necessary work and what is deemed unnecessary or even cosmetic. So there we go. ever thus, haven’t I heard this somewhere before?, I suppose that dentistry is taking the same route (again no pun intended) as the UK, very little covered, eventually it becomes expensive to have any form of work done, and people just stop going, which in turn leads to more doctors visits due to poor health caused by problems, which can originate from poor dental care. Mr. Chirac hasn’t been entertaining Tony Blair recently has he? [:)] Link to comment Share on other sites More sharing options...
Suze01 Posted August 4, 2006 Share Posted August 4, 2006 [quote user="nicktrollope"]Our Dentist provided us with a devis, charging 20€ (for the consultation, of which we received 19€ back - remember that noone can get all 20€ any more)[/quote]For info: as of 1st August consultation charges were raised to 21€, so now you will get 20€ back! Link to comment Share on other sites More sharing options...
Owen Posted August 4, 2006 Share Posted August 4, 2006 Hello Senrabbit,I am sure you are feeling pretty frustrated with all this and in view of the lack of info you have provided I am not sure I can help either.I suspect the reason why there is such a lack of reimbursement is that we are not talking here of simple extractions - but orthodontics. The latter is not very well covered at all, particularly with adults, either by the CPAM or "top up" insurers. Even under the new charges the "tarif" for an extraction is 33.40 €, which is still far less than what you have seem to have paid. The suggestion of an orthodontics factor is further strengthened by your mention of a visit to hospital. A simple extraction would not have required a hospital visit.RegardsPeter Owen[email protected] Link to comment Share on other sites More sharing options...
Russethouse Posted August 4, 2006 Share Posted August 4, 2006 In the Uk an orthodontist would deal with childrens/teenagers teeth, although increasingly adults undertake this sort of treatment.As the OP mentions ' root/decay/pain problems' it leads me to ask if the word means something different in French ?If someone had teeth that were likely to break and could require a 'surgical' (opening the gum to retrieve the pieces) some dentists would send them to hospital possibly, or perhaps an additional medical condition ? Link to comment Share on other sites More sharing options...
Benjamin Posted August 4, 2006 Share Posted August 4, 2006 We've just had a similar experience with reimbursement for dental work.Mrs Benjamin had a hairline crack in a denture about 5mm long. We visited the dentists but he wasn't there but his receptionist could see what needed doing and sent it away for repair and made an appointment for three days hence.Duly attended the appointment where the dentist spent two minutes with a strip of blue paper checking the "bite" on the repaired denture.We paid 77 €uros but there was no breakdown of the cost for the repair and the cost of the consultation. We sent it off to CPAM and have just been reimbursed 21.50 €uros which included a 100% cover from the mutuelle. We decided not to insure for more than 100% since if we were in the UK we'd probably be paying all of the cost anyway.It would however have been nice to see which part of the two costs and at what level we were reimbursed. Have looked on the CPAM website but can't seem to see any scale of reimbursements for dental work.Interesting that someone else posted that for major work you need to get a devis. That bit is probably buried somewhere in the small print.Benjamin Link to comment Share on other sites More sharing options...
pippy Posted August 18, 2006 Share Posted August 18, 2006 Hi, Does anyone know of or have a good English speaking dentist in Paris? Your help would be greatly appreciated! Link to comment Share on other sites More sharing options...
Benjamin Posted August 18, 2006 Share Posted August 18, 2006 Welcome to the forum pippy.If you Google english speaking dentists in paris the first site listed is eiffel tower news which appears to be a site in English.The page you come up with is www.paris-eiffel-tower-news.com/healthcare-in-paris and if you scroll down the page you come to a listing for several dentists.Big place Paris.Benjamin Link to comment Share on other sites More sharing options...
Ron Avery Posted August 18, 2006 Share Posted August 18, 2006 Rob Roy said "He has a Carte Vitale but has lived here too long to have an E121 now". I think you mean an E 106. The E121 is the cover provided for old age pensioners and so you cannot live too long to have one or you would be dead!! Link to comment Share on other sites More sharing options...
pippy Posted August 19, 2006 Share Posted August 19, 2006 [quote user="Benjamin"]Welcome to the forum pippy.If you Google english speaking dentists in paris the first site listed is eiffel tower news which appears to be a site in English.The page you come up with is www.paris-eiffel-tower-news.com/healthcare-in-paris and if you scroll down the page you come to a listing for several dentists.Big place Paris.Benjamin[/quote]Thanks for the quick response Benjamin. I've done all the web searches, I guess what I'm really looking for is a good (maybe American) dentist in Paris. For me dentists are a bit personal and I'd rather go to one that has been recommended than the first one in the phone book.Kindest regards, Pippyflippy Link to comment Share on other sites More sharing options...
Rob Roy Posted August 19, 2006 Share Posted August 19, 2006 [quote user="Ron Avery"]Rob Roy said "He has a Carte Vitale but has lived here too long to have an E121 now". I think you mean an E 106. The E121 is the cover provided for old age pensioners and so you cannot live too long to have one or you would be dead!! [/quote] I've just checked and he is still alive,[:D] so you are right - my mistake, sorry. Link to comment Share on other sites More sharing options...
Benjamin Posted August 19, 2006 Share Posted August 19, 2006 As a newcomer to this forum could I add a bit of advice?If you had originally posted what you have now said about good and American and has been recommended I would not have gone off and done the Google search. If you ask the question that you want answering in the first place then you may, just possibly, get a relevant reply.But keep on asking the questions and I and many others will keep trying to find answers for you as we ourselves get our own questions answered.Again, welcome to the forum.Benjamin Link to comment Share on other sites More sharing options...
Benjamin Posted August 25, 2006 Share Posted August 25, 2006 An update to my post of 04/08/2006.We've just received a further reimbursement of another 21,50€ which, looking at our account on the CPAM website, they have recovered as a separate transaction from our mutuelle.43€ out of a total of 77€ isn't a bad percentage.Benjamin Link to comment Share on other sites More sharing options...
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