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100% cover - travel claim


Tony F Dordogne
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After my last visit to see my haematalogue in Bordeaux, his assistant gave me a green form to claim my travelling expenses as I'm 100% covered for the condition that I have.

The form looks really complicated, I've so far sorted out where I put my SS number and have to sign it but after that I'm stuck.

Does anybody here have any experience of dealing with these forms and any idea of the amounts of money involved? 

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Hi

We are about to start on this road for my husband do you know if you have to get a seperate form for each trip or does one form cover a period of time? He will be going to Poitiers hospital for chemo pretty frequently so I may drown under the paperwork!!! Any advise anyone has I'd appreciate it.

Many thanks [*-)]

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I would ask at your Mairie or local Centre Sociale as to where the seances are held by the Caisse de Maladie, or if they don't hold them.......... but I hope that they would.......... ask where you could see the assistant sociale and get some initial help in how to fill the forms in.

If you were going to a main town anyway with a Caisse de Maladie office, you could always call in and let them show you.

 

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As far as I am aware it's a seperate form each time.

Couple of tips if you haven't already done so.  Get your specialist to write to your GP clearly outlining the drugs that are covered by the 100% - it can save time and energy when you don't need to be chasing bureaucracy.

Get really friendly with your local pharmacist also - I'm even joking with my guy about buying shares in his company as I spend to much time and money in there so when he realised I was going back on the chemo he told me that if I needed anything, day or night, just to ring him. 

Realistically, once your Carte Vitale is updated, your GP knows what's happening and the specialist has things under control the bureaurocracy will fall substantially, for example with 100% it obviates the need for payments from the mutuel and the like.

I'm lucky

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Pressed wrong button .......

I'm lucky in that I can and will be doing my own chemo at home (again) which means I can do it on my own time and terms rather than being dependant on the local nurse - if I don't feel up to it, OH does it for me.

TU - had already thought of that but I'm not well enough to get there atm, great office in Sarlat and if I could go there, it would make everything easier for me.

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Why not phone the Mairie and ask when there are seances held by the Caisse de Maladie or the Assistant Sociale. I wasn't suggesting that you went, your OH could call in and get this info and see them and get help filling it in. As far as I am aware they will likely let your OH sign the form for you too. You never usually have to go further than your village to get this sort of info really.

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Right, have this sorted.

Can't be dealt with at Mairie or by OH, unless I have sick note from medico saying I can't attent CPAM office.  So, was stuffed into car, taken off to Sarlat to the wonderful CPAM office there, signed the OTHER form that you have to sign to claim travelling allowance (and peage costs if incurred) and voila, money paid into our account.  The other form, which has the details of the journey on it, can be taken away (I was given a few to be getting on with) to be used as necessary.

The hospital form has to be endorsed by the consultant or his support staff person and then you just fill in your numero d'immatriculation/ss number and address on page 2.  That and the kilometer claim form then goes off to CPAM central, whereever.

For anybody else having to go down this route (sorry, no pun intended) the reimbursement is 28 cents per kilometer each way.

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I never thought that the Mairie or Assistant Sociale could sort this out for you. All I thought was that someone could have helped with the form filling and then it could be sent off. It seems ridiculous to me that you had to go in yourself and and doesn't seem 'right' no matter what they have said you 'had' to do.
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I know that that is what has happened to you, but if you hadn't been up to it, should you have been poured into a car to get this sorted out.  You see I wouldn't have any more idea than yourself as to how to fill these forms in and would need to ask questions and be shown. Knowing me though, I am sure I really could have got help with this very very locally and I am very sorry that you were not able to do this.
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  • 4 weeks later...
Tony F

Your post doesn't say why you were able to claim travelling expenses. Was it because you had to travel out of your Department or Region or was there some other reason?

Recently my wife had to travel to the next Department (but within the same Region) and she was not offered any travel expenses.

Benjamin

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I did actually Benjamin, it's because my medical conditions are covered for 100% of the cost which in France also means that you get travelling expenses to visit your specialist.

Nothing to do with Departments or anything like that, it's whether the condition is on the list of 'longue duree' (which has been posted here previously) and your specialist/GP making the case to CPAM that you should receive 100% medical cover.

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It depends what it is Benjamin, as Tonyf said certain grave medical conditions warrant it once diagnosed and 100% cover agreed to.

We live on a border and usually go into the next dept for hospital appointments etc and we do not get any travelling expenses. We have had to take appointments at Lyons, which costs us a fortune for the return trip and we have to fork out for those too.

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Thanks to you both for your responses. My wife's disability is for one of the 30 or so conditions "longue duree" although she has more than one specialist to see. All of her treatments are reimbursed 100% so it seems that we will have to start asking a few questions when she goes for any more treatment, which she is due to do this week.

The last time we travelled out of the Department for treatment was about 120kms or so. The specialist said that the first visit was normally just for a consultation but as we had travelled so far he would try to get the first part of my wife's treatment going immediately. He made a couple of phone calls which resulted in my wife having a couple of hours of tests and a further consultation with the same specialist all in the same afternoon. Can you imagine this happening back in the UK where the specialist actually picks up the phone and gets things happening?

Benjamin

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