Boiling a frog Posted January 9, 2009 Author Share Posted January 9, 2009 In reality the people you need to speak to are CPAM and your assurance coy.It can take upwards of a month to obtain the refund from your assurers and from CPAM Link to comment Share on other sites More sharing options...
Âme Posted January 9, 2009 Share Posted January 9, 2009 How it worked for me is: when I took out my top-up I gave my carte vital number to the insurance company. (I didn't contact CPAM about it.) When the first payment was not automatically reimbursed by the insurance company I contacted them, showing the bills I'd paid and they sorted it out. Since then all payments have been reimbursed automatically. Just a thought but, perhaps all the carte vital numbers haven't been linked through the insurance to CPAM. (Maybe the insurance company have only the emergency CV number for the head of the household, which is sometimes issued when first registering for healthcare in France? You might now need to update the insurer's files with more recent CPAM paperwork for the children.)Good luck. Link to comment Share on other sites More sharing options...
cooperlola Posted January 9, 2009 Share Posted January 9, 2009 It is certainly perfectly possible that your pharmacy works direct with your insurance company but your dentist does not. We, for instance, had a pharmacy card but nothing else for the first couple of years although now all the payments are automatic. BaF is right, imo - you should speak to your insurers - I don't think they'll fob you off - they certainly need to advise you as to their procedure for making claims. Link to comment Share on other sites More sharing options...
cooperlola Posted January 9, 2009 Share Posted January 9, 2009 [:)] I certainly echo Ame's sentiments. I don't believe it is CPAM's task to sort out the private aspects of the insurance system. Bon courage. Link to comment Share on other sites More sharing options...
Clair Posted January 9, 2009 Share Posted January 9, 2009 Most mutuelles are recognised by the CPAMs and the refunds are triggered electronically when the CPAM does its bit.However for whatever reason, some mutuelles are not linked electronically, and this can cause quite a delay in the refunds. Link to comment Share on other sites More sharing options...
cooperlola Posted January 9, 2009 Share Posted January 9, 2009 I phrased that badly. I merely meant that I believe it is the insurance company who must sort this, and make sure that the triggers which are necessary to make payments happen automatically, are in place. Hopefully by now you've seen the agent and all is as it should be. But it does seem odd that CPAM have advised your insurance company and they still haven't coughed up - although it's another indicator, imo, that this is a problem of their making, not yours or your CPAM's. Link to comment Share on other sites More sharing options...
suein56 Posted January 9, 2009 Share Posted January 9, 2009 [quote user="Puzzled"]Anyway, CPAM are sending me details of every item submitted and a new attestation and the insurance company are now sending me a new attestation de tiers payant with me and the children on the same on as my OH and they have promised to pay everything owed. [/quote]Well done - it shows that persistence pays!Sue [:)] Link to comment Share on other sites More sharing options...
Benjamin Posted January 9, 2009 Share Posted January 9, 2009 Well done.So no doubt there'll be a nice little cheque on it's way as well to compensate you for the trouble you've been put to and a big bunch of flowers.Do French companies know how to say sorry?. [Www] Link to comment Share on other sites More sharing options...
AnOther Posted January 9, 2009 Share Posted January 9, 2009 Does rather make one appreciate the simplicity of the NHS 'free at the point of delivery' concept though doesn't it.Walk in - get treated - walk out, no 70% of this 100% of the other, chasing Pierre to pay Paul etc. etc. etc.Still believe that the quality of care in France is as good if not better though and definitely quicker [:)] Link to comment Share on other sites More sharing options...
Âme Posted January 10, 2009 Share Posted January 10, 2009 Well done for persevering & getting to the bottom of the problem, Puzzled. Since you've been out of pocket for a while, why not suggest a month's premium as a gesture of good will (compensation)? It was, after all, the insurance company's mistake in not setting up the account with the correct CV numbers. There's no harm in asking. Link to comment Share on other sites More sharing options...
Âme Posted January 11, 2009 Share Posted January 11, 2009 I think "en geste d'apaisement" would be suitable in this context, but I'm not French, so I stand to be corrected. Link to comment Share on other sites More sharing options...
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