When you are insured, you get the reimbursement of your medical expenses.
This rebate is done in the context of the coordinated care course. This
regulatory framework requires you to choose a physician who will be your
contact person for most conventional medical procedures. If you want to see a
specialist, you must first consult your doctor - except for gynecologists,
ophthalmologists, psychiatrists, pediatricians, radiologists, dentists, which
are open access.
In this case, you will be refunded normally, according to the usual fees in
force, i.e. 70% of the basic rate, less 1 euro in respect of the flat-rate
participation. The supplementary part is possibly supported by your mutual.
If you are out of the way of (not) coordinated care, you will be refunded
50% of the basic rate, less 1 euro flat-rate participation.
Health expenditures for the purchase of medicines are reimbursed in whole
or in part of their cost. Each type of medicine is a different refund rate:
·
the crossed
white vignette: expensive drugs. They are reimbursed at 100%,
·
the white
sticker: common medications. The reimbursement is made to 65%
·
the blue
sticker: homeopathy, drugs says 'comfort '. Health insurance shall reimburse
them to 30%,
·
the orange
sticker: drugs called "low medical service. The rate of reimbursement by
the health insurance is 15%.
For all your medical expenses, use your vital card. It allows you to do not
advance the part supported by insurance. It is convenient and economical and is
a good way to manage its health budget!
For your medication, remember to ask "generics" to your doctor or
your pharmacist. These drugs have the same effectiveness as those of the major
brands and are cheaper!
It is important to remember that each insured has
the right to benefit of a free health check every five years in one of the
medical centers of the health insurance.
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