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Reimbursement

I went to my dentist and had to pay . I am 100% and this is the first time I have had to pay. The receptionist said the money will be reimbursed straight into my bank account. I am worried as I cannot afford to pay for the treatment. Is this a new procedure

Panda

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Réponse certifiée par un expert ameli

Un expert ameli a validé la réponse ci-dessous.

Bonjour Panda,

Unfortunately, because of safety and confidentiality issues, we can’t reach any of your information or file from this forum.So, I can't check your refund.

If you have an ameli account, you can check it on the part : "Mes paiements".

If you need help regarding this request, you can contact the CPAM’s English or French Advice Lines.

More information in the following topic: How to call the French Health Insurance Advice Lines?

Have a nice day.

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Elryn

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100% ALD is only about a specific illness. So you don’t have to pay first only for the treatment which concern this ALD. For example if you have this for diabete and you go to do your annual check to dentist, it is not specifically about diabete. So it is out of the 100%.

If you have a 100% about « invalidité » then it is about everything (except pharmacy) BUT doctors can ask you to pay first. It is not an obligation for invalidité.

Plus some doctors and specially dentist ask more money that the price of security social. Then you have to ask your complementary to refund you if it is in your contract.

To finish, it is possible that you will not be refunded for that because you probably have some « franchise » and « participation forfaitaire » for all the time you didn’t pay first which must be taken.