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Still claims unresolved

Eash time I send an application for travel refund it is refused.
YES my doctor has sent CERFA 50743
YES I send CERFA 50742
I have even sent an appointment letter to prove the appointment.

I get a mail back saying REFUSED and saying a further email will be sent explaining why...this NEVER arrives !
The trip is a two hour 320kms around trip. I am ALD covered.
There will be several more trips for cardio surgery....

I have asked for details on what is incorrect, but no reply !

The Grocer

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Fanny

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Hello The Grocer,

From this forum, I am unable to access your personal details because of privacy, so I cannot help you to understand what is the reason for your transport refund refusal.

So, to check on your file and as Christelle, ameli expert, already told you earlier, I invite you to contact an English-speaking advisor dialing 09 74 75 36 46 (Monday to Friday, from 8:30 a.m. to 5:00 p.m.).

Have a nice day.

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The Grocer

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Good morning...
After an extremely long wait on the telephone I managed to make contact with a very pleasant operative, but despite what you have said, she cannot access my file and offer an explanation.
She explained they do not have access to any documentation if the requests for refunds were applied for online !
So I am no wiser....
On a positive note she did state she will contact CPAM in Charente and request they offer the explaination.....
I WAIT

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The Grocer
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The Grocer

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After the English help line contacted CPAM in Angouleme they have stated my doctor had not sent in prior approval document.
I have this morning had an appointment with my doctor who is emphatic that the form had been sent in advance. He also stated
that they have continual problems with CPAM refusing travel claims to Poitiers and suggested this is because they do not want to payout
the distance claims.
There is no other option for a nearer hospital for us.
I have already had three return trips there, and a minimum of another three to come. (all under ALD)
This is extremly unacceptable situations

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The Grocer
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Christelle

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Hello The Grocer,

If you consider that your file has not been handled properly, or if you have any queries, you can submit a complaint to your local caisse primaire d'assurance maladie (CPAM), either through your ameli account, or by post.

You can find details of the procedure on our website, ameli.fr, section "Comment faire une réclamation".

Have a nice day.

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Christelle
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The Grocer

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We continue to have issues !
Angouleme can not be contacted so I can make an appointment to deal with this issue in person.
I spoke to the English help line and they also failed to get an appointment for me !
I am unable to use the phone and hence I need to go to speak on person to resolve this.
I guess the only way will be to file formal complaint or go to Angouleme and sit, refuse to move until I get an appointment

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The Grocer
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Christelle

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Bonjour The Grocer,

We are really sorry for the difficulties you are experiencing to obtain an appointment with your local caisse primaire d'assurance maladie (CPAM).

If you want, you can book this appointment directly from the homepage of your ameli web account (via the app, only telephone appointments are available) under the "Vos rendez-vous" section, then "Prendre un rendez-vous", selecting the reason: "Remboursements de soins / Transports".

If you do not have an ameli account, you can either read this topic entitled: "How to create an ameli account" or call the English-language helpline again, which will ask your local CPAM to contact you to arrange this appointment.

You can check your health insurance fund’s reception arrangements before visiting: https://www.ameli.fr/assure/adresses-et-contact/points-accueil.

Have a nice day.

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Christelle
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The Grocer

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Hello Christelle,
As I said in my message I can not use the telephone to communicate, that is why I need a personel appointment.
As you have indicated this is not available to do on line. I have already spoken to the English help line and as I said
they also can not get a personal appointment for me

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The Grocer
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