[Forum ameli pour les assurés] Dernières réponses

Participations forfaitaires and franchises médicales

Valérie — Thu, 12 Nov 2026 14:13:04 GMT

"Franchises médicales" and "participations forfaitaires" are flat-rate contributions set up if you are older than 18 years old. They apply every time you visit a doctor, go to the laboratory or to the pharmacy for example.

The purpose of these contributions is to protect our healthcare system. They are applicable even if you have a long-term illness for which you are covered at 100%.

The “participation forfaitaire” of 2 euros applies for each visit and medical act carried out by a doctor, for tests in a laboratory and for radiological examination for example.

Regarding the “franchise médicale”, it is a 1 euro fee for each medicine box, paramedical act and a 4 euros contribution per transportation (with a 8 euros limit per day).

Contributions called “participation forfaitaire“ and “franchise médicale” are limited per beneficiary and per year, to 70 euros each (this means up to a maximum of 140 euros each year).

Before the 1st of October 2026, the ceiling was 50 euros each per year.

If you do not pay upfront for your medical cares, the amount of your “participation forfaitaire et franchise médicale” will be deducted from your next reimbursement. Notice that sometimes your refund can be at 0 euro because of those deductions. The details of your refunds are available on your ameli account “Frais de santé > Vos paiements” section.

Any remaining "franchises médicales et participations forfaitaires" for previous cares can be claimed within 5 years.

Assurance Maladie may send you a notice of an amount due, if the balance you owe is over 40 euros. You will then be able to pay by following the instructions indicated in the letter.

If you have an ameli account, you can see in detail how much you owe for those contributions, on “Frais de santé” section.

Have a nice day.

Healthcare pathway and general practitioner (GP)

Valérie — Thu, 12 Nov 2026 13:45:44 GMT

Why register a GP?

Your general practitioner/family doctor has to be the first doctor you visit for an opinion about your health to make sure your medical care is optimal.

As he/she is up to date with your medical file (exam results, diagnosis, treatments…), you get better health care, thanks to treatment based on your specific health needs.

If your health requires that a long-term disease be recognized, your GP will set up the medical protocol (called "protocole de soins ") and submit the request to your CPAM.

Pay attention : If there is no GP recorded on your file at CPAM, or if you see a specialist without being referred by your family doctor, or if you see another general practitioner than the one who is declared on your file, your reimbursements may be reduced.

As an example: for a consultation costing 30 euros, your CPAM will cover 70% of that amount if you respect the health care pathway, compared to 30% if you do not.

Some specialists can be visited without being referred by your GP:

- Ophthalmologist;
- Gynecologist or midwife;
- Psychiatrist or neuropsychiatrist, if you are between 16 and 25;
- Stomatologist for dental treatment.

How to register a "Médecin traitant"?

Every person above 16 years old needs to have a registered "Médecin traitant". You are free to choose this GP, however you can only have one on your file.

Registration can be done digitally with your carte Vitale by your doctor, or sending back to your caisse primaire d’assurance maladie (CPAM) the 3704 form ("Déclaration de choix de médecin traitant") you have filled in with your doctor.

You can find generalist or specialist contact details on "Annuaire santé" website: http://annuairesante.ameli.fr

To get more information, you can visit ameli website: Le rôle du médecin traitant et le parcours de soins coordonnés.

How I will be refunded ?

As mentioned above, your reimbursements may be reduced if no GP is recorded on your file (see "Why register a GP ? ").

However, other things can change how much you get reimbursed.

The doctors' fees and CPAM’s basis of reimbursement for each medical act, depend on whether the doctor is a general practitioner or a specialist, and on the convention they signed with CPAM (conventionned 1 or 2):

- Doctors in sector 1 apply the rates which are set by an agreement signed with "Assurance Maladie".

- Doctors in sector 2 are free to set their own rates and may therefore charge, with tact and moderation, additional fees (such as "dépassements d’honoraires") which are not refundable by your CPAM.

Have a nice day.

How to claim back your medical expenses without a Vitale card ?

Valérie — Thu, 12 Nov 2026 13:34:57 GMT

You have a social security number and an « attestation de droits » (certificate of rights), but you do not yet have a carte Vitale.

Awaiting receipt of your carte Vitale, you can claim for the refunds of your medical expenses by completing, signing and sending your " feuille de soins " (brown paper) to your CPAM.

Make sure your social security number, name, surname and address are on the “feuille de soins” and enclose the prescription if the care/medication your received were prescribed by your doctor before you send it.

You can find your CPAM's address on our website ameli.fr, section "Adresses et Contacts".

If your social security number is permanent and certified, you can order your carte Vitale online from your ameli account.

To know more, you can have a look on this topic about healthcare pathway.

Have a nice day.

How to register my bank account details (RIB)?

Valérie — Tue, 10 Nov 2026 14:32:57 GMT

This step can be done on your ameli account under the section "Vos informations > Coordonnées bancaires".

The online procedure is only available on the French version of your account and if you meet the following conditions :

- your ameli account has been open for at least 48 hours;
- some bank details are already registered on your file and you want to update them;
- you have a French bank account that is in your name and has been open for at least 10 days;
- the email address linked to your ameli account has not been changed within the past 48 hours;
- you can provide the serial number which is on your Vitale card.

If you can not do your step online, please send by post to your local CPAM:

- a cover letter explaining your request and mentioning your surname, name, address and social security number ;
- your personal bank RIB (original paper from your bank) on which you will write your social security number ;
- a copy of your ID card or passport.

Contact details of your CPAM are available on ameli.fr, in this section "Adresses et Contacts".

Have a nice day.

How to make an appointment?

Valérie — Tue, 10 Nov 2026 14:23:40 GMT

You can book an appointment directly from the french version ameli web account (via the app only telephone appointments are available), under the section "Vos rendez-vous > Prendre un rendez-vous", selecting the reason of your visit.

If you do not have an ameli account, you can call CPAM, an advisor will arrange this appointment for you.

You can check your CPAM arrangements before visiting, in this section "Adresses et Contacts".

Have a nice day.

How to send a message to my CPAM from my account?

Valérie — Tue, 10 Nov 2026 14:06:30 GMT

You can ask amelibot (the little robot on the homepage of your ameli account) a general question.

For any personal contact with your CPAM, simply ask amelibot "Ecrire à un conseiller" and then choose the option "Non, je veux communiquer directement avec ma caisse", that will then offer you the opportunity to write a message from your own "Espace d’échanges".

If you do not have an ameli account, contact details of your CPAM are available on ameli.fr, in this section "Adresses et Contacts".

Have a nice day.

Can I apply while still waiting for my Carte de Sejour To Be Approved

Christelle — Mon, 02 Nov 2026 13:43:23 GMT

Hello Tim Moody,

The "attestation de prolongation d'instruction (API)" is a certificate confirming that the processing of an initial application for a residence permit has been extended.

This document enables a citizen of another country to prove that they are residing in the country lawfully, although it does not entitle them to social security benefits.

When you will obtain your residence permit you will be able to submit your application to your caisse primaire d'assurance maladie (CPAM) as mentioned in this topic : How to be covered if I am not working and I am a non-European citizen?

Have a nice day

I received a postal mail asking for a document after receiving the temporary number, how do I submit it?

Marlène — Thu, 29 Oct 2026 10:23:10 GMT

Bonjour sam,

If you no longer have access to your online profile but have already been given a social security number, you must send the required document by post.

If you have not yet received your social security number, I advise you to contact your caisse primaire d’assurance maladie (CPAM).

Their contact details are available on ameli.fr, under the section « Adresses et contacts » and on this topic: "How to call the French Health Insurance Advice Lines ?".

Have a nice day.

Cum pot sa îmi fac asigurare medicala ?

Élodie — Thu, 22 Oct 2026 12:10:28 GMT

Bonjour anamaria,

Sur le forum ameli pour les assurés, nous ne pouvons répondre à vos questions qu’en français ou en anglais/On this forum, we can only answer questions in french or in english.

En revanche, si cela peut vous aider, il existe une ligne téléphonique dédiée à la réponse en anglais :

Pour en connaître le numéro, vous pouvez cliquer sur le lien suivant/ If you need help regarding your request, you can have a look to this following link :

Comment contacter la CPAM depuis la France ou l'étranger / How call the French Health Insurance Advice Lines ?

Pour plus d’informations, rendez-vous sur la FAQ In English de notre forum ameli.

You can get more general informations reading these FAQ In English.

Bonne journée/Have a nice day.

Birth proof rejected for Social security

Betty — Tue, 13 Oct 2026 06:02:43 GMT

Hello Max,

Your situation require access to your file in order to check the civil status documents you have provided in accordance with your personal situation, so that we can advise you on which document to submit in order to replace your birth certificate.

As I do not have access to your file on this forum, I recommend that you contact your local CPAM.

If necessary, you will be able to make an appointment at your CPAM office or a will be sent to the department responsible for dealing with such issues in your situation.

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

Have a nice day.

CPAM registration

Géraldine — Mon, 12 Oct 2026 06:51:05 GMT

Hello NikodimMont,

The processing time depends on the number of files being received by your caisse primaire d'assurance maladie (CPAM).

As we do not have access to your file, I advise you to contact a counselor about your application to health insurance. The line can be busy due to an important amount of calls, I recomend calling when opening, between 8:30 to 10:00 a.m.

Some birth certificates must ve translated, some don't. You can read this topic called "Translation of birth certificate" to know more.

Have a nice day.

Regarding My Social Security Registration

Fanny — Thu, 08 Oct 2026 07:27:03 GMT

Hello Danin,

If you had a temporary social security number before you left France, you will not be able to register online on the website for international students.

So, I advise you to mail your application to your local Assurance Maladie office (CPAM).

The required documents are the same as online, you will find the list on this topic : "How to be covered if I am an international student ?"

If you need more information about your new application, you can contact an English-speaking advisor at 09 74 75 36 46 (Monday to Friday, from 8:30 a.m. to 5:00 p.m.).

Have a nice day.

Question About My Temporary Social Security Identification Number

Fanny — Wed, 07 Oct 2026 23:20:40 GMT

Hello Danin,

Your temporary social security number was deactivated when you left France. So, you must re open your rights providing the documents listed on this topic titled "How to be covered if I am an international student ?"

As you already have your number, please note that you cannot do the process online, you must send the requested documents to your local caisse primaire d'assurance maladie (CPAM) and attach the S1106 form « Application for membership in the French health care system » available on ameli.fr .

You will find your local CPAM adress checking the section "Adresses et contacts" on ameli.fr website.

Have a nice day.

Au pair insurance

Christelle — Wed, 07 Oct 2026 06:58:08 GMT

Hello Nikki,

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

The processing times vary depending on the type of files and the number of files being processed by your caisse primaire d'assurance maladie (CPAM).

If you need help regarding this request, you can contact the CPAM’s English or French Advice Lines mentioning that you made the application as an au pair.

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

Have a nice day.

Social security number

Fanny — Tue, 06 Oct 2026 06:44:09 GMT

Hello mdeveson,

Indeed, because of your new permanent residency in France, you must apply for a social security number.

If you receive a state pension from a European country or United Kingdom, I advise you to look at this topic to know what to submit to your local Assurance Maladie office (CPAM) : "How to be covered if I am a retired European or British citizen ?"

If you are not a European or British citizen, you will have to wait for 3 months residency before submitting your application with the required documents listed on this other topic titled "How to be covered if I am not working and I am a non-European citizen ?"

If you need assistance, you can call an English-speaking advisor on our dedicated line.

Have a nice day.

Apostille Birth Certificate as an Indian Citizen

Géraldine — Fri, 02 Oct 2026 06:47:37 GMT

Hello Whisky91,

To benefit from the health insurance in France, you must prove the regularity of stay from French authorities so I advise you to send back your French visa and a letter explaining your situation.

Then, regarding your birth certificate, yours must be translated by an official translator and get apostilled. I recommend reading this topic about birth certificate's translation to get more information.

Finally, if you work for a Finish company and live in France, you must be covered in Finland as a contributor there. I advise you to contact you finish health insurance to explain your situation as a borderer and verify which form to submit to France health insurance to be covered as a resident in France but working in Finland.

I wish you a good day.

Can't create my Ameli Account

Géraldine — Wed, 30 Sep 2026 08:17:04 GMT

Hello Majd,

I recommend contacting an advisor to get an appointment in an office in order to receive assistance.

I wish you a good day.

Demande d'ouverture des droits pour passport talent- Famillie

Géraldine — Wed, 30 Sep 2026 08:09:02 GMT

Hello Brian,

You need a French social security number, Belgium security number is useless in France.

I advise you to read this topic called "How to be covered if I am a "Passeport talent" or a "Passeport talent famille" holder? " to know more.

Have a nice day.

Complémentaire santé solidaire

Valérie — Wed, 23 Sep 2026 07:25:08 GMT

It is provided either free of charge or in return for a small contribution.

With Complémentaire santé solidaire your healthcare expenses are covered free of charge, including hospital treatment, up to the limit of the rates set by the social security system, and you don't have to pay in advance.

It also covers the 100% santé, which gives you free access to:
- Glasses
- Hearing aids
- Dental prostheses

Please note that excess fees are not covered, check with your health professional, if needed, ask for an invoice.

To qualify for this, you must:

- Be affiliated to CPAM
- Have income below a ceiling that depends on the composition of your household.

To check your eligibility, please use our simulator on ameli.fr in the section "Complémentaire santé solidaire > Simulateur".

If you apply and meet these two conditions, the Complémentaire santé solidaire is granted for one year to the whole household. It must be renewed each year, about two months prior to the expiring date.

You can apply for Complémentaire santé solidaire for your household from your ameli account (web and application), under "Mes démarches > Faire une demande de complémentaire santé solidaire", by attaching your tax return. If you connect from the web, make use you use the french version of the ameli account.

If you do not have any tax return, you will need to fill in and send by post form S3711 "Demande de Complémentaire santé solidaire", enclosing the supporting documents required according to your situation and a sworn statement certifying that you will declare your income for the coming year to the tax authorities.

You have to send your application to the CPAM where you are living. You can find your CPAM's address on our website ameli.fr, section "Adresses et Contacts".

Have a nice day.

I already have a security number but not validated, I left france for 1 year, i'm back for my master do I need to renew?

Géraldine — Mon, 07 Sep 2026 07:06:26 GMT

Hello Danin,

If you already have a social security number, you can't used the website https://etudiant-etranger.ameli.fr/

You need to open your rights to health insurance. You must first contact a counsellor with your social security number to know if your social security number has been certified or not : depending on that, you will know if you have to apply to the caisse primaire d'assurance maladie (CPAM) you are currently living or to the CPAM that provided the social security number. You will also know if you need to send a birth certificate or not.

I wish you a nice day.

English Speaking Hotline Out of Order ?

Christelle — Tue, 01 Sep 2026 11:27:09 GMT

Hello Martin JG,

We apologise for the difficulties you are experiencing in reaching our English-speaking line.

However, the increasing number of telephone enquiries may overwhelm the line at times.

We suggest you try calling 09 74 75 36 46 again during low-traffic hours, between 12:00 a.m. and 2:00 p.m.

Our teams are doing their best to answer you as efficiently as possible. We thank you in advance for your understanding.

Have a nice day.

Birth certificate details

Fanny — Wed, 19 Aug 2026 09:56:35 GMT

Hello Seria,

To apply for your social security number, you must provide a copy of your birth certificate in your original language and its translation done by on official translator.

You can find a translator in your area checking this page from the Cour de Cassation : "Trouver un expert agréé ou un traducteur agréé"

Moreover, as you can see on this board from the Ministry of Foreign Affairs, your birth certifcate has to be legalized by the consulate or embassy of your country of origin in France.

Finally, it does not matter if the adresses do not match. Just make sure that the one you will give for your application is the one where you can collect the letters that your "caisse primaire d'assurance maladie (CPAM)" will send to you.

If necessary, additionnal information are available on this topic titled "How to be covered if I am an international student?"

Have a nice day.

Can i send my documents after the due date?

Fanny — Mon, 17 Aug 2026 14:20:12 GMT

Hello ABDUL,

In your situation, I advise you to contact your caisse primaire d'assurance maladie (CPAM) to inform about your moving and give them your new address.

You can also ask for a new temporary code to log in your ameli account. Then, you will be able to order your carte Vitale online instead of using the form you received.

To know more about the way to get in touch with an operator, you can check this topic : How to call the French Health Insurance Advice Lines?

Have a nice day.

Proof of Civil Status for Foreign Student?

Fanny — Mon, 17 Aug 2026 11:33:47 GMT

Hello Angel,

As your original birth certifcate makes appear names of both of your parents, it should be accepted.

The translation will be necessary and has to be done by an official translator. You can find one on this link from the Cour de Cassation website : "Trouver un expert agréé ou un traducteur agréé."

Finally, it is better to provide your birth certificate than other kind of documents that could delay your application.

For further information or help, you can contact the CPAM’s English or French Advice Lines. To do so, check this topic : "How to call the French Health Insurance Advice Lines?"

Have a nice day.

retired in france but below official retirement age

Fanny — Mon, 17 Aug 2026 08:03:14 GMT

Hello Eddie,

If you are retired of a British company, you should be eligible for a S1 form that allows you to apply for the French healthcare system even if you are not yet the age of the retirement in France.

You will find the procedure on this topic titled "How to be covered if I am a retired European or British citizen?"

Have a nice day.