[Forum ameli pour les assurés] Suivi de la question: Still claims unresolved

Réponse de Christelle

Christelle — Thu, 07 May 2026 13:01:43 GMT

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.

Réponse de The Grocer

The Grocer — Wed, 06 May 2026 11:58:02 GMT

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

Réponse de The Grocer

The Grocer — Mon, 04 May 2026 09:53:18 GMT

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

Réponse de Fanny

Fanny — Thu, 30 Apr 2026 09:50:41 GMT

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.