Letter of request for reimbursement of care to the CPAM
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This sample letter is essential for making a claim for medical care with your primary health insurance fund. A completed treatment form accompanies the claim letter. In France, the CPAM can reimburse all or part of the costs of medical care according to a specific schedule. The insured person must be in a regular situation to benefit from the reimbursement, i.e. he/she must have fulfilled the necessary conditions for registration and regularly pay his/her contribution within the time limit agreed in the insurance contract. In order to be reimbursed, the insured must send a letter of request for reimbursement of medical expenses to the CPAM, accompanied by the medical treatment sheet drawn up by the doctor. Often the prescription is also one of the essential documents that you should provide to your Caisseprimaire d'assurance maladie.
Below is our sample letter template:
Name, first name
Address
CP - City
Madam, Sir
Affiliated with the social security under the following registration number with the CPAM (indicate your social security number), I wish to have reimbursement for the medical expenses I personally incurred on (date of payment of your medical expenses).
I am hereby sending you a request for reimbursement for the medical expenses I incurred on (date of payment of your medical expenses supported by proof of payment)
I am therefore enclosing my prescription and several care sheets that clearly summarize all the expenses related to my medical care so that you can make the necessary arrangements and so that the reimbursement process can be initiated as soon as possible.{I am always available to answer any questions you may have about my case and remain at your disposal. I look forward to receiving your favorable reply.
Address
CP - City
Name, first name
Address
CP - City
Subject: Request for reimbursement of care from the CPAMAddress
CP - City
Madam, Sir
Affiliated with the social security under the following registration number with the CPAM (indicate your social security number), I wish to have reimbursement for the medical expenses I personally incurred on (date of payment of your medical expenses).
I am hereby sending you a request for reimbursement for the medical expenses I incurred on (date of payment of your medical expenses supported by proof of payment)
I am therefore enclosing my prescription and several care sheets that clearly summarize all the expenses related to my medical care so that you can make the necessary arrangements and so that the reimbursement process can be initiated as soon as possible.{I am always available to answer any questions you may have about my case and remain at your disposal. I look forward to receiving your favorable reply.
Your signature
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