Health insurance also wants to finish the myth at all for free. As of this Friday, September 26, it addresses an email to each insured to inform you as soon as a health expense was attended in your name.
Although the renounced government planned to save no less than 5.5 billion euros in health in 2026, this system “carries a double message” according to Marc Scholler, financial director of the National Health Insurance Fund (CNAM): “Inform without feeling guilty” and “Strengthen surveillance,” LinkedIn wrote on the Professional Social Network.
In fact, “for 1,000 euros spent, 54 euros are financed in credit, or -13.8 billion euros in deficit in 2024,” recalls Marc Scholler.
Monthly surveys can be seen on the Ameli platform
Notify by email the health expenses backed on behalf of the insured also provides “proof that care has been reimbursed,” he develops. And this approach requires patients to redouble their surveillance: “If an anomaly appears, for example, an act that has never been carried out but invoiced, everyone can react,” says the financial director of Health Insurance.
Specifically, the emails directed will invite the insured to connect to their Amyli space, in which it was already possible to consult the monthly refund statements. In each statement, the nature of the acts and the attention provided, the amounts paid by the patient, the rate served as the basis for reimbursement, as well as the applied refund rate are detailed.
Discover the total amount of the deductibles and participations of flat rates that have been deduced
If health insurance aims to make patients know the money they spend for their care, it is also possible to consult precisely what is still their position. Deductions, such as medical franchises and flat rate participations, are also mentioned in the statements. As a reminder, these are small sums discreetly deduced from their drug payments, consultations or analysis and medical exams for health insurance, including the draft of the decree at the time it is predicted to double its amount, as well as its annual and daily ceilings.
Even with the aim of making patients aware of the cost of health, Minister resignation Catherine Vautrin suggested this summer that patients pay medical franchises directly at the pharmacies counter when they buy medications prescribed by their doctor and paid by the SEP.
However, it is now possible to monitor how many euros its primary health insurance fund (CPAM) has deduced from its reimbursement in total. To do this, go to your Amyli online space, “My Payments” section and then “franchises and flat rate participations” and select the year of your choice. To date, health insurance can only deduce “only” 50 euros in deductible doctors and participation of flat rates, respectively, that is, 100 euros maximum per year.
Source: BFM TV
