Health reimbursement

Health insurance: understand your refunds

Publié le 05 février 2025 - Directorate for Legal and Administrative Information (Prime Minister)

Are you confused about understanding your health reimbursements? Do you find that you are less supported by health insurance? Between medical deductibles and lump sum payments, it is sometimes difficult to find your way around. A Health Insurance tutorial answers all your questions.

Do you notice that your reimbursements have decreased compared to previous payments of Health Insurance? This can be explained by the effort required of a large majority of insured persons to preserve the health system, through the contribution to lump sum contributions and medical deductibles.

The Health Insurance offers a tutorial that answers all practical questions on the subject.

The flat-rate contribution

The flat-rate contribution shall apply to:

  • on consultations with general practitioners and specialists;
  • on radiological examinations;
  • on medical biology analyzes.

The flat-rate contribution is €2 per insured, with a maximum of 50 €/year per insured person.

The medical deductible

The medical deductible is an amount that is deducted from the reimbursements made by your health insurance fund on medicines, paramedical acts and medical transports:

  • cans of medicines = 1 €/box;
  • paramedical nursing and physiotherapy = 1 €/act;
  • sanitary transport = 4 €/transport.

The amount of the medical deductible is up to € 50 per year per insured person, for all the acts or services concerned.

FYI  

The combination of the flat-rate contribution and the medical deductible amounts to 100 €/year of participation per insured.

How does it work?

To view what you've already paid and/or what needs to be paid online, go to your account Ameli :

  • in the “My Payments” section: you can see the contributions already taken from your payments;
  • under the heading “Flat-rate contributions and deductibles”: you can have an overview of all the withdrawals made during the current year, flat-rate contributions and deductibles, depending on the acts you have performed.

Agenda

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