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Thanks. So, that brings up the next question... How does one determine that date? (Obviously sometime after they have received the application -- all the more reason to use a lettre suivie or lettre recommandée.) I don't think that date is visible on the Attestation de droits. The date the numéro sécu (permanent or temporary) was issued is also not visible. But, in that case, at least you have the letter they sent.

This is only of academic interest to me. But might be of some importance to ssgray.
Well, you are definitely covered from the time you get your attestation, so I guess if you have sent your request in, it is accepted and no further documents have been requested, you are covered from the date CPAM receives your request. Otherwise it may not be until CPAM receives the additional documents. Of course you could always just keep all your feuilles de soins and submit them anyway and see what they pay.

Re fees charged by specialists it is wise to check that the specialist is 'conventionné', or once you have a mutuelle (once you have your attestation) has an agreement with the mutuelle in relation to fees.
 

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Discussion Starter #22
Alright! Thank you all so much. I appreciate the specificity you all brought - I am not sure I understand all of it yet, but I imagine as I work through the process, this conversation is going to be very helpful.

So my understanding, file for CPAM asap, go into OFII asap, and get a mutuelle just in case. Then just start getting receipts, correct?

Then pray things are covered. What happens with the mutuelle if I don't have l'assurance maladie at the same time?
 

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Ok, first get your prescription drugs sorted and dentist. Make sure you get the feuilles de soin. Apply for French health care via CPAM, when you have your social security number then apply for the mutuelle, you can't get the mutuelle until then. Then submit all the feuilles for reimbursement.

Good luck
 

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... So my understanding, file for CPAM asap, go into OFII asap, and get a mutuelle just in case. Then just start getting receipts, correct?...
Almost. Since you have already been in France for more than 3 months, you can, and should, apply to the CPAM immediately. At the same time, keep receipts for any medical care you receive. They will give you a feuille de soins for each occasion, including drugs.

The OFII is independent. There is certainly no reason to delay that. But, it is not as urgent as the CPAM, and, in any case, it may still be a while before they start processing new requests.

And for the mutuelle. There is no point in buying one without having a Numéro Sécu - in fact, you probably can't even apply. So, you will just wait on that until you get your Numéro Sécu.
Then pray things are covered. What happens with the mutuelle if I don't have l'assurance maladie at the same time?
Nothing :eek: See above.

Also, check out this thread I started a while ago about our application for health coverage. https://www.expatforum.com/expats/f...ng-france/1494652-apostille-not-question.html

EDIT: I see David has already answered some of these questions while I was typing.
 

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Ok, first get your prescription drugs sorted and dentist. Make sure you get the feuilles de soin. Apply for French health care via CPAM, when you have your social security number then apply for the mutuelle, you can't get the mutuelle until then. Then submit all the feuilles for reimbursement.

Good luck
The OP, not having an S1, is unlikely to be reimbursed for health care delivered prior to applying to join the French health care system.
 

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One more thing, after you get your mutuelle you will get reimbursed for everything (almost 100 percent) but you will only get reimbursed by the mutuelle for expenses after the start of the policy. CPAM reimburse from the date of your attestation de droits
 

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One more thing, after you get your mutuelle you will get reimbursed for everything (almost 100 percent) but you will only get reimbursed by the mutuelle for expenses after the start of the policy. CPAM reimburse from the date of your attestation de droits
How much you are reimbursed by a mutuelle depends on the level of cover you choose.
 

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If you want to use your Tricare cover as a mutuelle, you'll need to send in your claims to Tricare as usual. I have heard that part of the claims process for Tricare is that they ask you if you have received reimbursement for part or all of the treatments. I don't know what (if any) proof they want of the reimbursements - but I guess they wind up reimbursing you for the part that Sécu doesn't reimburse (which is basically how a mutuelle works).

If you get a regular mutuelle, you notify CPAM who you are using for your mutuelle. That way, when your doctor or other care provider registers your treatment using your Carte Vitale, the "claim" goes in to CPAM and they forward it on to your mutuelle for reimbursement. Normally you'll have your reimbursement (in your bank account) within a day or two of when the CPAM reimbursement hits. (And all of that can often be within a week or 10 days of your appointment or treatment.)
 

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A miracle for dental infections is tea tree essential oil - one or two drops on a cotton bud applied every 2 to 4 hours.
Tastes like petrol but doesn't sting.



Be careful not to swallow tea tree oil as it can cause nausea, vomiting and diarrhoea.
 
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