How to read a health insurance card?

How to read a health insurance card?

On the one hand, how do you understand the mutual? In addition to compensation from social security, "mutuelle" covers all or part of the remaining health costs, usually according to a percentage of the compensation base provided by social security. Depending on the contract signed, this percentage can vary from 100% to more than 300%, for example.

On the other hand, what is the AMC number?

This is the number that certifies the registration of the mutual insurance company in the supplementary health insurance catalog between the authorities. This is part of the important information to check before taking out your supplementary health insurance, along with the degree of coverage and guarantees.

Where can I find the agreement number on the health insurance card? Bring your third-party payment card – Mutual. Your number is listed at the top right of your card preceded by the text "Contract number" or "Member number" depending on your type of card.

So why 2 third party payment cards? Why two payment cards from third parties? For families, it is the option given to spouses to have their own card.

What is 100% Br?

This does not mean that this type of contract will be able to fully replace your consultation with a healthcare professional. To put it simply, the phrase "100% BR mutual" simply means that your mutual will be able to reimburse you for 100% of the health insurance TC.

How does mutual health insurance work?

Supplementary health insurance covers at least the amount of the deductible. If your health insurance offers a reimbursement rate of 100% for a particular medical treatment, it means that it covers the moderation ticket. You will then receive the full congress price back. How do I read my Blue Cross Blue Shield insurance card?

Which are the best replacement mutuals?

Here are the best mutuals in 2022.

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Mutual	Contribution
Mutual funds	€43.93 / month
Blue Mutual	€45.49 / month
Wellness Mutual	€46.44 / month
Alptis	€47.31 / month

What is the membership number?

Reference specific to each head of family. It enables faster introduction of benefits than from social security numbers. At Energie Mutuelle it starts with 30 and then has 6 digits.

Where can I find the telecast number?

You can find it by going to the health insurance website, by accessing your personal Ameli space. You can also find your AMC number if you download a Certificate of Entitlement, a document available in your Ameli insured account.

What is AMC slip?

the fee bills that will be given to you when you leave the clinic, the AMC (Supplementary Health Insurance) slip that will be given to you on the day of discharge or sent by post by the clinic's billing department.

What is the contract number?

The contract number is one of the "identifying" pieces of information, that is, it makes it possible to identify all the information declared via the DSN for a given contract.

Where can I find Generali's contract number?

You will find your contract number on most of your documents sent by Generali: notice of termination; status report; statements of compensation; green card

Why do I pay €7 at the doctor?

It is on this basis that the compensation rate for the social insurance part is applied, i.e. 70% in this case. The security deposit therefore covers €17.50, the rest (€7.50) corresponds to the moderation ticket which can either remain at your expense or be reimbursed by your mutual insurance company.

What is the difference between third party payment and mutual insurance?

The third-party payer reimburses you from the start and you have zero costs to advance. It is linked to health insurance because only benefits offered by social insurance are paid directly to health care workers. Mutual health insurance is independent of social insurance and health insurance.

Who must pay the third party?

Since December 31, 2016, third-party co-payment is mandatory for care provided by healthcare professionals to insured persons suffering from a long-term condition (ALD, only for care related to this condition) and to pregnant women.

When do we get paid by mutual?

Payment always takes place on the 4th Tuesday of each month, unless this falls after the 26th. In this case, the payment day is moved up to the 3rd Tuesday of the month. Below is the payment plan for the year 2022.

How does the mutual compensation basis work?

The reimbursement base is used both by social insurance and by your mutual health insurance company for reimbursement of your healthcare. It is this basis that is used to determine the amount of your benefits and not the actual expenses charged by the healthcare professional.