Lot-et-Garonne CPAM cancelling category S1 Cartes Vitales 31/12/20. Other depts likely to follow

The point though John is this is not about an overarching national view, but how officials within certain departments have chosen to interpret the situation. If cover does fail in January, yes, no doubt in time it will be sorted out but in the meantime anyone needing care will have to pay for it. Fine if it’s “just” 25€ for a visit to a MT (or is that 27€ now?) but what if it’s an ongoing course of cancer treatment?

I persisted because I wanted to know for sure that my rights are protected beyond December 31st, not rely on a wing and a prayer and being told “it will be alright”.

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I couldn’t agree more Sue.
Cancer is ALD, so no problem there, but I had pancreatitis and have to have my gall bladder removed.
Two weeks in hospital, plus all the scans and two endoscopies. Glad we have a decent |Mutuelle as well.

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But surely it is only so if you can produce a valid carte vitale?

Precisely I have two conditions classed as ALD and my meds bill would bee close to 500 euro per month . I would rather get it sorted not wait and see.

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You are right.

Strangely enough… and something which I feel does support the comment from my friend at CPAM… that the date will click over at year end…

The Attestation is dated as “today’s date… to 31/12/20” and it clearly states that OH has ALD acceptance which runs until 2023 :roll_eyes: :rofl: :crossed_fingers:

How do you know you have an ALD ? Does it tell you on your Amrli page? My husband has one but I don’t know where it shows up on his attestation

When you go onto ameli site and request an attestation you need to tick the box that asks whether you want it to show “ticket modérateur exemptions”.

Then it will be shown in bottom box of attestation. Some ALD authorisations only last for 5 or 10 years so it will also given an expiry date. And it will be written in acronyms!

He should of course also have the paper authorisation?

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Yes he has that. Just curious as to where it was shown. I know it works otherwise we’d be facing a bill for €60,000 for the last 6 months treatment !

Both our attestations have been updated to the end of 2021 :smiley: :clap: :pray:

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Yes, indeed. Our MT puts in another request just before the old authorization expires… and we get/keep a copy of the approval.

I can print out Attestations with the ALD hidden (for privacy if required)… or print with it all showing…

Thanks Stella. I found it. Never even bothered looking at those sections before.

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Just had the reply from request for new WA EHIC which confirms S1 entitlement post January

“Your application has been successful.

Your new EHIC will be issued [before 31 December 2020. Prior to [1 January 2021, you can continue to use your current EHIC (if you have one) when visiting any country within the EEA or Switzerland, other than the country in which you live and the UK.

You will be able to use your new card as soon as you get it, for travel before the end of 2020 and from 1 January 2021.

From 1 January 2021 you will continue to access healthcare in your country of residence using your S1 entitlement.

However, you should use your new EHIC when visiting any other country in the European Economic Area (EEA) or Switzerland. This will provide you with access to medically necessary, state-funded healthcare at the same rate as a resident of that country.

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I printed my confirmation out… just guarding the paper trail and waiting for the new EHIC to arrive… all looking good.

Through work I was asked to call and speak to them yesterday to get the confirmation on what is going on. I spoke to a very lovely, very stressed lady! The outcomes of the phone call were:

  1. It is an administrative error NOT a problem with anyones accounts
  2. They are doing their best to get it through to all the departments but it is slow going!
  3. she said please don’t worry / panic no one will loose any rights
  4. The English speaking helpline is absolutely flooded with calls, they are really struggling. To help things move quicker for everyone she asked that people email or write or call thier local CPAM offices (hopefully this also has the benefit of them actually realising what is going on quicker to stop it happening!).
  5. She confirmed all S1 holders have perpetual rolling rights and that is what needs to be said in the email / letter to please amend etc.
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Unfortunately Tory it wasn’t until Jane (@Jane_Williamson) and I got the English speaking helpline involved that we made any progress. Certainly my experience with Lot-et-Garonne was that I got FOUR different excuses as to why there was a problem.
By all means contact your local CPAM “to help them realise what is going on” but don’t assume that they will necessarily sort it out.
The whole point is that the people on the helplines in the local CPAMs do not have the authority to counteract the “error” (ie perverse decision by someone senior in the CPAM).

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Point three from my previous post, wilful obstruction.

We have finally succeeded in persuading Charente CPAM to update my wifes attestation (no problem with mine).
We sent copies of her titre de sejour, avis des impôts and S1 by post accuse de reception and backed it up with several emails asking why they were cancelling her health cover.
Today we received confirmation of her continuing entitlement by email and her attestation confirms it.

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I don’t know if this issue is still valid -there is an update on the initial post - I found this on my researches for trying to get my own workers S1 / health insurance in place before WA deadline -

It’s EU guidance on the WA:
https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:52020XC0520(05)

Both EU Member States and the UK are committed to reduce the administrative burden in the implementation of the Agreement. Therefore, Portable Documents issued before the end of the transition period will not automatically become invalid.

The basic principle is that these documents have just a declaratory nature. They do not, by themselves, create rights to the persons concerned. The rights themselves are created by the Agreement.

A distinction should be made between:

  1. Documents which refer to situations which are covered by the coordination rules referred to in the Agreement (for instance, a Portable Document A1 expiring in 2021 for a person performing work simultaneously in the United Kingdom and France, a Portable Document S1 for a UK pensioner habitually residing in Spain)

    These Portable Documents reflect rights which continue to exist, but on a different legal basis;

    To avoid unjustified administrative burden, the documents remain valid for the whole period of validity (as long as they are not withdrawn); new Portable Documents will be issued based on the Agreement, once the previous ones expire, provided that the conditions for their issuance are met.

Just curious - anyone with a 31st December deadline on their S1 carte vitale had any problems since the New Year?
We got the rolling annual date on ours corrected but interesting that this morning when OH used his card in the pharmacy they did do a mise à jour. All is well.

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