Contact your health insurance company to find out how many psychologist sessions are covered.
You advance the consultation then you send the Doctolib invoice to your mutual insurance company for reimbursement.
The primary health insurance fund (CPAM) pays the third party directly to the psychiatrist, you only have to advance the rest to cover.
To be able to benefit from a reimbursement for a psychologist, you must download the invoice in order to send it to your mutual insurance company.
HOW TO DOWNLOAD YOUR BILL ON DOCTOLIB
The consultations HopeStage gives the same reimbursement rights as with a self-employed health professional.
Currently, consultations with a psychologist are not covered by the mandatory Health Insurance regime. However, the majority of mutual insurance companies offer reimbursement for a minimum of a few sessions. You will find a list of these mutual insurance companies below.
Other mutual insurance companies, depending on the option you have subscribed to, offer an annual package based on alternative medicine for the reimbursement of certain professionals, including psychologists. We advise you to contact your health insurance company so that they can tell you how to take care of them.
The price of the consultation with a psychologist is fixed at 70 euros (concerning HopeStage)
To benefit from coverage by your mutual insurance, you must give them: Send the consultation invoice, which you will find in your Doctolib personal space. If you cannot find it, do not hesitate to contact us so that we can send it to you. (support@hopestage.com)
In France, the reimbursement of consultations with a psychologist depends on Social Security and your health insurance. Unlike psychiatrists, psychologists are generally not covered by Health Insurance. However, some mutual insurance companies offer specific packages to cover these expenses.
To benefit from a psychologist reimbursement via your mutual insurance, here is how it generally works:
It is important to note that the terms of reimbursement and the amounts vary from one mutual insurance company to another. Some offer annual packages, while others reimburse a percentage of the consultation fee. Remember to consult your contract or contact your health insurance company to find out the specific conditions of your coverage.
The consultation with a psychiatrist is covered by Health Insurance. Under the CDA, the third party payer is automatically applied. All you have to do is advance the overrun, which can be fully covered by your mutual insurance company.
Consultation rate: 50.20 euros
SS refund base: 50.20 euros
Overtaking to advance: 0 euro
The price for the first consultation with a HopeStage psychiatrist is €70.20 with a reimbursement of €70.20.
If you are concerned by the CMU/ACS:
Only mutual insurance companies offer reimbursement for the consultation with the psychologist.
The consultation with the psychiatrist is fully taken care of.
To date in France, the consultation of a psychologist does not give rise to reimbursement from the French Social Security. Consultations in private practices therefore remain the responsibility of the patient.
However, some mutual insurance companies are likely to partially cover sessions.
- ADREA: From 75 to 150€/year depending on the formulas (Well-being 1 and Well-being 2)
- AG2R: “Prevention and well-being” pack: €200 reimbursed/year/beneficiary
- AGF: €75 reimbursed/year/Beneficiary Alptis (Clarea formula): 25? reimbursed per session, within the limit of 5 sessions/year/beneficiary
- ALAN: from €60 to €350 over the year depending on the offer
- APRIL (TNS health package): depending on the level of contributions, from 15 to 60€ reimbursed per session, within the limit of 4 sessions/year/beneficiary
- APRIL (NewFamily formula): a package of €200/year for sessions with a child psychologist
- APRIL (SeniorPlus formula): 25 to 50€ reimbursed per session, within the limit of 5 sessions/year/beneficiary
- ASETYS: 50% of the actual costs for psychology or psychotherapy consultations within the limit of 120 to 500€/year, depending on the formula chosen, upon presentation of a paid invoice
- AXA: up to 10 sessions at €40 reimbursed per year
- CREDIT AGRICOLE (“Pacifica” Insurance): €30/act, up to €150/year in the Well-being package, €200/year in the Wellness+Mutualist Group package
- RATP (Prim guarantee): up to 20% of a mutual group consultation
- RATP (Première guarantee): up to 40% of a consultation
- Mutual Harmony: €15/session
- Humanis offers Radiance mutual insurance: 50% of the costs related to consultations, up to a limit of €200/year
- INTERIALE MUTUAL (Plenitude formula): reimbursement of €40/session for a maximum of 3 sessions/year
- INTEGRANCE (neo-solidarity formula): 30€/session, for 4 consultations, see also their offer for people with disabilities
- LMDE “All treatments”: 10€ for 5 consultations/ANLMDE “Package”: 12€ for 5 consultations/year
- LMDE “Optimum package”: €15 for 10 consultations/ANMAAF: psychological support in case of trauma, serious illness, etc.
- LOLA HEALTH: 8 sessions at €40 up to €53 depending on the package
- MAIF: up to 10 fully reimbursed sessions are offered to you following a physical accident
- MALAKOFF MEDERIC: reimburses €150/year of psychotherapy, according to agreements negotiated by your employer
- MATMUT: from 50 to 120€ reimbursed/year/beneficiary Mercer: 70% reimbursed over 15 sessions, or 100% reimbursed over 6 sessionsMGEN: between 10 and 20€ reimbursed per session, depending on the formula chosen, for 20 sessions/year/beneficiary, depending on the formula chosen, for 20 sessions/year/beneficiary
- MNH Choisya Guarantee: between 60 and 120€ reimbursed per year according to the subscribed Air Force Mutual formula (depending on the option chosen): 10 sessions/year/beneficiary
- GREEN HEALTH INSURANCE: depending on the formula, from 10 to 30 €/session, 3 consultations/year, for children under 15 only
- PREDICIR (PREVIRPRO Actif Santé): from 100 to 200€ reimbursed/year/beneficiary
- UNEO (soldiers and their families): 40€ per session, 3 sessions/year/beneficiary
- SWISSLIFE (my Formula - Health Prevention Pack): reimbursement on psychological consultations and an anti-tobacco package
Some “Employer” mutual insurance companies, such as VIVINTER, according to agreements negotiated by your employer.Professional mutual insurance companies can also reimburse sessions, such as those of EDF, SNCF, Buildings and Public Works (BTP).
Update in March 2022
The system of reimbursement of health expenses in France for individuals is managed by Social Security. French citizens who pay social security contributions are eligible for reimbursements for medical care, such as medication, dental care, and hospitalizations.
Reimbursements depend on the level of coverage chosen by the individual. Basic coverage is offered by Social Security and includes reimbursements for basic medical care. Individuals can also opt for additional coverage from a mutual insurance company (private insurance company) for higher reimbursements, but at higher costs.
When an individual receives medical care, he is responsible for paying the costs in advance and requesting reimbursement from Social Security or his mutual insurance company. Medical bills and receipts are required to get reimbursed.
It is also important to note that some medical care is not covered by Social Security for individuals, such as consultations with a psychologist (except for device). Monpsy), alternative health care and non-reimbursable medications. In these cases, the individual is responsible for paying the costs of these treatments out of pocket.
“In the best of all worlds, consultations with psychologists would be reimbursed by Social Security. But in the meantime, luckily, mutual insurance companies are there to take care of some of the costs. You can always dream that sessions with a psychiatrist are as common as visits to the general practitioner!”
Finally, there are reimbursement limits for certain categories of medical care for individuals. For example, Social Security will not reimburse more than 50% of the costs associated with certain medical procedures. Individuals with additional coverage may benefit from higher reimbursements for these treatments.
In France, doctors are divided into two sectors: sector 1 and sector 2. The two sectors are different in terms of remuneration and care model.
Sector 1:
Remuneration: Doctors in sector 1 are paid on the basis of rates agreed by health insurance. Rates are fixed according to the medical procedures performed.
Model of care: Sector 1 doctors perform medical procedures in accordance with the protocols established by health insurance. Patients can be reimbursed for medical procedures performed by doctors in sector 1.
Sector 2:
Remuneration: Doctors in sector 2 are free to set their rates for the medical procedures performed. Patients can be reimbursed by health insurance for medical procedures performed by doctors in sector 2, but the reimbursement will often be lower than for procedures performed by doctors in sector 1.
Model of care: Sector 2 doctors are free to determine the care protocols to follow for patients. Doctors may also offer additional services that are not covered.
The reimbursement of consultations with a sector 2 psychiatrist depends on both Social Security and complementary health insurance, also called mutual insurance companies. Here's how it works:
Sector 1: Rates agreed by health insurance/Compliance with protocols established by health insurance
Sector 2: Rates freely set by doctors/Care protocols freely determined by doctors
Doctors in sector 1 are paid on the basis of rates set by health insurance and perform medical procedures in accordance with the protocols established by the health insurance. Sector 2 doctors, for their part, are free to set their rates and determine the care protocols to follow for patients. Psychiatrists may choose to work in either sector, depending on their preferences and care model.
If you are in France and want to be reimbursed for a consultation with a psychologist, you will have to contact your health insurance company to find out what the terms of care are. To download your consultation bill at a HopeStage health center, go to your Doctolib personal space. HopeStage consultations offer the same reimbursement rights as for a self-employed health professional. Although consultations with a psychologist are not covered by the compulsory health insurance regime, many mutual insurance companies offer reimbursement for a minimum of a few sessions. Consult the list of mutual insurance companies that cover part of the consultations with a psychologist above to find out if you are eligible.
