Have you heard about télétransmission without knowing exactly what it is or how to activate it? This service simplifies your health reimbursements by automating communication between Social Security and your health insurance provider. In this article, we explain what télétransmission is, why it is so convenient and how to activate it quickly.
What is télétransmission?
Télétransmission is a computerised system that links your Social Security fund to your supplementary health insurance. In practice, when your basic scheme reimburses its share, it automatically transmits the statement to your health insurance provider, which then pays you the supplementary share, up to the limit of your reimbursement ceilings.
The process can be summed up in three steps :
- Social Security reimburses its share;
- it transmits the statement to your health insurance provider;
- your health insurance provider reimburses the rest, according to your contract.
The benefit is immediate: you no longer have any paperwork to send to your health insurance provider, everything is done automatically. Conversely, if the service is not activated, you must download your statements from ameli.fr and send them yourself to your supplementary insurance provider to be reimbursed for the supplementary share.
Why activate télétransmission?
Imagine: you arrive at the pharmacy with your prescription, you present your carte Vitale, and you are told that télétransmission is not active. Without this service, each supplementary reimbursement requires a manual step, which takes time and can delay your payments. With télétransmission, you gain on all fronts:
- a time saving, with no additional steps to carry out;
- faster reimbursements, often within a few days;
- fewer risks of errors or omissions.
For families or people who consult healthcare professionals regularly, it is an everyday convenience.
How do I know if télétransmission is activated?
To check, log in to your account on ameli.fr with your login details. Go to the « My information » section, then look at the « Supplementary insurance provider » block. You should find there the name of your health insurance provider, your membership number and, above all, the mention « Automatic transmission of payments », which confirms that the link is indeed active.
What to do if télétransmission is not active?
If the link is not in place, the process is simple. Download your proof of entitlement on ameli.fr, then send it to your supplementary insurance provider requesting the activation of télétransmission. Your health insurance provider will then contact your Social Security fund to validate the link.
A point to note: if you are covered by two health insurance providers, for example your employer’s and your partner’s as a dependent, only one can be linked by télétransmission. For the second, you will have to continue sending your statements manually.
What are the activation times?
Activation can take from a few days to a few weeks, depending on the responsiveness of your health insurance provider and your Social Security fund. During this period, remember to continue sending your statements manually so as not to delay your reimbursements.
MIA supports you
Télétransmission is just one of the many services that make good supplementary health insurance truly convenient on a daily basis. As a specialist brokerage firm, MIA Assurances helps companies choose a high-performing group health insurance plan that is simple to manage for their employees.
FAQ – Health télétransmission
- Is it mandatory to activate télétransmission?
No, it is not mandatory, but it is strongly recommended to simplify your procedures and speed up your reimbursements.
- Can I activate télétransmission with two health insurance providers?
No, only one supplementary insurance provider can be linked to Social Security. The second requires manual sending of statements.
- What should I do if télétransmission does not work?
Contact your health insurance provider to check the configuration. It may be a technical problem or a missing document.
