You are an employee in France and are enrolled in the French Social Security system. Your employer has taken out a supplementary health insurance plan to improve your coverage. On the face of it, you’re well equipped to deal with everyday health problems! You then hear about the data transmission service: but what is it? What is it for?
You arrive at the pharmacy with your prescription. You show your “carte vitale” and the pharmacy tells you that the data transmission service is not active. What does that mean? Data transmission is the process of linking your Social Security center to your supplementary health insurance provider. That means, when your basic scheme reimburses its portion, it then sends the statement to your supplementary health insurance provider so that they can pay you the remaining portion (up to the level of your coverage limits). You therefore have nothing to do and no paperwork to send to your supplementary health insurance provider when your data transmission is activated.
If the service is not activated, you’ll need to download your reimbursement statement from the ameli.fr website and send it to your supplementary health insurance provider for reimbursement of the supplementary portion. If you have two supplementary health insurance providers (your employer’s, and your spouse’s as a beneficiary), you will only be able to link up to one of them using the data transmission service.
Go to the ameli.fr website and log in with your ID. Go to “Mes informations” and then the “Organisme complémentaire” section. Here you will need to find the name of your supplementary health insurance provider, your membership number and the information on the activation of data transmission with the words “Transmission automatique des paiements”.
Download your certificate of entitlement, and send it to your supplementary health insurance provider, requesting the activation of the data transmission service. Your supplementary health insurance provider will then contact your Social Security center to approve the link.