Prescription for a specific medical condition

The Health Insurance is responsible for only cures for which reasons have been given any of the following:

• Oral-lingual mucosal disorder
• Gastrointestinal and metabolic disorders
• Psychosomatic disorder
• Urinary disorder and metabolic disease
• Dermatology
• Gynecology
• Cardioarterial disease
• Neurology
• Phlebology
• Rheumatology
• Developmental Disorders in Children
• Respiratory disorders

Approved or contracted spa

To be taken care of, your cure must take place in an establishment approved and contracted by the Health Insurance.

Your doctor chooses the most suitable facility for your condition.

The place of the cure depends on the condition to be treated: not all spa resorts treat the same pathologies.

Duration of the course

To be reimbursed, your cure must include 18 days of actual processing.

However, if your course is incomplete or interrupted for medical reasons, it will be taken care of in proportion to the number of days completed.

Support Request

You must fill out a form cerfa n°11139 consisting of 2 parts:

• Management questionnaire, completed by the doctor who prescribes the course
• Declaration of resources, completed by you (attach the necessary supporting documents)

Spa treatment - Support questionnaire (accompanied by a declaration of resources).

The form is to be sent to your health insurance fund.

Support Agreement

In response to your request, your caisse will send you a form cerfa no. 11140 entitled "Administrative care of thermal cure and billing".

The form consists of 3 parts:

• Component 1 "Medical fees" to be remitted to the thermal physician
• Part 2 "Thermal package" to be handed over to the establishment of your cure
• Component 3 "Transport and accommodation costs". This part is to be sent to your cash register when you return from your cure if you meet the conditions of resources

Your support is valid for calendar year in progress.

Medical expenses

The following medical expenses shall be covered as follows:

• Medical supervision package (€80 for a single-orientation cure and €120 for a double-orientation cure), reimbursed to 70% of the conventional tariff (dependent €24 or €36 depending on the cure)
• Complementary medical practices if necessary, reimbursed to 70% of the conventional tariff
• Thermal package (variable, depending on the treatments carried out during the cure), reimbursed to 65% of the conventional tariff

Accommodation and transport costs

Your accommodation and transport costs are covered if your resources of the year before the cure have not exceeded €14,664.38.

This ceiling shall be increased by 50%, or 7,332.19 for your spouse, or Civil partnership partner, and for each entitled at your expense.

Transport costs are supported at 55% on the basis of the price of the round-trip SNCF ticket 2^e within the limits of the expenditure actually incurred, on presentation of the supporting documents.

The subsistence costs shall be reimbursed to 65% on the basis of a flat-rate fixed at €150.01, or support for €97.50.

Per diem

A work stoppage prescribed in connection with a thermal cure does not give rise to the payment of daily allowances unless your resources are lower than the annual ceiling of Social Security applicable on the date of the prescription.

Thus for a spa treatment prescribed in 2023 your resources must not exceed €43,992.

And, for a prescribed spa cure in 2024, your resources must not exceed€46,368.

This ceiling shall be increased by 50%, or €23,184 for:

• Your husband
• Your Civil partnership partner
• Or dependent child

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