Section actions
Duration: Appointments — from days to months; consultation — 30 minutes
Cost: ~30 € sector 1 (reimbursed 70 %) ; sector 2 — higher with overruns
Possible online
Who this guide is for
Section actions
- If you need a specialist and don't know how to make an appointment
- You if you want to understand the care path and the reimbursement
- You if you have an urgent problem and want a quick consultation
To be prepared in advance
Section actions
- Vital card and mutual card
- Guidance of the attending physician (letter of guidance) — usually required
- Symptoms and Background (for consultation)
Step-by-step procedure
Section actions
- 1Consult the attending physician first: he evaluates and, if necessary, issues a letter of guidance to the specialist. Without it — less CPAM reimbursement (sector 2 with overruns).
- 2Make an appointment via Doctolib (doctolib.fr) — main service in France. Choose a specialist sector 1 for a maximum refund.
- 3Present yourself with Vital Card and mutual card: the specialist makes the consultation (~30 € sector 1, up to ~50–80 € sector 2). Third party paying possible under conditions.
- 4Reimbursement CPAM: 70 % of base rate (60 % off course of care), the mutual covers the rest. In ALD — 100 %.
- 5Urgent cases: Directly to emergencies or to a specialist without guidance, but the reimbursement may be less.
- 6The specialist may prescribe examinations (biology, imaging) — refunded CPAM. Keep the prescription.
- 7Long delays: some specialists (psychiatrist, dermatologist in the big city) have months to wait. Anticipate or look for alternatives (health centres, teleconsultation).
Common mistakes
Section actions
- Go to the specialist without guidance — reduced reimbursement.
- Choose 2 sector without checking overruns — more expensive.
- Do not bring the Vital Card — no automatic paying third parties.
- Do not keep orders and reports — necessary for the following steps.
- Tarder to consult a specialist for serious symptoms.
Official sources
Section actions
Show sources in this section
Important remark
Rates and refunds depend on the sector and the route. This information is indicative — for your case, check on Ameli.
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