Some psychotherapy consultations will be capable to be reimbursed by well being insurers and mutuals, even when this assist is just not but supplied for within the contracts. Provided you could have a medical prescription.
Should we see the negative effects of the TV sequence In remedy? Or, extra significantly, a gesture of goodwill by well being insurers within the sights of the general public authorities and the UFC-Que Choisir for have increased their rates for 2021 whereas the well being disaster has enabled them, quite the opposite, to make severe financial savings? Anyway, the result’s there: individuals lined by a person or collective complementary medical health insurance (inside the framework of their firm), will be capable to profit from now from a assist for his or her psychotherapy sessions carried out with a liberal skilled. This assist will go as much as 60 € per session, inside the restrict of 4 sessions by the top of the 12 months. It shall be legitimate for the three kinds of complementary medical health insurance organizations: insurers (Axa France, Generali, and many others.), mutual societies (Harmonie mutuelle, Mutuelle générale, and many others.) in addition to provident establishments and social safety teams ( AG2R la Mondiale, Malakoff Humanis…).
On prescription or medical advice
Concretely, to learn from this machine, it’s going to require a prescription or a “medical orientation” of the attending doctor. And to acquire reimbursement for the sessions carried out, you’ll then must ship your well being insurer the bill (s) issued by the liberal psychologist. If this new provision is fascinating, it doesn’t nonetheless tackle board the virtually 7 million individuals lined, with or with out monetary participation, by the complementary solidarity health. This well being contract is certainly particular: it’s, on the one hand, reserved for individuals with restricted sources and, alternatively, it’s within the arms of the general public authorities.
A advice on this path from the Court of Auditors
As a reminder, the sessions carried out with a psychotherapist (or a psychoanalyst) don’t at the moment profit from any reimbursement from obligatory medical health insurance. As for complementary well being contracts, once they exist (which is extra the case with obligatory firm contracts than with particular person contracts), this protection is just not solely lump-sum, however it’s above all anecdotal and restricted to some tens of euros per 12 months, as is the case, for instance, for different drugs sessions… Despite every little thing, the topic has been on the desk for a while. In a current report (1), the Court of Auditors due to this fact advisable “Generalize as soon as possible the coverage by health insurance of psychotherapies made by psychologists and prescribed by the attending physician”. Support also tested efficiently via medical health insurance just a few years in the past, in 4 departments (Bouches-du-Rhône, Haute-Garonne, Landes and Morbihan).
(1) ” Pathways in the organization of psychiatric care », February 2021.
