General information, not an individual diagnosis. Ask a healthcare professional if you are unsure about your situation.
A problem with delays, reception or the handling of your CPAM case can be the subject of a complaint. Prepare useful facts and exchanges to explain what remains unresolved.
From your ameli account, ask the chatbot “faire une réclamation”, then follow the messaging process and its choice of reason. You can also write to the fund with Réclamation as the subject.
If this initial complaint does not resolve the matter, you can then contact your fund’s mediator. They check whether the case falls within their remit; otherwise, they direct it to the appropriate service.
The mediator looks for an amicable solution and provides explanations. They give opinions, without power to impose a decision. This process therefore does not guarantee the outcome you want.
The described process uses the ameli account in a web browser, with the request “contacter le médiateur”, or a letter to the mediator. Check any additional local options with the fund.
After a letter, keep the acknowledgement of receipt and read the next steps provided. To challenge an administrative or medical decision, ask which procedure applies to that decision; a service complaint does not replace that appeal.
Sources
Your health review
Review your health
Mon bilan prévention is an appointment to discuss your habits and choose your health priorities. Review the four age groups and practical information.