Health Insurance must be notified if a person suffers an accident or injury caused by a third party. This allows the CPAM not to suffer the financial repercussions of the fault committed. Explanations.
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– If you suffer an accident or injury caused by a third party, it is imperative to report it to Health Insurance.
If you suffer an accident or injurycaused by a third party, it is imperative to declare to health insurance. This will allow the CPAM to determine the liability of the person involved in the context of a work accident, medical expenses incurred, or even a disability pension, reports Free Middayon October 14, 2024. This allows the insurance of the person responsible for the accident or the fault committed to operate. Thus, Health Insurance does not suffer the financial fallout from such an affair.
Concretely, Health Insurance therefore requests that a declaration be made in a certain number of casesnamely: a traffic accident, assault and battery, an accident in public transport, a sporting or leisure accident, an animal bite or a fall caused by an animal, an accident caused by an object belonging to a third party, a fall linked to poor road maintenance or a lack of signage, a fall in a place open to the public, an incident in the playground or during a physical education and sports session, an accident medical and injury caused by a defective or toxic product.
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What reimbursement?
Furthermore, another criterion is imperative. The culprit must have been identified before making the declaration. On the other hand, it is useless for him to admit the fault committed. Once these prerequisites are met, you can make your declaration in four different ways. First of all, you can do it easily onlinevia your Ameli account or on the Simplified Procedures website. Otherwise you can do it by phone at 36 46 (Monday to Friday, 8:30 a.m. to 4:30 p.m.) or by mail by sending it to the address of your primary health insurance fund.
Regarding the refundnothing changes if victims report an accident or injury to Health Insurance. They will receive their due according to the usual conditions, rates and deadlines, assures the CPAM. Furthermore, it might even prove more efficient.
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