{"id":2508,"date":"2017-11-29T12:00:32","date_gmt":"2017-11-29T11:00:32","guid":{"rendered":"http:\/\/www.blog.neoprog.eu\/?p=2508"},"modified":"2017-11-29T17:34:09","modified_gmt":"2017-11-29T16:34:09","slug":"quoi-ma-caisse-quest-ce-quelle-a-ma-caisse","status":"publish","type":"post","link":"https:\/\/www.blog.neoprog.eu\/index.php\/2017\/11\/29\/quoi-ma-caisse-quest-ce-quelle-a-ma-caisse\/","title":{"rendered":"Quoi ma caisse, qu’est-ce qu’elle a ma caisse ?"},"content":{"rendered":"

\"\"<\/a>Je sais, je radote, mais je 31 mai 2016<\/a>, je me cassais la figure \u00e0 v\u00e9lo. Une semaine d\u2019hospitalisation, cinq mois d’arr\u00eat, la tuile ! Mais dans mon malheur, j’ai eu la bonne id\u00e9e d’exploser mon rein au cour d’un trajet travail, maison. R\u00e9sultat un accident, totalement pris en charge par mon employeur.<\/p>\n

Le 7 juillet 2016, je passais mon troisi\u00e8me scanner de contr\u00f4le. Totalement handicap\u00e9, perclus de douleurs, je me rendis \u00e0 l’examen non sans mal, accompagn\u00e9 de mon \u00e9pouse. L\u00e0 bas, quand je leur annon\u00e7ais qu’il s’agissait d’un accident du travail, ils me demand\u00e8rent des papiers que mon employeur n’avait pas encore daign\u00e9 signer, vous savez la bureaucratie et la b\u00eatise humaine cr\u00e9ent parfois des situations grotesques. Donc en l’absence de ces papiers, je r\u00e9glais moi m\u00eame les 15.61\u20ac de la part mutuelle, je n’\u00e9tais de toute fa\u00e7on pas en \u00e9tat de protester.<\/p>\n

Un an plus tard, je re\u00e7u une facture de 15.61\u20ac, relative \u00e0 un scanner fait le 7 juillet 2016. J’ai pass\u00e9 de nombreux scanners cette ann\u00e9e l\u00e0, mais deux dans la m\u00eame journ\u00e9e non, il ne faut pas abuser des bonnes choses tout de m\u00eame. Sauf que je ne me souvenais plus d’avoir pay\u00e9. Alors je contactais l’h\u00f4pital, leur expliquais qu’il s’agissait d’un accident du travail, leur fournissait les papiers (cette fois je les avais) et retournais \u00e0 mes activit\u00e9s.<\/p>\n

Deux mois plus tard, je recevais une lettre de relance, concernant une facture relative \u00e0 un examen fait le 7 juillet 2016, un scanner… Je contactais l’h\u00f4pital, qui m’informa que ma caisse avait rejet\u00e9 le remboursement des soins, sans explication, mais qu’il ne fallait pas que je paye, car, entre temps, la facture avait explos\u00e9, la caisse primaire ne remboursait plus la partie s\u00e9cu. Vous me suivez ? de 15.61\u20ac je passais \u00e0 118.82\u20ac.<\/p>\n

Je re\u00e7u quinze jours plus tard, une facture de 15.61\u20ac pour un second scanner et celle de 118.82\u20ac pour le premier. Effray\u00e9 par la tournure des choses, je payais fissa les deux factures avant qu’un huissier ne vienne \u00e0 la maison me piquer mes vinyles. Je me retournais ensuite vers ma caisse le 1er octobre 2017 pour me faire rembourser.<\/p>\n

Mais voil\u00e0 que l’h\u00f4pital m’envoie \u00e0 la Toussaint un avoir de 15.61\u20ac pour une double facturation, celle d’un scanner fait le 7 juillet 2016. Ben oui, j’ai pay\u00e9 deux fois le fameux scanner, entre temps j’ai retrouv\u00e9 le re\u00e7u. Sauf que mon scanner je l’ai pay\u00e9 15.61\u20ac plus 118.82\u20ac, pas 15.61\u20ac plus 15.61\u20ac et qu’en r\u00e9alit\u00e9, je n’aurais rien du payer. Donc je contacte une nouvelle fois l’h\u00f4pital. Je tombe sur une personne tr\u00e8s aimable et comp\u00e9tente avec qui nous rions beaucoup en essayant de d\u00e9m\u00ealer la pelote administrative. Elle m’annonce, hilare, qu’en fait la facture de 118.82\u20ac n’est pas bonne et que je vais recevoir un correctif sous peu, le montant r\u00e9el est de 119.57\u20ac ! La bonne nouvelle c’est que l’h\u00f4pital me doit bien 15.61\u20ac. Elle me propose alors de prendre les 75 cents de diff\u00e9rence sur les deux factures et de me rembourser 14.86\u20ac au lieu des 15.61\u20ac afin de cl\u00f4turer la facture explosive.<\/p>\n

Nous sommes fin novembre, la caisse n’a toujours pas donn\u00e9 de r\u00e9ponse \u00e0 mon courrier du 1er octobre. Je viens de leur renvoyer le dossier avec la quittance de 119.57\u20ac plus toutes les autres pi\u00e8ces. Qui sait, peut-\u00eatre qu’en 2018 j’aurai une r\u00e9ponse, \u00e0 moins qu’une nouvelle facture de 120.17\u20ac ne me parvienne entre temps, pour un scanner fait le 7 juillet 2016.<\/p>\n

Quand je pense que j’ai pass\u00e9 six scanners entre mai et novembre 2016, j’ai quelques frissons parfois.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Je sais, je radote, mais je 31 mai 2016, je me cassais la figure \u00e0 v\u00e9lo. Une semaine d\u2019hospitalisation, cinq mois d’arr\u00eat, la tuile ! Mais dans mon malheur, j’ai eu la bonne id\u00e9e d’exploser mon rein au cour d’un … Continuer la lecture →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59,136],"tags":[456,364,739,742,148,740,741,738],"class_list":["post-2508","post","type-post","status-publish","format-standard","hentry","category-humeur","category-medecine","tag-accident","tag-administration","tag-caisse","tag-factures","tag-hopital","tag-mutuelle","tag-remboursement","tag-securite-sociale"],"yoast_head":"\nQuoi ma caisse, qu'est-ce qu'elle a ma caisse ? - Le Blog du N\u00e9oprog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.blog.neoprog.eu\/index.php\/2017\/11\/29\/quoi-ma-caisse-quest-ce-quelle-a-ma-caisse\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quoi ma caisse, qu'est-ce qu'elle a ma caisse ? - Le Blog du N\u00e9oprog\" \/>\n<meta property=\"og:description\" content=\"Je sais, je radote, mais je 31 mai 2016, je me cassais la figure \u00e0 v\u00e9lo. 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