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Notre couverture d’Assurance Médicale Traditionnelle est d’abord ce que l’on appelle couramment aux USA Major Medical Plan, ou encore un Plan Médical Majeur. La C.A.H. est l’un des principaux pourvoyeurs d’Assurance Médicale en général et, en plus des souscriptions d’assurance individuelles et familiales ASSURMEDIC, assure dans les secteurs public, privé et institutionnel, plusieurs centaines de groupes et plusieurs dizaines de milliers de bénéficiaires.
L’Assurance Médicale Traditionnelle fonctionne comme suit :
- L’assuré se présente chez son médecin muni de sa carte d’assurance ainsi que d’une lettre de son employeur (souscripteur du contrat) ;
- L’assuré paie son médecin, sa pharmacie et son laboratoire ;
- L’Assuré soumet à son employeur (souscripteur du contrat) sa forme de réclamation et les reçus de paiement. Le tout est envoyé par l’employeur à l’Assureur pour remboursement (franchise et 20% de coassurance déduites).
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