Requesting Long-Term Illness Recognition (ALD)

Long-term illness (ALD) recognition allows you to benefit from full reimbursement (100%) for treatment costs related to this illness. This recognition requires a request from your treating doctor sent to the medical advisor at CPAM.

This page explains how to follow up on this request, what information to provide, and offers a ready-to-use letter template, plus a tool to automatically generate your personalized letter.

When should you write this letter?

• Your doctor submitted an ALD request and you're waiting for a response;
• You want to inquire about the status of your file;
• You need to renew ALD before its period expires;
• You noticed an error in the ALD-related reimbursement.

In all these cases, a written letter remains a reliable way to follow up on your file.

Required information to include

• Your first and last name and social security number;
• The nature of the illness concerned if you wish to mention it;
• The date your doctor submitted the request;
• Documents attached if necessary.

The more accurate this information is, the easier it is to follow up on your file.

Official letter template

Important note: the letter sent to CPAM must be written in French, as it is a French administration. Below is a template you can use as a basis.

[First name LAST NAME]
[Full address]
[Social security number]

CPAM of [Department]
[CPAM address]

Written in [City], on [Date]

Subject: Follow-up on my ALD request

Dear Sir/Madam,

I am contacting you about my ALD request submitted by my doctor on [date].

[...]

→ The complete letter, tailored precisely to your situation and ready to send, is generated automatically in 3 minutes using the tool above.

Frequently Asked Questions

Who decides on granting ALD?

The medical advisor at CPAM approves the request submitted by your treating doctor.

What's the reimbursement rate under ALD?

Often 100% for treatments directly related to the recognized illness.

How long does it take to accept the request?

Usually a few weeks after your doctor submits the request.

Does ALD cover all my treatments?

No, only treatments directly related to the recognized illness.

When must ALD be renewed?

Depending on the period granted, ranging from two years to several years.