Contesting a Reimbursement Refusal

If CPAM refused to reimburse medical expenses you believe are owed, you can contest this decision via a detailed letter, supported by the necessary medical documents.

This page explains how to draft this appeal, 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?

• A reimbursement was refused that you believe is owed;
• You noticed an error in calculating the reimbursement amount;
• You want to submit additional medical documents;
• You weren't informed of a clear reason for the refusal;
• The deadline for appeal hasn't expired yet.

In all these cases, a written appeal remains the best way to defend your rights.

Required information to include

• Your first and last name and social security number;
• The reference of the rejected reimbursement request and its date;
• The precise reason for your objection;
• Supporting medical documents (prescription, invoice, medical report).

The more detailed the appeal, supported by medical documents, the greater the chance of it being accepted.

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: Contesting a reimbursement refusal

Dear Sir/Madam,

I am contesting the reimbursement refusal notified on [date] concerning [medical care/procedure].

[...]

→ 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

What is the deadline for appeal?

Usually two years from the date of refusal, but it's advisable to act quickly.

Do I need to attach a medical report?

Yes, often necessary to support your position with CPAM.

What if my appeal is also rejected?

You can turn to the amicable appeals committee, then court if needed.

Is the appeal free?

Yes, this process is completely free.

How long does the response to the appeal take?

Usually a few weeks to two months depending on the file's complexity.