Entitlement to maternity benefits is confirmed when you receive a maternity record book from the Medical Benefits Department of the C.A.M.T.I., containing the various forms needed to for the reimbursement of the medical expenses incurred throughout pregnancy.
In order to obtain this document, the mother-to-be or her spouse, if she herself does not have an occupational activity entitling her to similar benefits, must satisfy the following conditions:
- proof of a more than one month's registration period on theestimated conception date of the pregnancy,
- proof that a registration has not ceased to have effect for the entire duration of the pregnancy, i.e. during the period between the start of the pregnancy and the date of delivery,
- have had the first prenatal examination before the end of the third month of pregnancy and sent the Fund the pregnancy certificate drawn up at that time.
Reimbursement of medical expenses
For the mother-to-be, some medical expenses are covered in full. These are:
- treatments included in the maternity record, the reimbursement of which is requested using a form from this record book,
- treatments performed after the sixth month of pregnancy,
- along with maternity-related hospital stays, up to a maximum of 12 days.
Full coverage or exemption from patient contribution, does not mean that the medical expenses incurred will be fully reimbursed, but simply that no deduction will be applied to the fund's reimbursement tariff.
However, the reimbursement tariff may, in some cases, be less than the invoiced fee, particularly:
- if you have used a non-contracted doctor, or
- if you are not in the green category and the delivery takes place in a clinic or public hospital with the choice of a practitioner's private practice.