Question 9388 — overseas

Summary

Ms. Mereana Reid Arbelot draws the attention of the Minister of Labor, Health, Solidarity and Families to a situation of injustice that has long affected Polynesians. Indeed, French Polynesia has its own social security system, the Social Insurance Fund (CPS). However, during their long stays in mainland France, Polynesian nationals are required to hire take steps with the Primary Health Insurance Funds (CPAM) in order to benefit from coverage for their care in France. While the CPS processes agreement requests quickly, many policyholders report abnormally long delays in the processing of their file by the CPAM, thus exposing them to a lack of coverage in the event of illness or accident. Furthermore, when the CPAM assigns a number of temporary social security, known as “transient migrant”, policyholders are repeatedly unable to create an account on the Ameli portal. This blockage deprives them of access to their reimbursement statements, a step which is nevertheless essential to allow processing by their Polynesian mutual insurance company. To date, no suitable solution has been offered to them. The requests addressed to the CPAM remain without concrete response, the insured being systematically sent back to the Ameli platform, despite their clear explanations of the impossibility of accessing it. This problem also concerns Polynesian students who come to continue their studies in France. Present for several years in most cases, it is inconceivable to let them face a complex and extremely long situation to obtain their Vitale card, from several months to one or two years. Their access to care and reimbursement of their medical costs is then limited or even impossible. Access to health and equitable coverage of health expenses is a fundamental right, which must no longer be called into question. The MP considers that it is now necessary to consider urgent corrective measures: either by allowing access to reimbursement statements by an alternative means for policyholders non-residents, or by adapting the Ameli account creation procedure for holders of a social security number as a “transient migrant”. In this sense, she asks what measures the Government intends to take, in conjunction with the country of French Polynesia, to remedy this unfair situation and thus guarantee equal access to rights for Polynesian policyholders staying for an extended period in France and for students.

Machine translation from French. The official text remains authoritative.

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