The fact that a practitioner belongs to a sector makes it possible to know whether the doctor is under contract or not and thus to know your level of reimbursement.
- Doctors with a sector 1 agreement :
- A doctor practising in sector 1 is a doctor with a Social Security agreement. He or she charges a fixed fee without exceeding his or her fees.
- His fees correspond to the rates that serve as a basis for reimbursement by the health insurance fund (the convention rates).
- Your mutual insurance company can supplement the reimbursement from the social security.
- Your remaining expenses are almost nil.
- Doctors with a sector 2 agreement :
- These are doctors who have signed an agreement but "free of charge". They freely set their own tariffs and are therefore inclined to overcharge their fees.
- Social security reimburses the consultation with a sector 2 doctor on the basis of the basic tariff.
- Your mutual insurance company can supplement the social security reimbursement.
- An amount may remain at your expense.
- Doctors who do not have a sector 3 agreement :
- These are doctors who have not signed any agreement with social security. They apply tariffs independently. For example, if a non-registered doctor charges you 30 euros for a consultation. In this case, the Social Security will only reimburse you 3 euros (a fixed contribution of 1 euro deducted).
- The remaining costs that you have to pay are all the more important as sector 3 practitioners often charge extra fees.
- Your remaining expenses can be very high.