Video summary

Tuto | Comment bien remplir ma demande de Complémentaire santé solidaire ?

Main summary

Key takeaways

Educational

Main ideas / purpose of the video

  • The video explains how to correctly complete an online (or paper) application for Solidarity-Based Supplementary Health Insurance (Complémentaire santé solidaire) via Assurance Maladie (Ameli).
  • It emphasizes that a well-completed application leads to a faster response.
  • It clarifies:
    • eligibility
    • which household applies
    • what documents are needed
    • how to handle common special cases (e.g., self-employment, foreign income, property ownership).

What the Solidarity-Based Supplementary Health Insurance provides

  • Provides access to:
    • free health insurance, or
    • coverage for less than 1 euro per day per person
  • Eligibility depends on income.
  • Coverage applies to the entire household.

Who can apply individually vs. through parents

If you are:

  • under 25
  • no longer live with your parents
  • no longer financially dependent on them
  • and have filed your own tax return

→ you can apply on your own.

Otherwise:

  • → your parents must apply (if you’re still under them / registered on their social security number).

How to apply (access / channels)

Online (recommended)

  • Log in to your Ameli account from a computer or smartphone.
  • Path:
    • My Procedures → Apply for Solidarity-Based Supplementary Health Insurance → Start My Application
  • If you don’t have an Ameli account, help is available to create one.
  • Online completion takes about 10 minutes.

Alternative: France Services or paper

  • You can apply via a France Services office.
  • You can also submit a paper application (paper form).

Tip during completion

  • The video advises watching while filling out the form and pausing to complete sections carefully.

Step-by-step methodology (detailed checklist)

0) Before starting: verify required documents

Have the following ready:

  • Latest tax assessment notice (Avis d’imposition):
    • all pages
    • downloadable from the tax website or scanned
  • If you don’t pay taxes:
    • still file a tax return (possibly late return)
  • If you lack a tax assessment notice:
    • you cannot apply online
    • you should make an appointment with CPAM to find a solution
  • If you own unrented real estate / land (built or not) other than your main residence:
    • include property tax and/or local tax notice(s)
  • If you declared income abroad:
    • include proof of tax and social security status from the country/countries concerned
  • For household members:
    • have your CAF beneficiary number ready (if applicable)
    • have social security numbers for all household members
    • for minor children: obtain the number via Ameli → certificate from health insurance card

File format rule (online): documents must be in electronic format. For paper submission: photocopies/prints are used.

Online application process (parts)

Part 1: My Current Situation

  • If you have a CAF tenant/beneficiary number:
    • check the box and enter your number
  • Indicate whether your family situation changed in the last 12 months:
    • if yes, specify the change
  • Marital status / nationality:
    • choose from the drop-down (Married, civil partnership, separated, divorced, widowed, nationality)
  • Click Next

Part 2: Composition of my household

Core instruction: you must list all people in your household, even if they cannot benefit or don’t want to.

Rules / actions

Household members include:

  • you
  • spouse / partner (or cohabiting partner)
  • children (or spouse’s children) under 25 and dependent on you

On the form:

  • children may be pre-suggested
  • if they no longer live in your household, remove them using the cross next to their name

Important rule:

  • one application per household

  • You can add other members in the next step (example provided: spouse’s children).

  • For each added person, enter:
    • first name
    • last name
    • date of birth
    • social security number
    • if registered with CAF, also enter CAF beneficiary number

Validate to proceed.

Part 3: My Solidarity-Based Supplementary Health Insurance (choose provider)

The video explains you don’t have to do much immediately even if acceptance hasn’t happened yet.

Three scenario possibilities

  1. You already have a mutual insurance provider part of the program:
    • keep it for one year
  2. Your mutual insurance provider is not part of the program:
    • select a new provider from the proposals
    • sorting can be by city or department number
    • you only need to cancel your current mutual if you agree
  3. You don’t have a mutual insurance provider:
    • select one from the proposals

Additional option

  • You can also choose the mutual insurance provider from your Health Insurance fund.

Same coverage regardless of choice.

Paper application:

  • consult the list on: www.complémentaires-sante-solidaire.gouv.fr

Proceed to Part 4.

Part 4: My household’s resources (income declaration)

Goal: the provider needs income data to calculate eligibility quickly and avoid errors.

Automated income filling

Income related to work and social benefits/pensions may be automatically completed via secure electronic exchange between:

  • employers
  • social security organizations
  • and/or Pôle emploi

You are advised to check:

  • “I authorize access to the resources collected from the organizations that hold them…”

To view amounts collected:

  • www.metsdroitssocials.gouv.fr

Manual income declaration (not automatically completed)

You must declare:

  • alimony paid/received
  • family gifts
  • self-employment income
  • other “other resources” (declared by you)

In the form:

  • check “I declare the other resources of my household.”
  • for each household member:
    • select the person
    • select the income type
    • enter the amount
  • if none apply:
    • check “My household does not receive any of these sources of income.”

Special case: self-employed (self-employment)

If you or someone in the household is self-employed:

  • declare resources using the described rules

Key points:

  • If activity income was already declared previously:
    • it’s taken into account using the last known tax assessment notice
  • If starting activity and no business income has been declared yet:
    • indicate turnover excluding tax for the four calendar quarters preceding the application
  • For business managers:
    • declare either:
      • remuneration received during the last 12 calendar months preceding the penultimate month of the application (M-13 to M-2), or
      • profit over the same period

Example:

  • applying in October 2022 → declare income between September 2021 and August 2022

In starting-activity cases:

  • attach supporting documents.

Additional final questions (checkboxes)

Answer for you and other household members where relevant:

  1. If you are unemployed and receive internship remuneration, plus a question about whether the household owns or lives in accommodation free of charge with others (per subtitles)
  2. If in certain situations, you must declare “free of charge” status:
    • sick leave > 6 months
    • disability pension
    • major work-related accident

After validation:

  • the form shows a summary
  • you can correct entries using the pen icon
  • click “All good” if everything is correct

Part 5: My supporting documents

General rule

  • Provide the latest known copy for each requested document, even if it relates to the prior year.

Tax documents requirement

  • Attach a tax notice for each household member, even if it’s the same tax year.
  • The video says: attach it twice (as instructed by the form).
  • Use Browse to upload the tax notice.
  • Ensure you include all pages, not only the first one.

Additional document logic (two end questions)

  • If the household owns unrented real estate/land developed or undeveloped:
    • attach the relevant tax notice
  • If you resided abroad during the last 12 months:
    • attach tax and social security documents from that country

Click Next.

Final submission and after-submission actions

Final validation

  • validate by checking:
    • “I certify the accuracy of the information provided”
    • then “I validate my application.”

Proof of submission

  • You receive an acknowledgement of receipt in your Ameli account (even for paper submissions, per the video).

If paper submission

  • Send it to CPAM either:
    • by mail, or
    • by dropping it in the CPAM mailbox.

Help, corrections, and outcomes

If you need help

  • Make an appointment with a Health Insurance advisor
  • Help may also be available from:
    • a social worker
    • an association
  • Support channels mentioned:
    • Ameli forum (24/7)
    • Ameli Botte virtual advisor (chat in Ameli)
    • appointment in an agency or phone appointment

If you sent an application and made a mistake

  • It’s possible to correct a mistake if you realize an error in figures or documents.
  • The video implies contacting Assurance Maladie to find processing times.

Processing outcomes (3 possibilities)

  • Approval for free Solidarity-Based Supplementary Health Insurance
  • Approval for paid Solidarity-Based Supplementary Health Insurance
  • Refusal
  • If your income changes:
    • you can submit a new application

Speakers / sources featured

  • “Our Health Insurance advisor” / Assurance Maladie advisor (main speaker)
  • CPAM (Caisse Primaire d’Assurance Maladie) / Health Insurance
  • CAF (Caisse d’Allocations Familiales) (numbers/status)
  • Pôle emploi
  • Ameli (account and services)
  • France Services
  • Websites referenced:
    • www.complémentaires-sante-solidaire.gouv.fr
    • www.metsdroitssocials.gouv.fr
    • Ameli forum / Ameli Botte (within Ameli services)

Original video