TThis refers to procedures carried out in private practices or at mutual health centres.
It includes the following services:
- Home visits
All diagnosis and treatment procedures:
- Technical medical procedures (code: ATM)
- Imaging or x-ray procedures (code: ADI or ADE)
- Surgical procedures (code: ADC)
- Biological procedures (code: BMO or B)
Imaging and biological procedures require a prescription.
The treatment form completed by the practitioner must be sent to the SPME, accompanied by the relevant prescription where required.
Common treatment forms are now used by all social security schemes in Monaco (SPME, CCSS, CAMTI) and are distributed to contracted practitioners.
Please consider using the FSE procedure. All you need to do is present your SPME card to your practitioner. You no longer need to send your treatment forms to the SPME. The FSE is completed directly by your doctor, in secure electronic format, and then sent immediately to the SPME for processing and reimbursement.
Prescriptions are valid for six months.
Prior consent of Medical Advisor:
In accordance with current legislation, some procedures are subject to prior consent being granted by the SPME Medical Advisor. Your practitioner must submit a request for prior consent when required and wait to receive this consent before the procedures are carried out.
In all cases, prior consent from the Medical Advisor is valid for six months.