Delays in the payment of compensation persist at CPAM du Loiret… An insured testifies


The new wave of Covid, suffered at the beginning of the summer, did not allow the Loiret Health Insurance Fund to make up for its delay in the processing of sick leave files.

The Loiret CPAM had been overwhelmed by the number of sick leaves (due to Covid in particular) received last January, 68,000 compared to 26,000 in January 2021. By setting up a telephone dissuasion and limiting the reception of the public to only the afternoon, and by appointment, “the extension of processing times” should “be absorbed by the beginning of July”told us the management of the Loiret health insurance fund.

A woman who gave birth to a stillborn child has been waiting for more than three months for her compensation

No income since early May

Isabelle, a resident of Jouy-le-Potier and independent home helper, was prescribed a sick leave on May 4. Stop which was extended for other problems until the end of July. She has not yet received any daily allowance. An untenable situation when she lives alone and has exhausted her meager savings.

Her daughter helps her as much as she can, some of her employers too, her neighbors have been offering her food for several months, but, when she has just resumed her activity, Isabelle wonders how she will be able to fill the tank. from his car to go to work, how she will pay the last monthly payments (one year in total) of the repayment of her house loan

Take a check-up at the CPAM Health Examination Center: its mission is prevention

Only one other stop in fifteen years of activity

The Loiretaine, paid by employment-service check, carries out this activity for fifteen years without taking a vacation. She only had one other sick leave. For appendicitis. She really did not expect to have to face such difficulties.

“We told me : You are not the only one in this case“”, she underlines. This is what her bank adviser confirmed to her when she explained her problems to him. Or her interlocutor at the Health Insurance Fund, who warned her that a urgent processing of her file will take at least ten days.”If they are short of people, I would like to go and work there”, she underlines.

Why isn’t it better?

The Loiret Health Insurance Fund had put in place measures in the spring to successfully reduce the delay in processing files – and therefore in the payment of compensation. But a new wave of Covid contaminated the Loiret at the start of the summer, leading to around 35,000 work stoppages in July, “either an increase of 80% compared to July 2019“, specifies the management. “The teams have been reinforced by recruitment and mutual assistance within the network of health insurance funds has been set up”, it is added. The average repayment period has been improved by fifteen days but it is still very far from normal.

Philippe Abline

.

Leave a Comment