Complementary solidarity health (C2S): Conditions, ceilings and request

Coming into force on November 1, 2019, the complementary solidarity health (C2S) replaced both the CMU-C (complementary universal health coverage) and the ACS (complementary health assistance), in order to help more people with low incomes to set their health expenses. Conditions, ceilings and requests … Here is everything you need to know about the C2S.

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What is the complementary solidarity health (C2S)?

Complementary health that replaced CMU-C and ACS

The complementary solidarity health (C2S) has replaced, since November 1, 2019, complementary universal health coverage (CMU-C) and complementary health assistance (ACS). His goal is toImprove access to health care For a maximum of beneficiaries among people with modest incomes. It allows you to reimburse the Additional part (also called moderating ticket) of health expenses not covered by health insurance. In France, 7 million people benefit.

A solidarity mutual insurance company to pay the health expenses of persons with modest income

This health coverage funded by the State is granted according to the personal situation and resources. It can be completely free for the most modest people or include a monthly contribution calculated according to age and income.

What services for beneficiaries?

Exempt from the advance of fees and costs at the doctor and in the hospital

As part of the complementary solidarity health, medical and health expenses are covered by the compulsory health insurance plan and by the organization chosen to manage the complementary solidarity health. The beneficiaries of the C2S are exempt from putting forward fees and costs (full third parties) at:

• doctors,
• dentists,
• radiologists,
• Health auxiliaries (nursing, physiotherapist, etc.),
• at the hospital (reimbursement of the daily package).

You just have to present your vital card up to date to the doctor, the pharmacist, the medical analysis laboratory, the hospital, or any other agreed health professional.

Note : The doctor cannot request an exceeding fees, except if the patient beneficiary of the complementary solidarity health at specific requests such as unjustified home visits.

Not in advance for medicines, medical devices, prostheses and glasses

Beneficiaries do not pay medication in pharmacies or medical devices (rods, wheelchairs, dressings, orthotics, etc.). They also have free access to most glasses, dental and hearing prostheses.

In addition to financial aid, C2S beneficiaries can, depending on the region, obtain discounts on train tickets.

Who has the right to benefit from the C2S?

To beneficiaries of RSA, ASI, AAH and ASS

Like the old CMU-C, the C2S is automatically assigned to the beneficiaries of the RSA and their beneficiaries. Since July 1, 2024people affecting the additional invalidity allowance (ASI) can also benefit from it. In addition, the social security financing law for 2024 provides for a simplified allocation and an automatic renewal of the complementary solidarity health for some of those receiving:

People with modest income

Persons can also benefit from modest incomes who do not exceed the ceilings in force. The complementary solidarity health is assigned either:

• without any contributionthe beneficiary therefore has no contributions to pay.
• in return for a minimal contribution (one euro per day per person maximum) which depends on the age of each person covered in the home and whose amount is generally lower than the prices charged by private additional organizations.

Simulator to know its eligibility

The government site MesdroitSocial.gouv.fr provides people with a simulator to find out their eligibility for complementary solidarity health. Lasting 5 to 10 min, the simulation consists in providing information on:

• His personal and professional situation
• His accommodation
• its resources
• its heritage.

What are the conditions to benefit from complementary solidarity health?

The person must fulfill conditions of different natures to be able to benefit from the C2S.

Reside in France

First condition, be in one of the following situations:

• reside in France without interruption for at least three months
• benefit from a compulsory social security scheme due to a professional activity in France which lasts more than three months
• be enrolled in an educational institution in France
• Receive certain benefits (family benefits, allowances for the elderly, housing allowances, social assistance, replacement income, etc.)

Do not exceed a certain level of income

Second condition, have modest income. The resources taken into account are those of 12 months Preceding the penultimate month of the request. For example, for a request made in April 2025, the income studied are those of March 1, 2024 to February 28, 2025. The resources taken into account are:

• retirement wages and pensions;
• food pensions;
• regular financial aid;
• Games …

2025 income ceilings scale with and without financial participation

Here is the ceiling not to be exceeded according to the composition of the home in mainland France to be eligible for complementary solidarity health from April 1, 2025 ::

Resource ceilings not to be exceeded in overseas

Here are the ceilings not to be exceeded in Guyana, Guadeloupe, Martinique and Reunion:

How is the contributory part requested from the beneficiaries who do not have total free people?

Monthly amount of contributory as a function of age

Beneficiaries whose resources exceed the ceiling must pay a monthly contribution. This is calculated so as not to exceed a maximum sum of one euro per day and per person. The amount is calculated in relation to the age of each member making up the home, taken into account on January 1 of the year of opening of the C2S, according to the table below:

Calculation examples

• Monoparental family made up of a 47 -year -old mother and 2 children aged 12 and 14 whose annual income amounts to: 14 euros (mother) + 16 euros (2 children at 8 euros), total of 30 euros/month
• Retired couple: 71 years for the husband and 68 years for the wife = 30 euros (husband + 70 years) + 25 euros (wife between 60 and 69 years old) = 55 euros per month for the couple.

How to apply for complementary solidarity health?

Online on his Ameli account

The request for complementary solidarity health can be made online on its Ameli account. It will be necessary to complete the necessary information relating to the situation of the home, the age of the applicant, his resources …

By mail via the Cerfa 12504*11 form

It is also possible to make your request by mail, by filling out the CERFA 12504*11 which describes the composition of the home and its resources. Do not forget to opt for the complementary body chosen on the list.

Documents to be attached to the file

Before sending or depositing everything with your health insurance fund, join the requested supporting documents:

• tax notice;
• property tax notice;
• local housing tax notice;
• Proof of a tax and social situation of the country concerned if you live abroad during the last 12 months;
• If you ask for the RSA, the certificate of presumed resources is needed lower than the lump sum of the RSA.

The health insurance organization has two months at the latest to give its decision. Unanswered, the request is considered accepted.

Renewal

Complementary solidarity health free hardone year old From the date indicated on the law certificate. You must therefore renew your request each year between four and two months before the end date indicated on the certificate. For beneficiaries of RSA, ASPA and ASI, renewal is automatic.