Get S 3125 - Mgen

The S 3125 - Mgen form is an essential document for individuals seeking reimbursement for medical care received abroad. This guide provides clear, step-by-step instructions to help users fill out the form accurately and efficiently.

Follow the steps to complete your S 3125 - Mgen form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by completing the section for 'bénéficiaire des soins et assuré(e)'. If you are both the recipient of care and the insured, provide your full name, registration number, and code of your insurance organization. If the care recipient is a dependent, fill in their details and your own.
3. Ensure to indicate the administrative situation of the insured person as of the date of care received. Select the appropriate option from the available choices and provide supporting documents if required.
4. In the section labeled 'caractéristiques du séjour à l'étranger', fill in the address during your stay, the dates of the visit, and select the nature of the stay from the provided options.
5. Detail the nature of care received and the expenses incurred. For each treatment, describe the kind of care, the medical professional involved, and indicate the corresponding costs.
6. Address additional inquiries regarding coverage by other organizations and whether there was partial coverage in the country where care was received. Be sure to check the applicable boxes.
7. Complete the 'attestation sur l'honneur' section, declaring that you are including original invoices for reimbursements. Make sure to date and sign this section.
8. Finally, review all entered information for accuracy. Save changes, download, print, or share the completed form as needed.

Complete your S 3125 - Mgen form online today to ensure your medical expenses are reimbursed.