THE ESSENTIALS
Before you start
- Identify the eligible amount.
- Separate percentage from payment cap.
- Check any deductible.
Distinguish the situations
Médis refers customers to their policy terms for the reimbursement percentage. Read that figure alongside any other limits applying to the particular expense.
Sources: Médis — Perguntas frequentes — checked on 22 October 2026 ↗
Fictional example
Fictional example, unrelated to any actual policy: an appointment costs 120 euros. The exercise assumes 50% reimbursement but caps payment at 40 euros per appointment. Half of 120 is 60; under that hypothetical cap the result is 40. If only 80 euros were eligible, the calculation's starting amount would also change. These amounts are an arithmetic illustration, not an insurer's tariff or a prediction of your reimbursement.
Put the distinction to work
Compare the invoice with the reimbursement breakdown. Identify the eligible amount, percentage, per-treatment limit and any deductible; do not add or subtract figures without the contractual rule. If a difference remains unclear, identify the exact line and request its explanation. Use the health insurance guide to discuss consultation costs and the relevant terms with RMACHADO GROUP before comparing products on percentages alone.
KEEP THESE QUESTIONS
Your checklist for the next conversation
- Identify the eligible amount.
- Separate percentage from payment cap.
- Check any deductible.
- Query the unexplained line.
FROM THE ARTICLE TO YOUR SITUATION
Let us discuss your situation
Tell us what you want to protect. We review your request and help compare relevant terms. Requesting a quotation does not activate insurance.
Sources and transparency
Content updated on .
Consultation dates are stated in individual references when available.
Numerical examples are fictional and explain concepts. Editorial interpretations are identified in the text.
Information from RMACHADO GROUP. This is not an insurance offer or individual advice. Covers, acceptance, exclusions, sums insured and costs depend on the policy. The intermediary does not underwrite the risks.