Billing for the prevention check-up depends on the provider’s profession: RDV for doctors and midwives, RDI for nurses, RDP for pharmacists. The fee is €30 in mainland France and €31.50 in the overseas departments and regions (DROM), fully covered (100%) by French National Health Insurance (Assurance Maladie) under full third-party payment (tiers payant intégral), with no extra fees, once per person per age bracket.
Among colleagues, the first question about Mon bilan prévention, France’s national prevention check-up program, is rarely about its content: it is about billing. Which code, what amount, what it can be combined with, what to do about a patient who has already had their check-up elsewhere. This page brings together the rules common to the four provider professions, what the regulation leaves open, and the mistakes we see again and again.
What is the fee for a prevention check-up, and who pays for it?
The fee is set by the decree (arrêté) of May 28, 2024 on the providers, content and billing terms of prevention appointments: €30 in mainland France, €31.50 in the overseas departments and regions. It is the same for all professions and “cannot be subject to any extra fees.” The patient pays nothing: the check-up is fully covered (100%) by French National Health Insurance, with no upfront payment.
Three clarifications avoid misunderstandings. Full (100%) coverage means there is no supplementary share: the supplementary health insurer (mutuelle) is not involved, and third-party payment covers the entire amount. The ban on extra fees applies whatever the doctor’s contractual sector, including Sector 2 (doctors allowed to charge above the standard rate): a practitioner who does not wish to bill at this rate is free not to sign up for the program, but cannot carry out a “prevention check-up” at a different price. Finally, the question of the flat-rate contribution (participation forfaitaire) and medical deductibles (franchises) is not explicitly addressed on the professional pages.
Which billing code should be used for each profession: RDV, RDI, RDP?
Each profession has its own procedure code, assigned by Article 4 of the decree of May 28, 2024 and listed on each profession’s ameli.fr pages. The amount is the same; only the code changes.
| Provider profession | Procedure code | Amount, mainland France | Amount, DROM | Specifics noted on ameli.fr |
|---|---|---|---|---|
| Doctor (regular doctor or not) | RDV | €30 | €31.50 | Separate care sheet for any additional procedure |
| Midwife | RDV | €30 | €31.50 | Same code as doctors; eligible patient population to be clarified |
| Nurse | RDI | €30 | €31.50 | Travel expenses billable for home visits, under the terms of the national agreement |
| Pharmacist | RDP | €30 | €31.50 | Private consultation area mandatory; sign-up terms specific to pharmacies |
| Physiotherapist | Code set by the decree of July 28, 2026 | €30 | €31.50 | Provider as of October 1, 2026 (decree of July 28, 2026) |
Details for each profession — how the check-up works, organization, sharing the plan — are covered in the prevention check-up carried out by a doctor, by a nurse, by a pharmacist and by a midwife; the announced arrival of physiotherapists has its own page, the prevention check-up by a physiotherapist.
Once per person per age bracket: how do you check eligibility?
The check-up “can be billed only once per individual and per age bracket,” the decree states. The brackets are 18 to 25, 45 to 50, 60 to 65 and 70 to 75, inclusive. The rule applies across all professionals: it is the patient who has one entitlement per bracket, not each provider.
The three checks before billing
- Age: on the day of the check-up, the patient must be of an age within a bracket. At 26, 44 or 51, the procedure is not available and a billed RDV would be undue.
- Prior check-up: has the patient already had the check-up for this bracket, with any provider? We ask, and we check the shared medical record (dossier médical partagé) in Mon espace santé (France’s personal digital health record), where the Personalized Prevention Plan may have been uploaded. To our knowledge, there is no online service showing that a check-up has already been billed for the bracket.
- The check-up actually took place: the three steps (risk identification, prioritization, personalized plan) must have been carried out and the PPP given to the patient. A regular visit during which “prevention was discussed” is not billed as RDV.
The patient who has already had their check-up elsewhere
If a pharmacist or a nurse carried out the check-up, the regular doctor (médecin traitant) receives the PPP and the risk-identification form. The right response is not to repeat the check-up — it would no longer be billable — but to add it to the record and follow up on its goals during regular visits, as we explain in the Personalized Prevention Plan.
Can another procedure be billed on the same day as the prevention check-up?
Yes, but only one, and on one condition: that a need was identified during the check-up. This is the subject of Article 5 of the decree of May 28, 2024, which French National Health Insurance summarizes as follows for doctors: “only one procedure or consultation from those listed may be billed in addition, per prevention check-up, and only when a need has been identified during the check-up,” with “a separate care sheet (FSE or FSP) for this procedure.”
| Profession | Additional procedures cited by ameli.fr or the decree | Condition |
|---|---|---|
| Doctor | Cervical smear (Pap test), electrocardiogram, vaccination, handing out the colorectal cancer screening kit — only one per check-up | Need identified during the check-up; separate care sheet |
| Midwife | Cervical smear (Pap test), vaccination | Need identified during the check-up |
| Nurse | “Vaccination procedure,” carried out “as part of a public health program during the same appointment” | Need identified during the check-up |
| Pharmacist | “Vaccination procedure, handing out the colorectal cancer screening kit” | Need identified during the check-up |
What the text does not say
Combining the check-up with a regular visit on the same day — for example, a prescription renewal followed by a prevention check-up — is not addressed on the professional pages other than through the closed list above. Our reading is that a visit not on the list cannot be combined with the RDV on the same day. Likewise, the exact nature of the “consultation” mentioned in the list of additional medical procedures is not spelled out. When in doubt, the safest option is to schedule the check-up in its own time slot and move the regular visit to another day.
Travel expenses for home visits: who can bill them?
For nurses, the answer is clear: “when the prevention check-up is carried out at the patient’s home, you can bill travel expenses, under the same conditions as those set out in your agreement.” The check-up itself is still billed as RDI. The decree provides for billing travel expenses “under the conditions set out in the national agreements” for home visits, wording that seems to apply to any provider who travels. Pharmacists carry out the check-up at the pharmacy, in a private consultation area, and are not concerned.
How do you submit the claim: care sheet, third-party payment, software?
The check-up is billed as a procedure under full third-party payment for the Assurance Maladie share, using the patient’s carte Vitale (French health insurance card). No prescription is needed: the check-up is a stand-alone prevention procedure, whoever the provider is. The procedure code (RDV, RDI or RDP) must be available in your billing software; setup depends on the software vendor. If an additional procedure is billed on the same day, it requires a separate care sheet.
Signing up for the program on sante.fr, the French public health information portal, with a CPS or e-CPS card (the French health professional smart card or its digital version), lists the professional in the directory that patients consult; the regional health agency (ARS) presents it as voluntary. We do not know whether it is a condition for the claim to be accepted.
What does the decree of July 28, 2026 change as of October 1, 2026?
A decree of July 28, 2026, published in Journal officiel No. 0179 of August 2, 2026, repeals the decree of May 28, 2024 and replaces it as of the first day of the second month following its publication, i.e., October 1, 2026. It keeps the age brackets, the content of the check-up, the €30 and €31.50 fees and the one-check-up-per-bracket rule, and adds physiotherapists to the providers. The RDV, RDI and RDP codes are carried over; the code assigned to physiotherapists and the new wording of the article on additional procedures should be read in the text before any billing after October 1, 2026.
What are the most common billing mistakes?
The mistakes we see almost never concern the amount; they always concern the conditions. Here they are, with the fix.
- Billing a check-up already carried out for the same bracket by another professional: the claim is undue. Check for a prior check-up before starting.
- Billing outside the age bracket (age 26, 44, 51, 66, 76): the procedure is not available.
- Using another profession’s code: a nurse billing RDV, a pharmacist billing RDI. Each profession has its own code.
- Charging extra fees or having the patient pay, even partially: prohibited, including in Sector 2.
- Forgetting the DROM rate of €31.50 in the overseas departments and regions, or applying it in mainland France.
- Billing an additional procedure with no identified need, or billing two: only one, justified by the check-up, on a separate care sheet.
- Billing a regular visit as RDV when prevention was discussed, without the three steps or a PPP given to the patient.
- Not sending the PPP to the regular doctor when you are not the regular doctor yourself: this is not a billing error in the strict sense, but it is an obligation under the program, unless the patient objects.
These rules are quick to learn; what takes longer is conducting the conversation. The available resources, including the optional online modules from the French School of Public Health (EHESP), are presented in training for the prevention check-up.
Key takeaways
- Codes: RDV (doctor, midwife), RDI (nurse), RDP (pharmacist); physiotherapists’ code to be confirmed for October 1, 2026.
- Single fee: €30 in mainland France, €31.50 in the DROM; 100% French National Health Insurance, full third-party payment, no extra fees, no supplementary share.
- Only once per person per age bracket (18–25, 45–50, 60–65, 70–75), across all professionals.
- Only one additional procedure on the same day, and only if a need is identified, on a separate care sheet; travel expenses billable for nurses’ home visits.
- The decree of July 28, 2026 replaces the 2024 decree as of October 1, 2026: reread the text before billing after that date.
How to organize this pathway with Sokrate
The Sokrate service lets patients prepare their prevention check-up in advance, with an adaptive online questionnaire whose structured summary reaches the professional before the appointment: the three steps of the check-up are thus documented, which makes billing more secure. The plan is signed by a doctor, a letter is sent to the regular doctor unless the patient objects, and a care coordination nurse follows up on referrals. How it works is described on the pages Sokrate for doctors and Sokrate for health centers; the general framework of the program is outlined in the prevention check-up.