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Spa treatments 

Agreements have been signed between the CNAS and the Tourism Management Company to cover the cost of spa treatments at spa resorts for the benefit of insured individuals or the  dependants of insured individuals benefiting from insurance coverage who need spa treatment because of their state of health.

Spa resorts covered by social security agreements 

There are seven (07) spa resorts under agreement with CNAS, which are distributed geographically as follows:

In the west of the country:

• Hammam Boughrara (Tlemcen)
• Hammam Bou-H’djar ( Ain Temouchent )
• Hammam Bou-Hanifia ( Mascara )

In the centre of the country :

• Hammam Righa ( Ain Defla )

In the East of the country :

• Hammam Guergour (Sétif)
• Hammam Meskhoutine (Guelma)
• Hammam Salihine (Biskra)

1 – File to be submitted by the insured individual :

Insured individual and/or his/her dependants requiring a spa treatment must submit the following to their payment centre:

• A medical certificate issued by the attending physician indicating the location of the spa and the length of stay;
• The questionnaire (CNAS form) completed by the attending physician ( Download the document.. )

2-Delivery of preliminary agreement :

• Once the conditions for entitlement have been checked, the benefits department will submit the file for medical examination.
• The insured individual must attend the medical examination with all the tests he/she has (biological and radiological).

If the medical committee’s opinion is in favour of a spa treatment, the insured individual will be given a preliminary agreement to enable him/her to make an appointment with the appointed spa establishment.

3- Setting up coverage:

Once the person has obtained an appointment, the cost of the cure will be covered by the designated establishment for 21 days at a rate of 80%.

If the conditions for entitlement are not met, or in the event of an unfavourable opinion from the medical advisor, the insured individual will be notified of an administrative or medical rejection, depending on the case.

Specialised treatments and functional rehabilitation (Sidi Fredj thalassotherapy centre)

CNAS signed an agreement with the Sidi Fredj Thalassotherapy Centre on 26^th March 2010. The purpose of this agreement is to set out the nature of the treatments provided at this centre, as well as the terms and conditions for coverage of the insured individuals and the benchmark rates to be applied.

File to be submitted by the insured individual:

• Insured individuals and/or their dependants who require a specialised healthcare cure or functional rehabilitation treatment must submit a file to their payment centre which includes:

o The medical prescription for the treatment or cure drawn up by the attending physician;

o The request for coverage drawn up by the thalassotherapy centre.

Setting up the coverage :

After checking that the entitlement conditions have been met, the benefits department submits the application to the medical officer for an opinion.

In the event of a favourable opinion from the medical examination, a statement of entitlement is drawn up specifying :

• The start date of the treatment or cure,
• The qualitative and quantitative description of the treatment and its duration in the case of outpatient treatment, or the duration of the cure in the case of a stay,
• The rate of coverage (100% for functional rehabilitation, 80% for specialised cures).
• If coverage is refused, the insured must be notified of the Fund’s decision, the reason for the refusal, and the means of appeal.

In the event of an extension of coverage :

• If an extension is medically necessary, the thalassotherapy centre will send a request for extension, with a medical report in a confidential envelope.
• After receiving the opinion of the medical control, the agency will notify of its acceptance or refusal of coverage.