Request a supplementary statement of contribution (DCC) from ADSE

This is the statement that you must submit when you need to request to a private entity (a health insurance company, for example) to supplement a contribution from ADSE, i.e. to pay part of the expense.

The supplementary statement of contribution (DCC) can be requested online or in person at ADSE.

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Who can request a supplementary statement of contribution (DCC) from ADSE?

  • The beneficiary holder of ADSE or:

    • his/her widow/widower
    • his/her legal representative.

When can you request a supplementary statement of contribution (DCC) from ADSE?

After you receive the reimbursement from ADSE.

What are the documents and requirements to request a supplementary statement of contribution (DCC) from ADSE?

  • Online

    Login with the beneficiary holder’s ADSE number and password (or login through Portal das Finanças [Finances Portal]).

  • On the location or by mail

    You shall have to indicate:

    • the name and number of the beneficiary for whom the health care was provided
    • the expense document number, date and amount of the expense.

What is the Price to request a supplementary statement of contribution (DCC) from ADSE?

It is free of charge.

How request a supplementary statement of contribution (DCC) from ADSE?

Online

  1. Access ADSE Direta.
  2. Login with the beneficiary holder’s ADSE number and password (or login through Portal das Finanças [Finances Portal]).
  3. Access “Reimbursement Requests History”.
  4. Click on the expense document (of which you want to get a statement).
  5. Click on “C.C. Statement”.

For more details, consult the ADSE Direta Manual

On the ADSE website go to Beneficiaries > Useful Documents > ADSE Direta Use Manual - Beneficiaries.

On the location

You may request the statement:

The application for a supplementary statement of contribution must mention the name and number of the beneficiary for whom the health care was provided, the number of the expense document, its date and its amount.

By mail

  1. Request the supplementary statement of contribution (DCC) in writing, referring to:
  • the name and number of the beneficiary for whom the health care was provided
  • the expense document number, date and amount of the expense.
  1. Send to:

ADSE, I.P.

GA / Declaração de Complemento

Praça de Alvalade, 18

1748-001 Lisbon