Direct agreement:
the provider has a contract or agreement with ADSE and the contribution is applied when you pay (you usually pay less “on the spot”).
ADSE
ADSE dermatology: how reimbursement for a dermatology consultation works
Looking for a dermatology consultation with an ADSE agreement is very common — but it is not always easy to find dermatologists with an agreement, and above all an appointment in good time. The good news is that, in many cases, you can still use ADSE through the reimbursement scheme (regime livre): you pay for the consultation and submit the claim with the right documents. On this page we explain, in practical terms, the difference between an agreement and reimbursement, how to claim from ADSE, and what affects the amount reimbursed, so you can go ahead clearly and without surprises.
- Video consult
- 20€
- Deadline
- 6 months
- Code
- 077711
An ADSE dermatology consultation at MyDermaCare: how to use the reimbursement scheme (regime livre)
If you have ADSE and are looking for a “dermatologist with an agreement”, it is natural to assume that without a direct agreement you cannot use the benefit. In practice, many people can use ADSE indirectly, through regime livre, also known as the reimbursement scheme.
This means:
- 1
Book the consultation as usual
- 2
Pay the consultation fee
- 3
Receive the documents you need (invoice-receipt)
- 4
Submit the reimbursement claim to ADSE, following the rules of regime livre
Who this is for:
This route is especially useful when:
- you need a consultation sooner and do not want to depend on in-agreement appointments;
- you want to choose the doctor or service based on trust and availability;
- you want to treat a problem that is getting worse (for example inflammatory acne, rosacea, eczema, urticaria, persistent itching, hair loss, new spots, nail changes);
- you want a dermatological assessment and follow-up with a structured plan, while keeping the possibility of a contribution through ADSE.
ADSE dermatology: the difference between a direct agreement and reimbursement (regime livre)
The biggest confusion when people look for ADSE agreements is usually this: what is an agreement, and what is reimbursement.
In plain terms:
Regime livre (reimbursement):
the provider does not apply a direct discount; you pay for the consultation and claim the money back afterwards, by submitting the documents.
What changes in practice
What actually matters for you:
With a direct agreement: less paperwork, but there may be less choice and a longer wait.
With reimbursement: more freedom and speed, but you have to submit the claim.
How to claim reimbursement for your teledermatology consultation from ADSE
If you had a teledermatology consultation and want to claim from ADSE (regime livre), the process is straightforward — as long as you have the right documents and submit everything correctly.
- 1
Gather the documents you need
To make the claim, you will need to present the original documents proving the expense (for example the invoice-receipt, which you receive automatically after you pay for the consultation) and, where they apply, the supporting documents (for example prescriptions, reports and so on).
- 2
Submit the claim through ADSE Direta (online)
- Go to ADSE Direta.
- Sign in with the main beneficiary number and the ADSE password (or sign in through the Portuguese tax portal, Portal das Finanças).
- Choose “Enviar Pedido de Reembolso”.
- Follow the instructions on screen and select “Imagens” to attach scans of the documents required.
- 3
If you prefer, you can hand it in in person
You can hand in the claim and the documents:
- at ADSE shops (Lojas ADSE), or
- at Citizen Shops (Espaços Cidadão) that offer the service.
Take the expense documents and the supporting documents with you.
- 4
You can also send it by post
If you choose the post, send the claim with the original documents to:
ADSE / Protocolo BeneficiárioApartado 50723EC S. João de Brito (Lisboa)1711-801 LISBOA
Important information about ADSE
How much does ADSE reimburse for a teledermatology consultation (dermatology video consultation)?
Reimbursement for a video consultation (regime livre): in 2026, ADSE reimburses 20€ for TELECONSULTA DERMATO-VENEREOLOGIA (code 077711).
What is the deadline for submitting a reimbursement claim to ADSE after a dermatology video consultation?
Deadline for the claim: you have up to 6 months after the consultation to submit the reimbursement claim to ADSE.
Frequently asked questions
Yes — through regime livre (reimbursement): you pay for the consultation and submit the reimbursement claim.
With a direct agreement, the contribution is applied when you pay. With reimbursement, you pay first and claim the money back afterwards.
As a rule, the invoice or receipt and the details ADSE requires for a regime livre claim. What matters is that the documents are complete and legible.
It varies with ADSE and the volume of claims. What matters most is submitting the claim correctly, so you avoid requests for clarification.
Reimbursement is not automatic: the claim always goes through review and approval by ADSE, and the amount (or whether it is accepted) depends on the rules of regime livre and the type of service. To reduce the risk of rejection or requests for clarification, submit the claim with every document required (for example an invoice or receipt, or an invoice-receipt showing the amount paid and, where they apply, supporting documents such as prescriptions or reports).
You can have different covers, but how you use them depends on the rules of each system. If you are unsure, choose the simplest route for you and check the terms.
Other insurers
AdvanceCareDermatology consultation with AdvanceCare: the difference between an agreement and reimbursement, and the documents, steps and deadlines for your claim.
MédisMédis dermatology: the difference between an agreement and reimbursement. Documents, steps and deadlines for claiming your consultation.
MulticareMulticare dermatology: the difference between an agreement and reimbursement. Which documents you need, how to submit, and the deadlines for a claim.