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Unforeseen medical treatment - France

Emergency

Centre des Liaisons Européennes et Internationales de Sécurité Sociale (CLEISS)
(Centre of European and International Liaisons for Social Security)
Detailed information in French, English, Spanish, German, Italian and Portuguese.

Tel: +33 1 45 26 33 41
Email: ceam@cleiss.fr

Treatment & costs

All Information relating health professional (doctors, dentists, nurses etc) and hospitals available in the area in which you stay as well as treatments costs and coverage by the French social security can be found on the ameli-direct website (in French only).

Doctors

  • To take advantage of your European Health Insurance Card, you should consult a doctor who is registered with the state healthcare system ("conventionné").
  • Practitioners who are "conventionné" fall into 1 of 2 categories:
    "Secteur 1": practitioners who charge the official social security rate
    "Secteur 2": practitioners who charge an extra fee on top of the official rate.
  • You must pay the doctor directly. He or she will fill out a treatment form ("feuille de soins") and, if necessary, a prescription. You will need this treatment form to claim any refund.

Dentists

  • To take advantage of your European Health Insurance Card, you should consult a dentist who is registered with the state healthcare system ("conventionné").
  • You must pay the dentist directly. He or she will fill out a treatment form ("feuille de soins") and, if necessary, a prescription. You will need this treatment form to claim any refund.

Hospital treatment

  • Be sure to present your European Health Insurance Card on admission. This will save you from paying any refundable costs up front and ensure you pay only the patient contribution.
  • You will be charged a daily hospital fee.
  • For any major medical treatment, you will be charged a flat-rate contribution in addition to the daily hospital fee. These charges are non-refundable in France, but you can always seek reimbursement once you return home.
  • If you are admitted to a private hospital or clinic, make sure that it is also registered to provide state healthcare ("conventionné") .

Prescriptions

  • With your prescription, you should receive a treatment form ("feuille de soins") – you cannot claim a refund without it. Prescribed medicines are only reimbursable if they are listed as reimbursable pharmaceutical products. The pharmacist will indicate which medicines are reimbursable and which are not.

Ambulance

  • The need for an ambulance or a taxi must be established by medical prescription. Ambulance charges must be paid in advance directly to the professional.

Air ambulance

  • The need for an air ambulance must be established by medical prescription and a prior authorisation delivered by the medical office of the local CPAM (Caisse Primaire d’Assurance Maladie).

Reimbursement

  • Reimbursements are claimed in France from the local CPAM office (Caisse Primaire D'Assurance Maladie).
  • You will need to provide the treatment form ("feuille de soins"), copies of receipts and prescriptions, a copy of your European Health Insurance Card, your address of residence and your bank details, including International Bank Account Number (IBAN) and Bank Identifier Code (BIC). Confirmation of your refund will be sent to your home address.
  • You can claim back around 70% of the standard treatment cost.
  • If you were unable to submit a claim during your stay in France, contact your national health insurance provider when you return home.

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