Print Posted By Lost in France on 9 Sep 2008 in Living in France - Healthcare in France

French Healthcare: The Basics

What treatment is covered and what will I be charged for?

Healthcare in FranceDoctors, dentists and prescriptions: make sure the doctor or dentist you consult is 'conventionné' - i.e. they work within the French health system. After treatment, obtain a signed statement of the treatment given (a 'feuille de soins') - you can't claim a refund without it. You will be charged for the treatment you receive, as well as for any prescribed medicines, and the amount(s) should be shown on the feuille de soins.

Around 70 per cent of standard doctors' and dentists' fees are refunded, and between 35 and 65 per cent of the cost of most prescribed medicines. The cost of common remedies and items such as bandages are refunded at the lower rate. The cost of medicines marked with a "vignette" or N.R. is not recoverable.

Hospital treatment: you must pay for out-patient treatment and then claim a partial refund from the local Sickness Insurance Office (Caisse Primaire d'Assurance-Maladie or CPAM). If you are treated as an in-patient in an approved hospital and show your European Health Insurance Card (EHIC), the office will pay 75 per cent or more of the cost direct to the hospital. You pay the balance. You must also pay a fixed daily hospital charge ('forfait journalier'). The 25 per cent balance and the forfait journalier are non-refundable.
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Who handles reimbursements?

Local Sickness Insurance Offices, send your application for a refund (the feuille de soins and any prescriptions) to the nearest Sickness Insurance Office while you are still in France. The refund will be sent to your home address later, but it may be subject to a bank charge. Before sending the money order, the French authorities will send you an itemised statement of the amount to be refunded. This refund process normally takes around two months.

What documentation do I need to claim money back?

When you are getting prescribed medicines, the pharmacist will hand you back your prescription and you should attach it to the feuille de soins in order to claim a refund. Medicine containers also carry detachable labels ('vignettes'), showing the name and price of the contents. Stick these in the appropriate place on the feuille de soins, and sign and date the form at the end.

Where to get more information

Centre des Liaisons Européennes et Internationales de Sécurité Sociale (CLEISS)
11 rue de la Tour des Dames
75436 Paris Cedex 09
Tel: +33 1 45 26 33 41

http://www.cleiss.fr/

The information in this article is sourced from http://www.dh.gov.uk and is subject to © Crown Copyright
 

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