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Post by jackie on Apr 3, 2023 10:56:29 GMT 1
I wish I could agree with that last sentence, mangetout! My experience of healthcare in France would lead me to believe just the opposite. Can't speak for dental care but certainly every other aspect smacks of big business...the biggest in France after food  Due to a chronic illness and it’s associated problems I have loads of experience of the healthcare system here and it’s nothing like big business. Its heavily regulated by the government for one and care is divided up equally between private and public hospitals. Communication between hospitals is very good in my experience with the latest IT tech. Hospitals are also very well-equipped. I’ve had a few health scares over the past few years requiring emergency admission as well as ongoing check ups which has been very speedy and the care excellent. I believe I wouldn’t be alive today if I was still in the UK. Comparing it to the experiences of family and friends in the UK I’m so glad I live here. I could tell you some real horror stories of neglect in the Uk and my sister lost her partner last November due to it. He was only 52….. |
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suein56
Member
Southern Morbihan 56 Brittany
Posts: 7,963
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Post by suein56 on Apr 3, 2023 11:58:34 GMT 1
Since you said you still pay your MT upfront, I've been searching for evidence that I'm not going mad because I distinctly remember the change coming in .. whereby visits to your MT no longer require payment up front. So I wonder why yours doesn't conform?I have no idea .. I will ask her on the next visit, should be the beginning of June. |
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Veem
Member
Posts: 12,230
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Post by Veem on Apr 3, 2023 12:36:07 GMT 1
I don't have an ALD, or at least not one that is certificated. I do however have meds which can only be prescribed for a limited number of times by my MT and only if I attend a regular checkup during which she listens to my lungs and heart and checks BP. Compared to most of her patients, I am in and out in no time. I still have to pay 25€ for the visit though. She's a lovely, caring lady and if necessary she'll give me her full attention for much longer than the quick 5 minute check-up.
She's a one-woman band with no administrative staff at all and takes a personal interest in her patients - much like the GP I had as a child in the UK.
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Post by houpla on Apr 3, 2023 15:09:30 GMT 1
Not here it hasn't .. I pay my MT 25€ and then have some reimbursed by Ameli and some by our Mutuelle.
Have you an ALD mangetout ? If so then that covers the charge if you see your MT about the illness covered by the Certificate.
Since you said you still pay your MT upfront, I've been searching for evidence that I'm not going mad because I distinctly remember the change coming in. I have found various articles on sites such as politico.eu, the Connexion and French newspapers confirming that a health bill in 2017 brought about the change whereby visits to your MT no longer require payment up front. So I wonder why yours doesn't conform? There were also a plethora of posters in our erstwhile MTs waiting room objecting to that bill. I think some of the harder-pressed one-man-band practices felt that it just served to increase their (non-remunerated) workload. There was also the aspect that, depending on the efficiency of the CPAM processing the payments, it would take a lot longer for the MTs reimbursement to arrive. Lot et Garonne have been notorious ever since we arrived here for mislaying paperwork and/or being utterly inefficient. Thanks to that bill, it wasn't just the public on the receiving end. The worst example of that was the one I quoted above when the MT threw a hissy fit over CPAMs error/delay in reimbursing him. When I pointed out (politely and reasonably I thought) that all my demarches and paperwork were in order, so it was something he should take up with CPAM, the relationship was destroyed for once and all. Glad to hear that your BIL is getting such good treatment  |
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Post by limousinlady on Apr 3, 2023 15:55:47 GMT 1
Not here it hasn't .. I pay my MT 25€ and then have some reimbursed by Ameli and some by our Mutuelle.
Have you an ALD mangetout ? If so then that covers the charge if you see your MT about the illness covered by the Certificate.
Since you said you still pay your MT upfront, I've been searching for evidence that I'm not going mad because I distinctly remember the change coming in. I have found various articles on sites such as politico.eu, the Connexion and French newspapers confirming that a health bill in 2017 brought about the change whereby visits to your MT no longer require payment up front. So I wonder why yours doesn't conform? We have to pay ours upfront as well. |
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Post by pcpa on Apr 3, 2023 17:39:47 GMT 1
My ophtalmo in Amiens required payment up front, some of the specialists that would have bookings once a week at various Maison Medicales (hearing specialists etc) often required payment up front and they were nearly always the ones who charged the dépassements, neither were warned in advance.
I have also often found very negative reactions when my Carte Vitale is passed and they realise that I am a beneficiary of the C.S.S which they all still call the C.M.U., the way it is expressed implied had they known they would not have accepted me as a patient, that they should have asked, that I didn't look like a Smicard, I know all of that is my invention but its happened many times now, whenever i ask if its a problem and that I am happy to pay the part mutuelle as I had always done in the past they become embarassed and defensive.
I think they may have to wait longer for their payments from the CMU than from Mutuelles, I get the impression (gain only my feelings, no evidence) that they will not accept CMU patients but are not allowed to say so. I do recall at the start reading quite abrupt signs on the wall saying just that, my French wasn't good at the time and I was paying for the whole treatment anyway and claiming some back later.
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Post by pcpa on Apr 3, 2023 17:46:32 GMT 1
The above gives the impression that all health professionals are like that, I didn't mean that, its only some, never the hospitals or cliniques, never at a regroupement of professionales like Maison Medicales, never anyone doing home visits like infimières, it"s only those working on their own in professions where they have more clients than they need anyway.
Knowing how the Secu loves to take away your droîtes at the drop of the hat and if they tell you at all it will be well after the fact I reckon many médecins etc have the CV passed only to get bumped later on, logically they could then ask the patient for the money but if they are a beneficiary of the CSS they probably dont have it to pay or if they have been brought up on benefits then they will think its the magic money tree that should settle the debt.
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Post by houpla on Apr 3, 2023 18:52:19 GMT 1
I think they may have to wait longer for their payments from the CMU than from Mutuelles, I get the impression (gain only my feelings, no evidence) that they will not accept CMU patients but are not allowed to say so. I do recall at the start reading quite abrupt signs on the wall saying just that, my French wasn't good at the time and I was paying for the whole treatment anyway and claiming some back later. There used to be a choice between having the CSS administered by the CPAM or a Mutuelle. Is that no longer the case? Certainly in 47 the CPAM wouldn't be classed as speedy  I still get amazed looks from various pros and the pharmacienne when I tell them that I don't have a mutuelle. Errrr, you'd think it might occur to them that I had the CMU-C because I couldn't afford one  |
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Post by pcpa on Apr 3, 2023 21:31:30 GMT 1
I seem to recall there was a choice, I opted for the CPAM de La Somme as I did not see any reason not to.
Mine is free now, a few years ago I had to pay a contribution of IIRC €25 per month which was far in excess of the benefit that I had from it, I had earned something silly like €20 over the plateau in the previous year which cost me €25 per month the next year!
Having moved I thought there might be a problem with being affiliated to a caisse from another département but it does not seem to be the case.
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Post by mangetout on Apr 16, 2023 8:22:56 GMT 1
Quick update on the visiting dentist. He has visited twice so far, and will deliver the new dentures personally at my sisters home tomorrow. I still can't get over what a brilliant service this dentist provides.
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Post by jardiniere on Apr 16, 2023 12:08:20 GMT 1
If there wasn't such a shortage of generalistes round here, I'd be tempted to change yet again, + 1. I spent 6 months without an MT after the last one (a dangerously inept woman, opinion shared by so many not just me) left for a cushier number at the secu. Then in desperation registered with a practice 27 kms away as it was the nearest taking new patients. After one visit a new MT arrived at my local hospital so registered there with great relief. Relief soon to be replaced with disappointment. It seems the dearth of GPs means that those not at the top of their game are recruited just to get vacancies filled. I'm pleased to read others have much better experiences. Having a good GP is so important. |
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