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Admissions
In all cases, a physician must request hospitalization.
Admissions take place Monday to Friday between 11:00 am and 5:00 pm and Saturday mornings until 12:00 pm.
Registration
At the time of admission, the patient, or the patient's family, must specify his or her identity, address, and health insurance (national health insurance card) or pension fund (membership or health care card) coverage.
In addition, the patient must present official proof of valid pension fund coverage.
Patient Documentation
Documents to present on the day of admission:
- Passport or residency card (for non-citizens)
- Health insurance or entitlement card
- Supplementary insurance card (if relevant)
- Preapproval of care by a health insurance organization before admission, or supplementary insurance covering additional charges for private room, flat per diem rate, and copayments for patients arriving from home
- Form for free medical treatment as well as the medical testing form, if the patient receives benefits according to article 115 of the military pension code
- Employer report, if hospitalization involves a workplace accident
- Status report, if the patient is arriving from another hospital facility
- Last three pay stubs or proof of employment for the three months preceding hospitalization for the requested care
Unemployed Patients:
Present an unemployment certificate and the last ASSEDIC (national unemployment insurance agency) statements.
If the patient is not the insured claimant, the patient must confirm that the required formalities have been fulfilled for the insurance plan of the claimant (spouse, domestic partner, children, etc.).
Minors are only admitted after receiving the permission of either parent, the child's legal guardian, or a legal authority, except in emergencies. If the patient is uninsured, an initial payment on the total hospitalization cost is required.
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In all cases, a payment will be requested to cover the hospitalization fee and additional charges that are not covered by insurance.
In the case that the patient does not have his or her entitlement card, the covered hospitalization charges will be reimbursed by the local branch of the patient's national health insurance provider (caisse d'assurance maladie) on presentation of the documents listed above.
Patients Transfers from Other Facilities:
Receive full coverage:
- Following K50 surgery
- After 30 days of hospitalization
- If hospitalization is related to a long-term illness, article 115 (veterans), or total disability
It Is Requested that Patients:
- Bring their test results, X-rays, and medical records, submitting them to the nurse in the department providing their care
- Bring as few objects, valuables, and cash as possible.
The clinic management only guarantees items stored in the Center's safe. The institution assumes no liability for items entrusted to staff members without the knowledge of the Center.
- In the case of the use of uncovered medical practitioners and aids or practitioners authorized to charge fees higher than the officially approved rates, patients or their families will be notified prior to admission that they may be subject to additional fees, in addition to possible copayments. Through this process, the Center can maintain consistency with the health insurance provider with regard to fees.
Patients Subject to a Copayments:
Other than the additional charges described above, patients are subject to:
A ) If the patient does not have supplementary insurance
The copayment for hospitalization and fees for the first 30 days. If the medical supervisors of the patient's health insurance provider decide to grant full coverage, the patient can have the copayment reimbursed by the provider based on the officially approved rates.
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B) If the patient has supplementary insurance
- If the patient's supplementary insurance provider has entered into an agreement with the Center, the amount of the copayment for hospitalization and officially approved fees will be fully covered by the insurance provider (except for supplemental copayments).
- If the patient's supplementary insurance provider does not have an agreement with the Center, the patient must pay the charges, which the provider will later reimburse.
The national health insurance provider (caisse d'assurance maladie) will only reimburse copayments when its medical supervisors grant full coverage (long-term illness, disability, etc.).
Uninsured Patients:
The patient must pay for all the services, supplementary charges, and fees.
Charges Payable on Admission:
For patients with national health care insurance and those with supplementary insurance, payment(s) must be made in the following cases:
- If the patient does not have the annual proof of valid coverage,
or the patient's health insurance card has expired
- If the patient does not have full coverage; in this case, the requested payment will not exceed the legal copayment for the length of hospitalization, and for no more than one month of hospitalization.
For patients insured outside the Center's département (French administrative area) and affiliated with health insurance plans restricting the amount of coverage to that closest to their place of residence (except in emergencies), the difference must be paid by the patient if the covered amount is less than that of the Center.
Patients billable at a flat per diem rate, as stipulated by French legislative Act no. 83.25 of January 19, 1983, will be asked for a payment based on the amount indicated by statutes currently in force and the estimated length of hospitalization.
Completely uninsured patients will be asked to pay the entirety of their estimated hospitalization fees.
For All Patients:
A payment will be requested from patients desiring a private room, telephone, or television. In addition to supplementary charges, all hospitalization fees, as well as doctor fees, must be paid at the time of discharge if the patient has not provided the documentation requested on the day of admission. |
