HPSC is recruiting 1 nurse (M/F) and 1 ophthalmologist. Consult our job offers

Rates and payments

The cost of hospitalisation is reimbursed in full or in part under certain conditions. 

Reimbursement

Hospitalisation is partially covered by the Assurance Maladie (Social Security). However, reimbursement does not cover all costs. Here are the main points to bear in mind:

Partial refund

A large proportion of the costs of medical treatment and procedures are reimbursed, generally up to 80% of the basic rate set by the Assurance Maladie.

The remaining 20%, known as the 'co-payment', as well as certain additional costs such as the fixed hospital charge (currently €20 per day in a hospital or clinic), must be paid by the patient or their supplementary health insurance (mutuelle).

Reimbursement to 100%

In certain situations, full coverage is possible, for example if your stay exceeds 30 days, or in the event of long-term illness (ALD), maternity, disability or an accident at work. In these cases, the co-payment can be waived.

Expenses not reimbursed

Excess fees (if the practitioner is not covered by the basic fee agreement) and certain specific services are not covered by Social Security.

Please note, If you are not covered by social insurance: you are liable for the full cost. An estimate will be drawn up and you will be asked to pay the cost when you are admitted to the establishment.

For more details, please consult the information on the official Service-Public.fr website
or ask your health insurance company.

How are costs divided?

You will have to pay the fixed daily rate, which is a minimum contribution representing the expenses that the patient would normally have incurred whether or not they were hospitalised.

This amount is claimed on behalf of the social security system. Depending on your mutual insurance company, it may be covered as part of your health cover.

The following are exempt: patients whose hospitalisation is attributable to an accident at work or an occupational disease, beneficiaries of maternity insurance, beneficiaries of CMU (Couverture Médicale Universelle), beneficiaries of article 115 of the Code des pensions militaires d'invalidité et des victimes de guerre.

Since 1 September 2006, policyholders have been required to pay a Transitional Patient Contribution (TPC) for surgical and medical procedures with a coefficient equal to or greater than 60 or with a tariff equal to or greater than €120, whether for inpatient or outpatient treatment.

Certain categories of insured persons (patients with long-term conditions, pregnant women, etc.) are exempt. In general, this lump sum is covered by mutual insurance companies.

The practitioners providing your care may have opted for the conventional sector with free fees (sector 2). In this case, the practitioners are authorised to charge higher fees, of which they have informed you in writing beforehand.

Hotel supplements

If you are having difficulty paying, you may be eligible for assistance.