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?
Daily rate
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.
Transitional insured participation
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.
Additional fees
Hotel supplements
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Private room SURGERY / MEDICINE
90 € / DAY -
26 m² CONFORT PLUS private room
130 € / DAY(Desk, fridge)
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PREMIUM private room 31 m²
160 € / DAY(Private lounge, sofa, desk, fridge, with Nustrale breakfast included)
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Private room AMBULATORY
50 € / DAY -
TV/wifi/phone pack
12 € / DAY -
If the TV remote control is not returned to reception when you are discharged
10 €Even if you don't want the TV channels, we'll give you the remote control so you can access all the useful information (the weekly menu, the satisfaction QR code, a presentation of the establishment, health advice, the children's file, etc.).
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Nustrale breakfast
7 €(3 mini-viennoiseries, bread, hot drink, fruit juice, dairy product, jam or nutella or honey, butter)
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Gourmet menu
20 €(card available from staff)
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Companion bed
50 € / DAY -
Accompanying meal
14 € -
Accompanying breakfast
5 €