BobDee Posted July 28, 2009 Share Posted July 28, 2009 I thought I had read somewhere that heart and cancer conditions allowed a 100% reimbursement of hospital and treatment costs. Did I dream this or is it so? My wife has a mutuelle but I have always assumed that the 1000€ I save every year by not having one, would go a fair way to meeting the 30% shortfall in CPAM payments. We are both over 65 and have been living in France for 2.5 years now. Link to comment Share on other sites More sharing options...
NormanH Posted July 28, 2009 Share Posted July 28, 2009 There is a list of the conditions elsewhere on the Forum.Your French GP has to support an application to the CPAM for 100% cover, and they will send an attestation saying which ones they have accepted.It isn't just automatic. Link to comment Share on other sites More sharing options...
Benjamin Posted July 28, 2009 Share Posted July 28, 2009 Like NormanH says some kind poster performed a labour of love and translated the 30 or so conditions which constitute an ALD. I always imagined it to be a sticky at the beging of this section or the Disability section but it's not there. Cat? Clair? pretty please. [:D]Your starting point is your French doctor. Without his support you'll have an uphill struggle. If they are in agreement that you have a qualifying condition, they will complete a protocole de soins which is submitted to a special department within CPAM. You may be asked to attend a medical/physical examination or you may not. The decision will be made fairly rapidly in either case.As far as not having a mutuelle for conditions not covered by the ALD then that is your personal choice.Best of luck. Link to comment Share on other sites More sharing options...
Clair Posted July 28, 2009 Share Posted July 28, 2009 [quote user="Benjamin"]some kind poster performed a labour of love and translated the 30 or so conditions which constitute an ALD. [/quote]Here: http://www.frenchhealthissues.eu/reference/list_of_alds.htm Link to comment Share on other sites More sharing options...
BobDee Posted July 28, 2009 Author Share Posted July 28, 2009 Thank you all for your responses. Touch wood, I think I am OK at present, but who really knows? An apparently healthy friend was recently admitted to the local hospital with severe chest pains and is now in intensive care awaiting a double bypass operation. It just makes one think about things that are normally pushed into a quite corner of one's brain, best left undisturbed. Mortality is a fleeting thing and steps need to be taken from time to time to at least avoid the disturbance to those left behind, by an untimely departure. On a happier note, its gonna be really warm tomorrow! Link to comment Share on other sites More sharing options...
NormanH Posted July 28, 2009 Share Posted July 28, 2009 If it is really warm think about drinking at least 3 litres of water.. Link to comment Share on other sites More sharing options...
Benjamin Posted July 29, 2009 Share Posted July 29, 2009 [quote user="Clair"][quote user="Benjamin"]some kind poster performed a labour of love and translated the 30 or so conditions which constitute an ALD. [/quote]Here: http://www.frenchhealthissues.eu/reference/list_of_alds.htm[/quote]Beatification and eventual Sainthood will follow but until then ask Mr Clair if he'll buy you a double 99 with caramel sauce next time you're out. [:D] Link to comment Share on other sites More sharing options...
Limousin_girl Posted August 20, 2009 Share Posted August 20, 2009 What does it mean by Severe epilepsy? I have mild epilepsy and have the occasional nocturnal seizure and am on new and expensive drugs to keep my seizures under control. Does this mean I am not covered under the 100% covered by CPAM unlike the UK where all my medications are 100% free?Before I left the UK I asked my consultant if I could try being off medication and he implied this is not a good move as my epilepsy would be more severe and that I would possibly be on medication for life as my epilepsy is not easily treatable by current drugs. Link to comment Share on other sites More sharing options...
britgirl Posted August 20, 2009 Share Posted August 20, 2009 As far as I am aware the ALD will only cover you for the specific problem for which it was issued. i.e if the ALD is for diabetes, and you break a leg it may not be covered 100% for the fracture, because they may not be directly linked. You may need a top-up insurance to cover this.I hope that some-one will correct me on this.Clair where are you?? Who ever said that life was simple.Edit: Sincere apologies to Nickel who did a fantastic job Link to comment Share on other sites More sharing options...
NormanH Posted August 20, 2009 Share Posted August 20, 2009 You are only covered at 100% if your French GP has written to the CPAM to request this, and they have replied with an 'attestation ' which covers that specific illness.This is easily done, but it isn't automatic; you have to go through the procedure. Link to comment Share on other sites More sharing options...
AnOther Posted August 20, 2009 Share Posted August 20, 2009 I wonder what happened to Nickel after her herculean effort, don't recall seeing her much afterwards ?http://www.completefrance.com/cs/forums/6/1143864/ShowPost.aspx#1143864 Link to comment Share on other sites More sharing options...
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