What happens when....

[splishsplash]

If someone is taken ill & is then transported to hospital, can they choose where to go. For instance, if the Mutuelle cover only reimburses up to 100% for certain procedures, are the surgeons, consultants etc at the main hospitals normally tdc?

Also, if you are taken by ambulance, would they normally take you to a private clinic or the nearest General Hospital?

Our Mutuelle covers up to 200% for hospitalisation but there are others I know who only have up to 100%.

[Clair]

The only time I was taken to hospital was after a car accident in 2004  and I was asked by the pompiers which of two hospitals I wanted to go to.

I can't say if this is the norm...

[Maricopa]

As far as emergencies are concerned, you may be asked where you want to go, but it does depend on:

a) what your injuries are: and

b) what beds are available.

In the end, you may or may not have your wish granted.

As for elective procedures, I have no idea.

[Gardian]

This is an excellent question, to which I certainly don't know the answer. 

I suppose that you can opt for wherever you choose, according to the level of your mutuelle, but in an emergency??? ................ I guess that you end up where you end up, and you or yours sort out any enhanced treatment if and when it's needed. 

A salutory lesson, happily learnt in the virtual world of a Forum. Many of us, I suspect, are paying €100+ / mth for our Mutuelle and don't really know exactly what our entitlement is.  (Not btw a dig at the OP, to whom I'm grateful for the nudge).   

[cooperlola]

Nobody asked me where I wanted to go because I was unconscious at the time.  However, I was helicoptered to the nearest large hospital - no question of a private clinic, but I think that would be unlikely anyway.  I can't imagine that if it's a case of life saving treatment (as in my case) that anybody seriously worries about one's ability to pay.  However, it does underline for you when it happens, the importance of having a good company behind you.  Eventually the insurance company of the person whose fault the accident was will pay for all my treatment, but in the meantime, I have not parted with a penny and have had all the treatment I've needed. 

One may be covered 100% for hospital charges, but it's certainly worth one's while to check if you meals are covered.  Mine cost a total of 15€ a day.  After 5 months, and more to come, that alone adds up to quite a sum!

[parsnips]

Hi,

   This week I phoned the SAMU for an english neighbour who had had what appeared to be a stroke (happily it wasn't), and they asked her to which hospital she wanted to go-even hinting which was the best(and that wasn't just for their convenience,because I had already heard good reports of their suggested destination).

[NormanH]

I believe that any emergency treatment is automatically covered at 100%, so the immediate question doesn't arise.

I think that also covers the cost of a taxi-ambulance home after.

Of course further follow-up visits could be different, and the, you can choose your Doctor, so cut your coat as you wish.

This was the case for me in 5 different emergency situations.

On one occasion I had two sets of Pompiers arrive, one lot from Millau in the Aveyron, and the others from Mende in the Lozère.

After some discussion I went to Millau because the road was faster.

After 2weeks in Hospital I was entitled to the ambulance home.

.

[Sunday Driver]

In an emergency situation, surely it's the nearest hospital until your condition can be stabilised and your treatment assessed. 

A few years ago, I had a slight chest pain (I have a stent) so as a precaution, I popped into our local hospital.  They put the wires on and detected a slight drop in heartbeat, so they bundled me into an ambulance and moved me down the the main cardiac centre at Niort hospital for three days observation.

I'd hate to have died arguing the toss over where I should be taken.....[;-)]

 

 

 

 

[splishsplash]

Sorry to be late with my thanks, but I am grateful to all of you who replied to this question.

We have changed our Mutuelle this year & now have up to 200% cover for all hospitalisation & up to 70 euros a day for a private room.

The main reason for my question was prompted by something that happened to my mother.

She fractured her spine & because her Doctor sent her as an emergency, she attended a private clinic rather than the main hospital. Not her decision I hasten to add, she wouldn't have cared one way or another as she was in so much pain. The Doctor however said that as an emergency, she would be fully re-imbursed.

She was sent home to stay in bed for 6 weeks, but I wondered what would have happened if they had admitted her & the specialist treatment was carried out by a Consultant who charged more than the Tariff de Convention?  If she was only covered up to 100% of the tariff, I assume she would have had to make up the difference, or as she was admitted as an emergency, would all of the follow up treatment have been fully re-imbursed regardless of the Consultant's charge rate?

I'm still not sure!