Several of the new “student” doctors speak a little English and like to question us in English - seems English is fast becoming “the” language in our nearest Teaching Hospital and they are keen to sharpen up their verbal skills as well as their scalpels 
We try to stick to French but do lapse on occasion… generally ends up with everyone having a good laugh, in whatever language.
The SS reimbursement based on a set amount. So you will get 17,50€ for a MT appointment whether you pay 25 or 35€ . And the base de remboursement for specialists are between 46 and 76 euros…so you’ll get x percentage of that.
It had crossed my mind to wonder if the English Patient choosing an English-Specialist MT might just have to pay for the whole thing… rather like paying the full price if refusing a generic medication… but it was only a vague, mischievous thought 
All I’ll say is that this MT drives a new Jaguar.