Hello,i have booked an appointment with a dermatologist in 4 weeks time for my husband. We have a carte vitale and mutuelle insurance. If he goes without a doctor "ordanonce" does it cost more? Thank you Deirdre
I was guessing and don't do numbers very well anyway. ;-)
Thank you every one and especially Tracy....this makes it simple.
My husband has a mark on his back that looks like an old bruise and it has been itchy for some time. A dermatologist friend in Scotland said it should be looked at (she hasn't seen it). He has been to our doctor here who has given him cortisone for exema..... though the skin is not broken. He has to go back in 4 weeks. Meanwhile i have booked a dermatologist for 6 weeks time and wondered if it was financially benefical to return to the doctor for an ordanance. The answer seems yes.
Simple answer - it costs the same but you wont be re-imbursed as much as if you had seen your doctor first.
Via the doctor it is 70% re-imbursement, without the doctor it is about 30% re-imbursement, so as Brian says worth a trip to your medicine traitant to get the referral - assuming you have a medicine traitant (GP)
Deirdre, the general rule is that under the "parcours coordonné" system you have to see your own doctor (médecin traitant) first and get him/her to refer you to the specialist if you want to get the normal 70 percent reimbursement.
The exceptions are: gynaecology, ophthalmology, stomatology (except for major operations) and psychiatry or neuropsychiatry (but only if you are between 16 and 25 years old).
Stomatology basically means you can go and see the dentist without getting your doctor's permission!
Once you have had an appointment with a specialist you can make another appointment with him/her without seeing your doctor first.
This is taken from the ameli.fr site:
"Les consultations en accès direct spécifique
Dans le cadre du parcours de soins coordonnés, vous pouvez consulter directement, sans être orienté au préalable par votre médecin traitant, les médecins spécialistes suivants :
un gynécologue, pour les examens cliniques gynécologiques périodiques, y compris les actes de dépistage, la prescription et le suivi d'une contraception, le suivi d'une grossesse, l'IVG médicamenteuse ; un ophtalmologue, pour la prescription et le renouvellement de lunettes, les actes de dépistage et de suivi du glaucome ; un psychiatre ou un neuropsychiatre, si vous avez entre 16 et 25 ans ; un stomatologue, sauf pour des actes chirurgicaux lourds.
Dans ces situations, vous bénéficiez d'un taux de remboursement de 70 % du tarif conventionnel. Selon le cas (par exemple : si vous êtes en affection de longue durée, ou si vous êtes enceinte de plus de six mois, ou si vous bénéficiez de la CMU complémentaire), vos consultations peuvent être prises en charge à 100 %.
En dehors de ces situations, c'est votre médecin traitant qui doit vous orienter au préalable vers le médecin spécialiste."
I have 100% and get everything back now, but yes you get around €20 back of the €23 to the doc.
It depends, but to be safe go to your doctor and get the prescription. Remember the €23 is repaid anyway, so it costs only time. I have had lots of consultations with specialists over the last two years and seem to remember that if it is a 'new' one you have contacted yourself that you pay, most of it is reimbursed and that happens each visit. If you go prescribed then you will pay whatever a basic consultation charge is each visit, usually €20 something which is reimbursed.