The simplest medical facilities are available in our village; general practitioner, dentist, pharmacy and veterinarian.
General information below
In the large cities it is not customary for the GP to drive visites, as is often the case with the campaign. In the event of sudden illness problems, call the nearest hospital or emergency number 15. It is customary to pay the general practitioner (le médecin généraliste, also called médecin de famille or omnipracticien) after a visit to the consultation hour in cash: € 24 (price level 2017); the insurance or the health insurance fund pays a part back, the remainder comes from the supplementary insurance. The GP costs more if he also takes care of the infant care. The visit to a specialist costs € 27 and € 37 to € 40 to a psychiatrist or neurologist. Home office costs now (consultation à domicile) € 34 excluding travel expenses. The insurance pays back that ten ‘call-out costs’ if the home visit was really necessary. If the patient could move himself and let the doctor come, the extra € 10 must be paid out of his own pocket. A consultation on Saturday afternoon at the doctor of service (médecin de garde) costs € 37.50. There are also specialists who have a plate at their reception desk with: conventionné à honoraires libres. This means that they can count more for a consultation, but in principle the insurance only pays the fixed rate, Tarif de convention. Depending on the type of additional insurance, the difference (ticket moderateur) can be fully or partially reimbursed.
There are many pharmacies in France: the use of medicines is huge, by far the highest in Europe. The use of sedatives and sleeping pills is even the highest in the world. Unlike in the Netherlands, for many minor ailments, the knowledge of the pharmacist and his staff can be used. More than 2.5 billion bottles and boxes of pills go to the French pharmacist every year. And from the swallowing of antibiotics, the French do not get enough: 80 million prescriptions for the control of sore throat, angina and even small flu are written out annually. Some doctors even prescribe antibiotics for combating viral diseases (such as flu, pharyngitis, bronchitis), while the efficacy of the pills only applies to bacterial infections. The resistance to the common pneumococcal pneumococcus (pneumococcal) is due to the abundant penicillin use in France above 50%, against 3% in the Netherlands.
The costs of insurers rising from the pan to cover all these pills, powders and ointments are set to be drastically reduced by the French government. In 2004, the Chirac / Raffarin government introduced drastic measures (premium increases, fewer reimbursements) to reduce the € 11 billion deficit on medical expenses. In an information campaign, the use of cheaper medicines, the so-called generic products (les génériques) that are on average 30% to 40% cheaper than the original medicines (les princeps), are propagated. There is no difference between the operation of a princep and that of a générique. The government continues the action to only compensate some medicines against the price of the generic products. It saves the Sécu hundreds of millions of euros. If you want to use the original medicines, the difference in price will have to come from your own wallet. This scheme started on 1 July 2003. Many hundreds of powders and pills that are not really important will no longer be reimbursed for 65 but for 35%. This also applies to the grief of many French people for the homepathic means. Their use has increased enormously in recent years: one in six French people sometimes resort to these resources. The supplementary insurance policies must therefore compensate a larger part, which has been accompanied by spicy premium increases.
On the boxes of the medicines, the pharmacist sticks a sticker, which shows how much the reimbursement of the Sécu is: white striped sticker (la vignette) for 100%, the plain white for 65%, the blue for 35% and medicines in a box without vignette will not be reimbursed. A pharmacist may deviate from the medicine that the doctor has written on the prescription (l’ordonnance) and sell a generic product instead of the original medicine. Aspirin was until recently only available at pharmacies. After a court decision, the aspirin is now also for sale in the supermarket. From an insurance point of view, the pharmacy also falls under the immense Sécu system. Foreigners who do not yet have a carte vital can also often be reimbursed for the paid pharmacy costs via the system tiers payant without any paperwork, whereby the pharmacy sends the bill directly to the insurer. Just ask for it.
The regular dentist is called a chirurgien-dentiste and works in general as the Dutch dentist. A reliable dentist can be found quickly via recommendations from local residents or other Dutch people in the area. In this area too, the care is well organized in France.
Financially, visits to dentists are comparable to those in the Netherlands. For special procedures, such as applying crowns, bridges, prostheses, etc., numerous types of insurance are possible. The health insurance fund reimburses the ‘normal’ dental costs and uses numerous lists with percentages when calculating these reimbursements for special dental procedures. But the costs of having teeth to be removed and choosing and fitting and placing a denture need not be tested beforehand by the Sécu. That still applies to the reimbursable costs of orthodontics in children. What the Sécu does not reimburse dental expenses can usually be claimed under the supplementary insurance, depending on the policy that has been taken out and whether or not with due observance of some waiting times after registration for special procedures, such as crowns or prostheses. Since the autumn of 2002, the 100% reimbursement by the Sécu of dental control (le bilan bucco-dentaire) in juveniles has been extended with the category 13 and 14 year olds. The group that qualifies for this free form of preventive attention now consists of 13 to 18 year olds.