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My health insurance, My Mutual...?

For me... How much does it cost?

Doctor Elisé is approved
with your social security fund

His fees are 100% reimbursed by your fund

Doctor Elisé is a former Head of Clinic. He works in Sector 2

He practices fee overruns
This excess fee is in accordance with the Ordinal directives "of tact and moderation".

Doctor Elisé is not a member of the OPTAM and OPTAM Co conventions.

Their fees are not subject to the specific conditions of your contract with your mutual insurance company.

Some numbers  /  To understand

 Deed

First Consultation
between 50 and 70 Euros

Follow-up consultation
between 25 and 60 Euros

Major Surgery:
Shoulder Surgery

Minor Surgery:
Carpal tunnel surgery

Refunded
  by your health insurance

 70% 
of  social security rate

 70% 
of  social security rate

 100% 
of  social security rate

 100% 
of  social security rate

Refunded
  by your Mutual

 from 0% to 30%
of  Complement

 from 0% to 30%
of  Complement

 from 0% to 100%
of  Fee overrun

 from 0% to 100%
of  Fee overrun

It costs me
  According to my Mutual coverage

Between  0  and 20  euro

Between  0  and 15  euro

Between  0  and  700*   euro

Between  0  and  180   euro

To reassure you

 

   This Surgeon is contracted in sector 2 not adhering to OPTAM.

​

  • A consultation will never cost you more than 21 Euros

  • Major surgery would cost you  700 Euros if you did not have mutual insurance

  • This fee overrun is in line with the standard pricing in your region

  • He will explain to you if you meet him

  • In the event of scheduled surgery, he will give you an estimate for your health insurance

​

In case of social or financial difficulties, this practitioner has never refused his care

By talking to him... You will find a solution

​

"In our Orthopedic Surgery Center, no one is excluded from care"​

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I don't understand the quote.
My complementary insurance asks me for more information?

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