Doctors / Clinics

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Frequently asked questions

4. Which establishments of the CLINIFUTUR health group are concerned by the Maternity care offer?

The Clinique Sainte-Clotilde located in the town of Saint-Denis with its Mother-Child Center (gynecology-obstetrics and neonatology activity)

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Contact details :

127 route du Bois de Nèfles 97490 Sainte-Clotilde

The Clinique Les Orchidées in Le Port, with its Pôle Femme Famille Fécondité unit which concentrates gynaecology-obstetrics and neonatology activities, as well as fertility activities with the Centre d'Aide Médicale à la Procréation in Le Port.

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Contact details :

30 avenue Lénine – 97420 Le Port

5. What are sectors 1, 2, 3?

In France, a medical convention links social security and doctors.

The objectives of this agreement:

  • Setting the prices for medical services
  • Define reimbursement level

The sector 1 approved doctor is a healthcare professional who has chosen to apply the rates set by the medical agreement. Indeed, the sector agreement 1 requires that fees not be exceeded.

The approved sector 2 doctor is not obliged to set his rates according to the basis for reimbursement by Social Security. We then speak of free fees. It will apply a rate that may be covered by your complementary health insurance, in whole or in part, if you have taken out mutual health insurance reimbursing excess fees.

Among the sector 2 doctors, some are OPTAM members, i.e. members of the controlled tariff practice option. In other words, if you consult a sector 2 approved doctor who is an OPTAM member, the latter undertakes to practice moderate overruns, and the basis for reimbursement by Social Security is therefore higher.

The sector 3 doctor is a non-contracted doctor. They practice totally free rates, with excess fees. Social Security reimbursement for their consultations is minimal.

6. What is the sophia service for people with diabetes?

7. Can health insurance cover transport costs ?

In certain situations, you may need to be transported for treatment, examinations or to return home after hospitalisation. The Assurance Maladie may cover your transport costs, if your state of health justifies it and subject to certain conditions.

Your transport, instructions for use

Your doctor has given you a medical prescription for transport because your state of health requires it.

  1. The medical prescription for transport issued by your doctor specifies the mode of transport you can use and any special conditions.  For example, you may need to be accompanied by a relative.
  2. You must comply with the mode of transport prescribed by your doctor unless you use a less expensive mode of transport.  For example, if your doctor has prescribed professional seated transport, but you are accompanied by a relative in a private vehicle.
  3. You take the necessary steps to be reimbursed.

For more information, visit ameli.fr

Individual transport

Are you independent and able to travel on your own or accompanied by a relative?

Your doctor has prescribed individual transport for you, which means that you can use your own vehicle, that of a relative or public transport. With individual transport, you retain your independence and freedom of movement.

What are the conditions for individual transport? 

Your state of health allows you to travel independently.

Request your reimbursement from your ameli account. 

How do I get reimbursed?

  1. Keep your proof of payment (toll, parking, petrol or public transport bills).
  2. Send your medical prescription for transport and your invoices from your ameli account, under the heading "mes démarches" ("my procedures").

Professional seated transport

Do you need technical assistance and have to travel seated? 

Your doctor has prescribed professional seated transport, which means that you can travel either in a light medical vehicle or in an approved taxi. 

What are the conditions for professional seated transport? 

Your state of health requires you to travel seated because : 

  • you are at risk of side effects during transport
  • and/or your condition requires strict compliance with hygiene rules. 

Alone or shared? 

Unless medically contraindicated, transport will be shared with another patient. In this way, we preserve our healthcare system and reduce our carbon footprint.

Find your professional seated transport on the ameli.fr health directory

Ambulance transport 

Does your state of health require you to travel lying down and/or under supervision? 

Your doctor has prescribed an ambulance because your state of health requires it.

What are the conditions for ambulance transport? 

Your state of health requires one or more of the following conditions:

  • transport in a supine or semi-seated position ;
  • Monitoring;
  • You must be on oxygen;
  • being stretchered or carried;
  • strict compliance with hygiene rules.

Find your approved ambulance on the ameli.fr health directory

How do I get reimbursed?

If you pay for your transport, send the medical prescription for transport and the invoice issued by the transporter to your health insurance fund. If you are entitled to a waiver of advance payment and/or third-party payment, the transport will be paid for by the Assurance Maladie. You must sign a certificate of service issued by your carrier to certify that the transport has been carried out.

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