What happens if I go to the hospital without insurance?

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The patient has the free choice of the structure where he will receive care, subject to the existing local offer and the opinion of his attending physician. The latter has his network of surgeons whom he trusts. Word of mouth or hospital ranking publications can also guide the patient in his choice.

It is also possible to consult the once the patient has chosen the establishment where he will be operated on, the appointments are linked.

Several preoperative consultations

The operation is most often preceded by several preoperative consultations with the surgeon and the anesthesiologist. The latter will choose the type of sleep (general, locoregional, epidural). This is an opportunity to ask questions.

On the very morning of the operation, the pre-anesthetic visit makes it possible to check that the patient is fasting and that no obstacle interferes with the operation (fever, infection). The patient discovers the on-call anesthesiologist, who is not necessarily the one he met previously.

The hospital admissions office: a must

Before a hospitalization, the patient must go to the admissions office with a certain number of supporting documents, in order to benefit from coverage by Medicare, then by complementary health insurance.

The patient must report to the admissions office with the following documents:

  • the Vitale card (remember to update it) and the social security paper certificate or the CMU certificate or the AME certificate (state medical aid); if you do not have a Vitale card, you will have to provide your last payslip if you are an employee, your Pôle Emploi certificate if you are a job seeker, your pension certificate if you are retired, etc.
  • an identity document or residence permit;
  • a recent proof of address;
  • the complementary health card or certificate;
  • the introductory letter from the referring doctor who validates the course of care;
  • possibly the work accident sheet.

Then, the admissions department gives him:

  • a report of situation or hospitalization, serving as a work stoppage, which must be sent within 48 hours to the employer or to and to the primary fund which pays the daily sickness benefits;
  • a designation form indicating the person of trust who will accompany him and, if necessary, take decisions in his place;
  • a welcome booklet.

Patients without social security must ask for support from the social worker at the admissions office. It will help them obtain an emergency admission certificate for basic universal health coverage or state medical aid (for undocumented migrants).

Patients with insufficient resources must request additional CMU or reimbursement under the health and social action of their primary fund. Once the formalities have been completed, the patient is given various papers, including the welcome booklet

Do not forget to bring useful medical information, even old ones: test results, prescriptions, x-rays, blood group cards, etc.

The hospital welcome booklet: a mine of information

Concerned about his state of health, the patient does not always see the usefulness of the welcome booklet. Yet this is where the care unit is presented. The rules of community life are recalled: visits, noise, personal hygiene, etc.

It also contains the main points of the Hospitalized Person’s Charter, which lists the rights of patients: the right to access and quality of care, the right to be informed and to participate in medical decisions, access to medical records. , medical secrecy, protection of the privacy and integrity of the person, right of expression and appeal, right to leave the establishment after signing a discharge.

The booklet also contains the contact details of the users’ office (mailbox, e-mail, permanence), whose representatives ensure that patient’s rights are respected and that they are informed about hospital practices.

Emergencies: a special case

The intervention can also be decided after a visit to the emergency room. Accompanied by the firefighters, the Samu, or the entourage, the patient is quickly seen by a reception and orientation nurse.

He then waits in a cubicle for a clinical examination by a doctor, then, if necessary, for additional examinations to be carried out. His file once re-examined can lead him to an intervention. Four or five hours then passed, if not more.

Election campaign promise, is accessible in 30 minutes to specialized emergency care throughout the territory feasible? At present, only calling 15, the emergency number, offers better delays, thanks to the orientation of the Samu regulating doctor to this or that available service. Multidisciplinary health centers could in the future allow emergency congestion to be relieved in local care.

Good to know: the health bill that will be discussed in Parliament in the first half of 2015 provides for a certain number of measures in the interest of patients. Among them, a territorial health service should be set up; “territorial hospital groups” (including public and private establishments) would thus be made compulsory in order to better pool resources and develop a common medical project.

Another measure provided for in the bill: on leaving the hospital, each patient will be given a “liaison letter” with the city practitioners, and the chronically ill should receive, from their attending physician, ” a personalized treatment program.

By Master James

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