PLANS GATEWAY, a good basic policy in the period when applying for Carte sejour and membership of The Frensh Healthcaresystem CPAM.

 

TDC is “Tarif de Convention”, the official price list set up by the French National Healthcare System.

Benefits Schedule

Sum Insured €80.000 per year per insured person

 

Hospital Benefits

Gateway

1 Hospital Charges including:

 

i) Medical Practitioner or Specialist fees as an In-Patient or Day Patient

 

ii) Diagnostic and surgical procedures as an In-Patient or Day Patient including scans, pathology, X rays, oncology.

 

iii) Surgeons and Anaesthetist fees

 

 

iv) Theatre fees and nursing by a Qualified Nurse

 

v) Daily food charge and bottled water

 

vi) Prescribed Drugs and Dressings

 

vii) Standard Private Room

 

viii) Physiotherapy where referred by a Specialist (maximum 30

days per Medical Condition)

 

Up to 300% of TDC

 

 

Full Refund

 

 

Up to 300% of TDC

 

 

Full refund

 

 

Full refund

 

Full refund

 

Up to €50 per day

 

Full refund

 

2. Parent Accomodation

Standard private Hospital accomodation in respect of a parent or legal guardian staying with an Insured Person who is under 12 years of age and is admitted as an In-Patient in a Hospital

Full Refund

 

3. Transportation

The cost of emergency transport necessarily incurred to and from Hospitals for Medical Conditions covered by this Policy

Full Refund

 

4. Home Nursing

Nursing care given outside a Hospital which is immediately received subsequent to Treatment as an In-Patient or Day Patient on the referral of a Specialist. This must be provided by a Qualified Nurse and be approved by us

Full Refund up to

30 days per

Medical Condition

and maximum

€120 per day

 

5. Reconstructive Surgery

Reconstructive surgery following an Accident or following surgery for an event covered by this Policy

Full refund

OUTPATIENT BENEFITS

GATEWAY

6. Out-Patient charges including: -

i) Medical Practitioner or Specialist fees as an Out-Patient including home visits

 

ii) Diagnostic and surgical procedures as an Out-Patient including scans, pathology, X rays, oncology.

 

Prior to

admission to

hospital and for

maximum 90 days

after discharge up

to €1,600

 

 

7. Accidental Damage to Teeth

Treatment received in an Emergency room in a Hospital within 7 days of incurring Accidental damage caused to sound, natural teeth when given by a Medical or Dental Practitioner

Full Refund

 

9. Cash Benefit

Where Hospital accomodation and all Treatment costs are provided in a State or charitable institution and no claim is submitted under this Policy, We will pay reimbursement of €120

per each full 24 hours for the first 3 complete days followed by €80 per day for the next 28 complete days providing that the condition suffered would be eligible for Benefit

Full refund 

 

NOTE: This plan is only available for clients who will be registering with the French Healthcare System and cover can extend for a maximum of one year (unless at the Underwriters´discetion).

 

 

TDC is “Tarif de Convention”, the official price list set up by the French National Healthcare System

 

JF-ASSURANCES

 Villa Quinsay, Chemin de St. Antoine, 83600 Bagnols en Forêt, France.     

Telphone +33 (0)4 9440 6094                        Telefax +33 (0)4 9440 6087 

E-mail jf@jf-assurances.com                         www.jf-assurances.com