Some of you are sometimes put off by the high premium of top up health insurance. You probably think that because you are in good health, there is no need for it. However, being in good health does not prevent an accident!! The cost of an ambulance is 1 400 euro and you only get 70% of it back (unless it is life threatening in which case it is reimbursed 100%) so, it could be wise to look at a top up. Did you know that Allianz offers a cover that is basically half the price of any normal top up with the hospital only cover?

  • What is the cover: Basically, quite good in regards to hospital as it is 300% cover and also up to 50 euro per day for an individual room. In France, you either share the room with someone else or you can choose to be on your own like an hotel room (with your own bathroom). Note that the cover does not guarantee you will be able to get the room, it simply covers the cost if you can get one. Usually, you can always get one in a private hospital (Clinique).

Hospitalisation:

 

General running costs such as cleaning, electricity, food, etc

Whatever the cost

Excess (participation forfaitaire in French)

Whatever the cost

Surgeon and medical team fees

300%

Hospital daily fees (cost of care and medical equipment, etc)

300%

Individual room (up to 30 days)

Up to 50€/day

Ambulance

300%

Extra bed in the room to stay with patient (Up to 30 days)

25€

  • Surcharge: 100% top up cover is 100% of the price set by the French Health System, but the medical professionals are self-employed and are allowed to apply a surcharge. It is mostly done by consultants, surgeons, private hospitals, dentists, etc. Example: the French Health System set price for a hip replacement is 1000€ (not the actual figure, just an example), then you only get reimbursed 800€ (80%) and because the surgeon likes to go golfing week ends!!(Joke) and 1000 euro is not enough for him, he can charge 3000€ , therefore, you would be 2200€ (instead of just 200 euro) out of pocket!! Therefore, a cover with your top up at 300% would cover that surcharge. The Allianz hospital cover is 400%.
  • How does it work if you are hospitalised: When you are hospitalised, the hospital will contact April, so April set up “une prise en charge” meaning April and CPAM will pay instead of you (just as well as the surgery could cost an arm and a leg!!). The only thing you would have to pay for when you come out is the individual room. Simply pass it on to us for reimbursement or send it directly to April santé (remboursementsante@allianz.fr).
  • What it does not cover: Well, mostly it does not cover things outside hospitalisation such as blood test, X-rays, dentists, opticians, glasses, GPs, consultants, medicines, physios. However, do note that you are covered a certain percentage of the cost by CPAM (French health system) for those. For instance, the GP visit is covered 70% (GP visit cost 25 euro).
  • How much does it cost: It mostly depends on your age. Basically, the younger you are the cheaper!! Here are the premiums below. You need to add a 3 euro per year administration fee.

Ages

21-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

Premium per Month

17.25

18.17

18.75

19.17

19.58

20.25

23.50

25.17

26.08

30.50

35.25

42.42

45.58

51.25

56.42

Premium per year

207

218

225

230

235

243

282

302

313

366

423

509

547

615

677

  • How do I subscribe: I simply need your bank details (RIB) and your attestation de droit ( letter from CPAM showing your social security number).

CONCLUSION: Feel free to contact me if you wish information on any of the above or to get a free quote for top up health insurance. The first 2 Months are free in the first year at the moment.

And remember to check out our web site www.bh-assurances.fr/en for all my previous articles (“practical information”) and register to receive our monthly Newsletter.  You can also follow us on Facebook: “Allianz Jacques Boulesteix et Romain Lesterps”

And don’t hesitate to contact me for any other information or quote on subject such as Funeral cover, inheritance law, investments, car, house, professional and top up health insurance, etc…