The cost of some common medical procedures varies from one institution to another. In addition to the basic Social Security reimbursement rate, there are excess fees that can quickly increase the hospital bill. Clarification with SMS.
To regain comfortable vision, some people must undergo eye surgery. This can be performed in the hospital, in a contracted or non-contracted clinic.
When performed by a surgeon in sector 1 (conventional fees), the cataract operation is 100% reimbursed by Social Security. In the case of a sector 2 contracted surgeon (at free fees), any excess fees may be reimbursed by the complementary health mutual if the cover is taken out so provides.
The intervention generally takes place on an outpatient basis. The patient returns home during the day. However, if the surgeon decides, he can stay overnight under observation. In this case, hospitalization costs are added to the cost of the operation.
Social Security funds the cataract operation up to €272. The anesthesia costs amount to approximately 125 €. The basic cost of such an operation is therefore estimated at €397, excluding excess fees. The latter can increase the price of the intervention to reach a budget of up to €2,000.
This operation aims to restore the anterior cruciate ligament, which provides stability to the knee. During sudden movements, the knee ligament can tear. It is an injury that unfortunately many sportsmen, and in particular footballers, experience. For the latter, the operation is almost essential. For a person who is content to walk or jog on Sundays, it is not obligatory, it all depends on the discomfort felt.
The surgery is generally done under arthroscopy (visual exploration of the interior), without it being necessary to open the joint to be treated. It is often performed under loco-regional anesthesia (anesthesia of the operated leg). The operation of the anterior cruciate ligament of the knee requires a short hospital stay of three days if no complications arise.
The rates charged for this operation include the costs of surgery, anesthesia, pain management, laboratory analyzes, and clinical examinations.
The operation is financed up to €395 by Social Security. Fee overruns are on average 126%, or €498, but they can go up to 304%, or €1,200. It should be noted that without an operation, an athlete will have difficulty getting back to the sport.
Whether in the hospital or a contracted clinic, the costs related to labor (gynecologist's fees, anesthetist, epidural, delivery room, etc.), as well as the related accommodation costs, are covered 100% by the compulsory scheme, within the limit of 12 days after the birth of the baby, and based on the Health Insurance rates. Only the costs for personal comfort (private room, television, accompanying bed, telephone, wifi, etc.) are not reimbursed and remain the responsibility of the patient. In non-contracted clinics, the principle is the same, except that the rates charged are much higher and that excess fees are generally the responsibility of the patient (in addition to the costs for personal comfort). He will therefore have to pay them in advance.
On average, Social Security funds labor costs up to €314. Fee overruns range from €345 to €1,200.
The carpal tunnel wraps around the median nerve and the tendons of the wrist. Compressed by the swelling of the surrounding tissues, tingling, numbness, or even pain in the first three fingers (thumb, index, middle finger), or even the hand and wrist, are often the symptoms of the condition, felt in the middle or late night. The operation is not mandatory because taking painkillers and local injections of corticosteroids can be effective. However, if after a year, the pain is still present, it is best to consider having surgery. Waiting runs the risk of having a permanently damaged nerve and irreversible sequelae in the fingers, and in particular the thumb.
The operation involves cutting the ligament covering the tendon, to release the median nerve. It is generally performed under local anesthesia of the arm, on an outpatient basis. Social Security reimburses carpal tunnel surgery up to €105. On average, the excess fees are 133%, or €139, but they can go up to 239%, or €251.
Good to know: The amounts of excess fees can vary considerably from one department to another. To avoid any misunderstandings or unpleasant surprises, it is best to ask for an estimate before scheduling the operation and then make a request for coverage from your health insurance fund.
