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

Contact details :

127 route du Bois de Nèfles 97490 Sainte-Clotilde

Les Orchidées Clinic located in the town of Le Port which concentrates the activities of gynecology-obstetrics, neonatology, but also fertility-fertility with the Center for Medical Assistance to Procreation of the Port.

Contact details :

Les Orchidées Clinic
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.

Medical prescription

Your doctor will draw up the medical prescription. He will prescribe the mode of transport best suited to your state of health and level of autonomy, and if he considers that your situation justifies it.  Except in emergencies, the document must be issued before the transport is undertaken.

What mode of transport can you use ?

We cover :

  • individual means of transport (private vehicle or that of a relative) ;
  • public transport (bus, metro, train, etc.);
  • professional seated transport (licensed taxi and light medical vehicle);
  • ambulance
  • air travel ;
  • boat (scheduled services).

In all cases, it is the doctor who determines the mode of transport best suited to your state of health and your level of independence. However, if you use transport that is less expensive than that prescribed, you may also qualify for reimbursement.

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