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   10/05/2008, 16:31
Jay is not online. Last active: 18/05/2008 07:16:08 Jay

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Re: Is top-up health insurance really necessary?
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 Blossom wrote:
T......... no one gave any real figures on how much any particular hospital operation cost


We have had the basic rate top up from Gan since we arrived here 5+ years ago. Shortly after signing up for the top up (couple of weeks) my wife had an investigation into arthritis in he shoulder which was diagnosed by a specialist in the UK, the GP here having refused to give her the morphine based painkillers she had been on for 3 years in the UK, without a full medical investigation. After a succession of blood tests, a full upper body scan, dye injections and x-rays it was discovered she had a broken tendon in her shoulder and no sign whatsoever of arthritis. Total cost to us so far - nothing. Top up paid approximately 200€. Three weeks later she was in a private clinic having an operation to fix the tendon, total cost to us - 7.30€ for telephone calls, this time top up paid in excess1500€. Following hospitalisation there was 3 months physio, 3 visits a week for 3 weeks by a nurse plus a lot of medication, bandages, sling etc., multiple visits to the GP and specialist follow ups. We didn't keep detailed records of the cost but our top-up must have paid in excess of 400€. This was all for a relatively simple operation. I can't imagine the cost of something more complex!

Having said all that I went into the same clinic the following year for a double hernia operation and they didn't even ask for my top-up insurance and I didn't have a cent to pay. There was, of course, all the medication afterwards plus visits from the nurse and doctor.

I have always thought that you could wait until you are diagnosed with something nasty and hope it was nothing urgent that required immediate hospitalisation, then invest in top-up as there are no special conditions to obtaining it (i.e. not like PHI), but do you really want to take the chance? I can recommend obtaining decent top-up insurance and wouldn't be without it.



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   10/05/2008, 19:47
Logan is not online. Last active: 14/06/2008 08:54:54 Logan



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Re: Is top-up health insurance really necessary?
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I hestiate to spoil the party but Mutuelles actually pay out very little in comparison to the amount they receive in premiums. I believe if you can afford to pay a full 300% tarif cover Mutuelle then you can afford to take the risk yourself. They may be called Mutuelles but profit is their motive otherwise they would fold.

The current government are currently pushing more and more of medicare cost on individuals. In addition they are ring fencing Mutuelles from excessive costs. I believe this is to try and reduce the French dependence on the medical service. French hypocondria is legendary and costing the country a fortune.

The fear factor is really the motivation for any assurance. The dark threat of the unknown. Assurance companies play on our human insecurities and sell us this odd modern concept named by the advertisers as 'peace of mind'. It's as if they offer you some fluffy place where you can inhabit, worry free from the woes of being alive. 

Personally I prefer a large dose of common sense and control my own affairs. If I shell out 1500 -2000 Euros per annum to a Mutuelle company I want to see large slice of that cost returned in reimbursements. The truth is you will not. Yes, you may be unlucky and have a string of problems where the Mutuelle occasionally takes a hit. That is rare. Normally they pay out relatively small amounts of 20% to 30% for medication, visits to the Doc, lab tests etc. Small beer in the actuality.

If you are hospitalised for a condition which is not life threatening you will have a cost bill of 30%. Ask yourself how often that's likely? This year it will be expensive, maybe next but you might well find for the following 5 years you are home free. Mutuelles premiums saved and in your bank account not theirs.

Courage mon brave!


Dulce et decorum est
Pro patria mori.
(Horace).


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   10/05/2008, 21:03
sweet 17 is not online. Last active: 23/06/2008 09:14:01 sweet 17

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Re: Is top-up health insurance really necessary?
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I don't think you realise that some of us don't "cost" out everything and want our money back just because we have paid.

As with contributions to the NHS, I was happy to pay and not use the service.  Can you not see that, to paraphrase Oscar Wilde, you might know the cost of everything and the value of nothing?

To me, there is an intrinsic value and justice in paying into a pot and then drawing out only the amounts that I need.  I'd rather pay, enjoy good health and let other poor souls benefit from the money that I have paid in and do not want or need. 


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   10/05/2008, 21:56
Jay is not online. Last active: 18/05/2008 07:16:08 Jay

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Re: Is top-up health insurance really necessary?
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 Logan wrote:

Mutuelles actually pay out very little in comparison to the amount they receive in premiums.


We have paid out approx. 4520€ in premiums in the last 5 years and had about half that back so I can see your point. I have also paid house insurance for the last 40 years and never had a penny of that back but would hate to be without it if our house burnt down. Insurance is a risk business, if you have the money put aside to take that risk then fair enough.

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   11/05/2008, 6:25
LyndaandRichard is not online. Last active: 20/06/2008 22:32:04 LyndaandRichard



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Re: Is top-up health insurance really necessary?
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With the extremely high social charge rates and other taxes in France, it amazes me that you still have to look at paying high top up charges. Where does the money go?

Your Property in France
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   11/05/2008, 8:29
Blossom is not online. Last active: 17/06/2008 05:08:22 Blossom

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Re: Is top-up health insurance really necessary?
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 Jay wrote:
I have also paid house insurance for the last 40 years and never had a penny of that back but would hate to be without it if our house burnt down. Insurance is a risk business...


I do not think that it helps to conflate all insurance cover when considering risk.

For example, at today’s rates, 40 years of ‘buildings’ insurance cover on a house worth £250,000 would be, say, £8000.  This, I would argue, represents good value for money should your house burn down. Whereas 40 years of top-up health insurance could be anywhere between £30,000 - £100,000! I therefore find it hard to disagree with Logan. 


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   11/05/2008, 8:39
Patf is not online. Last active: 05/07/2008 22:02:36 Patf

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Re: Is top-up health insurance really necessary?
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 Blossom - you asked for estimated costs of operations. Here are a few (from 2-3 years ago.)

Operation on broken leg   800€

Hip replacement   6000€   

Treatment in intensive care for heart attack plus stent placement 9000€

All estimates, without cost of "B andB".


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   11/05/2008, 8:55
Jay is not online. Last active: 18/05/2008 07:16:08 Jay

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Re: Is top-up health insurance really necessary?
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 Blossom wrote:

I therefore find it hard to disagree with Logan. 


Conflate - that's a good word! If you agree with Logan then perhaps you have, at last, made your decision and top-up is not for you.


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   11/05/2008, 9:08
Logan is not online. Last active: 14/06/2008 08:54:54 Logan



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Re: Is top-up health insurance really necessary?
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 sweet 17 wrote:

I don't think you realise that some of us don't "cost" out everything and want our money back just because we have paid.

As with contributions to the NHS, I was happy to pay and not use the service.  Can you not see that, to paraphrase Oscar Wilde, you might know the cost of everything and the value of nothing?

To me, there is an intrinsic value and justice in paying into a pot and then drawing out only the amounts that I need.  I'd rather pay, enjoy good health and let other poor souls benefit from the money that I have paid in and do not want or need. 

Well sweet 17 you are entitled to be generous to others with your resources if you wish. I support personal choice in all things. I also like the principal that France allows us to choose if we have a mutuelle or not. The country is a very high tax society and seeking value for the disposable part of our income is for me a priority. Contributing to the profits of assurance companies is not.

The 'value of anything' is very much a subjective principle. I value self help and incentive and taking responsibility for our own lives. The government is responsible for the health of the nation through the large slice of taxation we already pay. A mutuelle is just in reality more taxation which you don't really need to pay. It is not the same as house insurance or any other risk cover.


Dulce et decorum est
Pro patria mori.
(Horace).


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   11/05/2008, 10:17
Keith CHANNING is not online. Last active: 10/06/2008 20:32:20 Keith CHANNING



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Re: Is top-up health insurance really necessary?
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 Logan wrote:

It is not the same as house insurance or any other risk cover.



Which is, of course, fine if you know you will always have a few thousand Euros available for your portion of the expensive treatment - usually at the most inconvenient possible time. For the rest of us it is, like most non-mandated insurance, trading a known, regular outgoing for an unknown (in time and amount) occasional outgoing that could be difficult or impossible to meet.

For some the former makes sense, for others the latter.

Idea <i>If you want to make an apple pie from scratch, you must first create the universe. - Carl Sagan
http://www.beaugut.com
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