Hospital care

Inpatient care

Hospital admissions in Monaco and the Alpes-Maritimes department

Stays in public hospitals in Monaco and the Alpes-Maritimes, and in the Monaco Cardiothoracic Centre (CCT)

This covers the following public hospitals:

  • Monaco Princess Grace Hospital Centre (CHPG)  
  • Hospitals and university hospitals in the Alpes-Maritimes department

 

Stays can be in the public sector or in private practice.

Public basis

If you are admitted to Princess Grace Hospital Centre on a public basis, to a French public hospital or to the Monaco Cardiothoracic Centre, you will not have to pay the full cost of your stay upfront, since you can make use of the "third-party payment system".

You must present to the hospital your registration card or a certificate confirming your entitlement.

The hospital sends a request for payment to the SPME Medical Advisor. Once approved by the Medical Advisor, the SPME will pay its share of the costs directly to the hospital.

You will then be responsible for paying the hospital for the following costs as appropriate:

  • Where 80% of costs are covered, the remaining 20% known as the ticket modérateur (patient’s contribution) 
  • Any supplement for a private or twin room payable in certain public hospitals if you requested a specific type of accommodation for reasons of personal convenience

 

Private practice

At Princess Grace Hospital Centre you may request to be admitted under the private practice of one or more hospital practitioners.

This option is selected by signing the "patient choice form" on which the names of the various practitioners chosen by the patient must be indicated.

In such cases, the costs of the hospital stay will be covered by the SPME under the same conditions as if the patient had been admitted to hospital on a public basis.

The various practitioners treating the patient on a private basis will, however, invoice their own fees in addition. These will be reimbursed on the same basis as out of hospital care.

You are therefore likely to be required to bear the cost of fees over and above the amount which will be reimbursed by the SPME.

It is up to you whether you choose to be treated by a practitioner working on a private basis.

Where several practitioners are involved in your care, and you wish to be treated by one on a private basis, you are not obliged to opt for private practice in the case of the other practitioners.

Stays in private clinics in Monaco and the Alpes-Maritimes:

Private clinics are:

  • The Monaco Institute of Sports Medicine and Surgery (IM2S)
  • Private clinics in the Alpes-Maritimes department

 

If you are admitted to a private clinic (excluding at Princess Grace Hospital Centre), you will, in principle, need to pay upfront the costs of your stay and the fees charged by the practitioners treating you.

Each clinic is free to determine whether or not it will operate the third-party payment system.

In the case of full third-party payment: the SPME will pay the costs of the hospital stay (in accordance with current legislation and on the same basis as hospitalisation in the public sector) and practitioners’ fees (on the same basis as for out of hospital care).

Please note:

If you pay the full cost of your stay and practitioners’ fees: ensure that the clinic provides you with form S3404. This is the only document which is accepted for SPME reimbursement of the costs.

Depending on the fees invoiced by the practitioner(s) and the rules for reimbursement, the costs of a hospital stay and fees in private clinics can be significantly higher than the amount reimbursed.

When being admitted in hospital, make sure you are aware of the full financial consequences of your choice. Ask for a quote for this purpose.

Prior consent of Medical Advisor

Some procedures are subject to prior consent being granted by the SPME Medical Advisor.

In accordance with current legislation, your practitioner must submit a request for prior consent when required.

Hospitalisation in France outside the Alpes Maritimes department

If you choose a hospital outside Monaco or the Alpes Maritimes department for reasons of personal convenience, the costs of a hospital stay will be paid (public sector) or reimbursed (private sector) up to the limit of the daily rate at Princess Grace Hospital Centre or, failing that, at Nice University Hospital. 

Outpatient care and care without accommodation

Definition

This includes:

  • Outpatient care: consultations, minor surgery, medical imaging and biological analysis conducted on an outpatient basis at public and private hospitals
  • Ambulatory care or care without accommodation: a limited number of surgical and diagnostic procedures specified on a list and carried out with or without anaesthetic, requiring some observation or recovery time but not full accommodation (length of hospital stay is less than 24 hours) 
  • Admission to hospital for a day during which medical procedures, check-ups, and treatments not requiring a longer hospital stay are carried out (length of hospital stay is less than 24 hours) 
  • Treatment provided by accident and emergency departments in hospitals and not requiring a hospital stay of more than 24 hours 
  • Home hospital care: a hospital service which provides an alternative to full hospitalisation. Home hospital care provides a way of managing patients requiring ongoing care and medical observation 
  • Home care: a service which allows elderly people who need nursing and personal care to remain in their homes

Conditions 

Outpatient care provided in the public hospital sector uses the third-party payment system, i.e. patients do not have to pay the full medical costs upfront and are responsible only for the ticket modérateur (patient contribution), where 80% of costs are covered.

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