The French Health Care System: Carte Vitale

I’ve been writing recently about the wonderous ease of the French Health Care System, hailing it for the way it functions. Today, the “wonderous wheel” has ground to a halt. I feel like I’ve just woken into yet another bureaucrazy nightmare. I’ve written about several of those on this blog, sad to say.

It all started when several weeks passed, and I had yet to receive a reimbursement for a doctor’s appointment I had in early January. Reimbursements tend to happen fairly quickly, so I was getting concerned. Since I knew my French was not up to the task, I hired someone to help me out. images

You see, when I arrived here, I applied for my Carte Vitale as a dependent of my spouse. That process went fairly (and surprisingly) smoothly. But once I went into business, I was responsible for my own cotisations (taxes paid to healthcare) and no longer a dependent of my spouse. I never used my Carte Vitale that first year. Didn’t need to. I used it for the first time last year in the Fall. Ironically, I was reimbursed by check for a trip to my general doctor with no problem whatsoever. So why now all of the sudden was I not being reimbursed?

When my helper emailed me back saying I needed to apply for a new Carte Vitale, the card that coordinates the coverage, along with a copy of my translated birth certificate, I thought he might be joking. Birth certificate? They already have my birth certificate. That’s how I got the Carte Vitale I have now. But no. There was no joke.

He wrote: I just spoke to someone who works at La RAM. The Carte Vitale that you have worked last year when you used it – even though you had already registered as a micro-entrepreneur – because it takes them a certain amount of time to process the administrative change. They call this period a “temps de mutation”.

Damn mutants! Figures!

Turns out, the Carte Vitale I have now is no longer valid and still tied to my husband, despite the fact that it has my French social security number on it. Supposedly, it hasn’t been valid since opening my own business in January of 2016. Nevermind the fact that it has been OVER A YEAR, and they never mentioned anything to me this whole time. Nevermind that no one asked for anything in the correspondence that said, “Welcome to RAM.” Nevermind that I have an online account with them stating I am covered and that reflects my chosen general doctor. Nevermind that check I cashed with my reimbursement back in November.

No. Forget all that. Now I have to send them a translated birth certificate and my bank details. After some time, they will decide to send me yet another form I have to fill out and send with a copy of my passport with a new photo. After some time, they might process that and send me a new Carte Vitale. Seriously?????

So now, I am required to collect a pile of “feuille de soins” or papers that verify any medical treatments I receive in order to be reimbursed retroactively. Seriously?????

Ah, another day in the life in France.

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Happy Anniversary to Moi: Two Years in France

Today marks a very special time for me. It was two years ago that I landed in France, newly shed of most of my belongings and all I’d ever known. I thought this would be the perfect time to reflect summarily on my experiences in these past two years.

Image Source: Flickr Photo by: Michael Wilson
Image Source: Flickr
Photo by: Michael Wilson

Year One:

Complete and utter disorientation. Bags always half-packed for home. Steadily devolving language skills brought on by overwhelming stress. Mountains of bureaucracy. Anxiety, depression, grief, loneliness, and despair. “Oh, God, what have I done???!” Inability to nurture self and relationships. Awkward dependence upon others and an unbelievably steep learning curve.

Year Two:

Dwindling bureaucratic challenges. Oscillation between optimism and pessimism, socializing and withdrawing. Rediscovering and redefining of self. Healing through turning inward. Knowing more of the language than I think I do and surprising myself on several occasions but still having zero confidence with it. Sick of being dependent, but still not able to do much about it. Trying to create opportunities and relationships; some take off, but most fall flat. “This will never work!” Every day I wake up, so every day I keep trying.

Year Three???

Well, I don’t know yet, obviously. But as I am still here, my intent is to dig my heels in, force myself to find more opportunities to integrate, do some things that scare the crap out of me, and refocus on the language in a more regimented way. To be honest, if it weren’t for the political situation in the US, I may very well have gone home by now where I know I can make a decent living and be surrounded by like-minded friends and community where I can solve all my problems IN ENGLISH!

But here I am, and here I remain, for as long as I do or am allowed, taking it one day at a time, dreaming a little bigger, using my energy in more effective ways, and simply remembering to practice gratitude, courage, resilience, and opening to possibility. Oh, and French!