Avastin treatment while traveling

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alicewaimea
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Joined: Sat Mar 26, 2016 10:13 am

Avastin treatment while traveling

Postby alicewaimea » Tue Mar 29, 2016 7:07 pm

I will be in France for 6 weeks and normally have an Avastin treatment every 3 weeks. My doctor says it's ok to wait, but if I could find somewhere to have it while there it would be best. I am not asking about insurance, just the possibility of treatment. I am not sure if any cancer clinic would agree to a US prescription. Thanks for any help.

pennycsf
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Re: Avastin treatment while traveling

Postby pennycsf » Tue Mar 29, 2016 10:01 pm

Hi there,

As long as you have a proper prescription and if possible some medical notes explaining why you need the treatment, you should not have a real problem in getting avastin. You will need to pay, of course. Where in France will you be? We might be able to put you in touch with an appropriate hospital or CSF group to help find the best place to go.

alicewaimea
Posts: 5
Joined: Sat Mar 26, 2016 10:13 am

Re: Avastin treatment while traveling

Postby alicewaimea » Sat Nov 12, 2016 2:29 pm

Sorry for not replying. I was unsure of my travel plans, however I did end up taking a 6 week break from the Avastin and visiting Provence. It was a wonderful trip! I am now wondering if I might move to France. I believe that there is a 3 month wait before being able to join and pay into the healthcare system. Do you know of any insurance carriers that accept a cancer patient as I realize I will need current insurance for my visa? Also, do you know where I could find out the costs of treatment if I had to pay myself? Sorry to sound a bit complicated, I must have the 3 week Avastin but am unsure as to the best way forward.
Thanking you again in advance,
Alice

pennycsf
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Re: Avastin treatment while traveling

Postby pennycsf » Sat Nov 12, 2016 9:42 pm

Hello Alice, great to know that you had a good trip to Provence.

On health care rights, however, I fear that it may be quite complicated. I assume that you are a US citizen and so may not benefit from the more relaxed rules which benefit EU citizens. Although I can confirm that as from January 2016 you need to be 'stably' resident in France for 3 months to qualify for health care, this relates to people within the EU and there are complications for people who do not work and are under retirement age. It is not automatic for those outside the EU. I suggest you check with the US Embassy to be sure.

They may also be able to help with possible insurers, my information, I am afraid, relates to the EU.

Where in France would you think of settling? Most hospitals will give you information on the cost of drugs so that should not be too difficult to sort out. It may also be that there is a CSF association in the area who could give you more practical help.

Do let us know how you get on, France can seem quite bureaucratic with oodles of paperwork but patience is often the key!! :)

alicewaimea
Posts: 5
Joined: Sat Mar 26, 2016 10:13 am

Re: Avastin treatment while traveling

Postby alicewaimea » Sun Nov 13, 2016 7:34 am

Thank you so much for your reply. It seems that the new rules re PUMA are also for non EU citizens. I am applying for my Irish passport, but that may take some time. Should I just call the nearest clinic regarding the treatment costs? My daughter and I are wondering if maybe another trip in February to actually visit hospitals would be useful. I am looking in the Luberon area, so Avignon or Cavaillion would be the closest. Let me say that I am 64, retired, and my plan was to retire in France. I have lived there in my youth, and my French is fluent. Now that my retirement years may not as long as foreseen, I would still like to follow through with my plan, if possible. How to arrange healthcare without interruption is of course vital. Any help or advice would be wonderful.
Thank you again,
Alice

pennycsf
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Re: Avastin and PUMA

Postby pennycsf » Sun Nov 13, 2016 12:15 pm

Hello Alice,
You are better informed on PUMA than I am! Of course, the whole point of PUMA is to create a level playing field for everyone irrespective of nationality and to try to reduce the need for multiple and complex systems. Anyone resident in France in a stable and regular manner for three months (and who can prove that) is entitled to have health care within the French system. As you have fluent French I am sure you have already studied the Assurance Maladie (AMELI) website on this but, if not, have a look here:

http://www.ameli.fr/assures/droits-et-d ... aladie.php

And this is the section which explains why there have been these changes, what steps you need to take to join the system and includes the form needed which can be downloaded.

http://www.ameli.fr/assures/soins-et-re ... idence.php

Interesting to note that although entry into the health system should be automatic it is not FREE. If you have income over €9611 (in 2016) then you have to pay 'cotisations' or contributions. My understanding is that these amount to 8% of income but obviously proper advice needs to be taken on how income is calculated etc. There are also differences for those past state retirement age, from countries with different reciprocal arrangements and so on.

The easiest way to find out exactly how your own position would be handled would be to visit the appropriate Caisse Primaire Assurance Maladie in the Avignon area. You could then also make some enquiries about treatment costs.

Finally, there is a CSF association in Provence-Gard which may be able to help you with details of hospitals and is also looking for volunteers!!! Would you like me to put you in touch with them?

alicewaimea
Posts: 5
Joined: Sat Mar 26, 2016 10:13 am

Re: Avastin treatment while traveling

Postby alicewaimea » Wed Dec 07, 2016 9:36 pm

Thank you Penny for the info. Yes, I would like you to put me in touch with the Provence/Gard group. I do realize that I will pay for the insurance via PUMA. I did read that in the case of cancer a mutuelle is not necessary as cancer treatment is covered 100%. Is this accurate? My insurance will cover me in the interim in any case. Thanks again for your help, Alice

pennycsf
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Re: Avastin treatment while traveling

Postby pennycsf » Thu Dec 08, 2016 11:59 am

Hello Alice,

It is true that once you are fully in the French system, cancer is treated as an affection de longue durée and treatment is covered 100%. It doesn't mean that EVERY cost is paid. Most people continue with a mutuelle for top up cover even if they have an ALD. First, any other illness is only partly reimbursed and secondly because not everything is included eg. if you see a specialist who charges above the standard rate, the extra will not be covered; if you opt to take medicines or treatment which is not on the "prescribed" list, they will not be covered.

Below is a link to the relevant page of the Ameli website, if you scroll down you will find what is NOT reimbursed. :(

http://www.ameli.fr/assures/droits-et-d ... bourse.php

I'll contact my colleagues in Provence for you. Do keep us "posted" on how you get on.

Good luck :)

pennycsf
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Posts: 592
Joined: Sun Jan 24, 2010 7:19 pm

Re: Avastin treatment while traveling

Postby pennycsf » Fri Dec 09, 2016 3:03 pm

Hello Alice,

Pippa in Provence-Gard would be very pleased to be in contact with you. Her email address is:

pippa.csfprovencegard@gmail.com

I am sure she will be able to help you with your visit and with any French health system issues.

alicewaimea
Posts: 5
Joined: Sat Mar 26, 2016 10:13 am

Re: Avastin treatment while traveling

Postby alicewaimea » Mon Dec 12, 2016 12:51 am

Thanks!


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