Access to Medical Records

Gustave Roussy is committed to making the administrative procedures at the hospital as easy as possible for you. The Administrative Services Department was established to answer your questions and, if needed, is available to assist you. This department works in collaboration with Gustave Roussy’s Social Services Department.

Treatment costs are generally high. If you have public health insurance, or if your country has a reciprocal agreement with France, these costs are covered, either in full or in part.

In some cases, your travel may be covered by a medical transport prescription, which may be reimbursed by the health insurance program under certain conditions.

If you are not covered under a reciprocal agreement, you will be responsible for paying the full cost of medical care. The rates and payment terms will be explained to you when you schedule your appointment.

If you reside in France

• Please bring your identification documents (National ID card).
• Bring proof of address (electricity bill, rent receipt, etc.), which will allow us to send you mail accurately, including your appointment notices.

If you have Social Security coverage or are a CMU beneficiary

- Bring your updated Vitale card (or a valid certificate). A Vitale kiosk is available at the Central Reception desk for updating your Vitale card.

- If you are a member of a mutual insurance plan or a third-party payer organization, please bring your membership card.

- In the event of hospitalization,

• please bring a coverage authorization issued by your supplementary health insurance provider. This will exempt you from paying the daily hospital fee or the surcharge for a private room, up to the limits of your policy’s coverage. (*)
• For CMUC beneficiaries, the daily hospital fee will be billed directly to your insurance provider, up to the limits of your coverage.

- Transportation costs:

• If you live outside the Paris metropolitan area, make sure before coming to Gustave Roussy that your transportation costs will be covered by your social security provider.
• For distances over 150 km, ask your insurance provider’s medical advisor for prior authorization for the reimbursement of your transportation costs.

(*) If your supplemental health insurance provider handles direct billing for this coverage, they will ask you for the following information: Facility ID 940000664 and the department’s fax number: 01 42 11 52 86.

You are eligible for State Medical Assistance (AME)

Bring the certificate or card showing the notification of the decision along with the validity dates.

100% Coverage

If your medical condition requires it, your primary care physician—who is registered with Social Security—will submit a request for 100% coverage to the medical advisor at your health insurance provider. As soon as you receive your notification, be sure to notify the administrative services department.

You do not have supplemental health insurance or CMUC coverage

You can contact the municipal social services center in your place of residence or the social services department at Gustave Roussy.

If you are a citizen of the European Union

Before coming to France, you must request certain documents from the relevant authorities in your country to complete your application. Please note that the European Health Insurance Card (EHIC) is valid within the EU only in the event of an unexpected emergency hospitalization while on vacation in France (tourism, etc.).

To be covered at the Institute, you must provide a standard S2 form (formerly E112). Before coming to Gustave Roussy, you must request this form from your health insurance provider. If you are not covered under the standard insurance agreement, you will be responsible for paying the full cost of medical care.

You will be asked:

• for an outpatient visit: to make a provisional payment.
• For inpatient or outpatient treatment: to make a down payment equal to the total amount of the estimated cost of your treatment.

Please ask the medical assistant for more information when you make your appointment.

If you are a foreign national from outside the European Union

To receive medical care at Gustave Roussy, you must call 01 42 11 42 11; the switchboard will direct you to the appropriate department for your request.
Before coming to France, you must contact the relevant authorities in your country to prepare your application and obtain a visa, if necessary.

If you are not covered by an organization under contract with Gustave Roussy, you will be asked:

• for a consultation: to make a provisional payment.
• For inpatient or outpatient treatment: to make a down payment equal to the total amount of the estimated cost of your treatment.

Please ask the medical assistant for more information when you make your appointment.

Medical Transport Prescription

Medical transportation orders must be issued in advance and justified by your medical condition

Health Insurance no longer covers medical transportation orders issued on the same day as a medical appointment or a visit to the hospital. This does not apply to unscheduled visits or emergency situations.

• A medical transportation prescription must be issued by your primary care physician for your first visit to Gustave Roussy
• For patients already under our care, if your medical condition warrants it, the transportation voucher will be issued during your next appointment. If the transportation voucher is issued on the same day, only the return trip will be reimbursed.
• Having a transportation voucher issued will allow your health insurance to cover the costs.
• As a reminder, the medical prescription must be justified by your medical condition.

It is up to your referring physician at Gustave Roussy to prescribe the mode of transportation appropriate for your medical situation:

• personal transportation (car, public transportation, etc.);
• contracted taxi;
• light medical vehicle (VSL);
• ambulance.

Transportation by “stretcher” ambulance is reserved exclusively for patients whose medical condition warrants it.

• It is your responsibility to contact the appropriate service provider to arrange your transportation.
• The new rules allow for shared transportation, meaning that a licensed taxi or a light medical vehicle (VSL) may transport multiple patients at the same time.
• For serial transport (at least four one-way trips of more than 50 km within two months for the same treatment) or trips exceeding 150 km one way, request prior approval from your referring physician’s medical assistant and submit it to your health insurance provider before your trip. The approval letter you receive from the provider must be provided to your ambulance company.

 ► More information on medical prescriptions for transportation

Simplified reimbursement for personal transportation

With a medical prescription from your doctor, the Health Insurance program may reimburse the costs of using your personal vehicle and public transportation.

To simplify and speed up the reimbursement of personal transportation costs, the “Mes Remboursements Simplifiés” (MRS) platform is currently being rolled out across France’s local health insurance offices (CPAMs). This service allows you to submit claims for your personal vehicle and public transportation expenses electronically via a simplified form available online. If the information provided is accurate, you will be reimbursed within 7 days.

For more information: www.mrs.beta.gouv.fr

Access to Medical Records

The Public Health Code grants every person the right to access information regarding their health held by a healthcare professional or a public or private healthcare facility (Article L. 1111-7 of the Law of March 4, 2002), and healthcare professionals have a duty to provide this information.

Throughout your medical care, you are fully entitled to ask the doctors treating you for information regarding your health. During this confidential discussion, the doctor may provide you with details from your medical record whenever possible.

Request for Medical Records

If you wish to access your medical records, either directly or through a doctor, you must return the medical records request form to us, duly completed and signed, along with the required supporting documents:

• gustaveroussy-dossier-medical-01032026.pdf

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• Proof of your identity (national ID card, passport, etc.)
• For authorized representatives: state the reason for their request and provide proof of their status as an authorized representative (notarized document, certificate of inheritance, family record book, etc.)
• Specify your preferred method of receiving the records:
  • sending copies of the medical record to your address;
  • on-site review of your medical records: in this case, medical assistance may be offered; this is optional.
• Send your request
  • by mail to:
    Gustave Roussy
    RECORD ACCESS COORDINATOR – Ms. Angélique
    BUISSON Department of Medical
    Biology and Pathology Office 7717/ERP - 1
    114, Rue Édouard-Vaillant
    94805 VILLEJUIF Cedex
  • by email: accesdossier@gustaveroussy.fr

If you are a minor, the right to access your medical records is exercised by your legal guardians.

Medical Confidentiality

Medical confidentiality is a patient’s right and a physician’s duty. It is based on the obligation of discretion and respect for the individual and covers all information entrusted by the patient to their doctor and, more broadly, to the hospital staff, as well as anything the doctor may have heard, seen, deduced, or interpreted in the course of their practice.

A physician who has access to the medical record may not disclose any information to any third party whatsoever, unless expressly authorized to do so by the patient.

Confidentiality must be maintained with respect to family and friends, except in cases of a serious diagnosis or prognosis. In such cases, and unless the patient objects, the law permits the physician to disclose to relatives or a trusted person the information necessary for them to provide support to the patient.

Listening and Dialogue

Committed to patient well-being and the quality of care, Gustave Roussy provides its patients with spaces for listening and dialogue organized around medical mediation.

Since 2017, Dr. Bernard Escudier has served as the medical mediator.

His role is to establish a dialogue with patients or their loved ones by listening to them and providing answers and solutions.

If necessary, meetings can be scheduled with the medical mediator. These scheduled meetings with patients take place in Dr. Bernard Escudier’s office, at Gustave Roussy’s executive offices, or in the patient lounge located in the lobby.

One of the mediator’s roles is therefore to report any identified issues to management as well as to staff in the relevant departments so that they can be addressed. The well-being of our patients will always be at the heart of the measures we implement.

Your feedback is important, whether positive or negative

All of our healthcare professionals are committed to providing you with high-quality, safe care to make your stay as satisfying as possible.

All your comments are taken into consideration and help us optimize the quality and safety of your care.

If, during your stay, you have any comments regarding the conditions of your care, please contact:

• your attending physician or the department head;
• the head nurse of the department or the department’s care coordinator.

If these initial steps do not resolve your concerns:

You may write to the hospital’s chief executive officer or medical ombudsman:

• by mail: Gustave Roussy, Attn: Ombudsman, 114 Édouard-Vaillant Street, 94805 Villejuif Cedex
• by phone: 01 42 11 48 99
• by email: mediateur@gustaveroussy.fr

 You may also contact a patient representative who is a member of the Patient Advisory Committee at the email address ru@gustaveroussy.fr

Social work assistants are available by appointment to guide you through the necessary steps and work with you to find the solutions best suited to your social situation: access to healthcare and benefits, financial difficulties, post-hospitalization care, etc. The Social Services Department is part of the Interdisciplinary Department for Patient Care Coordination (DIOPP).

Access to Entitlements and Healthcare

• Social Security: Daily benefits, long-term illness, occupational diseases, supplemental health insurance;
• Application for Universal Health Coverage (CMU), State Medical Assistance (AME).
• House for People with Disabilities (MDPH): Disability Card, Adult Disability Allowance (AAH), Disability Compensation Benefit (PCH), vocational rehabilitation;
• Job retention and information regarding labor law.

Health Insurance Plans

Depending on which health insurance plan you are enrolled in, the financial impact of illness will vary: some patients will continue to receive their full salary, while others will lose all income.

For the general, self-employed tradespeople and merchants (Non Non), and agricultural workers schemes, the maximum duration of benefits from Social Security is 3 years. To be eligible, the insured person must be current on their contributions, particularly for self-employed tradespeople and merchants.

Civil servants are eligible for full pay if they are declared to have a long-term illness.

Patients covered by the Private Health Insurance Scheme or farmers may receive daily benefits only if they have private health insurance. If this is not the case, it is possible to apply for the Active Solidarity Income (RSA). If your sick leave causes financial or practical difficulties, we are here to help you cope and, if necessary, connect you with the social services best equipped to support you.

For more information regarding:

• Social Security, visit Ameli.fr
• your administrative procedures, visit Service-Public.fr or consult the practical guides from the National Cancer Institute
• CAF benefits, visit caf.fr

You can also contact the social services department at your local city hall (home care assistance) or your department.

What to Expect After Your Hospitalization

If you wish, or if your doctor suggests that you go to a nursing home, a convalescent facility, or a rehabilitation center, social workers can advise you and work with you to find the healthcare facilities best suited to your situation. The Social Services Department will follow up on your requests and keep you informed of the progress of your case. You can also contact us to prepare for your return home. 

> See home care services

Home Care Providers

Various types of assistance are available:

• Housekeeping help: cleaning, ironing, grocery shopping, meal preparation.
• Personal care aides: These professionals are trained to assist patients with activities of daily living, such as personal hygiene, eating, and dressing.

Personal care services are booming, whether in the nonprofit sector or the for-profit private sector.

It is important to distinguish between service providers (the nonprofit organization manages the entire case) and agent organizations (the patient manages the salary and time off).

Funding for personal care varies depending on the patient’s age.

Patients under 60 years of age

For people under 60, these services are fee-based. There is no regular coverage except for recipients of the Category 3 Disability Pension and the Disability Compensation Benefit (P.C.H.).

One-time assistance

If the patient does not receive the PCH or a Category 3 disability pension, one-time assistance may be requested from:

• The Cancer League in the patient’s area (there is one committee per department)
• Social Security, through its extra-legal benefits
• The Horizon Cancer Association

The amount of assistance varies, up to a maximum of 600 euros. Applications are limited to one per year. In all cases, a social worker must review the application. The application must include proof of income and expenses, a medical certificate for the League Against Cancer, a social assessment, and, if applicable, a cost estimate. After the organization reviews the application, the financial assistance, if approved, is paid directly to the patient or the organization.

Health Insurance Plans

Some health insurance plans provide assistance following hospitalization. They offer home care, most often in the form of housekeeping help. This assistance is time-limited: often 15 days.

Family Allowance Fund (CAF)

If the patient has dependent children under the age of 14, the Family Allowance Fund (CAF) may provide assistance. The cost to the patient will depend on their family income quotient. Additional assistance may be requested from the organizations listed above.

Disability Compensation Benefit

Patients may apply to the Departmental Office for People with Disabilities (MDPH) for a disability compensation benefit. This benefit is paid by the General Council in the patient’s area. It provides personal and technical assistance if the patient has lost their independence. This financial benefit is paid monthly. The case is reviewed once a year. The application includes a medical certificate, an assessment of the patient’s needs, and an application form available at city hall or from the MDPH.

Third-Category Disability Pension

Social security beneficiaries eligible for the Category 3 disability pension receive a supplement to their pension. This amount allows them to pay for home care, usually in part.

Patients over the age of 60

The Personalized Autonomy Allowance (A.P.A.)

The purpose of the APA is to enable individuals over the age of 60 to pay for home care. This allowance is paid by the departmental councils. It is not recoverable from the estate.

The application package, consisting of a medical certificate and proof of the individual’s income, can be obtained at the local town hall or from the local social services office. The application must be sent as soon as possible by certified mail to the departmental council responsible for the patient’s area. APA payments do not begin until the date the applicant is notified that their benefits have been approved, not on the date the application is submitted.

The amount of the APA is calculated based on the patient’s loss of independence and their financial resources.

One-Time Assistance

Pending the implementation of the APA, depending on the patient’s income, it is possible to apply for one-time assistance from:

• The League Against Cancer
• Social Security,
• Horizon Cancer.

Private health insurance providers

Some private health insurance plans provide coverage after hospitalization. They offer in-home assistance, most often in the form of housekeeping help. Coverage is limited in duration—often to 15 days. The patient pays nothing.