A couple of weeks ago we had some pretty serious confusion. We received, from CPAM (Caisse Primaire d'Assurance Maladie - the body that administers the payments part of the state health service), a number of pieces of paper saying that we had been accepted into the system, together with an open-ended attestation covering both of us. The attestation was effective from 14th April and stated that all previous attestations should be destroyed. There were also two letters from URSSAF (Union de recouvrement des cotisations de sécurité sociale et d'allocations familiales), to whom we make the payments for the state health system. The first of these said that they had been told we are now in the system and we should shortly receive a request for payment. The second effectively said that when they ask us for money, we should pay up without delay. We then received, with no covering letter, another attestation bearing just my name. This attestation was effective from 15th April and stated that all previous attestations should be destroyed.
The attestations based on our E106 forms ran out on 5th January and our cover since then has been by private insurance which doesn't cover chronic disorders like blood pressure, but which does have a hefty excess. I believe that our state cover is effective from the date of our application in mid March. We couldn't do it any sooner as there were documents that were needed for the application that were not in our possession until then. Nonetheless, we had over 350 € of medical expenses incurred since making our application, so we travelled down to Riom to see what could be achieved.
It was a gorgeous day when we went down - sunny, little or no wind and temperature around 26°C. We took the MX5 with the hood down.
I have recently learned that the Sun God is a vengeful God, repaying years of faithful devotion by visiting upon His worshippers a plague of biblical proportions.
I wore a hat.
The lady at CPAM was very good and very nice. She accepted our submissions and, when asked, checked on the status of our attestation and confirmed that Clare is fully covered and I should ignore the one with only my name on it. Interestingly, when she keyed in my social security number, she wrote another long number on her pad, which she proceeded to key in before giving me the information I needed.
Buoyed by the confidence that can only come from a successful interview with a government functionary, I was emboldened to ask if she could give me any idea how long it would be before our Cartes Vitales arrive.
She said not.
She asked if we had received letters asking us for photographs.
I said not. Funnily enough, they arrived on Friday, but I can't do anything about it for a week or two, as I don't want to walk around forever with a card bearing a photograph of me with a great wodge of dressing instead of a right ear!
You know that face made by plumbers, builders and motor mechanics when you ask how long something will take or how much it will cost? The one with a sharp drawing of breath through pursed lips?
She did that.
She said that the average time for issue of Cartes Vitales is about five months.
Five months!
Never mind. I don't mind too much paying up front, if I know that I can get the money back. It becomes a cash flow thing rather than a liquidity thing. Having said that, the clinic where I had the operation didn't ask for cash up front; they just wanted my social security number (from the attestation) and details of my top up cover. So far, I have no idea how much the operation cost.
Meanwhile, back at the ranch (as the saying goes) our feathered friends are making good use of the facilities.
A couple of days ago I had occasion to put something into the old bread oven room for temporary storage. Leaning against one of the walls are a couple of pieces of wood that we had recovered from an old bed frame we broke up a couple of weeks ago. Within a very short period, they have been pressed into use as the base for a Black Redstart's nest.
Meanwhile, in the dim recesses of the room we use as a store for gardening tools and where, you will recall, an old disused swallows' nest has been upgraded and converted by a pair of wrens, things are hotting up as the wrens spend more time in there. As with the Redstarts' nest, there is no sign of eggs yet, but it is in use, and we often see a wren arriving or leaving. The nest is quite obviously being maintained and occupied.The swallows are very active in the left hand room. We don't enter there at this time of the year, although I doubt they would worry too much if we did. The wren is very seldom disturbed by our entering 'her' room for fetching and returning tools, and I think the redstart is probably quite secure about her safety.
For those unfamiliar with the layout, the two rooms used by the swallows and wrens are shown here. The swallows dart in from the right and into the left-hand room, the wren preferring to stop on the sawing horse before entering her room. Off the nest, the wren's favourite perch seems to be in the young ash tree growing on the edge of the pond. Above these rooms is the garage where I keep my MX5. Its comings and goings don't seem to bother either of the pairs of birds in the slightest.
Two bits of news on Saturday:
- Another attestation arrived from CPAM. This one has just my name on it, but has a permanent Social Security number. This one begins with '1' indictating a permanent number - the previous number started with '7' indicating a temporary or interim number. I gave a copy to the nurse when he came, and sent a copy to my top-up insurers.
- The nurse wants to start coming every day from now on, as there is still a leak from part of the wound and he wants to clean and dress it daily. Can't wait for the healing process to be complete - hopefully the incessant ringing I have had in that ear since the operation will stop then, too.
Have a good week.
À la prochaine

























