Quotation Estimate Surgeon in France Lyon –Free Word Template Download with AI

Dear Mr. Durand,

Thank you for contacting Hôpital Médical Lyon Excellence regarding your surgical consultation. This Quotation Estimate has been prepared specifically for the surgical procedures and associated medical services to be performed by our designated Surgeon at our facility in France Lyon. Please review the following itemized breakdown of costs, which reflects the current fee schedule approved by the French Ministry of Health for the 2025 fiscal year.

This Quotation Estimate is provided for informational and planning purposes. The estimated reimbursement by the French national health insurance system (Sécurité Sociale / CPAM) for the Surgeon's operative fee and associated hospitalization in France Lyon is approximately 70% of the base tariff (base de remboursement). The remaining balance, known as the "ticket modérateur," will be the client's responsibility unless supplemental private insurance (mutuelle) is in place. We strongly recommend that the client verify coverage details with their mutuelle provider prior to scheduling the procedure. Our billing department in France Lyon can assist in submitting the "feuille de soins" and "attestation de droits" documentation on the client's behalf.

• This Quotation Estimate is valid for 30 calendar days from the date of issue. After 15 July 2025, the Surgeon's fees and hospital charges in France Lyon may be subject to revision in accordance with the annual tariff updates published by the ARS Auvergne-Rhône-Alpes.
• The total amount in this Quotation Estimate is an estimate only. The final invoice may vary by up to ±10% depending on the complexity of the surgical procedure, the duration of the operation performed by the Surgeon, and any unforeseen complications requiring additional intervention.
• A deposit of 20% of the total Quotation Estimate amount (€1,859.00) is required to confirm the booking of the operating theatre and the Surgeon's schedule in France Lyon. The deposit is non-refundable if the procedure is cancelled less than 14 days before the scheduled date.
• Payment of the remaining balance is due within 30 days of the final invoice, which will be issued upon discharge from the hospital. Payment may be made by bank transfer, credit card, or direct insurance settlement where applicable.
• The Surgeon, Dr. Claire Fontaine, is registered with the Ordre des Médecins de la Région Auvergne-Rhône-Alpes (No. 6910045678) and holds full malpractice insurance coverage through the RCP Médicale collective scheme. All surgical procedures are conducted in compliance with the French Public Health Code (Code de la Santé Publique) and the HAS (Haute Autorité de Santé) quality standards.
• This Quotation Estimate does not constitute a binding contract. The final agreement will be formalized through a signed "consentement éclairé" (informed consent) document prior to the surgical procedure.
• All personal medical data processed in connection with this Quotation Estimate and the subsequent surgical care in France Lyon are handled in strict compliance with the GDPR (RGPD) and the French data protection regulations overseen by the CNIL.

By signing below, the client acknowledges receipt of this Quotation Estimate, confirms understanding of the estimated costs for the Surgeon's services in France Lyon, and authorizes the hospital to proceed with scheduling the procedure subject to the terms outlined above.