Hospitalization at home (HAD)

Verified 30 October 2026 - Public Service / (Prime Minister)

Hospitalization at home (HAD) allows you to provide care at home for a limited period of time to shorten or avoid hospitalization in an institution. The HAD intervenes on medical prescription and with the agreement of your attending physician. The HAD is reimbursed by the Health Insurance under the same conditions as hospital care. We present you the rules to know.

FYI  

By home, we mean the place of life. So it's about your house, your apartment, and also theEhpad: titleContent in which you reside. It can also be another collective accommodation (examples: a specialized foster home, a medical-educational institute, a social childhood home, a therapeutic apartment).

The HAD allows you to carry out the following care at your home:

  • Complex dressings
  • Certain chemotherapies
  • Intravenous treatments
  • Heavy nursing (nursing care for patients who are more dependent than traditional nursing care)
  • Blood transfusions
  • Respiratory assistance
  • Rehabilitation care (examples: orthopedic rehabilitation, neurological disease)
  • Pediatric Care
  • Care before or after childbirth
  • Palliative care.

FYI  

The HAD is a health facility in the same way as a conventional hospital. HAD facilities must meet all of a health facility's obligations with respect to safety and quality of care.

Conditions related to his situation

HAD may be considered if all of the following conditions are met:

  • Your medical situation is compatible with the HAD
  • The care you need cannot be done directly by health professionals in the city
  • The necessary care can be given at your home
  • You and/or your family agree
  • Your home conditions allow it.

Reminder

By home, we mean the personal home, but also collective accommodation establishments for example.

Indeed, before any admission to HAD, an evaluation of your situation is carried out by the healthcare team of the institution.

They go to your home to ensure your eligibility and set the material conditions required by the care project.

If the HAD project is validated, the necessary equipment and supplies are delivered to your home by the institution or an external service provider it uses.

The equipment sometimes requires temporary redevelopment of the premises (for example, installation of a medical bed).

Please note

The HAD concerns everyone: children, adolescents, adults, the elderly, people with disabilities or social insecurity, protected minors, asylum seekers.

Geographical condition

To qualify for a HAD, you must reside in a geographical area covered by a HAD structure.

Almost the entire national territory now has an authorized establishment in HAD.

You and/or your family must give your consent for the establishment of the HAD.

The agreement of your attending physician is always solicited. Indeed, it is the latter who plans the care project in coordination with the health care team of the institution.

Please note

If the attending physician (or otherwise the one you have designated) is unavailable or in case of emergency, you can be taken care of without the doctor's consent. In this case, the medical practitioner of HAD is the referent of your care.

The physician practitioner of home hospitalization:

  • Gives its opinion on the application of HAD
  • Ensures contacts with hospital and private doctors for your care
  • Organizes the coordination of care.

The care project is brought to your attention or that of your legal representatives.

As far as possible, the organization of care takes into consideration your personal wishes and constraints and those of your entourage.

The establishment of HAD provides you and those around you with an alert protocol for emergency situations.

This protocol consists of at least one nursing hotline reachable 7 days a week and 24 hours a day.

All HAD facilities offer the possibility of a nurse's stay at home at night. When this is not the case, the nurse reached by telephone organizes, if necessary, the intervention of the rescue.

It can happen that the state of health worsens. A stay in an institution may again be necessary. The transfer is then managed by the HAD in cooperation with the structure concerned.

FYI  

In case of emergency or unavailability of the attending physician, the medical practitioner of HAD can intervene in place of it, including in terms of prescription.

It varies depending on the situation:

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General scenario

HAD is supported at 80% by the Health Insurance like any hospitalization.

Please note

HAD is supported at 90% by the Health Insurance if you are dependent on localAlsace-Moselle.

You will benefit from the advance fee waiver for the following costs:

  • Fees of treating and specialized doctors consulted in the context of your HAD
  • Pharmaceutical costs (drugs dispensed by your pharmacist or hospital pharmacy)
  • Medical biology procedures provided within the framework of the HAD
  • Fees for independent paramedical professionals (nurse, nursing assistant, physiotherapist, midwife, speech-language pathologist...), if they are covered by Health Insurance
  • Transport by ambulance, if ordered by the HAD
  • Day hospitalization
  • Medical equipment
  • Specific furniture (nursing bed, rest...) chair
  • Disposable equipment and accessories.

FYI  

Your mutual can take care of all or part of the rest.

Person receiving an invalid disability or widowhood pension, old age pension or military pension

The costs of your HAD can be refunded to 100% if you receive a pension of invalidity or disabled widowhood or old age or military.

In these cases, you can benefit from the complementary health solidarity (C2S) or theState medical aid (AME).

Person with a long-term condition (ALD)

Your HAD is 100% support by the Health Insurance if it is linked to a long-term condition.

You can benefit from the advance fee waiver for the following costs:

  • Fees of the attending and specialized doctors you consult as part of your HAD
  • Pharmaceutical costs (drugs dispensed by your pharmacist or by the hospital pharmacy, for more specific drugs)
  • Acts of biological analysis laboratories related to your HAD
  • Fees for liberal paramedical professionals (nurse, nursing assistant, physiotherapist, midwife, speech therapist...), if an agreement is established
  • Transport by ambulance, if ordered by the HAD
  • Day hospitalization
  • Medical equipment
  • Specific furniture (nursing bed, rest...) chair
  • Disposable equipment and accessories.

The stay in HAD is fixed-term. This period is revisable according to the nature of the care and the evolution of your health.

In the majority of cases, at the end of the stay in HAD, you stay at home.

If you still need care, but no more hospital care, the relay is organized by the HAD facility with the professionals and/or competent structures (example: with a home nursing service).

If your health condition worsens and a hospital stay is necessary, the transfer is organized by the HAD team, in cooperation with the institution that will welcome you.

FYI  

The medical practitioner of HAD gives his opinion on the admission and discharge of patients.

Who can help me?

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  • Health Info Rights

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