patients can choose whether they have a medecin traitant or not but face significantly lower reimbursements if they choose not to the medecin traitant can be gp or specialist and their role is to guide patients through the health system and keep patients medical records if patients have an attested longterm condition affection de longue duree the medecin traitant receives an annual payment for documentation and coordination point presse de l assurance maladie paris