
Health insurance in France can be a bit complex, but don't worry, I'm here to break it down for you.
The French health insurance system is based on a social security model, which means that most citizens are automatically enrolled in a health insurance plan. This system is mandatory for all citizens and residents.
You can choose from several health insurance plans, including the Complémentaire Santé, which is a supplementary plan that covers additional costs not covered by the basic plan. The Complémentaire Santé is optional, but highly recommended for expats and citizens who want extra coverage.
In France, you'll need to have a Sécurité Sociale card, which is a health insurance card that proves you're covered. This card is essential for accessing healthcare services, including doctor visits, hospital stays, and prescriptions.
Who Needs Health Insurance in France
In France, health insurance is mandatory, so you'll need to have it, regardless of your nationality or immigration status. If you're a newcomer, you may need to show proof of health insurance during the visa application process.
If you're from the EU, EEA, or Switzerland, you can use your European Health Insurance Card (EHIC) for coverage. For UK citizens, it's the GHIC. You can also get more information on your individual requirements by contacting Cleiss.
You'll need to transfer your healthcare rights from your own country to the French system, or through an international health insurance company, such as Allianz Care or Cigna Global. This can be done via the S1 form, which grants you a certificate of entitlement to healthcare when you move to a foreign country.
Here's a quick rundown of your options:
- EU, EEA, or Switzerland: EHIC
- UK: GHIC
- Others: Transfer healthcare rights via S1 form or international health insurance company
Types of Health Insurance in France
In France, the standard of care is considered superb, with a system of universal health insurance funded by taxation. This system is ranked as one of the healthiest countries in the world according to the World Health Organization.
The public health insurance in France covers a significant portion of medical costs, but there are some additional expenses that patients need to cover. For doctor visits, only 70% is covered by the state, leaving the patient to cover the remaining 30%.
One of those additional medical costs is covered by supplemental health insurance, known in France as "mutuelle". This type of insurance is designed to offset additional health and medical costs, such as physiotherapy and private hospital room accommodations.
The mutuelle also helps to cover smaller costs, like the 30% of doctor visit expenses that the state doesn't cover. This works out to about 7 Euros per visit, which may seem small but can add up quickly in a large family.
Understanding the French Health System
The French health system is a universal one, funded partly by social security contributions and partly by government contributions. This allows almost the entire population to access treatment when needed.
Treatment is easily accessible, but patients still pay a small contribution towards their healthcare costs, ranging from 70% to 100% of costs covered. Those with low incomes or long-term conditions can expect 100% of costs to be covered.
In France, healthcare providers no longer charge patients upfront for treatment, but instead receive payment directly from the government or a non-profit insurer. This change occurred at the end of 2017.
If you're a European citizen, you can use your European Health Insurance Card (EHIC) to access care in France, under the same conditions as French scheme members. Your card must be valid until the end of the current academic year.
Most French residents take out complementary health insurance to ensure 100% coverage, known as a mutuelle. This is usually provided by employers, or can be obtained through private medical insurers or the state-funded Complémentaire Santé Solidaire (CSS).
The standard of care in France is considered superb, with the country ranking high in the World Health Organization's health provider efficiency rankings. France's public health insurance system covers a significant portion of healthcare expenses, but some costs are still left to the patient.
Here's a breakdown of how much of healthcare costs are covered by the state:
- 70% to 100% of healthcare costs covered for treatments like doctor visits and hospital treatment
- 100% of costs covered for those on low income or with long-term conditions
- Only 70% of costs covered for doctor visits, leaving the patient to cover 30%
Health Insurance for Expats in France
Health insurance is mandatory in France, even for expats and immigrants. If you're an expat, you'll need to show proof of health insurance during the visa application process, and you may be eligible for public health coverage through the PUMA program.
To be eligible for PUMA, you'll need to have lived in France for at least three months in a stable and regular manner, and you must not have paid employment, be under 65 years old, and not receive a pension from a European country. Non-European students older than 28 years with no salaries and British early retirees are also eligible.
If you're not eligible for PUMA, you can consider private international health insurance, which offers additional benefits such as worldwide coverage and access to a wider variety of healthcare facilities and doctors. Two recommended options are Cigna Global and GeoBlue Xplorer, which offer modular plan designs and comprehensive coverage.
Here are the different options for health insurance in France:
- European Health Insurance Card (EHIC) for EU, EEA, or Swiss citizens
- Global Health Insurance Card (GHIC) for UK citizens
- Transfer of healthcare rights from your own country to the French system
- International health insurance company, such as Allianz Care or Cigna Global
Private International Plan for Expats
If you're an expat moving to France, you may not be eligible for the public health insurance system, and that's where a private international plan comes in.
You can choose from a variety of international health insurance companies, such as Cigna Global or GeoBlue Xplorer, which offer comprehensive coverage and access to a wider range of healthcare facilities and doctors.
A private international plan can provide you with global coverage, which is essential if you plan to travel frequently or live in different countries.
Some international health insurance companies, like Cigna Global, offer modular plans that allow you to tailor your coverage to your specific needs and budget.
If you're a US citizen living abroad, GeoBlue Xplorer might be a good option, as it offers similar benefits and services to Cigna Global and comes with the BCBS network of doctors and hospitals.
Here are some key benefits of a private international plan for expats in France:
Keep in mind that a private international plan can be more expensive than public health insurance, but it offers greater flexibility and coverage.
As an expat in France, it's essential to have a clear understanding of your health insurance options and requirements to avoid any unexpected medical expenses or administrative headaches.
US Citizens
As a US citizen living in France, you'll need to meet certain requirements to secure health insurance. You must demonstrate that you intend to reside in France permanently and legally.
To do this, you'll need to prove that you anticipate residing in the country for at least half the year. Anything less would mean you're not a permanent resident.
You'll want to hold onto receipts and application forms as you settle into your new life in France. These will help support your claim for health insurance.
You'll also need to provide proof of identification, address, and income to complete your application.
Choosing the Right Health Insurance
You can get private medical and health insurance plans in France starting from as little as EUR 26 per month with Now Health International's WorldCare Plan.
Their SimpleCare plan is even more affordable, with prices starting at EUR 23 per month, and gives cover for big medical events.
Even if you're making mandatory social security contributions, you could still be liable for paying something towards your medical costs.
Joining a private medical and health insurance plan can ensure you're covered for more of your medical costs when living in France, just like thousands of Now Health International members.
Why Choose Now?
You should consider choosing Now Health International for your health insurance in France because their plans start from as little as EUR 26 per month.
Their WorldCare Plan covers in-patient and day-patient care, making it especially useful for long-term treatment. This plan starts at EUR 26 per month.
Even if you're making mandatory social security contributions, you could still be liable for paying towards your medical costs. This is a risk you can mitigate with a private medical and health insurance plan.
Their SimpleCare plan is an affordable option that gives cover for big medical events, with prices starting at EUR 23 per month.
Cigna Global
Cigna Global offers a global network of doctors, specialists, therapists, and more.
If you're moving to France, Cigna Global can provide you with peace of mind.
Their policies are tailor-made for individuals and families, giving you coverage that suits your needs.
You can speak to healthcare professionals at Cigna Global to find a policy that's right for you.
Accessing Health Insurance in France
You'll need to have health insurance in France, and it's mandatory for everyone living in the country, regardless of where you're from. If you're an expat or immigrant, you'll need to show proof of health insurance during the visa application process.
If you hail from the EU, EEA, or Switzerland, you're covered via your European Health Insurance Card (EHIC). Similarly, if you come from the UK, you're covered via your GHIC. For others, you can transfer your healthcare rights from your own country to the French system, or use an international health insurance company like Allianz Care or Cigna Global.
You can get more information on your individual requirements by contacting Cleiss. They can help you navigate the process and ensure you have the right coverage.
In France, the standard of care is considered superb, and the country is listed as one of the healthiest in the world by the World Health Organization. This is largely due to the universal health insurance system funded by taxation.
Most people in France pay for supplemental health insurance, known as "mutuelle", to cover additional medical costs. This can include doctor visits, physiotherapy, and private hospital room accommodations.
Your Rights and Benefits
Under the AME program, you're entitled to 100% coverage of your health care expenses within the maximum rates set by the French Social Security system.
For example, if you're charged 26.50 € for an appointment with your general practitioner, the AME program will cover the entire expense.
You can expect comprehensive coverage for your medical needs, giving you peace of mind while living in France.
Overview of France
France is known for its excellent standard of care, ranking high on the World Health Organization's list of health provider efficiency. It's considered one of the healthiest countries in the world.
The country's healthcare system is universal and funded by taxation, making quality healthcare accessible to all. This system is designed to provide comprehensive coverage for medical needs.
Most people in France choose to carry supplemental health insurance, known as "mutuelle", to cover additional costs not covered by the state. This extra coverage can help offset expenses like doctor visits, physiotherapy, and private hospital room accommodations.
Doctor visits in France are partially covered by the state, with only 70% covered, leaving patients to pay the remaining 30%. This works out to a relatively small cost of around 7 Euros per visit.
In a large family, these small costs can quickly add up, making supplemental coverage through the mutuelle a welcome addition to their healthcare plan.
Frequently Asked Questions
How much does health insurance cost in France?
In France, the average monthly cost of health insurance is around 40 EUR (45 USD) per person, but prices vary depending on the policy strength. Find out more about the different types of health insurance plans available in France.
What happens if you don't have health insurance in France?
Healthcare costs in France may be substantial if you don't have health insurance, so it's essential to check your coverage before your trip. Make arrangements for health insurance or coverage before arriving in France to avoid unexpected medical expenses
How to retire in France with healthcare?
To qualify for French healthcare as a retiree, you must reside in France for at least three months with a long-term visa. After meeting these requirements, you'll be eligible for Protection Universelle Maladie (PUMA) coverage.
Sources
- https://www.service-public.fr/particuliers/vosdroits/F12859
- https://www.expatica.com/fr/healthcare/healthcare-basics/guide-to-health-insurance-in-france-108848/
- http://www.complementaire-sante-solidaire.gouv.fr/en/ma-situation/how-access-french-health-insurance-system
- https://www.internationalinsurance.com/health/europe/france.php
- https://www.now-health.com/en/countries-we-cover/france/
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