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Guide to Healthcare in France and the Midi-Pyrenees

Category: Midi-Pyrenees - Health care
Emergency Numbers
Medical Emergency - SAMU - 15
Police - Gendarme - 17
Fire - Pompiers - 18
Sea or Lake Rescue - 1616
Europe-wide Emergency Number - 112
Points to Remember
Visitors must have an EHIC Card
Residents must have a Carte Vitale or Attestation
Costs are not fully reimbursed
Take out insurance

Description:

A guide to Healthcare in France

 

The French healthcare system is very efficient and waiting times for appointments are usually very short.  The state pays for a proportion of the cost if you are resident and have paid into the tax system with any extra cost being met by the patient, either from their own funds or through an insurance policy.

 

The system varies depending on whether you are a resident or not, although you will receive exactly the same treatment.  There are certain steps you must take to ensure that you have the correct cover.  Remember also that if visiting, travel insurance policies will not normally cover medical items that can be dealt with via reciprocal health arrangements within European countries.

 

Key points applicable to residents and visitors :

 

  • Treatment is always paid for at the point of service and then reclaimed
  • A consultation with a GP will cost around 25€

 

For visitors :

 

  • Make sure that you bring a European Health Insurance Card (EHIC) for each member of the party.  Application forms are available at the Post Office or you can apply online.
  • The EHIC entitles you to the same treatment as a resident of the country you are visiting.
  • As with any holiday, ensure that you have adequate insurance.

 

For residents :

 

  • The state will only cover up to about 75% of the cost, depending on the treatment.
  • You will need a Carte Vitale or Attestation to enable you to claim back anything from the French healthcare system.
  • In order to get a Carte Vitale you will need to take proof of residence, copy of passport, birth certificate and marriage certificate to the Caisse Primaire Assurance Maladie (CPAM).  However, if you register a business as Auto-Entrepreneur, part of the registration process will began the process of issuing a Carte Vitale.
  • You will need to choose and register with a primary doctor (Medecin Traitant), and this will help ensure the maximum refunds are obtained.

 

 

The table below helps to explain the various methods of gaining access to the French healthcare system, depending on your particular circumstances.  When moving to France, contact the department of Work and Pensions or HM Revenue and Customs well in advance to ensure that you have the relevant paperwork and up to date advice.

 

Useful websites :

NHS guide to Healthcare Abroad

Department of Work and Pensions

HM Revenue and Customs

 

 

Residents - What you are you entitled to and how you get it


Circumstances

Health covered by

UK Form req'd?

Where do I get it?

Do I need to renew it?

Insurance top-up needed?

Entitlement notes

Officially Retired UK National 1

Carte Vitale

E121

DWP

No

Advisable

Spouse also covered, and some treatments 100% reimbursed

Under retirement age and not working

Private Insurance

None

N/A

N/A

N/A

Will become eligible to join at retirement age, or after 5 years residency

Under retirement age and not working - NICS paid in UK for previous 2 years

Carte Vitale

E106

HMRC

No

Advisable

Can join for 2 benefit years maximum (benefit year starts 1st Sat in Jan)

Working and being paid in UK, family live in France

Carte Vitale (Family only)

E109

HMRC

Every year

Advisable

UK worker covered by EHIC whilst in France and NHS while in UK, Family covered by reciprocal agreement between UK and France.

Working and being paid in France

Carte Vitale

N/A

N/A

N/A

Advisable

Covered by paying contributions either deducted from source (employed) or paid annually (self-employed)

Unemployed living in France

Unemployed people who were unemployed in the UK may be entitled to limited benefits, but depends on individual circumstances - Register with ASSEDIC and ANPE.

 

1 Category also includes people in receipt of Long Term Incapacity Benefit, and Severe Disability Allowance

 

 

 

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