Health Insurance for Americans Living in France

Americans moving to France may be surprised to discover that health insurance is nationalized, meaning that it is run through a branch of the federal government. Although this can give foreigners much needed peace-of-mind about potential health problems, they should be prepared for the bureaucracy and paperwork of the system.
  1. Background

    • The French health insurance (called "Sécurité Sociale," or "Sécu" for short) covers every resident of France. Therefore, it is important, especially for non European-Union citizens, to be in France legally as a resident.

    Contributions

    • French residents, including Americans living in France, must contribute to the health insurance program. They contribute 8 percent of the difference between 6,849 euros and the taxable household income, which is based on the last year's income tax statement. Employers may cover these costs, depending on the field and the type of contract you have.

    Coverage

    • The French insurance then covers 70 percent of doctor's visits, which normally cost around 22 euros each, though this may vary widely for specialists. Prescription medicines may be covered at a different rate, usually around 65 percent.

    Supplementary Insurance

    • The government recommends that citizens take out additional insurance in the form of a "mutuelle," which covers the costs not taken care of by the government system. These mutuelles can reimburse up to 100 percent of the remaining costs and can cost as little as several hundred euros a year to join.

    Joining

    • After having filled out the sign-up form, available through your employer or your doctor, you will receive a green "Carte Vitale," which then serves as your proof of insurance, as well as a kind of credit card for medical treatments. You will have to present it at each doctor or pharmacy visit.

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