As one of the most advanced welfare states in the world, France's healthcare system is regarded as one of the best in the world. ForimmigrantsUnderstanding the French health insurance system is crucial, not only for your personal health protection, but also for your quality of life in France. From first time foreigners to long time immigrants, all of them can get medical coverage through the French social insurance system. In this article, we will explain in detail the French health insurance system and how to asImmigration to FranceJoin in.
I. Overview of the French health insurance system
The French health insurance system is organized by the National Health Insurance System (Sécurité Sociale) is administered to ensure that all legal residents have access to adequate health care. The French health-care system is part of the social security system, in which all residents working in France, regardless of their nationality or status, must participate. Through this system, residents have access to high-quality medical services and are relieved of the burden of medical expenses through a percentage reimbursement.
The French health insurance system is divided into two main categories:Basic medical insurance(Assurance Maladie(math.) andSupplementary medical insurance(Mutuelle). Of these, basic health insurance is provided by the French National Social Security Administration (Caisse Primaire d'Assurance Maladie, or CPAM), which is responsible for reimbursing most medical expenses. Supplementary health insurance, on the other hand, is provided by private insurers and helps to make up for what is not covered by the national health insurance.
Two,Immigration to FranceHow to join the French health insurance
If you are an immigrant with a valid residence permit and have a legal job or income in France, you can join the French health insurance system. The process of joining usually consists of the following steps:
- Registered Social Security Number
Immigrants first need to register with the French social security system to obtain a social security number (Numéro de Sécurité Sociale). This number is the basis for your access to health insurance, employment, tax returns and other services in France. Usually, if you are an employee, your employer will register your social security number on your behalf. If you are self-employed or a business owner, you will need to do this yourself. - Work or residence requirements
As a rule, only immigrants with income from work or long-term residence in France can join the French social security system. If you are a short-term resident or tourist, you will not be eligible to join the national health insurance, but you can choose to take out private health insurance. - Application for a health insurance card (Carte Vitale)
Once you have enrolled in Social Security and are enrolled in Medicare, you will receive anHealth insurance card (Carte Vitale)The card is an essential tool for receiving medical care in France. This card is an indispensable tool when you receive health care in France. Almost all French health care providers (doctors, pharmacies, hospitals, etc.) use this card to settle directly with the social security system, eliminating the need for you to pay upfront.
III. Basic health insurance coverage
France's basic health insurance (Assurance Maladie) provides legal residents with a full range of medical coverage, including:
- Reimbursement of medical services
Basic medical insurance covers most medical expenses, including visits to the doctor, hospitalization, and surgery. Usually, the reimbursement rate of basic medical insurance is around 70% (varies depending on the case), and the remaining portion needs to be paid by the individual himself/herself. For some special treatments (e.g. chronic diseases, pregnancy and childbirth), the reimbursement rate may be higher. - Reimbursement of drug costs
In France, the social security system reimburses a percentage of the cost of medicines purchased through a doctor's prescription. The reimbursement rate generally ranges from 60% to 100%, depending on the type of medicine and its classification in the health insurance list. Higher reimbursement rates may be available for medicines that are used over a long period of time (e.g. for chronic diseases). - Reimbursement for hospitalization
If hospitalization is required, basic health insurance will also provide you with some reimbursement. Expenses incurred during hospitalization, including the cost of beds, nursing care and surgery, are reimbursed through the social security system. However, some costs (e.g. bed costs, private doctor's fees, etc.) will still have to be paid for out of pocket. - Specific programs such as vision, dental, etc.
France's basic health insurance reimburses a low percentage of expenses in some specific areas (e.g., vision examinations, dental treatment, etc.). As a rule, these areas are partially covered and the remainder has to be covered by the immigrant himself or through supplementary health insurance.
IV. Supplementary health insurance (Mutuelle)
Although the basic health insurance covers most of the costs of medical care, there is still a certain amount of out-of-pocket expenses, especially in the areas of dentistry, vision and some specialized treatments. For this reason, French residents usually also purchaseSupplementary health insurance (Mutuelle)in order to reduce health care expenditures.

- Role of supplementary health insurance
Supplementary medical insurance usually covers some of the remaining expenses, such as those not reimbursed by the basic medical insurance, private doctor's fees, dental treatments, eyeglasses prescription, etc. Depending on the insurance plan, the coverage and cost of supplemental medical insurance varies. Some plans can fully cover all out-of-pocket expenses, while others offer lower coverage. - How to Choose the Right Supplemental Health Insurance
Supplemental health insurance companies in France are very numerous and offer different levels of insurance plans. When choosing the right insurance plan, you need to make a decision based on your health needs, budget and level of medical coverage. Supplementary health insurance is usually paid for on a monthly or annual basis, and prices vary depending on what is covered, the insurance company and individual needs.
V. Special cases: migrants without work or income
For some immigrants who are not working, such as housewives, retirees, or others without a source of income, they can also join the French health insurance system through **PUMA (Protection Universelle Maladie)**, France's universal health coverage program, which allows residents who are not working to access basic healthcare coverage by residing in France and fulfilling specific conditions, to benefit from basic healthcare coverage.

PUMA coverage is similar to basic health insurance, but the application process may require more documentation (e.g., proof of income, proof of residency, etc.) for immigrants without a stable income.
Six,Health insurance in FranceFrequently Asked Questions
- Do I need to make an appointment in advance to see a doctor in France?
The French healthcare system has an appointment system, especially in the big cities. Nevertheless, for some common ailments or emergencies, you can go directly to a clinic or hospital. - Is healthcare expensive in France?
Compared to other countries, the cost of healthcare in France is relatively low, especially when health insurance is in place, the burden of healthcare costs for immigrants is greatly reduced. - Can foreigners be covered by French health insurance?
Foreigners (both EU and non-EU residents) can join the French health insurance system if they meet the requirements. The specific requirements vary according to status, length of residence, employment, etc.
VII. Summary
The French health insurance system provides immigrants with comprehensive health protection, ensuring timely and effective treatment in the event of health problems in their lives. Whether it is through the basic health insurance or the supplementary health insurance, immigrants can enjoy high-quality medical services. For new immigrants to France, understanding and joining the French health insurance system as soon as possible is not only an important step to protect your health, but also a part of integrating into French society. InLife as an immigrant in France, medical coverage is an important element that you cannot ignore.