In France, a streamlined healthcare system (called the “parcours de soins coordonné”) was put in place with the intention of ensuring coordinated medical treatments and personalized preventative health services by the general practitioner of your choice.
Below, you will find the most important information regarding the health care system in France: how to find a doctor and a list of French emergency numbers.
How the health care system in France works
In order for you to get consistent treatment from the same doctor (who will manage your care long-term), French social security asks that you declare a regular doctor called a “médecin traitant”. This declaration can be made:
- Either online or at your regular doctor’s office
- Or by mail with the form “Déclaration du médecin traitant” (Declaring my General Practitioner) (cerfa n°12485*02)
Of course, you have the option of changing your general practitioner when you wish, especially if you move. Contact your social security office to declare the change in general practitioner.
The “médecin traitant” (general practitioner) is the person you will go to for most consultations. If you need to consult a specialist, your general practitioner will write you a referral.
IMPACT ON YOUR REIMBURSEMENTS:
When choosing your general practitioner and consulting them regularly, in most cases you will be reimbursed based on the reimbursement rates currently in effect. However, if you have not yet declared your general practitioner and if you do not follow the correct steps in the health care system, you will receive fewer reimbursements.
In general, choose a doctor who applies a government mandated, sector 1 rate (“conventionné de secteur 1”), which will ensure a better reimbursement rate.
The fees established by the doctor and the baseline reimbursement rate with the Assurance Maladie health care offices may vary based on the type of doctor (generalist or specialist) and the sector of their practice (sector 1 or 2):
- A doctor in sector 1 applies a rate that is fixed in agreement with the Assurance Maladie.
- Doctors who apply a sector 2 rate set their own prices: they are authorized (with tact and moderation) to charge higher prices than those set out by social security. Charges that go beyond the standard price limit are not reimbursed by the Assurance Maladie.
- Government approved doctors that apply a controlled rate (“option de pratique tarifaire maîtrisée” or “Optam”) apply prices that are slightly higher than those outlined by social security. In this case, social security applies a higher reimbursement rate than that outlined in sector 1, thus lowering the excess fees.
If you visit a doctor in the context of the streamlined healthcare system, 70% of the price will be reimbursed by social security. The remaining 30% may be covered by your supplementary health insurance. For additional medical expenses (medicine, laboratory tests…), consult the reimbursement chart on the Assurance Maladie website. You may also contact us for further precisions.
To find out how to be reimbursed, consult the section entitled “The Carte Vitale”.
Once you have registered with the Assurance Maladie offices, you will receive a health insurance certificate (“attestation de droits à l’assurance maladie”) which will include your personal information. Once you have received your official security number, you can request your Carte vitale . Put your insurance certificate in a safe place and keep your Vitale card with you at all times.
Requesting your Carte vitale (health insurance card)
The carte vitale is the card given to those insured by Assurance Maladie. It attests to your registry with Assurance Maladie abd serves as proof of your social benefits. The card is free, strictly confidential and contains all the information required for the reimbursement of your health-care-related fees. By showing it to your doctor, you can rest assured that you will be automatically reimbursed in one week without needing to send a treatment form (feuille de soins).
When you have received your official social security number, you can request your carte vitale on your ameli account under the tab “Mes démarches” (“The Steps in My Process”) or on the ameli application for smartphones or tablets by completing the carte vitale request form and by providing the requested supporting documentation (a recent identification photo and ID card).
If you have already received your Vitale card
During each visit, you must show your Vitale card to your doctor. You must also show it each time you buy prescription medicine at a pharmacy. This information is then sent to social security electronically, which makes the reimbursement faster and easier (it takes 5 days to receive social security reimbursements in your bank account).
If you have supplementary health care insurance and you chose remote transmission, social security will automatically be informed and the reimbursement for your supplementary insurance will also be automatic.
If you have not yet received your Vitale card…
You can still receive medical care if you have not received your Vitale card or if you forget to bring it with you. The Vitale card makes it easier for you to be reimbursed, but it isn’t required.
Without a Vitale card, the healthcare professional that you consult (nurse, physical therapist, dentist, etc.) will give you a healthcare paper (“feuille de soin“) that you must fill out, sign, and send to social security in order to be reimbursed.
- You don’t have a carte Vitale but you are registered with social security
Do you have a valid certificate of rights (“attestation de droits”) to social security with a social security number (even if it is temporary)?
You can send your healthcare papers to your CPAM center right away in order to be reimbursed by indicating the social security number that was assigned to you. Save copies of these papers until you receive your reimbursement.
- You don’t have a Vitale card and you have not yet received the confirmation of your registration with social security
Save your healthcare papers in a safe place. As soon as you receive your certificate of rights to health insurance (“attestation de droits à l’assurance maladie”) with a social security number (even if it is temporary), send them to your CPAM center by mail in order to be reimbursed. Save all copies until you receive your reimbursement.
Please note: the Vitale card is not a payment card. You must pay up front when you present your Vitale card. Your reimbursement will then be sent directly to your French bank account.
For more information, you can go to the Ameli website.
In general, when consulting a healthcare professional, you pay for your visit up front and are reimbursed later. However in certain cases, you may benefit from payments made directly by your insurance or “tiers payant”; you are thus exempt from paying the healthcare professional up front.
- The partial “tiers payant”: you only pay the portion of the expenses not covered by the Assurance Maladie (meaning just the co-payment).
- The total “tiers payant”: you have nothing to pay. The healthcare professional is paid directly by your Assurance Maladie coverage and your additional health insurance.
Please note: For certain expenses, a “tiers payant” is required (hospitalization, maternity hospital…) but for others, it is optional and depends on an agreement with social security (pharmacies…).
Once you have received your social security number, you can create your “Ameli” account online, here.
This account allows you to:
- request your Vitale card (la carte vitale) online if it hasn’t already been requested
- track your reimbursements
- do your online processes
- download your documents
- make a request for your European Health Insurance card
- contact your health insurance by email
Please don’t hesitate to contact with us if you have difficulties with this.
How do I find a doctor?
- At ameli.fr: a health service directory in which you can find a general practitioner or a specialist based on your location, their specialization, and their health care sector (sector 1 or sector 2).
- Websites such as doctolib.fr, mondocteur.fr: directories of health care professionals. If the healthcare professional is registered, it is also possible to make an appointment online and find more specific information, such as what languages the doctor speaks.
- Lists of multilingual doctors: upon request, your acc&ss center can sometimes provide you with a non-exhaustive list of multilingual general practitioners near you.
- Some embassies also offer lists of doctors. Find a list of English-speaking doctors in Paris, on the website of the Australian embassy.
If you are sick, hurt, or need help, you can call an on-duty doctor, emergency services, or a helpline.
All of these emergency numbers are available free of charge and accessible from all phone lines, 24 hours a day, 7 days a week.
- General emergencies (for all of the European Union): 112
- The fire department (fires, accidents, and medical emergencies in France): 18
- The police (France): 17
- SAMU (urgent medical aid service in France): 15
- General emergencies for the deaf and mute (by text, in France): 114
- Poison Control Center (poisoning and intoxication): 01 40 05 48 48
- On-Call Pharmacies in Paris and the Île-de-France Region: https://monpharmacien-idf.fr/
- “SOS Médecins” (emergency network and mobile care teams with home visit services) : 36 24