Living in France: International France Health Insurance
How much do expats love their life in France? A lot! A generous 78% report being satisfied with their new life and their new country. Considering that their top three reasons for relocating were for the quality of life, employment, and – of course! – love, it鈥檚 no surprise that France agrees with expats. In fact, 40% of them have no plans of ever leaving. With this in mind, it鈥檚 crucial that expats have a thorough understanding of medical care and health insurance in France.
![International Insurance](/wp-content/themes/ii/images/international-health-insurance.png)
Find the Best International Medical Insurance
- Compare multiple quotes and coverage options
- Work with an insurance expert at no additional cost
- Find the best plan for your needs and budget
An Overview of Health 91制片厂in France
France administers a system of universal health insurance funded by taxation. The standard of care is considered superb. In fact, France is listed as one of the healthiest countries in the world according to the World Health Organization鈥檚 ranking of health provider efficiency. From preventative medicines to emergency surgery, France offers excellent health service.
In addition to outstanding public health insurance in France, most people pay to carry supplemental French health insurance. This is known in France as 鈥mutuelle鈥 and it鈥檚 designed to offset additional health and medical costs. One of those additional medical costs comes from doctor visits. Only 70% is covered by the state, leaving the patient to cover the remaining 30%. Thankfully, that works out to only 7 Euros or so! But in a large family, these small costs can quickly add up and it鈥檚 nice to have some extra coverage through the mutuelle. And the mutuelle also covers much bigger expenses like physiotherapy and private hospital room accommodations.
Where Do Expats Fit In?
So where do expats fit in this French healthcare system? A big change in regulations in 2016 brought welcomed news to expats. Since then, any expat who has lived in France for at least three months in 鈥渁 stable and regular manner鈥 and plans on remaining in France on a permanent basis can apply for public health coverage.
Of course 鈥渁pply鈥 is really a code word for paperwork! The new France health insurance system is known as , while the old medical insurance system was Couverture Maladie Universelle (CMU). Of course, there is some fine print… Expats can only apply to the PUMA program if they’ve been in the country for less than five years, do not have paid employment, are under retirement age of 65 years, and do not receive a pension from a European country. Non-European students who are older than 28 years with no salaries and British early retirees are also eligible if they receive no salary.
There is also a paperwork-heavy annual renewal process. No wonder expats are pleased with the new changes! But it鈥檚 important when you鈥檙e gathering the documents that you鈥檙e following the new PUMA regulations and requirements. A lot of expat focused websites still offer recommendations based on the CMU era.聽An international health plan would still be required if you need worldwide coverage.
Best Private International Health 91制片厂in France for Expats
International private health insurance offers a few additional benefits over and above local insurance plans. First, they are global and will cover you anywhere in the world. Further, they can be more comprehensive and provide you with access to a wider variety of French healthcare facilities and doctors. For expatriates moving to France, we would recommend two options. Cigna Global is a leading global insurer with great service and benefits. Cigna Global offers a modular plan design allowing you to pick and choose different modules to tailor the plan to your needs and budget. The second suggested plan, primarily for US citizens living abroad, would be GeoBlue Xplorer, which offers similar benefits and services to Cigna. GeoBlue Xplorer is offered in association with Blue Cross and Blue Shield of America and comes with the excellent BCBS network of doctors and hospitals and the highest quality of doctors worldwide. For other options, view our list of the best international health insurance companies.
Best Health 91制片厂in France for US Citizens
![GeoBlue Xplorer Global Medical Insurance](/wp-content/uploads/2018/02/geoblue-insurance-logo-square-150x150.png)
Xplorer Worldwide Medical Plan
- Premium Benefits, Coverage and Service
- Define your deductible and prescription benefits
- For Foreigners in the US or US citizens abroad
Best Global Medical 91制片厂Plan for Expatriates Living in France
![Cigna Global Logo](/wp-content/uploads/2023/06/cignahlthcr_logo_color_pos_rgb.png)
Cigna Global 91制片厂Plan
- The flexibility to tailor a plan to suit your individual needs
- Access to Cigna Global鈥檚 trusted network of hospitals and doctors
- The convenience and confidence of 24/7/365 customer service
To see what travel insurance France has for visitors, see: Health, Safety and Travel 91制片厂Advice for Travel to France
Understanding 91制片厂Paperwork Required of Expatriates in France
If you鈥檙e an expat, you鈥檙e going to need extra documents. You must demonstrate that you intend to reside in France permanently and legally. You must prove that you anticipate residing in the country for at least half the year (as anything less means you are not a permanent resident.) As you are settling into your new life in France, registering for classes, and signing up for volunteer work, hold onto your receipts and application forms. They will all help to support your claim. And, like with most government-based applications, you鈥檒l need to provide proof identification, address, and income.
The paperwork fun doesn鈥檛 stop there. All expats must register with a primary care physician. You鈥檒l need proof of this registration when applying for public health care at your local (Caisse Primaire d鈥橝ssurance Maladie) office.
Once you鈥檝e been approved, you can apply for your national health insurance card, the carte vitale (green card). Since 2017, having your green card with you when you go to the doctor means that that you鈥檒l avoid having to pay upfront and in cash for services and then going through a tedious paperwork process for reimbursement.
Of course, there is some fine print鈥 Expats can only apply to the PUMA program if they鈥檝e been in the country for less than five years, do not have paid employment, are under retirement age of 65 years, and do not receive a pension from a European country. Non-European students who are older than 28 years with no salaries and British early retirees are also eligible if they receive no salary. If you need global coverage, if your application is rejected, or if your time in France will amount to less than 50% of the year, you will require privately held international health insurance to cover your needs.
Mental and Social Wellbeing for Expats in France
While France healthcare has outstanding ratings, many expats report that it is challenging to break into French social circles. Language barriers and the small, tight-knit nature of French friendships are primarily to blame. Nearly 60% of expats in France say it鈥檚 challenging to get used to the local culture, a figure that鈥檚 similar to what expats experience on average across the globe. This can take many by surprise. They assume it will be easier to adapt to life in France than, say, China or Nigeria but that鈥檚 not always the case. And language can be a big part of that. 76% of expats report that it鈥檚 hard to live in France if you don鈥檛 speak French.
![International Insurance](/wp-content/themes/ii/images/international-health-insurance.png)
Find the Best International Medical Insurance
- Compare multiple quotes and coverage options
- Work with an insurance expert at no additional cost
- Find the best plan for your needs and budget
In short, expat life can be isolating and lonely. And it doesn鈥檛 help when friends and family back home can鈥檛 appreciate that life in Paris is anything but perfect. Signing up for small group language classes is a good place to start. Joining more than one, perhaps with a focus on grammar or conversation, is even better. Working in France as a volunteer with a cause that鈥檚 dear to your heart will help you meet locals who share your values and interests. And making sure your friendship circle includes other expats, as well as locals, will help you expand your network of support.
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Author / Editor: Joe Cronin, Founder and President of 91制片厂. Mr. Cronin, a former expat, is an authority in the areas of international travel, and global health, life, and travel insurance, with expertise in advising individuals and groups on benefits for today's global workforce. Follow him on or .