Access to Healthcare while visiting France

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English speakers? If you need information about your French health insurance rights, call the special Advice Line provided by Ameli:

  • 09 74 75 36 46
    from France
  • 0033 974 75 36 46
    from other countries.

I. If you are a citizen/resident of an EU Member State, Iceland, Liechtenstein, Norway or Switzerland

If you are insured (or a beneficiary of the insured) under the social security system of an EU member state, Iceland, Liechtenstein, Norway, or Switzerland, you may be covered for any medically necessary healthcare you receive while visiting France, regardless of whether you are working, unemployed, a resident or a retiree.

A. Entitlement to medical treatment in France with the European Health Insurance Card*

* Or GHIC for people insured in the UK.

Before your departure, you should apply for the European Health Insurance Card (EHIC) with your local health insurance fund.

The card will ensure that you have access to healthcare in France without having to complete any formalities with the local French authorities. As regards the services provided, you will be treated in the same manner as anyone covered under the French state system.

If your EHIC is lost or stolen while you are abroad, or if your card hasn't been issued by the time you leave for France, your local health insurance fund can issue you an "EHIC Provisional Replacement Certificate" (PRC). This document provides the same cover as the EHIC, but for a limited period of time.

Using the EHIC in France

Benefits in kind include medical care, medicines, dental care and prosthetics, hospitalisation, laboratory analyses and examinations, or transportation.

Medical and Dental Care

Before making an appointment with a doctor or dentist, make sure that they are conventionné. Conventionné practitioners fall into one of 2 categories:

  • Conventionné secteur 1: The practitioner fully adheres to the national agreement between practitioners and the French social security system and charges the official social security rate.
  • Conventionné secteur 2: The practitioner adheres to the national agreement between practitioners and the French social security system except with regard to fees and is free to set his/her own rates.

In both cases, the local CPAM (or CGSS) will reimburse a fixed portion of the official social security rate.

As a non-resident insured in another state, you are not subject to French "healthcare pathway" (parcours de soins) laws that require patients to appoint a médecin traitant (primary care physician) from whom they must obtain a referral before seeing a specialist. To prove that the healthcare pathway isn't applicable to you and avoid paying any additional charges, you should show the doctor (whether a general practitioner or specialist) your European Health Insurance Card or Provisional Replacement Certificate.

You pay the doctor directly and the latter will fill out a feuille de soins (treatment form) and a prescription if necessary.

As the parcours de soins doesn't apply to non-residents, you can consult a specialist directly without getting a prescription from a general practitioner.

Paramedical services provided by allied health professionals (nurses, physiotherapists, etc.) are covered if prescribed by a doctor.


You can obtain your medication from any chemist (pharmacie) on presenting the feuille de soins and the doctor's prescription (ordonnance). The price of the medicine will be printed on the feuille de soins that the chemist will give back to you with the prescription. You pay the chemist directly.


If you have to travel to receive medical treatment, the health insurance system will in some cases cover the cost of transport prescribed by a doctor.

Call 112 if you need emergency services.

If you are admitted to hospital in an emergency you should present your European Health Insurance Card or Provisional Replacement Certificate to the hospital admissions department. You may also be asked to show your passport or other valid identity document.

Outside of emergency hospitalizations, you may seek treatment at the public or private facility of your choice.

If you see a doctor prior to being hospitalized, your practitioner can recommend a facility that will meet your needs, with consideration for quality of care.

You are advised to check the rates of the hospital you are considering as well as the amounts you will be reimbursed as some facilities charge extra fees that are not covered by the French social security system. Please also be aware that there are a few clinics that are not conventionné; i.e. that do not adhere to the national agreement between practitioners and the national health care system. You can check the website Annuaire santé to locate a facility and find information on its rates.

As a general rule, the Caisse will directly cover 80% of your hospital expenses (100% in some situations). In this case, and if you showed your EHIC or a provisional replacement certificate when you were admitted, you will not have to pay upfront. You will only be responsible for the copayment, which is 20% if you have 80% coverage, plus an €20 fee for each day you were hospitalized. If you have 100% coverage, you will have to pay the €20 daily fee. If you do pay upfront, you will need to apply for reimbursement by submitting your bulletin de sortie (proof of hospitalization which you will receive upon discharge) to the local health insurance fund (caisse d'assurance maladie) that covers the geographic area in which you were hospitalized.

Whatever your rate of coverage, any optional extras (private room, telephone, television, etc.) will not be reimbursed by the French health care system.

Extensive medical treatment costing €120 or more, or procedures assigned a coefficient of 60 or above, are reimbursed 100%. However, you will need to pay an €24 flat-rate charge for one or more procedures performed by the same practitioner during a single visit, whatever the actual cost of the procedure. This €24 co-payment applies whether the procedure is performed in a doctor's office or at a hospital.

Some people with 100% coverage may be exempted from paying either or both of these flat fees (patients with a long-term illness, a work-related illness, or an occupational accident injury, and pregnant women from the 6th month of pregnancy).

If you are admitted to a hospital's psychiatric ward, the hospital fee is €15 per day.

Emergency patient flat fee (forfait patient urgences/ FPU): as of 1st January 2022, visits to the emergency room that do not result in hospitalization are charged at a rate of €19.61.

Daily hospital fees are not reimbursed by the French health insurance system. However, they may be covered by your mutuelle or other supplementary insurance.

Chronic or pre-existing illnesses

If you will be needing kidney dialysis or oxygen therapy during your stay, you should make an appointment with a local specialist centre before you come to France (check the website Annuaire santé).

B. Reimbursement

Once you have dated and signed the feuille de soins, you should send the form to the local CPAM (or CGSS), together with the prescription and a copy of your European Health Insurance Card or Provisional Replacement Certificate. You should also fill in the feuille de soins with your permanent address and give your bank details (name of bank, address, SWIFT code, account number and IBAN or BIC).

You can determine which CPAM or CGSS (for the overseas departments) to apply to for your reimbursement by doing a department-by-department search on the Ameli website.

The French health system does not usually cover the entire cost of treatment. Part of the cost, known as the ticket modérateur, is borne by the patient themselves. Various other charges are also at your expense:

  • A €1 co-payment for a visit to, or procedure performed by a general practitioner or specialist, as well as for X-ray examinations and laboratory tests (youths under age 18 and women in their 6th month or more of pregnancy are exempt). These charges may not total more than €4 per practitioner or laboratory in any one day.
  • A charge for paramedical services provided by allied health professionals (nurses, physiotherapists, etc.) as well as medicines and transportation for the purpose of receiving medical treatment:
    • €0.5 per item of medicine
    • €0.50 per paramedical procedure up to a maximum charge of €2 for any one day for any one health professional
    • €2 for transportation for medical treatment up to a daily maximum of €4 per day and per transportation provider*.

*These out-of-pocket charges may not total more than €50 in any given calendar year. You should keep the statements of reimbursement of medical costs to request an exemption from payment of any amount exceeding the €50 annual limit over the course of the calendar year. Any co-payments are also capped at €50 for year for all eligible procedures and services.

For extensive medical or surgical procedures costing upwards of €120, the reimbursement rate is 100%, with an €24 flat-rate charge (ticket modérateur) borne by the patient. This co-payment applies regardless of the cost of the procedure and whether it's performed in a doctor's surgery or a hospital.

Doctors' and dentists' fees are reimbursed at 70% of the official social security rate. For information purposes, the official social security rate is €25 for an appointment with a general practitioner or a specialist. For a visit to a general practitioner for example, the Fund will reimburse €16.50 and you will cover the remaining €8.50. The amount reimbursed as shown on the statement of reimbursement is the amount payable after deduction of the ticket modérateur and €1 charge.

The cost of laboratory tests and analyses is reimbursed at 60% of the official social security rate. A €1 charge per laboratory procedure (up to €4 per day and per laboratory) will be deducted from the total amount reimbursed.

The fees charged by allied health professionals are reimbursed at 60% of the official social security rate. A €0.5 charge per paramedical procedure (up to a daily maximum of €2 for services provided for the same patient by the same health professional) will be deducted from the total amount reimbursed.

For transportation for medical care and treatment, 65% of the cost is reimbursed. A €2 charge per journey (up to a maximum of €4 per day and per transportation provider) will be deducted from the total amount reimbursed.

  • The different reimbursement rates are given on the Ameli website.

Medicines are reimbursed when prescribed by a doctor and included in the positive list of reimbursable pharmaceutical products. Reimbursement rates are 15%, 30%, 65% or 100% of the sales price, or of the reference price for medicines included in reference-priced generic groups:

  • 100% for medicines considered to be not substitutable for serious and incapacitating conditions,
  • 65% for medicines of high or significant therapeutic value (SMR),
  • 30% for medicines of moderate therapeutic value (SMR),
  • 15% for medicines of low therapeutic value (SMR).

The €0.50 charge per item of medicine will be deducted from the amount reimbursed.

C. If you are prescribed medical leave during your stay in France

If you become incapacitated for work while on holiday in France, you should obtain a 3- sheet medical leave form from a doctor registered in France. After filling out the medical leave form, you should send the first 2 sheets to the competent institution in your country and the third one to your employer or to the employment services to advise them of your incapacity.

If you are admitted to hospital, the hospital admissions department will hand you a bulletin de situation (status report) that will double as a medical leave certificate. When you are discharged from hospital, their administrative department will give you a bon de sortie (discharge authorization) and the medical leave (bulletin de situation) will no longer be valid. If necessary, the hospital doctor or the general practitioner will deliver a new sick leave certificate.

You may download the medical leave form -the first or an extension (prolongation)- along with the instructions, on the CNAM's website (Ameli).

Any sickness benefits to which you are entitled will be determined and paid directly by the fund to which you belong in your country of residence.

II. If your home country has signed a bilateral social security agreement with France

AlgeriaAndorraBeninBosnia HerzegovinaCape VerdeGabonJerseyMacedoniaMaliMoroccoMonacoMontenegroNigerNew CaledoniaFrench PolynesiaQuebecSerbiaTogoTunisiaTurkey

III. If you come from a country not listed above

Ask your home country's social security system whether and to what extent it covers health care costs incurred abroad. Visitors are advised to take out a private insurance policy to cover any health care costs you may incur while in France. A private health insurance policy is required for tourist visa applicants.