If you are a member of the British Social Security scheme, you can benefit from coverage of your medically necessary care during a temporary stay in France.
In France, the total or partial reimbursement of certain healthcare expenses (benefits in kind of the Health Insurance Scheme) concern medical, pharmaceutical, dental (treatment and prosthetics), hospital, laboratory (tests and analyses), and medical transport costs.
Flat-rate contribution and franchise médicale
Two mechanisms are in place to give responsibility to members while limiting the costs borne by the healthcare system:
If several consultations or several procedures are carried out within a same day, the flat-rate contribution is limited to €8 per healthcare professional or laboratory.
Use the Health Insurance Scheme Directory to find a healthcare professional:
Medical costs are reimbursed at 70% of the maximum regulated fees. A flat-rate contribution of €2 per consultation or procedure is withheld, except for children under the age of 18 and pregnant women from the 6th month of pregnancy.
For example, for a consultation at €30 (general practitioner and specialist regulated tariff), the reimbursement will be €19 (70% of €30 less €2).
Unlike French members, you are not subject to the coordinated treatment pathway (designation of a primary care physician and consultation with that physician before seeing a specialist). To avoid paying supplementary fees for failing to respect the treatment pathway, present your GHIC to the doctor you see.
To be partly covered, the medicines must be prescribed by a doctor and be included on the list of pharmaceutical proprietary drugs reimbursed to Social Security members. They are then reimbursed at 15%, 30%, 65% or 100% of their selling price, or on the basis of a reference tariff, depending on the therapeutic value.
An excess of €1 will be deducted from the reimbursement on each box of medicines.
The French Health Insurance Scheme reimburses 60% of the regulated tariff. It does not cover the part of any fees exceeding the statutory rate.
The flat-rate contribution of €2 which applies to medical consultations does not concern consultations with a dental surgeon.
Paramedical procedures carried out by medical auxiliaries (e.g. by a nurse) are only covered if they were prescribed by a doctor.
The fees of the medical auxiliaries are reimbursed at the rate of 60% of the maximum regulated fees. The franchise médicale of €1 per paramedical procedure will be deducted from the amount of the reimbursement, within the limit of €4 per day and per healthcare professional.
The costs of transport prescribed by a doctor may be covered by the Health Insurance Scheme, subject to certain conditions, generally at the level of 55% (full reimbursement in some cases).
You will remain responsible for a franchise médicale of €4 per journey, with a maximum of €8 per day for a same carrier. This franchise médicale does not concern emergency transport (transportation arranged by the emergency response service Samu) and is not applicable to children under the age of 18.
The flat-rate contribution of €2 is applicable in case of x-ray or laboratory tests (medical biology).
In case of treatment with dialysis, chemotherapy or oxygen therapy, you must check the availability of your treatment before your stay and make an appointment.
The Trade and Cooperation Agreement (TCA) between the European Union and the United Kingdom which took effect on 1st January 2021 contains a Protocol on Social Security Coordination. This protocol provides similar provisions to Regulations (EC) no. 883/2004 and no. 987/2009 regarding the coverage of your medically necessary care during a temporary stay in France. The British insurance card (GHIC) is used in the same way as the European Health Insurance Card (EHIC).
On the Cleiss website
On Ameli.fr (Health Insurance Scheme website)
Website of the European Commission