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HEALTH

How second-home owners can access healthcare in France

If you own property in France and spend a significant amount of time here you may need to access healthcare - here's how to get the care you need and make sure you won't get a big bill.

Accessing medical care in France can be done at pharmacies, doctors or hospitals
Accessing medical care in France can be done at pharmacies, doctors or hospitals. Photo: Martin Bureau/AFP

For those who live in France, accessing healthcare is pretty simple through the Assurance maladie system – click here for more.

But second-home owners are not counted as residents, so they have different rules on getting healthcare if needed.

Access to a doctor

Unlike in the UK, GPs or family doctors are happy to see anyone, there is no need to be registered at the practice.

The same is true for specialists, you can make an appointment directly with a specialist such as a dermatologist, gynaecologist or cardiologist without needing to be referred by a GP.

If you have an urgent problem you can go to a hospital A&E or emergency department as a walk-in and if it is a medical emergency you should call 15 for an ambulance or 18 for the fire and rescue service.

There is also a general European emergency number – this is 112 and operators speak multiple languages including English.

Most French towns have a pharmacy (look out for the green cross) and pharmacists are qualified to give out medical advice and consultations on less serious matters, so if you’re only mildly unwell consider consulting a pharmacist. If they think your condition is more serious, they will direct you to a local doctor.

READ ALSO Emergency in France – who to call and what to say

Booking a medical appointment

Booking a medical appointment is done directly with the doctor or their secretary and you can look up a phone number and call directly.

There are also several medical booking apps in France, the most widely used of which is Doctolib. You need to create an account with the app and can then search for the type of doctor (or dentist) you need near to your location.

The app also lists the languages spoken by each doctor, which can be handy if you want an English-speaking medic.

Payments

But while access to doctors is easy, don’t expect the appointment to be free.

The French medical system is a reimbursement one, which means that everyone pays upfront for medical appointments, procedures and prescriptions and is then reimbursed later – either by the state health system or through private insurance.

While for Brits the act of paying upfront for healthcare can come as a shock, Americans are likely to find the charges low compared to what they are used to.

The cost varies depending on the type of doctor and the treatment needed, but a standard appointment with a GP or family doctor is €25.

If you go to a hospital emergency department and have a consultation but are not admitted to the hospital, the standard fee is also €25, plus the cost of any prescription that you may need.

The standard charge for a hospital stay (excluding treatments) is €20 per day, or €15 per day for a psychiatric hospital. There are exemptions to this including pregnant women, newborn babies and victims of terror attacks.

If you need to call an ambulance the callout itself is free but you may be charged for the trip to hospital. Being taken to hospital by the pompiers (emergency fire and rescue workers who have extensive medical training and are regularly called to incidents such as car crashes or falls) is free but prank calls to emergency services can lead to a fine of more than €400.

Cost reimbursement

While everyone – French people, foreign residents and visitors – is required to pay for medical treatment, there are ways of getting some or all of your costs reimbursed.

For residents of France this is via the carte vitale (health card) that comes with registration in the French health system, however this is not open to people who do not live in France.

Non-residents will need health insurance, but some are eligible for government-run schemes.

EU – If you are resident in an EU country other than France, you can use the European health insurance card. This is an EU-wide scheme whereby EU governments agree to pay for the medical treatments of their citizens when they visit other EU countries. The card has slightly different names in different countries, but can be obtained from the state health system in your country of residence.

British – Brits are no longer entitled to the European health insurance card since Brexit, but for residents of the UK there is a new card known as a GHIC (Global Health Insurance Card) which France has agreed to accept.

Coverage – both the European card and the GHIC, however, only cover emergency or unplanned treatments, and almost never cover the cost of repatriation, so visitors are advised to also have their own travel insurance with health cover.

Non-Europeans – once you’re outside of Europe things become more complicated since it’s a question of bilateral agreements on medical cover, so you need to check what your state health insurance (if it exists) covers – for example Canadians are covered for medical treatment in France over a maximum period of three months.

If your country doesn’t have a bilateral agreement with France, or does not provide state medical care, then you will need a private health insurance policy that covers visits to France in order to claim back the cost of any medical treatment.

Vocab

Médecin généraliste – GP or family doctor

Une ordonnance – prescription

Je veux prendre un rendez-vous – I would like to make an appointment

Le cabinet médical – a doctor’s practice 

Y a-t-il un médecin anglophone dans le cabinet ? – Is there an English-speaking doctor in the practice?

Un chirurgien dentiste – a dentist or dental surgeon

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TRAVEL NEWS

Paxlovid, tests and isolation: Covid care for tourists in France

With travel opening up, many people are planning trips to France over the next few months, but the Covid pandemic has not gone away. Here are your questions answered on testing, isolation and medical treatment if you do fall sick while on holiday.

Paxlovid, tests and isolation: Covid care for tourists in France

Travel rules

Covid-related travel rules have mostly been relaxed now but you will still need to show proof of being fully vaccinated at the French border. If you are not vaccinated you will need to show a negative Covid test – find the full breakdown of the rules HERE.

Testing

Once in France if you develop symptoms or you have been in contact with someone who has tested positive you will need to get a Covid test.

The good news is that testing is widely available in France, both for residents and tourists.

The easiest way to get a test is head to a pharmacy, most of which offer the rapid-result antigen test on a walk-in basis Tests are available to everyone who wants one, there is no need to fulfill any set criteria.

For full details on how to get a test, and some handy French vocab, click HERE.

The difference for tourists is that you will have to pay for your test, while residents get their costs reimbursed by the French state health system.

In the pharmacy you may be asked for your carte vitale – this is the health card that residents use to claim refunds. As a tourist you won’t have the card – you can still get the test, you will just need to pay for it. Costs vary between pharmacies but are capped at €22 for an antigen test or €54 for a PCR test.

Isolation

If your test is positive you are legally required to isolate, but how long your isolation period is depends on the your vaccination stats – full details HERE.

Treatment

For most fully-vaccinated people without underlying health conditions the symptoms of Covid are fairly mild, but if you do become ill, here’s how to access medical help while in France.

Pharmacy – one of the first things you will notice about France is that pharmacies are everywhere, just look out for the green cross. As well as selling over-the-counter medication, pharmacies all have at least one fully-qualified pharmacist on the staff who can offer medical advice. 

Take advantage of pharmacists – they train for at least six years so they’re very knowledgeable and they’re easy to access by simply walking into the shop. In tourist areas it’s likely that they will speak English. Pharmacists can also signpost you to a nearby doctor if you need extra help.

Doctors – if you need to see a doctor, look out for a médecin généraliste (a GP or family doctor). There is no need to be registered with a doctor, simply call up and ask for an appointment if you need one. If you have a smartphone you can use the medical app Doctolib to find a généraliste in your area who speaks English. You will need to pay for your consultation – €25 is the standard charge and you pay the doctor directly using either cash or a debit card.

You may be able to claim back the cost later on your own health/travel insurance depending on the policy.

Ambulance – if you are very sick or have difficulty breathing you should call an ambulance – the number is 15. All non-residents are entitled to emergency treatment in France, whether or not you have insurance, but if you are admitted or have treatment you may need to pay later.

READ ALSO Emergency in France: Who to call and what to say

Paxlovid – several readers have asked whether the Covid treatment drug Paxlovid is available in France. It was licenced for use in February 2022 and is available on prescription from pharmacies, mainly for people with underlying health conditions or an impaired immune system. You can get a prescription from a medical practitioner.

The drug is reimbursed for French residents, but as a tourist you will have to pay.

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