Understanding the French healthcare system is essential when considering emigrating to France and retiring on the French Riviera. France is renowned for having one of the best healthcare systems in the world, providing high-quality medical care to residents and foreigners who invest in property or relocate. Here’s an overview of the French healthcare system and what French nationals and foreign investors should know.
Universal Healthcare in France
France operates a universal healthcare system, primarily funded through social security contributions. This means that most medical costs are covered, making healthcare accessible to everyone in the country. The system, known as “l’Assurance Maladie,” offers significant financial protection, even for serious illnesses, ensuring that medical care remains affordable.
Carte Vitale: Your Key to the System
The Carte Vitale is a smart card issued to residents in France that links to their health insurance information. It is essential for accessing healthcare services, as it allows for direct reimbursement of medical expenses. When visiting a doctor or pharmacy, presenting the Carte Vitale ensures that the public health insurance system automatically covers many costs.
For French nationals, obtaining a Carte Vitale is straightforward and usually issued after registering with social security. However, for foreign investors or expatriates relocating to France, it’s essential to understand that you must apply for the Carte Vitale once you become a resident and are registered with the healthcare system.

Emigrating? How to get into the French Healthcare System
The French healthcare system is a mix of public and private services, offering flexibility in how you receive care. Most hospitals and clinics are public, providing highly affordable care to residents. However, numerous private healthcare facilities offer premium services for those seeking higher comfort or shorter wait times.
Private healthcare insurance can be a wise choice for foreign investors and expatriates. Although public healthcare is excellent, private insurance, known as “mutuelle,” can cover additional costs not reimbursed by the public system, such as dental care, eyeglasses, or private hospital rooms. Private health insurance can also be helpful for those who are not yet fully integrated into the French social security system.
How Reimbursements Work
In France, the state largely reimburses healthcare expenses through the Assurance Maladie. Typically, the system covers 70% of the cost of a visit to the doctor or specialist and 80% to 100% of hospital treatments, depending on the circumstances. The remaining portion, known as “co-payment,” can be covered by the mutual or private insurance.
Foreigners in France can access this system after obtaining residence status and registering with social security. For the interim period, or if they are non-residents, having private international health insurance is often advisable to avoid high out-of-pocket expenses.
Healthcare access for expats
As a foreign investor in France, you can access the healthcare system once you become a legal resident. France offers two main routes for foreigners to access healthcare:
- PUMA (Protection Universelle Maladie): This universal healthcare protection covers any resident in France after three months of legal residence. It grants foreigners access to healthcare under the same terms as French nationals. Investors planning to live in France long-term should apply for this coverage.
- Private Health Insurance: Private health insurance is often recommended for expatriates awaiting eligibility for public healthcare or temporarily residing in France. Many international insurance companies offer tailored plans for expatriates in France.
Healthcare Costs: A Balanced Approach
While the cost of healthcare in France is generally affordable compared to other countries, certain medical services, like dental or optical care, might not be fully covered. For French nationals, this gap is often filled by complementary insurance. For foreign investors or expatriates, it’s wise to consider purchasing private insurance that fills the gaps in coverage to ensure complete financial protection.
The French system offers long-term illness coverage (ALD) for individuals with chronic illnesses or those requiring regular care. This feature exempts patients from most out-of-pocket costs, ensuring that people with serious health conditions are not financially burdened.
Health Insurance : What You Need to Know
Foreign investors should explore health insurance options before moving to or investing in France to ensure continuous coverage. Private insurance is often necessary until eligibility for the public system is established, which can take up to three months for new residents.
Additionally, some investment visa categories may require proof of health insurance before approval, so it’s essential to research the right coverage before relocating.
A Safe and Secure Healthcare System for All
France’s healthcare system offers security and high standards of care for both French nationals and foreign investors. Understanding the healthcare system is key to making an informed decision, whether relocating, purchasing a second home, or investing in French real estate. The Carte Vitale, public and private healthcare options, and robust insurance plans ensure that residents can access world-class medical care.
For foreign investors, France offers an attractive property market and peace of mind regarding health and well-being.



