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Health insurance: France to roll out smartphone version of carte vitale

France has begun a trial in eight areas of a smartphone version of the 'carte vitale' - the card required to access the French public health system - with the eventual aim of rolling out the app across the country. Here's how it will work.

Health insurance: France to roll out smartphone version of carte vitale
The physical form of the carte vitale health card. Photo by DENIS CHARLET / AFP

What is happening?

France is making changes to the carte vitale – the crucial card that allows residents of France to access the public health system. If you don’t have the card – here’s how to get it.

The new project involves replacing the physical card with a virtual one that is stored on your smartphone via an app.

The French government is beginning a pilot project in eight départements with the intention of expanding the system to cover the whole country in 2023.

The trial areas are; Bas-Rhin, Loire-Atlantique, Puy-de-Dôme, Saône-et-Loire, Sarthe, Seine-Maritime, Rhône and Alpes-Maritimes and the trials are voluntary for people who want to sign up. 

How does it work?

At present, the app is only available to those living in the trial areas mentioned above, and it can only be used by people who are already registered in the French system and have a carte vitale. It is not an alternative to the current registration process. 

If you have a carte vitale, however, you can transfer it onto your phone, which saves you having to remember to carry your card around.

You first download the app MonCV and then begin the sign-up process. In order to do this you will need your current card and social security number and will also have to go through a series of security steps including uploading a scan of your passport or ID card and then making a ‘short film’ of your face in order to verify your identity. 

Once registered, you can then use it at the doctor, pharmacist, vaccine centre or any other situation in which you previously used your carte vitale. You will be able to either show a QR code to scan, or scan your phone using NFC technology (similar to Metro and train smartphone tickets, which works even if your phone is turned off or out of battery).

Can you still use a card version?

Yes. If you don’t own a smartphone or are just not a fan of apps you can continue to use the physical card with no changes.

What does this change for healthcare access?

It doesn’t change anything in terms of your access to healthcare or paying for it, but some extra functions are set to be added to the app once the scheme is rolled out nationwide.

The first one is to link up your carte vitale with your mutuelle (complementary insurance) if you have it, so you don’t need to show extra proof from your insurance company in order to get full reimbursement.

The second is to add a ‘trusted person’ to your carte vitale, allowing them to use your card to, for example, pick up a prescription for you or to allow grandparents to take children to medical appointments (normally children are included on their parents’ card). 

Is this replacing the biometric carte vitale? 

You might remember talk earlier this year of a ‘biometric’ carte vitale, in which people would have to register biometric details such as their fingerprints in order to keep using their carte vitale.

This seems to have now been kicked into the long grass – it was a parliamentary amendment to a bill proposed by the centre-right Les Républicains party and was intended to combat prescription fraud.

Experts within the sector say that the costs and inconvenience of making everyone register their biometric details and get a new card far outweigh the costs of prescription fraud and the idea seems to have been put on the back burner for now. 

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HEALTH

French vocab and prices: Your guide to visiting the dentist in France

From finding a dentist to treatment costs, plus the crucial bits of French vocab, here's everything you need to know about visiting the dentist in France.

French vocab and prices: Your guide to visiting the dentist in France

The dentist – as unjustly dreaded in France as they are anywhere else in the world.

But, while few, if any, of us enjoy visiting our friendly, neighbourhood chirurgien-dentiste, we all know that it’s important to care for our teeth and gums, so here’s what you need to know.

How to make an appointment

A simple web search for a dentiste or chirurgien-dentiste will bring up the contact details of local professionals. Then it’s a case of ringing up to make an appointment. There is no need to be registered with a dentist, you can visit anyone who has a free appointment, although you may prefer to keep your appointments with the same person if you are  having ongoing treatment.

Alternatively, sites such as Doctolib may allow you to book a slot online.

If you’re worried about remembering your French verb conjugation while you have a mouth full of blood, Doctolib also lets you know which languages your dentist speaks.

READ ALSO How to use the French medical website Doctolib

How much it costs

The government-set going rate for a dental check-up is €23 for dentists working in the public health system – which most do. As a result, 70 percent of that fee, paid at the time of the consultation, will be reimbursed for anyone who holds a carte vitale.

Check-ups last as long as the dentist needs to examine your teeth. If no additional work is required, it’s just a few minutes in the chair.

If you require additional work, then how much you pay goes up – along with the time it takes. A basic filling, for example, costs €26.97, of which €18.88 is reimbursed. Descaling adds €28.92 to the initial bill, but is again partially reimbursed.

The upfront cost of root canal work on a molar, meanwhile, is €81.94, while extraction of a permanent tooth costs €33.44. 

The full price list is available on the Ameli website.

For any procedure that costs more than €70, your dentist will provide you with a written estimate, along with a number of options. 

Remember, these prices are for dentists operating in the state sector. Fees at private practices are higher.

What about crowns, implants or dentures?

Your dentist might offer you the option of a crown or implant instead of the basic treatments of fillings and extractions, but these are expensive and are usually not covered on the carte vitale, so here whether or not you have a mutuelle is important.

The top-up health cover known as a mutuelle – find more details here – will generally offer dental cover, but exactly what is covered depends on your policy.

If you require special treatment, make sure to consult the price list, as you will often have to pay up front before you can claim anything back. 

Dental hygienist/teeth-cleaning

If you like to visit the dentist regularly for a scale and polish you will need to check whether your dentist’s cabinet employs a hygiéniste dentaire (dental hygienist).

Most practices do but not all. If you’re going to a new practice it’s generally better to make an appointment first with the dentist for a check-up, and then ask for regular hygienist appointments.

Useful vocabulary

Dental surgery – un cabinet dentaire

Emergency dentist – un dentiste de service

I would like to make an appointment – je voudrais prendre un rendez-vous

I would like a check-up – je voudrais une visite de contrôle

It is an emergency – c’est une urgence

A tooth – une dent

Wisdom teeth – les dents de sagesse

A filling – une plombage or un pansement

une dévitalisation – root canal

I have broken a tooth – je me suis cassé une dent

I have a toothache – j’ai mal aux dents

My gums are bleeding – Mes gencives saignent

I have a cavity – J’ai une carie

My gums hurt – J’ai mal aux gencives

This one hurts – Celle-là me fait mal

These ones hurt – Celles-là me font mal

An abscess – Percer un abcès

Nerve – le nerf

An extraction – une extraction

Injection – une injection/une piqûre

Local anaesthetic – une anesthésie locale

Denture/s – les dentier/s or une prothèse dentaire/les prothèses dentaires

A crown – une couronne

A bridge – un bridge

ARRRRRRGH – AIIIIIIIIE (hopefully you won’t need this one)

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