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HEALTH

What are France’s new Covid rules for workers?

The week that France returned to school and work saw a sharp uptick in Covid cases - 54,699 new cases in one week. So now that the emergency provisions have ended, what does this mean if you or your colleague tests positive?

What are France's new Covid rules for workers?
Photo by ALAIN JOCARD / AFP

Now that the state of health emergency has ended, so have many of the fast-track provisions such as getting an arrête maladie (sick note) online – leaving many people confused about what to do if they test positive, or if one of their colleagues does.

Since the Covid emergency provisions have ended, many of the processes for the workplace have reverted to pre-pandemic systems.

French newspaper Le Parisien spoke to an employment law specialist and an expert in workplace health to establish what this means in case of a positive Covid test.

Testing

Most French pharmacies still offer Covid testing on a walk-in basis, and it’s also possible to get a test via your doctor or at a medical laboratory.

Antigen and PCR tests remain free for over 65s, under 18s, health professionals or those in high-risk groups such as people with a long-term illness. The rest of the population will pay up front (usually around €20 for an antigen test or €50 for a PCR) and get the costs reimbursed via their carte vitale or mutuelle. Either an antigen or PCR tests can be used to secure an arrêt maladie.

If you test positive there is no longer a requirement to isolate, but it remains strongly recommended that you stay home as much as possible, inform people you have been in close contact with and wear a mask when you go out. 

Time off work

During the pandemic a positive Covid test meant you could automatically get an arrêt maladie – the certificate allowing you paid time off work – without having to visit a doctor.

This provision has now ended, and so now you will need a GP or family doctor to issue you with an arrêt maladie – many doctors have kept a télémedicine (virtual consultation) service, so you can use this if you don’t want to visit the doctor’s cabinet.

Whether you get an arrêt maladie is up to you – obviously if you have severe symptoms and cannot work you will need one, but for people with mild or no symptoms who feel well enough to work, the choice is theirs.

Remote working

If your job allows it, the practical option for people who have tested positive but want to keep on working is working from home (télétravail).

Remote working remains strongly recommended for people who have tested positive for Covid, but is not compulsory.

If you ask to work remotely your employer does not have to agree (although they do have to provide a reason for their refusal) and can require an employee to come into the workplace (unless they have an arrêt maladie).

Conversely, the employer cannot make decisions about an employee based on their health, so they cannot order a Covid-positive staff member to work from home if they don’t want to.  

Protection for colleagues

So what happens if one of your colleagues tests positive but remains in the workplace (either because the boss won’t allow télétravail or because they don’t want to)?

The company has a duty of care to protect the physical and mental health of its employees.

In the case of a Covid-positive person in the workplace “the employer must therefore ensure that the patient does not transmit the Covid-19 virus to his or her colleagues,” said workplace health specialist Dr Élisabeth Pagel.

“The boss should reinforce the barrier measures in the workplace and ask the employee concerned, and others, to wear a mask and respect the rules of distancing. The employee must comply with the employer’s instructions on this”.

If you’re worried about being in the workplace with a sick colleague, you can also request to work from home – although the boss is not obliged the grant the request. You can also ask the boss to reinforce protective measures such as mask wearing.

Employees in France do have the right to walk off the job if they feel unsafe, but the onus is on you to prove that your employer has put you in an unsafe position.

Employment law specialist Anne Leleu told Le Parisien: “The possibilities of recourse to the droit de retrait (or right of withdrawal, which allows an employee to leave his or her workstation when a situation presents a serious and imminent danger) are very limited, once the employer has taken the necessary preventive and protective measures and since the epidemic situation has ended”.

What about vulnerable employees?

The special legal provisions for employees in high-risk groups such as those with a long-term medical condition or a compromised immune system, came to an end in January 2023. 

“No official text stipulates the obligation to set up separate rooms for vulnerable employees,” said Anne Leleu. “But employers are advised to be vigilant about the risk of discrimination against them. Any decision must be based on professional criteria and not on personal considerations outside the workplace”.

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HEALTH

The different ways you can make a doctor’s appointment in France

Booking a medical appointment in France can be time-consuming – especially if you are new to the country and are looking for an English-speaking doctor.

The different ways you can make a doctor's appointment in France

You do not need a carte vitale to book a doctor’s appointment in France – anyone who needs medical help while in the country is entitled to it, but you may not be entitled to any reimbursement if you are not part of the social security system.

Booking a GP’s appointment can be as simple as phoning up your friendly neighbourhood GP, or using an online service such as Doctolib. 

It helps a lot, if you have a médecin traitant – an attending GP, who adds you (and your family, if they can) to their list of patients. 

READ ALSO Explained: How to register with a doctor in France

It is not always easy to find one. Some parts of the country are short of GPs, which means doctors’ lists can fill up very quickly. But it is important that anyone who lives in France is registered with a named GP, especially if they have a carte vitale.

As well as being the main point of contact between patients and the medical profession in all its guises, it is financially responsible to be registered with a GP in France.

Reimbursement on consultations is typically 70 percent through the French healthcare system, but just 30 percent for anyone without a declared doctor. Meanwhile, top-up mutuelle health insurance companies usually require you to declare a médecin traitant and if you don’t, you may not be able to receive reimbursements on certain treatments.

Bear in mind, it is your responsibility to register with a local médecin traitant. But, even after you have done so, you can still make an appointment with any doctor, anywhere in France, and arrange specialist treatment, if you need it. 

READ ALSO 5 things to know about visiting a doctor in France

How do you go about making a GP appointment in France?

There are several options.

Some health centres – more often in larger towns and cities – operate a walk-in policy. But expect waits to be lengthy. Do not, however, assume that your GP operates a system like this.

You can phone for an appointment. This is another very common method. Your GP will have their own system for making appointments – which may even include something that looks, to the uninitiated, very much like a casual walk-in policy. 

Some may have an assistant to deal with booking appointments and other administration. Others may deal with appointments themselves, and may – for example – operate some sort of triage system based on voice messages from patients. 

What about online booking systems?

And many practitioners are now attached to websites, such as Doctolib. As of 2023, about half of all GP appointments in France were made using Doctolib.

READ ALSO How to use: French medical website Doctolib

Be aware that other online booking systems are available. Doctolib is one of the best known, but your GP may be attached to another system, like the health ministry approved site ‘LeMedecin.Fr’.

This website also has a feature where you can take an immediate online consultation with whatever doctor is available at that moment. By clicking ‘Consultez en vidéo maintenant’ you will be connected to the next doctor who is free. This option may involve an additional charge between €5-10 on top of the price of the consultation, and you will be expected to pay when booking.

If you have any trouble with either of these websites, you can go through the list of registered generalists per département on the ‘Ameli’ website. If you use this option, you will need to call the doctor to see if they are open or available for appointments.

In terms of wait times, online systems have helped to significantly reduce the delay between booking and getting an appointment.

According to a 2023 study by Doctolib, about half of all GP appointments were available within three days from the time of booking on their platform.

Similarly, you can use online platforms to check the medical professional’s qualifications and languages spoken, as well as filter based on the doctor’s English abilities. However, this should be taken with a grain of salt because not every medical professional with English listed on their Doctolib page speaks fluent English. 

An increasing number of doctorsoffer video consultations, known as télémédecine in France. This allows professionals – particularly those in more rural areas – to diagnose less serious conditions remotely. This type of consultation is usually only available from those medical practices that are attached to online booking systems. 

Some pharmacies have also begun offering walk-in télémedicine consults, using ‘Medadom’ machines. More information here.

What about specialists?

In France, you book your own consultations with specialists, even if you are referred by a doctor (your GP may offer a recommendation, but won’t always). The good news is that many specialists do use online booking services. Those that do not usually have assistants to take care of the appointments.

READ ALSO: Urgent care: How to get non-emergency medical treatment in France

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