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HEALTH

Why dental care could cost you more in France from October

You can expect higher dental costs in France from October 1st, unless you have private top-up health insurance. Here's why.

The French social security system will reimburse dental treatment at a lower rate from October 1st.
The French social security system will reimburse dental treatment at a lower rate from October 1st. (Photo by SEBASTIEN BOZON / AFP)

If you are receiving dental care with a public sector, or conventionné, dentist in France, you are currently eligible to have up to 70 percent of fees reimbursed by the French social security system (Assurance maladie). To benefit from this, you will need to be registered in the system, which is best done by acquiring a carte vitale

READ MORE: Healthcare in France: The essential French vocabulary you’ll need if you’re ill

But from October 1st, only around 60 percent of these fees will be reimbursed by the Assurance maladie – a move that the government hopes will save €500 million each year to help a heavily indebted health system. 

If you have a mutuelle (private health insurance), then the rest of the cost (or a large portion of it) will likely be covered by them, although it’s always worth checking in advance.

If you don’t have a mutuelle, you will have to make up the rest of the cost yourself. According to the consumer association, Que Choisir, some 2.5 million French people do not have private health insurance.

Analysts believe that as a result of these reforms, the cost of mutuelles will increase further – with private insurers arguing that they will have greater overheads. The average price of a mutuelle has been projected to rise by 4.7 percent by the end of the year, in part as a result of inflation.

READ MORE: Medical appointments in France to increase in price

Which dentists are covered by social security? 

When booking a dental appointment in France, it is worth looking for dentists who are conventionné. If you are booking through the Doctolib website, which we would highly recommend, you can filter your search to only show dentists with this status. 

A dentist who is conventionné secteur 1 charges the standard tariffs set by the government – for example a simple consultation will cost €23, a hygienist appointment will cost €28.92 and the removal of an adult tooth will cost €33.44.

Currently, if you are covered by social security, 70 percent of these costs will be reimbursed, but this will soon fall to 60 percent. The rest of the costs will likely be covered by a mutuelle, if you have one. 

A dentist who is conventionné secteur 2 will charge slightly more for their services – this can vary from a few euros to hundreds on euros depending on the case. There are obliged to provide this information to you before you undergo treatment.

If you are registered with the French social security system, you will be reimbursed as if you have received treatment from a secteur 1 dentist. In other words, even if you pay more for a consultation with a secteur 2 dentist, the amount of money you will receive from Assurance maladie will be the same for if you had visited a secteur 1 dentist. A good mutuelle should be able to make up the rest of the costs. 

For private, or non-conventionné secteur 3 dentists, you will not be reimbursed through the French social security system. Only a very good mutuelle will cover the entire cost of these treatments.

READ MORE What you need to know about a mutuelle  

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HEALTH

How to donate blood in France

Donating blood can help save lives - and authorities often issue appeals for donors around holiday periods, including the public holidays in May. If you want to donate in France, here is what you need to know.

How to donate blood in France

Who can do it?

In order to donate blood (don du sang) in France, you must be aged between 18 and 71, and you must meet certain health and medical criteria, including being in good health and weighing at least 50kg. 

Most of the rules for donating blood are the same in France as they are in countries like the US and UK, but there are some specifics to be aware of. 

For example, you cannot donate blood if you lived in the UK for a cumulative total of at least 1 year between 1980 and 1996, which excludes many Brits from giving blood in France.

READ MORE: Is it true Brits are banned from giving blood in France?

Similarly, you cannot donate blood if you:

  • have undergone a transfusion or transplant
  • could transmit a disease (bacteria, virus or parasite) through your blood
  • could transmit a viral infection through sexual contact
  • had a piercing or tattoo in the last four months
  • are or were pregnant within the last six months
  • had sex with different or new partners in the last four months
  • or have taken intravenous drugs

If you are sick with the flu or a cold, you will likely be denied as well (those who had an infection or fever in the last two weeks). People who visited an area with high rates of malaria, who have survived cancer, or who had recent surgical and dental operations will be assessed on a case-by-case basis.

To figure out if you are eligible you can take this quiz (in French).

You cannot be excluded from donating blood based on your sexual orientation – in March 2022 France lifted exclusions on gay men giving blood, saying the rule was no longer necessary and was unfair.

However, you can be excluded based on the health concerns listed above.

How does the process work?

In France, there is a three-step procedure.

First, you will complete a questionnaire assessing your ability to give blood. You will have a short interview with a medical professional who will determine if you are eligible. You have 15 days following the interview to follow-up and inform the medical professionals if there was anything you forgot to share. 

You can find a blood donation centre on this interactive map. Click on a centre to make an appointment. Keep in mind you will need to bring ID along.

The amount of time it takes to give blood depends on whether you are donating whole blood, plasma, or platelets (more on this below). 

After the donation, you will rest briefly and be given a light snack. If there were any abnormalities with your blood, then you will be contacted once it is analysed.

Can you be paid?

No, you cannot be paid. All types of blood donation are considered to be voluntary, unpaid acts in France – your reward is that post-donation snack, plus the priceless knowledge that you may have saved someone’s life.

Blood vs. plasma vs. platelets

A whole blood donation (don de sang total) collects three essential components: red blood cells, platelets and plasma. However, you can also donate plasma or platelets individually. 

The procedures take different amounts of time, and there are also different intervals between donations you should keep in mind. 

Whole blood donations are used for blood transfusions and medical research, and the volume taken will depend on your weight and height. These take about eight to 10 minutes for the blood collection, though you should allow for 45 minutes to an hour for the medical interview beforehand, plus rest and snack time afterwards.

Men can give a whole blood donation a maximum of six times a year, while women can give four times a year. There should be at least eight weeks between donations.

Plasma donations (don de plasma) yield two to four more times the plasma taken during a normal whole blood donation – these are usually used for special transfusions. It will take a maximum of one hour for the donation, but you should allow closer to an hour and 30 minutes. 

For plasma, both men and women can give a plasma a maximum of 24 times in one year. The interval between donations should be at least two weeks.

Donating platelets (don de plaquettes) helps to treat certain cancers, including leukaemia. This process takes a bit longer – closer to an hour and 30 minutes for the collection, so allow two hours for the whole process.

For platelets, men and women can both give a maximum of 12 times per year. The interval should be four weeks between donations.

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