Read news from:
Austria
SHARE
COPY LINK
For members

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.

Published: 13 May 2024 16:52 CEST
Doctor speaking with patient inside his office
A doctor speaks with one of his patients inside his office. Photo by PASCAL POCHARD-CASABIANCA / AFP

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

Member comments

Log in here to leave a comment.
Become a Member to leave a comment.
For members

SCHOOLS

Are packed lunches really banned in French schools?

School children in France are entitled to a lunchtime meal of three, or even four courses – but what if you prefer to provide meals yourself? 

Published: 22 May 2024 12:24 CEST
Are packed lunches really banned in French schools?

French school meals are, famously, pretty good – children get a three or even four-course meal of properly prepared dishes and the menu (including cheese course) is usually published in the local town newsletter so everyone can see the types of meals being served.

The concept of a proper meal at lunchtime is an important one. “The diet of a school-age child is essential for their growth, mental development and learning abilities,” the French Education Ministry says in a preamble about school meals on its website. “It must be balanced, varied and distributed throughout the day: for example 20 percent of total energy in the morning, 40 percent at midday, 10 percent at four o’clock and 30 percent in the evening.”

And it’s not all about nutrition, the social aspect of sitting together and eating a meal is also important – the ministry continues: “Mealtime is an opportunity for students to relax and communicate. It should also be a time for discovery and enjoyment.”

All schools provide meals in a canteen and most pupils take up the opportunity – however it’s also possible for pupils to go home at lunchtime so that they can eat lunch with their parents.

The idea of taking in a packed lunch (panier-repas) is much less common in France – but is it actually banned?

The rules on lunch

At écoles (up to age 11), the local authority or établissement public de coopération intercommunale (EPCI) is responsible for providing quality school meals. This generally involves meals being provided via a central kitchen, and then delivered to the school’s kitchen, where it can be kept warm, or reheated as necessary.

The system is slightly different in collèges and lycées (attended by children aged 11 and up). In those establishments, catering falls into the purview of the wider département or region – and is routinely managed directly by individual establishments, which will have catering staff on site to prepare meals. Often, meal services are outsourced to private businesses, which operate the kitchens.

There are various rules and regulations in place regarding what food is offered, and how long a child has to eat – which is, in part, why the school lunch period is so long. Children must be allowed a 30-minute period to eat their meal, from the moment they sit down with it at the table. 

Then, they’re given time to play and relax before afternoon classes start.

READ ALSO What you need to know if your child is starting school in France

At a minimum lunch must include a main course with a side dish, a dairy-based product, as well as a starter and/or a dessert. Meals must also, the government says, be composed of 50 percent sustainable quality products (including 20 percent organic).

Some local authorities go further and serve only or mostly food that is organic, locally sourced or both.

Water and bread must be freely available, but salt and condiments can only be added in preparation – no sauce bottles or salt and pepper on the tables. 

Daily menus are generally available to view on school websites and many town newspapers or newsletters also publish them.

Parents pay a fee for the school lunch, which is calculated according to income and can be free in the case of low-income families.

Packed lunch

But what if your child doesn’t like the school lunches and you don’t have time to pick them up, cook a full lunch and take them back in the afternoon everyday? The obvious solution would seem to be to send them in with a packed lunch, as is common in the UK and USA.

In theory this is possible, but only in certain circumstances and with very strict rules and caveats. 

The Ministry, in a written response to a Senator’s question in 2019, said: “The use of packed lunches [home-supplied meals] by primary school students can provide an alternative to school meals. This method of catering is authorised in particular for children with a medically established food allergy or intolerance, requiring an adapted diet.”

READ ALSO How to enrol a non-French speaking child in school in France

It added: “the preparation and use of packed lunches in schools must follow certain rules. First of all, it is important to respect the cold chain”.

The cold chain is a term applied to food handling and distribution – it’s usually used by food-preparation businesses, but in the context of a packed lunch it means that food prepared at home must be kept in appropriately cool conditions until it is ready to eat. It would be the responsibility of parents to ensure that the food is delivered to school in containers appropriate for the job (ie an insulated cool bag).

Once at the school, it is up to whoever manages the kitchen to ensure that food is properly reheated. This becomes the sticking point at which many parents’ requests to send their children to school with a packed lunch, rather than go to the canteen, or eat back at home, are refused.

The reheating concern suggests that schools are also expecting parents to prepare a proper meal – rather than just throwing some sandwiches and a cereal bar into a bag.

Unless there’s a genuine and proven health reason for your child to eat a home-prepared meal, most parents will probably find the school won’t budge on this – even in cases of a strike by kitchen staff or lunch monitors.

READ ALSO Just how much do private schools in France cost?

The Ministry’s written response explains: “[A]s this is an optional public service, the municipality can justify its refusal to admit the children concerned by objective material and financial constraints, such as the need to equip itself with additional refrigerators, or for additional supervisory staff to supervise them during lunch.”

As well as the practicalities, for some schools this is an equality issue – because of the varied fee structure for school lunches what happens in effect is that richer parents are subsidising a good quality lunchtime meal for poorer students in the class; if everyone brought in a packed lunch and therefore stopped paying the fee, the lower-income kids would miss out. 

What about allergies or other health issues?

Children with allergies or other health issues that require a particular diet must be accommodated. An individual meal plan – known as a projet d’accueil individualisé (PAI) can be set up. More details (in French) are available here, on the government’s website.

It also becomes easier for parents to provide home-produced meals in such instances. As ever, it is up to the parents to ensure any meals are appropriately packaged and transported to school.

Not all schools

Some individual schools in France do permit pupils to bring in meals from home. They must be taken to school in an appropriate cold-storage container, and they will be stored in the kitchen area until they are needed, when meals will – if necessary – be reheated.

SHOW COMMENTS