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HEALTH

What to do if you catch Covid-19 in France

It's not the news that anyone wants to hear, but in the middle of a pandemic it's not beyond the realms of possibility that you will catch Covid-19 in France - so what should you do once you have your diagnosis?

What to do if you catch Covid-19 in France
France does around 1 million Covid-19 tests every week. Photo: AFP

Testing

The first step is to get tested and there are several different routes to this.

You may be contacted through the track and trace programme if you have been in contact with an infected person, or if you have downloaded the StopCovid tracing app you may get an alert. In either case you will be given a code or a prescription for a test that you can use to book an appointment for a test at your nearest laboratory.

You do not need a prescription for a test, however, and there are now a network of walk-in test centres across France in addition to the testing laboratories.

However, you need to check carefully that you are going to the right one or you might be turned away.

In general all laboratoires or 'labos' require appointments made in advance, either on the phone or online. You can find your nearest labo here.

READ ALSO How and where to get a Covid-19 test in France

 

There are also walk-in or drive-through testing centres, as well as mobile testing centres that visit rural areas. These don't require appointments, but some 'priority' centres will only test you if you either have a prescription or fall into one of the following categories; experiencing symptoms, a healthcare worker, in a vulnerable group or someone classed as a 'primary contact' of a confirmed case. A primary contact is someone who has direct contact with a patient – so if your colleague tests positive you are a primary contact but your husband who has not spent time with the colleague is not. 

After a summer in which French people flocked to get tested – often leading to long waits for tests or results – the government is now advising only the above four groups to get tested.

French airports also have testing sites which arrivals can use.

Over the summer there had been long delays in getting test results, up to 10 days in some cases, but the government says this is now improving with most people getting their results within 48 hours.

 

The test is free or fully reimbursable depending on which type of test centre you use.

Isolation

If you have symptoms or have been in close contact with someone who has tested positive you should isolate while you wait for your results and if your test is positive you should continue to isolate.

The self-isolation period has recently changed, being revised down from the 14 days that was previously the rule.

Following latest scientific advice, this has now been revised down to seven days from the end of symptoms.

So if you test positive but don't experience any symptoms – and around half of all cases experience either no symptoms or mild ones – then your total isolation period is seven days.

If the virus makes you ill you should isolate for seven days after the last of your symptoms disappear.

READ ALSO Five things to know about France's new self-isolation rules

If someone in your household has tested positive, the whole household needs to self-isolate.

Self-isolation involves basically staying at home. If it's totally impossible for you to either arrange a delivery or have someone shop for you, you are permitted to leave the house to buy food, but you should wear a mask at all times.

 

Work

Certain types of workers will be able to work from home while they self-isolate but if your job is of the kind that cannot be done remotely you will need an arrêt de travail to present to your employer to ensure that you still get paid while you are not working.

If you test positive you will need to get this from your doctor – a phone call or online appointment will be sufficient to issue this document so you do not need to go to the surgery.

If you are not infected but isolating because you are a contact case you can request the arrêt de travail online via your ameli (health insurance) account.

The certificate covers you for seven days off work, but can be extended to another seven days if you are still awaiting test results at the end of the period. This also applies to parents who cannot work because their child's school or class is closed due to Covid. For full details of claiming the arrêt in this way, click here.

Doctors

Most people will not be seriously ill if they catch Covid-19 so will probably not need to be in contact with their doctor. If you are in a high risk group or if you are worried about your symptoms your first call would be to your regular doctor. Don't go in to the surgery, request an appointment over the phone or online (télémedicine) which an increasing number of doctors are now offering.

If you are seriously ill and have severe symptoms such as difficulty breathing, calling the SAMU ambulance service on the number 15 and make sure you tell the operator it is a confirmed or suspected Covid case so that paramedics can take the appropriate precautions.

Member comments

  1. You say that those in a high risk group should contact their regular doctor if worried about possible Covid symptoms. Easier said than done. In our part of the country (Pays de Gex/Ain) it takes at least 3 days to get an appointment through phoning the surgery and the Doctolib site rarely offers appointments either at the surgery or by video within less than 3-4 days. I wonder what happens at the weekend if one of us vulnerables feels ill. The testing labs are closed, as is the doctor’s surgery. The nearest hospital is an hour’s drive away across the border into Switzerland and out again into Haute Savoie. Call no.15? And take up precious SAMU time and resources if it turns out to be only a common cold?

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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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