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HEALTH

France to begin Covid-19 vaccinations before end of December

French Prime Minister Jean Castex on Wednesday promised France would embark on its Covid-19 vaccination campaign as early as in the last week of December, "if the conditions were right".

France to begin Covid-19 vaccinations before end of December
Will France begin vaccine in the next two weeks already? Photo: AFP

Speaking to the lower house of French parliament, the prime minister said the vaccine “could be carried out from the last week of December,” if “all conditions are met”.

“We have favoured the most advanced vaccines, Moderna and Pfizer, others could arrive in the coming months despite the uncertainties,” he said.

The French government has ordered a total of around 200 million doses, which would be enough to inoculate 100 million people. The country has a population of just under 70 million.

France will receive around 1.16 million Covid-19 vaccine doses by year end, Castex said, adding another 2.3 million will arrive in the next two months.

Giving a breakdown, he said France will receive around 1.16 million doses by the end of the year, another 677,000 doses in early January, and around 1.6 million doses in February.

The prime minister also confirmed that vulnerable people would be the first ones to get the jab in France and that the general population would have to wait until a later phase of the vaccine programme.

“By targeting the most vulnerable groups, we are seeking to reduce mortality due to Covid-19 and prevent hospitalisations and, in particular, admissions into intensive care wards,” he said, adding:

“It is only at the end of spring that we will open the vaccination programme to the entire population.”

Castex said that the start of the vaccine campaign was conditional on approval from the European Medicines Agency, expected on December 21st.

France's Health Minister Olivier Véran previously laid out a detailed timetable for vaccinations, and the order they would be offered.

  • Phase 1 – previously set to begin in January, the first phase could now start December. It will target the most vulnerable groups – residents in the country's Ehpad nursing homes, as well as Ehpad staff. This represents around 1 million people.
  • Phase 2 – Beginning in February or March, this phase, which represents around 14 million people, and includes all those with risk factors for Covid-19. First will be people aged 74 or older, then the 65-74 age group, followed by healthcare workers and people aged 50 plus with risk factors for Covid-19 such as underlying health conditions.
  • Phase 3 – from late spring, this will be opened up to the rest of the population (around 52 million people). This would begin with people aged 50 plus and keyworkers including teachers and retail staff before moving to people in precarious living situations such as the homeless, people who lived in a communal setting and then the rest of the population.
France's health authority, Haute Autorité de Santé, would publish advice on the conditions for giving out the vaccine, Castex said.
 
 
Another problem for the French authorities is that according to an opinion poll, only 53 percent of people want to be vaccinated, among the lowest rates in the world.
 
 
“We must remember that if a vaccine is authorised, it is only at the end of a rigorous procedure of tests and evaluations, both at the European and national levels,” Castex said.
 
He assured that the government will “be much more transparent in this phase of the epidemic's management,” after authorities came under fire over the distribution of tests and masks earlier in the year.
 
France on Tuesday ended its second virus lockdown but that has been replaced by an overnight curfew from 8pm.
 
Over 59,000 people have died of coronavirus since the start of the pandemic, according to official figures.

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HEALTH

The French government scheme that helps cover the cost of therapy

The French government launched 'Mon Soutien Psy' in 2020, in an effort to help people afford psychological care. In June, the scheme will be expanded.

The French government scheme that helps cover the cost of therapy

What is ‘Mon Soutien Psy’?

It is a scheme that allows anyone aged three and over who is suffering from anxiety, depression or mental distress to benefit from psychological support sessions, the cost of which is partially reimbursed by the state.

Currently, people can benefit from up to eight counselling sessions in a year with the assistance of Assurance Maladie, as long as the appointment is done with a psychologist registered to the scheme. 

Previously, it has been difficult for people to find an available psychologist due to high demand. However, with the changes coming into effect on June 15th (increasing the price per session and the number of sessions covered, as well as removing the requirement to visit a doctor for a referral beforehand), the government hopes it will be more accessible.

That being said, patients must use the psychologists who are registered with the scheme, and as a result, English-speakers may be limited.

READ MORE: Ask the expert: How to find an English-speaking therapist in France

Who can participate?

Anyone who is “anxious or depressed; feeling unwell; with a smoking, alcohol or cannabis problem; or struggling with an eating disorder” can participate.

It is not intended for patients in emergency situations – ie those risk of suicide or dealing serious psychiatric issues. They will be referred to a psychiatrist or specialised facility.

How does it work?

As things stand in May 2024, the patient must first visit a doctor. This normally would be your GP, but it can also be any other doctor ‘charged with your care’, including other local GPs, paediatricians, geriatricians, and more.

After evaluating you, the doctor can give you a referral (courrier d’adressage) to a psychologist. This step will change in June 2024, and patients will be able to consult registered psychologists directly.

You can find the list of participating psychologists (HERE) to make an appointment.

Your first session will be for evaluation purposes. The psychologist will then determine the number of follow-up sessions (up to seven, but soon to be increased to 11) based on your needs. 

How much is reimbursed?

As with other medical appointments in France, you pay the practitioner and later receive a reimbursement. 

The reimbursement rate is 60 percent, and the remaining 40 percent is either out-of-pocket or covered by your complementary healthcare plan (mutuelle).

The fist session costs €40, and the follow-up sessions currently cost €30. However, starting in June 2024, they will be increased to €50 in an attempt to attract more psychologists to participate in the scheme. They will remain reimbursed at the 60 percent rate.

READ MORE: Health insurance in France: What you need to know about a mutuelle

If you are in the following situations, then you do not have to pay anything up-front.

  • Beneficiaries of the Complémentaire santé solidaire scheme ;
  • Beneficiaries of state medical aid (AME);
  • People with disabilities or long-term illnesses (Affection de Longue Durée – ALD) 
  • Pregnant women (from the 6th month of pregnancy);
  • People under care in connection with an accident at work or occupational illness.
How can I get reimbursed?

In the coming years, the system will be incorporated into your Carte Vitale, so you will not need to mail in any reimbursement forms.

However, as things stand, you must request a feuille de soins at each session and mail it into Assurance Maladie to get your reimbursement. You would also send this to your mutuelle, depending on your situation.

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