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HEALTH

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

Whether you're a resident, tourist or second-home owner, here's what to do if you need or non emergency medical care while you are in France.

You might be curious what to do in France if you’ve ever suffered from a stomach virus that hangs around a little too long, wondered if you’ve came down with a case of strep throat, or worried about a minor allergic reaction.

Obviously if you have a major medical event you should either visit a hospital urgences (Emergency Room) or call an ambulance (more on how to do that below) – but if your problem is not quite an emergency but still something that you need help with, there are several options.

Here are the services available and how they can be accessed by French residents, tourists and second-home owners.

SOS Médecins

This is the ’emergency doctor’ service and will connect you with a general practitioner, available 24/7. You can use it if you’re a visitor to France, you’re on holiday in a different part of France, you’re not yet registered with a doctor or simply if your own doctor is not available (either because it’s out of normal hours or your doctor is on holiday).

SOS Médecins is most known for their house-calls, as they will come directly to your home to give you a consultation. However you can also visit their local office or request a téléconsultation (online appointment). In either case, the person you see is a doctor and they will be able to diagnose you and prescribe medication, as needed. 

The SOS Médecins website gives three options: make an appointment by calling (the number is 3624), make an appointment online, or walk-in for a consultation (hours will vary for this depending on the location).

When making your appointment, you can request an English speaking doctor, but it is not guaranteed you will get one. 

When calling to make the appointment, you will need to know your département number, your phone number, the patient’s first and last name, the exact address (including the building code, floor, and any other relevant apartment-specific information), the reason for the call, and the age of the patient.

Cost – SOS Médecins varies in price depending on the time of day and location (whether the consultation is at the centre or at your home). For a house-call on holidays, weekends, and nights you can expect the fee to range between €56.50 to €86, which may be in part reimbursable by Assurance Maladie if you are registered in the French medical system.

Maisons Médicales de Gardes

These are community health centres that are intended to stay open after working hours and on the weekends. They are intended to ease the burden on emergency room by offering a place for people with non-life threatening emergencies to go outside of normal operating hours.

You can look online to see the closest Maison Médicale to you, or you can call your regular doctor and listen to their voice machine – usually they will list your after-hours options. For more information, you can visit this website.

Before walking up to the centre, you can call to allow the operator to assess your situation and give you a recommendation regarding whether you need emergency treatment or whether you can be treated at the Maison Médicale.

Cost – you can expect to pay between €26.50 to €59.50, some of which may be reimbursable if you are registered with the French medical system.

Pharmacy

Pharmacists in France are highly qualified (it takes between five and seven years to complete the training) and by law all pharmacies must have at least one qualified pharmacist on the premises.

Although they cannot prescribe medication, you can go to a pharmacy with a minor medical problem, to ask advice or for treatment for less serious injuries, or to get over-the-counter medication such as cough syrup or painkillers. You can visit on a walk-in basis and there is no need for an appointment.

If the pharmacist cannot treat you, they will tell you whether you need further assistance from a doctor or whether your medical issue is urgent enough to warrant an ambulance or trip to the hospital.

If you suspect you have Covid-19, you can get a test at a pharmacy. For strep throat or tonsilitis (une angine), you can ask for a rapid test (TROD or Test Rapide d’Orientation Diagnostique) at any pharmacy. If it is a positive result for bacterial strep, then you’ll be referred back to a primary care doctor in order to get a prescription for antibiotics. This test is covered by Assurance Maladie if you are registered in the French system.

You can find a ‘pharmacie de garde’ (a 24-hour pharmacy) by searching online with your département. You can also use the locator tool on this website.

The SOS Médecins website may also have a locator tool, depending on the region you are in. For example, this is available on the Paris version.

Cost – Seeking the assistance of a pharmacist is free, but if they recommend medication or treatment, you will likely have to pay, although some treatment types are reimbursed if you are registered in the French health system. 

Make a doctor appointment

Oftentimes, foreigners or tourists do not think they can make an appointment with a general practitioner in France if they do not have a carte vitale or are not registered in the French healthcare system.

In fact, anyone can make an appointment to see a French doctor, there is no need to be registered with them. One of the easiest ways to do this is by going to the website Doctolib and signing up for an appointment.

On Doctolib, you can see the medical professional’s qualifications and languages spoken, so you can 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. 

On the Doctolib website, you can set a preference for Aujourd’hui (today) or Dans les prochains trois jours (In the next three days), and you can also set your motif de consultation (type of consultation) to an online appointment, if you are not looking to make the trip to the doctor’s office (not all doctors offer these).

Cost – Everyone who visits a doctor in France is expected to pay, the standard rate is €26.50. If you are registered in the French medical system part of the cost will be reimbursed through your carte vitale.

If you are a tourist or second-home owner you may be able to claim the cost back on your health or travel insurance, depending on the policy.

If you are still in the process of registering for your carte vitale be sure to ask for a feuille de soins – this is basically a receipt, and when you get the card you can claim back medical costs incurred while you waited using the feuille de soins.

When booking the appointment, check to see whether the physician is ‘Secteur 1’ or ‘Secteur 2’ – this will determine if they are allowed to charge additional fees. A sectuer 1 doctor must apply the basic rate set out by the medication convention. For a GP, the fixed price is €26.50.

For an emergency 

If your situation is a life-threatening emergency, you should seek immediate assistance.

READ MORE: Emergency in France: Who to call and what to say

Call 15: You will be put in contact SAMU who provides ambulances and emergency medical care. 

Call 18: You will be put in contact with the fire department (les pompiers) who are trained to provide emergency medical assistance.

Call 112 (or 114 for people with hearing and speaking difficulties): This is the EU-wide emergency phone number. You might be more likely to reach someone who speaks fluent English on this line. 

Cost – emergency medical treatment is open to everyone including visitors. If you go to the hospital and receive treatment without being admitted, you will be charged a one-off fee of €18.

If you are admitted to hospital you may have to pay, depending on the treatment you receive and the nature of the problem – more details here.

Although hospitals will ask for your carte vitale as standard, you can still receive treatment if you don’t have the card.

Member comments

  1. What if you don’t have a French phone? I tend to use WhatsApp for both text and calls while in France. How can I call emergency numbers like 15, 18 or 112?

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For members

AMERICANS IN FRANCE

Is there really a 1949 treaty that allows Americans an extra three months in France?

You might have heard rumours about an old but never-repealed treaty between France and the USA that allows Americans an extra three-month stay in France without requiring a visa. But is it still valid?

Is there really a 1949 treaty that allows Americans an extra three months in France?

It sounds almost too good to be true – an obscure treaty that would potentially allow Americans to stay up to six months in Europe without needing a visa . . .

The agreement exists, it was one of several bilateral travel agreements that France made in 1949.

It states: “From April 1st 1949, citizens of the US can enter the following countries on the simple presentation of a valid passport, without a visa, and stay between one day and three months; France, Andorra, Algeria, Morocco, Gaudeloupe, Martinique, French Guiana and Réunion (or Tunisia for two months).”

First things first, we would strongly advise against turning up at the border of Algeria, Tunisia or Morocco and claiming your right to free entry based on an agreement that France made for them back in the days when they were colonised. Awkward.

The Caribbean islands of Guadeloupe and Martinique, the Indian ocean island of La Réunion and the South-American territory of French Guiana remain French. For administrative purposes they are part of France, but they are not part of the Schengen zone so have slightly different travel rules. Andorra is different again.

Schengen rules

These days France is part of the EU’s Schengen zone and that has its own rules for travel.

Americans are one of several nationalities covered by the ’90-day rule’ – this allows for stays of up to 90 days in every 180 in the Schengen zone, without the requirement for a visa. In total over a year you can spend 180 days visa free, but they cannot be consecutive – within any 180-day period you must not stay for more than 90 days.

READ ALSO How does the 90-day rule work?

The 90-day limit covers time spent in any of the Schengen zone countries – so for example if you are travelling around France, Italy, Spain and Austria you get 90 days total, not 90 days in each country.

The 1949 agreement allows three months visa-free in France, while the Schengen zone agreement allows 90-days visa free in France – basically the same amount.

However where the 1949 agreement could potentially be an advantage is for Americans who want to travel around Europe for several months – essentially giving them three months in France plus 90 days in the rest of the Schengen zone countries, allowing for a six-month visa-free stay in Europe.

Neither rule allows for more than 90 days in France without getting a visa – if you want to stay longer than that in France, you will need a visa (unless you have dual nationality with an EU country).

Schengen rules versus pre-existing bilateral agreements

But is the 1949 agreement still valid? It’s true that the agreement was never specifically cancelled, but since then something big has happened – the creation of the Schengen free travel area which came into force in 1990.

The Schengen agreement creates a free travel zone (expanded several times since 1990 and now encompassing 29 countries and about 420 million people).

Countries that are part of the Schengen area;

  • do not carry out checks at their internal borders, except in cases of specific threats
  • carry out harmonised controls at their external borders, based on clearly defined criteria

The rules are covered by the Schengen Borders Code, which involves countries adopting a common visas policy – in brief this means that countries are free to set their own visa policy (eg types of visa offered, visa costs/duration) but must agree on who needs a visa and who does not.

The European Council explains: “An EU common visa policy is necessary for the effective functioning of the border-free Schengen area as it facilitates the entry of visitors into the EU, while strengthening internal security.

“The EU has established a visa policy for: intended short stays in or transit through the territory of a Schengen state; transit through the international transit areas of airports of the Schengen states; short stays are stays of no more than 90 days within any 180-day period.”

So the EU is clear that it operates a common visas policy – limiting visa-free stays to no more than 90 days in every 180.

French policy 

Part of the confusion over this historic agreement seems to be that over the years several French consulates have provided contradictory or confusing advice suggesting that the 1949 agreement is still in force.

You may be lucky and find a border guard who agrees with their interpretation – but if you find someone who interprets the Schengen rules as superseding the 1949 treaty, they will be able to provide a lot of more up-to-date and clearer statements of the rules specifying that non-EU citizens such as Americans are limited to 90 days in every 180 within the Schengen zone.

If you lose your argument at the border, you are liable to end up with an ‘over-stayer’ stamp in your passport which may make it difficult for you to re-enter any EU country, or to get a visa for any EU country.

Is it really worth taking that risk?

EES

Starting later in 2024 – probably October although it could be delayed again – is the EU’s new Entry & Exit System.

You can find a full explanation of it here, but it basically automates the counting of the 90-day allowance – passports will be scanned on entry and exit of the Schengen zone and dates automatically tallied.

There are exemptions for people who have residency permits or visas, but there is no provision built into the system to show old treaties at the border.

French citizens

The 1949 agreement is a bilateral one, so it also includes a provision for French people wanting to go the USA.

It states: “French citizens wishing to travel to the United States for stays not exceeding three consecutive months may, if they wish, receive free visas valid for two years and for an unlimited number of trips during that period.”

Sadly, this is no longer valid either – the US does not allow visa-free travel and French citizens wishing to go even for a short holiday will need to complete the ESTA visa-waiver online before travelling. Anyone who has failed to complete this form (which is not free) will be denied boarding by their airline.

Once completed, the ESTA visa waiver covers multiple trips for two years (unless your passport is renewed in that time, in which case you have to do it again).

The ESTA visa allows trips of up to 90 days per visit, French people wishing to stay for longer will need to apply for a visa.

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