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BRITS IN FRANCE

What are the rules on accessing the UK health service if you live in France?

If you're British and live in France you will previously have been registered with the National Health Service, but once you move abroad things change - here's what this means for accessing UK healthcare both on a regular basis and if you have an accident or fall sick while on a visit back to the UK.

What are the rules on accessing the UK health service if you live in France?
Photo by JUSTIN TALLIS / AFP

The NHS is described by the British government as a “residence-based health service” which means that if you don’t live in the UK you’re not automatically entitled to NHS care, even if you are a British citizen and even if you still pay tax in the UK.

However funding, access and care rules can vary depending on your circumstances.

Moving to France

Once you have lived in France for more than three months you are entitled to register in the French health system and get a carte vitalehere’s how to go about getting the card and registering with a French GP.

This will take care of your regular healthcare needs, GP appointments, screening, planned procedures etc.

Healthcare in France is a state system, but unlike the NHS it’s not free at the point of delivery, instead it operates on a reimbursement system.

READ ALSO How France’s healthcare system works

Pensioners

If you are a pensioner, student or posted worker, it’s likely that the UK will continue to pay for your healthcare through the S1 system.

However, being covered by S1 doesn’t mean that you remain registered with the NHS – S1 only affects who pays for your care.  

So, in France, you register for a carte vitale health card in the same way as everyone else, you pay upfront for your medical treatment and then the doctor swipes the health card – at this point, if you are an S1 holder, the UK government reimburses the cost, for everyone else the French government pays the cost. But for you as a patient, the system is the same.

Full details HERE on how to request an S1. 

If you are not working, studying or seeking work in France but have not yet reached pension age you could fall into a ‘grey area’ in terms of who pays for your healthcare – in this case you can register in the French system through PUMa – full details on that HERE

Can I stay registered with my UK GP?

No, you need to have a local address to be registered with an NHS GP. In practice, many people don’t get around to telling their GP that they have moved and so stay registered for months or even years, but technically you should notify your GP so that you can be removed from the NHS register. 

Even if you do remain registered with a UK GP, they won’t be able to issue prescriptions for you in France as most UK GPs are not licensed to practice outside the UK – therefore are not covered by insurance.

If you are on regular medication it may be possible for your GP to issue you with an advance stock of medication to cover you while you get settled in France, but many prescriptions are limited to a maximum of three months.

What about travelling outside France?

Once you’re registered in the French system you will be able to get a European health insurance card known as a CEAM (Carte européenne d’assurance maladie) which covers medical care while on trips in Europe. It’s basically the same as the EHIC you might have had while you were registered in the UK but it’s not issued automatically, you have to request it.

The easiest way to do this is through your Ameli account – head to ‘Mes informations‘ than click the ‘commander une carte européene d’assurance maladie‘ in the box next to the CEAM. It will be sent by post to your French address. 

If travelling outside of Europe – ie a holiday in the US – you need to ensure that you have travel insurance with full medical cover in case of any mishaps while abroad. 

What about trips back to the UK?

Although your day-to-day healthcare will be covered by the French system, there’s still the possibility or falling sick or having an accident while on a trip back to the UK. 

If you are an S1 holder you can show this to provide proof that you are entitled to NHS treatment, and if you are covered by the Brexit Withdrawal Agreement you can show your UK-issued EHIC or GHIC to provide proof of your entitlement to NHS care.

However if you don’t have either of these, the CEAM covers all trips in the EU and European Economic Area, as well as Switzerland and the UK, so if you are charged for medical care while in the UK – because you do not have a UK address – then you will be able to claim the costs back once your return in France.

This also means that any French nationals who are with you on your trip – such as a French spouse or partner – have their care costs covered too through CEAM. 

In practice, most UK nationals who need to use the NHS while on trips back to the UK report that no-one ever thinks to ask whether they are UK residents.

It’s true that some Brits living in France keep their registration with a UK GP and make regular trips back to get prescriptions, while this can happen in practice it does involve lying or at least being economical with the truth about where you live.

Overall it’s better to get registered with a French GP so that they can get to know you and have a full overview of your care as well as any ongoing medical conditions and prescriptions. Most Brits are pretty happy with French healthcare, which consistently ranks among the best in the world. 

Emergency care

There are certain types of NHS care that are not charged for, such as A&E treatment or treatment from paramedics, but if you need to be admitted to hospital you may have to pay.

NHS hospitals won’t turn you away if you cannot prove residency, but they may present you with a bill when you leave if you cannot prove either residency or health cover in a European country.

Member comments

  1. They do ask even though I’m UK resident, and sounded here like an automatic question, but may not be I suppose unless like me you rarely ever go to the GP.

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LIVING IN FRANCE

5 tips to have the best possible night at France’s Fête de la musique

It can be the most fun day of the year - when France goes music crazy and bands suddenly appear on every street corner - but there are some tips to make your Fête de la musique experience as good as it can possibly be.

5 tips to have the best possible night at France's Fête de la musique

First, a caveat – this is an entirely personal manifesto based on the things that I have enjoyed over my Fête de la Musique outings over the years. It’s not intended as any kind of hard-and-fast rule and plenty of people will have different experiences.

Feel free to disagree and/or share your festival tips in the comments section below!

1 Ignore the big-name artists

There are always a few big-name artists or concerts in major venues on the Fête de la musique (which happens every year on June 21st).

Ignore them. Sure, stadiums gigs can be great and huge venues can have a wonderful atmosphere – but you can do that any night of the year. It’s not what Fête de la musique is about.

The true spirit of the Fête is the smaller acts who play on street corners, in bars and community venues. They’re free, you can wander between them and stay as long as you like – and there is always something else around the corner.

2 Ignore the big towns

You might think that the big cities have the best music, but if you have the choice, go for a small town or a suburb.

I’ve enjoyed some good Fêtes in Paris, but the best experiences had have been smaller towns or the Paris’ suburbs (Montreuil is good – a commune that carefully cultivates a small-town / village vibe, albeit a very diverse small town where everyone is a hippy, a leftist, or both).

It’s partly a practicality thing – in big cities the acts are spread out and you have to make plans to see something and meet up with friends. In small towns, you just wander along to the main square, then when you’ve seen the acts there, you can saunter up the side streets, each of which will have dozens of bands playing, pausing only to grab a beer and snacks.

But it’s also the vibe; in big cities you can hear good live music all the time and the population is consequently complacent – small towns truly appreciate the Fête de la musique and properly go wild.

Once, in Paris, I was watching a blues band play in the street when a woman tipped water on their heads from her apartment window because she was tired and wanted to go to sleep. Small towns appreciate it when bands play for them.

3 Experiment

There’s a lot of variety on the night, so take advantage – this is your opportunity to hear all kinds of live music from rock to swing, jazz to classical, choirs to DJs.

Didn’t think that a five-piece oud band is your thing? Fête de la musique may change your mind. It’s the night of the year when anything goes, musically, so it’s also the night to try something new.

If you hate it – well it’s free and there’s another band down the street that might be more your thing. But you might discover a lifetime passion for oud music – in fact, by this time next year you might be playing in the oud band. Thanks to the Fête de la musique.

4 Don’t insist on quality

You’ll hear some great bands, but you’ll also hear some that are more about enthusiasm – and that’s all part of the fun.

You’re going to be hearing everything from classic rock to reggae to blues to the above-mentioned five-piece oud band, and as well as the styles the quality may be variable to.

For me, the true spirit of Fête de la musique is the 50-year-old accountant rocking out on his guitar and enjoying the one night of the year when he can dream that if only he hadn’t given up on his high school band, he could now be rich, famous and selling out stadiums, as opposed to filing tax declarations in an office above the florist.

5 Dress comfortably

Some people like to dress up for the Fête and that’s great – it’s a party after all – but the key thing is to wear something that is comfortable and allows you to shake your stuff.

Yes, you will be dancing – you’ll be dancing on street corners, in parks, cafés and perhaps on street furniture if things really get going, and you’ll be dancing with kids, dapper 70-year-old gents and everyone in between.

You need comfortable shoes and clothes that you can really move in.

Dance like no-one is watching. They may be watching, but they won’t be judging. Much. It’s Fête de la musique.

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