If you're experiencing COVID-19 symptoms or are a close contact, isolate immediately and consult your general practitioner. Screening via PCR, antigenic, or serological tests is essential. Here's what you need to know about reimbursements from Social Security and your mutual insurer, based on established French health guidelines.
Recent updates from Service-Public.fr outline streamlined procedures for coronavirus management. Symptomatic individuals or contacts should see their GP promptly. Many wonder about coverage from Health Insurance (Sécurité Sociale) and supplementary mutual plans—let's break it down clearly.
GP consultations for COVID-19 follow standard reimbursement rules: Health Insurance covers 70% of the fee, with mutuals handling the remaining 30% ticket modérateur for policyholders. A €1 flat-rate franchise applies (waived for children, teens, pregnant women over 6 months, CSS, or AME beneficiaries). For an adult GP visit, expect €16.50 from Social Security and an extra €7.50 from your mutual.
To minimize transmission risks, opt for teleconsultation or telemonitoring—both 100% covered by Health Insurance. Use your usual doctor if possible, or another if unavailable. Note: Advance payment may be required if third-party payment isn't offered.
Three main tests are available: PCR, antigenic, and serological. PCR and antigenic tests are 100% covered by Health Insurance without prescription. Serological tests require a prescription for full coverage; otherwise, check your mutual. Self-tests (available in pharmacies since April 12, 2021) aren't covered by Health Insurance but may be by mutuals.
Vaccines are 100% covered by Health Insurance for all eligible French residents.
Mutuals often extend beyond consultations and tests to masks, sanitizers, and medications.
No proven specific treatment exists, but paracetamol for symptom relief (e.g., fever) is reimbursed at 65% by Health Insurance, with mutuals covering the 35% balance.
Masks are reimbursed by Social Security for confirmed positives or vulnerable patients (prescription required for the latter). Other cases depend on your mutual—submit invoices directly.
Hydroalcoholic gel isn't covered by Health Insurance (price capped at €1.79/50ml), but some mutuals include it under COVID-19 flat rates or self-medication benefits.
COVID-19 stoppages cover confirmed cases, contacts, childcare, or vulnerability. Declare online at ameli.fr, get a prescription, or use Health Insurance protocols.
Employees receive 90% of gross salary from Health Insurance (no waiting days), with employers covering 10%. Self-employed get variable coverage after 3 days; some funds offer up to 100% of gross salary.
For info, call 0800 130 000. Emergencies: SAMU (15) or EU 112. Stay informed and safe.
