Complémentaire santé solidaire : are you an undocumented immigrant ?
Article
Publié le 06/12/2019
Information proposée par Fonds de la Complémentaire santé solidaire
If you are an immigrant without a residency permit (“titre de séjour”) or a document proving that you have begun the application process for legal residency (including an official receipt (“récépissé) for a residency permit application or a summons to appear at the préfecture), you may be eligible for State Medical Assistance (“Aide Médicale d’Etat” or “AME”).
Your rights
The AME program will cover up to 100% of your health care expenses up to the maximum rates set by the French Social Security system.
For example, if you are charged 23 € for an appointment with your general practitioner, AME will cover both the obligatory and the supplementary portions.
You also will not have to pay the 1 € out-of-pocket charge.
Health care coverage
AME will cover any expenses for medical or dental care provided at the practitioner’s office or in a hospital. Moreover, you will be exempted from paying any charges up front: when you show your AME card, you have nothing to pay.
Click here for a complete list of medical services covered
Eligibility requirements
You must meet 3 criteria in order to be eligible for AME:
1 - Be an undocumented immigrant residing in France
This means you do not have a residency permit (“titre de séjour”), an official receipt (“récépissé”) of an application for residency, or any other document showing that you are in the process of applying for legal residency.
2 - Reside in France on an ongoing basis
You must have been living in metropolitan France or in an overseas department for at least 3 months without interruption.
3 - Your financial resources must be below a set threshold
The resource threshold depends on the makeup of the applicant’s household. It is also not the same in metropolitan France and in the overseas departements.
| Nombre de personnes occupant le foyer : | 1 2 3 4 5 6 7 8 9 10 |
| Lieu de résidence : | Métropole DOM |
| Plafond annuel de référence : 8 951 € | |
| Soit une moyenne mensuelle de : 745.92 € | |
Click here for more information on the financial resources taken into consideration
AME coverage is granted for one year and must be renewed each year. Click here for more information on the renewal process
To receive AME coverage, submit an application to your local Health Insurance Fund (CPAM or “Caisse Primaire d’Assurance Maladie”). You must fill out the application forms and provide the following documentary evidence:
- Proof of identity for the applicant and his/her dependents
- Proof of the applicant’s uninterrupted residence in France for the past three months
- Proof of the applicant’s financial resources
- A recent 3.5 X 4.5 cm identity photo of the applicant and for each of his/her dependents to be covered by AME
Click here for a guide to the AME application process
Traduction effectuée par la direction des traductions du CLEISS (Centre des Liaisons Européennes et Internationales de Sécurité Sociale)
À retrouver sur https://www.complementaire-sante-solidaire.gouv.fr/undocumented-immigrant.php
Le Fonds de la Complémentaire santé solidaire est un établissement public national à caractère administratif créé par la loi du 27 juillet 1999.
Son fonctionnement est précisé par les articles R. 862-1 et suivants du code de la sécurité sociale.
Le Fonds de la Complémentaire santé solidaire se voit confier trois missions principales :
- Financer la Complémentaire santé solidaire et l'Aide pour une Complémentaire Santé
- Suivre et analyser le fonctionnement des dispositifs et à ce titre formuler des propositions d’amélioration
- Élaborer et publier la liste nationale des organismes complémentaires habilités à gérer la Complémentaire santé solidaire