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Other pages Noticeboard. Brexit: What will happen to your health cover in France deal or no deal The Local. Share this article. There is a lot of confusion over what Brexit means for the health cover of Britons living in France. Yesterday evening, many people found an unwelcome update from the UK government in their inbox, about healthcare for British citizens living in the EU if there is no deal.
After this date, the certificate may not be valid, depending on decisions by member states. If you haven't read it, you'll find it here. Unsurprisingly this has provoked something of a reaction today and has been picked up by many newspapers. And confusion reigns about post-Brexit healthcare in France for British residents, especially for those who are covered by the current reciprocal health care arrangement between the EU and the UK.
In this article we take a look at what would happen to our healthcare after Brexit, in both deal and no deal scenarios. First, though, a word about reciprocal healthcare. Contrary to popular belief, it isn't based on bilateral agreements between the UK and other EU countries so when the UK leaves the EU it would no longer be a party to this regulation, which means that we - and EU citizens living in the UK - would no longer be covered by it.
This is what will happen. Your healthcare is unconnected with Brexit and is not affected by it. You are affiliated to the French health system via CPAM and receive health care on the same basis as a French national, but the UK reimburses France for your health care costs. This applies whether you currently hold an S1 form, or whether you've not yet retired but the UK will be your competent state when you do so.
Early retirees and others who are economically inactive and are currently covered by PUMa. PUMa la Protection Universelle Maladie is France's universal health care scheme, open to all those who've been legally resident for at least 3 months. Those who don't fit into either of the 2 categories above will have applied to join the PUMa scheme. It's contributory, though not onerously so see below and for most people not at all, and is administered by CPAM La Caisse primaire d'assurance maladie.
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You will continue to benefit from healthcare in the way you do now. If you later receive a UK state pension, the UK will become your competent state; you will then be covered by the provisions of the Withdrawal Agreement for reciprocal health cover and can request an S1 form. If the UK leaves the EU without a deal things become rather more complicated, as there would be no Withdrawal Agreement and therefore no automatic continuing protection for Brits in France who are currently covered by reciprocal health care arrangements.
Nothing will change for you if the UK leaves the EU with no deal.
Your health care is unconnected with Brexit and is not affected by it. As the UK guidance makes clear, the S1 scheme will fall away by default on 30 March , or on Brexit day if this is later.
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This means that the UK will no longer be your competent state and will not, unless it has entered into a bilateral agreement with France by that point, continue to fund your health care. We currently have no certainty about exactly how this situation would be handled, but this is what we do know:. This is a clear reference to the reciprocal health scheme, and we can expect the future access to the French health system for current S1 holders to be included in the ordonnance that is coming out soon and will cover our rights.
Everyone who has lived in France legally for at least 3 months has a right to join PUMa. It would be a simple administrative job to transfer current S1 holders into PUMa and it must be very likely that this is what would happen.
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Brexit: What will happen to your health cover in France (deal or no deal)
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