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British joining l'Assurance Maladie after Brexit

I arrived in France and was a legal French resident in September 2020, before the end of the post-Brexit transition period on 31/12/2020. In December, I applied for the Brexit Withdrawal Agreement Carte de Séjour using an S1 as evidence of health insurance. I also applied to the CPAM with my S1 to enroll in l'Assurance Maladie. I have now received a letter from the CPAM asking for my residence permit. And, I have also received a letter from the Interior Ministry asking for my Attestation de Droits from the CPAM.

The Brexit withdrawal decree from the Ministry says I do not need a residence permit until October 2021. But, the CPAM says they will not process my enrollment request with out the residence permit. So, now I cannot get the residence permit without the Attestation de Droits and I cannot get the Attestation de Droits without the residence permit.

What do I do?

berkinet

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Sabine

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Hello Ark,

Virological tests (RT-PCR) carried out by insured persons during a stay in a country of the European Union (EU), the European Economic Area (EEA) or Switzerland are covered by the health insurance.

Whether they are tests of an administrative nature (entry into the country of stay) or tests of a medical nature (a symptomatic insured who has to carry out a control test), these tests are 100% refundable on the basis of a flat rate of 60€ which includes the costs of sampling and analysis.

If the test is immediately necessary, the European Health Insurance Card (EHIC) may be presented. The terms and conditions for using the EHIC and the procedure to follow in the event of paying the costs on the spot are presented in this article published on the ameli.fr website: "Holidays abroad: your responsibility".

For stays outside the EU/EEA/Switzerland, only urgent and unexpected medical tests can be covered by the Health Insurance up to 27% of the amount of the expense incurred.

On your return to France, you must send form S3125 entitled "Soins reçus à l'étranger" to your primary health insurance fund (CPAM), together with receipted invoices and a medical prescription or a medical certificate, which is compulsory in order to justify the unexpected nature of the test.

Please note: in order to be covered, a medical prescription is only required outside the European Union.

You will find all this information on ameli.fr in the article: "Covid-19: what is the coverage for screening tests carried out abroad".

Have a nice day.

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Mél

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Hello berkinet,

On 24 December 2020, the EU and UK reached a trade and cooperation agreement which will determine the rules that apply from 1 January 2021 to relations between the EU and the UK in a number of areas. Although an agreement has been reached, there will still be some major changes that come with the end of the transition period (1 February to 31 December 2020).

As a British citizen based in France, you are concerned if you already have a residence permit or if you do not yet have one.

British citizens and their family members living in France prior to 31 December 2020 need to apply online by 1 July 2021 (http://invite.contacts-demarches.interieur.gouv.fr/). They will be issued with a residence permit marked “Agreement on the withdrawal of the United Kingdom from the European Union”.

British citizens who arrive in France after 31 December 2020 will need to apply for a standard residence permit at a prefecture. By way of an exception, British family members of British citizens already living in France prior to 31 December 2020 will be issued with a visa free of charge and will be entitled to a residence permit when they arrive in France in accordance with the agreement.

British nationals and their family members can apply for a residence permit now via the Ministère de l’Intérieur online residence permit application service: https://contacts-demarches.interieur.gouv.fr/brexit/brexit-residence-permit-application/

This online service is meant for British citizens as well as their family members (spouse, children and parents of British nationality or third-country nationals) residing on the French territory before the end of the transition period.

The conditions will be the same as at present in terms of recognising a right of residence for EU citizens. British nationals will have to prove that they come under one of the following categories:

  • Either carrying on a professional salaried or self-employed activity (or having carried on such an activity or being registered as a jobseeker);
  • Or having sufficient resources for themselves and their family, as well as health insurance
  • Or being a student or undergoing vocational training, as well as having health insurance
  • Or being a member of the family of a British citizen who is based in France prior to 31 December 2020 and having a right of residence (spouse, partner, child, ascendant or dependent family member or belonging to the household of a British citizen)

More information on this website: https://contacts-demarches.interieur.gouv.fr/brexit/brexit-residence-permit-application/ and this page on ameli.fr: https://www.ameli.fr/assure/actualites/brexit-what-happens-after-transition-period-ends-december-31-2020.

Proof of application for a residency permit will be required if you apply for any French social security entitlements.

If you need help regarding this request, you can contact the CPAM’s English or French Advice Lines.

More information in the following topic: How to call the French Health Insurance Advice Lines?

Have a nice day

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Mél
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berkinet

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Unfortunately your response does not address the real issue. My question is not about the process of obtaining a Carte de Séjour under the Withdrawal Agreement, it is about interacting with official and unofficial agencies and companies while waiting for the Carte de Séjour to be issued. This is touched upon in the least sentence of the response...
"... Proof of application for a residency permit will be required if you apply for any French social security entitlements."

And, that is exactly the problem, agencies, including the CPAM are not accepting proof of application (I.e. the acknowledgement email). Instead, they are insisting on the applicant having an actual Carte de Séjour. This is in clear disagreement with the Withdrawal Agreement which says that anyone legally resident in France maintains that status until 1-October of this year, even if they never apply for a Carte de Séjour.

I have called the CPAM support line (in English and French) but, as in your response, they think the problem is related to the application. One agent even told me the Carte de Séjour was not necessary and that I had until October to apply for one. (In fact, the application deadline is 30-June, and as-of October 1, possession of a Carte de Séjour it mandatory.

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Anaële

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Après avoir été téléconseillère bilingue et webconseillère pendant 8 ans, je suis ...

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Hello berkinet,

Unfortunately, because of safety and confidentiality issues, we can’t reach any of your information or file from this forum.

If you need help regarding this request, you can contact the CPAM’s English or French Advice Lines.

You can also contact the mediator of your CPAM : https://www.ameli.fr/assure/droits-demarches/reclamation-mediation-voies-de-recours/saisir-mediateur.

If you want to submit a claim, I advise you to follow the instructions in the following link: Comment faire une réclamation ?

Have a nice day.

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Anaële
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berkinet

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This question is not about me, I am already enrolled and have my Carte Vitale. This is a question for many British applicants who find themselves in this position. I am asking because I am a moderator for a Brexit help group and many people are reporting this problem. I thought it would be more efficient to ask the question for them rather than have each person contact the CPAM individually.

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Ark

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Hello,

I have read all the conversations but I have a different question regarding Covid PCR test refund. I have French Residence Permit and Card Vitale conjoint with my wife who is working in France. I need to stay in the UK for my work. I need to travel frequently to France to meet my family. Last week I had to travel France from UK to attend the renewal of my residence permit. So I had to take the PCR test in London, UK.
Am I eligible to get the refund using the specific S3125 form and the payment invoice?

Thank you,
ARK

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Ark
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