Réponse de Christelle

Christelle — Mon, 16 Mar 2026 12:40:10 GMT

Hello Pixie,

First of all, it is the date on which you effectively start your self-employed activity that enables you to register to French healthcare system.

I advise you read this topic entitled : "How to be covered if I am self-employed".

Once your rights are open by your local caisse primaire d'assurance maladie (CPAM), if your are about to begin a "procréation médicalement assistée (PMA)" pathway, your gynecologist will need to complete the application form for 100% coverage for infertility treatment.

He/She will then send this application form (demande d'entente préalable) to the medical service of your CPAM for approval.

If approval is granted, your CPAM will send you a letter confirming 100% coverage under the long term disease (affection de longue durée - ALD).

Acts for "assistance médicale à la procréation (AMP)" are 100% covered by Assurance Maladie up to:

6 inseminations to achieve a pregnancy
4 fécondations in vitro (FIV) attempts to achieve a pregnancy

Concerning egg retrieval, it is possible in France up to the age of 43 and embryo transfer may be done:

up to the woman's 45th birthday, whether she is unmarried or part of a couple, who will not carry the child.
up to the 60th birthday of the partner who will not be carrying the child.

You can find further information in this article from Service Public entitled : "Assisted Human Reproduction (ART)""

For any other information I suggest you contact a gynecologist who will be able to advise you upon your personal situation.

Have a nice day

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Réponse de Christelle