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CPAM health insurance in France: PUMa, carte Vitale, CSS — full guide

CPAM runs France's public health insurance, which reimburses most medical costs. Registration starts with a social security number and ends with your carte Vitale.

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Key points in 30 seconds

  • Apply for PUMa (form S1106).
  • Get your social security number.
  • Create an ameli account.

PUMa

For people working or residing stably and legally in France (usually at least three months). Simplified procedure for temporary protection.

Advice from the association

Don't leave this procedure to the last minute — come and see us.

Number and carte Vitale

You receive a temporary then permanent number and order the carte Vitale on ameli. Meanwhile doctors issue paper forms.

Common mistake

No registered GP.

GP (médecin traitant)

Registering a GP gives you better reimbursement.

Common mistake

Non-compliant translation.

Top-up insurance

Complémentaire santé solidaire (CSS) is free or low-cost depending on income.

Common mistake

Not applying for CSS.

Common mistake

Outdated address.

Step by step

  1. 1Apply for PUMa (form S1106).
  2. 2Get your social security number.
  3. 3Create an ameli account.
  4. 4Order the carte Vitale.
  5. 5Register a GP.
  6. 6Apply for CSS if eligible.

Documents needed

Collected: 0 / 5

FAQ

Russian-speaking doctors?

Use the ameli directory and Doctolib language filters. We also share local contacts.

How long for the carte Vitale?

A few weeks; the ameli rights certificate works meanwhile.

No residence permit?

AME state medical aid may apply under conditions. Contact us.

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