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Clario

Quick Answer

What it is:: Social Security & Health Insurance — a healthcare procedure in France.
Deadline:: 90 days
Steps:: 5 steps
Cost:: Free
Documents:: 6 required
Legal basis:: CSS Art. L160-1

Important Deadlines

90d

Apply for PUMA (universal health coverage) within 3 months of stable residence

Required Documents

✓Valid passport or ID
✓Birth certificate (with apostille if from non-EU country)
✓Justificatif de domicile (proof of address)
✓Employment contract or proof of activity
✓Titre de séjour (for non-EU nationals)
✓RIB (bank account details) for reimbursements

Step-by-Step Guide

If employed: your employer registers you with URSSAF. You'll receive a numéro de sécurité sociale (social security number) within weeks.

Pro tip: Your temporary number starts with 7 (provisional). The permanent number starts with 1 (male) or 2 (female).

Create your Ameli account at ameli.fr once you have your numéro de sécurité sociale.

Pro tip: Ameli is the online portal for all health insurance matters — reimbursements, carte vitale, attestations.

Apply for your Carte Vitale (health card) through Ameli. Submit a photo and proof of identity.

Pro tip: The Carte Vitale takes 2-3 months. In the meantime, use paper attestations for reimbursement.

Choose a médecin traitant (referring doctor) and declare them on Ameli.

Pro tip: Without a declared médecin traitant, reimbursement drops from 70% to 30%. Register one ASAP.

Consider a mutuelle (supplementary health insurance) to cover the remaining 30%.

Pro tip: Employers must provide a mutuelle (compulsory since 2016). Self-employed must arrange their own.

Fees

Sécurité sociale registrationFree

Carte VitaleFree

Legal Basis

CSS Art. L160-1CSS Art. L311-1

Also Known As

This procedure is commonly searched under these names:

Sécurité socialeAssurance MaladieCPAMAmeliCarte Vitalehealth insurance Francenuméro de sécurité socialesocial security Francemutuellemédecin traitantPUMAURSSAF

Official Resources

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More Guides for 🇫🇷 France

→Right to a bank account (droit au compte)→Housing Benefits & Family Allowances (CAF)→CPAM reimbursement claim →Legal aid (aide juridictionnelle)→Foreign-licence exchange via ANTS →Mairie domicile attestation