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Culture France Healthcare Moving to France

Bureaucracy

If I live long enough, I may get one of these. (Not my artwork, by the way.)

The image above, from the web site of the agency issuing them, is of a Carte Vitale, which is a card indicating that one is in the French insurance system. I already have a French nombre se securité social, not to be confused with my American Social Security Number, so I am covered, but without the card I must apply for reimbursement of every medical expense (this is automatic with the card, and I can’t buy “top off” or supplemental insurance to make it all free. Also, I can’t set up my éspace sanitaire, or personal online area where I can do all the stuff one needs to do to use the French insurance. You can even link your “top off” insurance, so everything becomes automatic. Swell, huh? Buy why, I know you want to know, do I have that SS number, but not the card? Well . . . . .

First thing I had to do was apply for the social security number. The initial application was one simple page. Short and sweet. Then I heard nothing for quite a spell. Quite a spell. Then I got a letter explaining what my next steps were, which involved filling out the form again only online this time, and sending documentation like proof of residence (electric bill) and ID. Done. Now more time passes. And some more. Then I get a letter telling me how to log into the site to proceed. Which procedure does not work. Thus begins the real fun part. I go online looking for help to log into my account. I get some help. I really want that card, and the only advice I get is not working. I do receive my social security number along about now, but that in itself isn’t sufficient. I am told, finally, by someone whose job it is to dispense useful advice, to log into my account, click on a certain icon, and fill out the forms there. Unfortunately, I can’t log into my account, you may recall. After a week or so of back and forth I got the definitive word: one cannot log into one’s account without that card! Hmmm. I think I see an issue here. So, I fill in the original application, this time with my social security number on it, and mail it in. Two weeks later I get a letter explaining how to get them to send my card, one way being to log in (!) and another using la poste, which was easy enough. I had to send another photocopy of my passport, plus a photograph in the format of a passport photo. I had already sent these items, but hey, I remain optimistic. I may get that card yet this year!

I am not badmouthing the functionaires who handle these things. Even they, in surveys, say that it’s over-the-top. They are all very polite, helpful, and nice to deal with. The overall system? Patience is key. In another example, I applied for my residence card in April, had an appointment in July, and should get my card in November. See? Things do work out. For the patient. Now, on to my drivers’ license.

Categories
Culture France Healthcare

Sproing!

Springtime in Paris? Well, yes to be accurate.

The sound in the title of this post is spring, springing. Last month it was colder than heck for around here (I used to live in Minneapolis, don’t bother with examples of when it gets “really cold.”) Yesterday it was 65 degrees Fahrenheit and sunny. The cranes (grue) have been flying north over Lizant. It’s actually rather pleasant, and not terribly cold even when it rains. This weather is premature, but I haven’t heard any complaints. Maybe next summer the weather will continue to smile upon us and it won’t get up to 30 degrees Celsius every other week like it did last year. Maybe.

My French is improving. I had my medical exam for my Titre de sejour, residence card, last Tuesday. So on Monday I had to drive to Poitiers, about an hour away, to go to a French equivalent of a county hospital to get a chest X-ray taken. Then on Tuesday morning I walked into what we’d call a “Class C office building” again in Poitiers, with uncertain lighting and disturbingly bland decor, at 9:25 in the morning. At 11:55 I walked out again, having had a six minute interview with a nurse, and a fifteen minute interview with a couple of doctors. I’m telling you here and now, if you want to live in a particular country, be sure to be born there. It’s a lot less aggravating. I’ve since applied online for my official “can you live in France?” interview, which should be easy enough to pass. I had to send them many of the same documents I had to send the agency that gives out visas. France has a huge bureaucracy, with many branches, and apparently no two branches do much effective communicating with each other. This is itself very encouraging, as a scary situation would be where you give your documents to just one office, and the entire government apparatus knows all about you. I tell myself that while awaiting another step in a bureaucratic dance.

Besides awaiting that appointment, I await eagerly my carte sanitaire, or health insurance card. French healthcare is priced according to income, and they do not include pensions. Our income being all pensions at the moment, it should be cheap enough, huh? I applied in October, sent further documentation in late December, and as soon as I receive the card I plan to visit my French doctor, if only because I promised those doctors in Poitiers that I would do so. I do believe that there is no way that one could overestimate the ubiquity of French bureaucracy. But, what the heck, I do like living here.

Speaking of which, I’m considering reviving my “Grumpy American Moves to France” YouTube channel. Please let me know if you’d be interested in such a thing. If you want to check out what it was a couple of years ago, click here: (483) A Grumpy American Moves to France – YouTube