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What is State Medical Assistance (EMA)?

Verified 01 avril 2022 - Legal and Administrative Information Directorate (Prime Minister)

State medical aid (EMA) is a means of providing access to care for foreigners in an irregular situation. It is allocated under conditions of residence and resources. To request it, a file must be completed. Once awarded, the MEA is granted for 1 year. Renewal must be requested annually.

General case

You must have lived in France for more than 3 months.

You must not have a residence permit for more than 3 months.

You must collect resources that do not exceed certain limits. These ceilings are different if you live in the metropolis or Dom. The resources taken into account are those of the last 12 months.

Resource cap for access to the MEA by residence and household composition

Home Composition

Annual resource ceiling

Metropole

DOM

Single

€9,203

€10,243

2 people

€13,805

€15,364

3 people

€16,565

€18,437

4 people

€19,326

€21,510

Per person more

€3,681

€4,097

Minor children receive the EMA without delay even if you do not fulfil the 3-month requirement in France.

If your stay in France regulates, you will be entitled to health insurance taking into account your professional activity or your permanent and regular residence.

The EMA shall entitle the 100% your medical and hospital care within social security rates.

You don't have to advance the fees.

Dependants (person you live with as a couple, children under the age of 16, or up to the age of 20 if they continue their studies) may also benefit from the MEA.

The following medical expenses are not supported :

  • Technical act, examination, medicine and product necessary for the realisation of medical aid for procreation
  • Low-paid medical drug to 15%
  • Thermal cure

However, for minors, medical expenses remain covered 100%in all cases.

  Warning : certain non-urgent care and treatment shall be taken care of only after 9 months of admission to the EMA for any new beneficiary or for one who has not benefited from the EMA for more than one year.

Application 

General case

You must complete form cerfa n°11573.

The form contains a leaflet indicating the documents to be provided according to your situation.

Application for State Medical Assistance

Cerfa n° 11573*09 - National Health Insurance Fund (Cnam)
Other number : S3720h

You have to come and file your 1to request from your primary health insurance fund (CPAM).

Who shall I contact

You can also deposit this file in a public service house authorised by the health insurance agency.

The first application can also be filed with a health care facility or health care access office (PASS) in which you or a member of your household is cared for. In this case, the institution shall forward the application file, within 8 days, to the health insurance body.

Under certain conditions, the first application may also be filed with a health centre or health care home or association.

Insulated Minor

The application may be filed with a health insurance organisation by

  • Or a structure to care for or accompany these people
  • Or an association defending the rights of users of the health system or people in precarious situations

Form cerfa n°11573 must be completed.

The form contains a leaflet indicating the documents to be provided.

Application for State Medical Assistance

Cerfa n° 11573*09 - National Health Insurance Fund (Cnam)
Other number : S3720h

Person with reduced mobility

The first application may be submitted to the following services:

  • Health Insurance Organisation
  • Health institution where the applicant is supported
  • Communal or intercommunal social action centre of your place of residence
  • Health and social services of the department of residence
  • Non-profit associations or organisations approved for this purpose by decision of the State representative in the department

Form cerfa n°11573 must be completed.

The form contains a leaflet indicating the documents to be provided.

Application for State Medical Assistance

Cerfa n° 11573*09 - National Health Insurance Fund (Cnam)
Other number : S3720h

Trustee or trustee

Your tutor or curator can submit the first request to:

  • Health insurance organisation which ensures the investigation by delegation of the State
  • Health institution where the applicant is supported
  • Communal or intercommunal centre of social action of the place of residence of the person concerned
  • Health and social services of the department of residence
  • Non-profit associations or organisations approved for this purpose by decision of the State representative in the department

Form cerfa n°11573 must be completed.

The form contains a leaflet indicating the documents to be provided.

Application for State Medical Assistance

Cerfa n° 11573*09 - National Health Insurance Fund (Cnam)
Other number : S3720h

  Please note : social services and non-profit associations or organisations approved for this purpose by the prefect of department can help you in your approach.

Your CPAM inform you of its decision no later than 2 months after the filing of your application.

If you have not received a reply within this period, your request is refused.

If your application is accepted, you are called to withdraw your admission card at the MEA. This card should be presented to the healthcare professionals you consult.

  FYI : if you reside in France illegally and do not have the EMA (you do not meet the conditions or your application is pending), you can benefit from the care of your urgent care in the hospital. Check with your CPAM.

Who shall I contact

The MEA shall be granted for a period of one year from the date of filing of the application.

If you dispute a refusal to grant the MEA, you can appeal free of charge to your CPAM within 2 months of receipt of the decision.

You may also apply to the administrative court of your place of residence within 2 months of the date of decision.

Asylum seeker

You cannot benefit from the MEA.

However, you will benefit from universal disease protection (Puma) after 3 months of residence in France.

During these 3 months, you can be taken care of under the emergency care device.

In Mayotte

The MEA shall not apply to Mayotte.