The general scheme of Health Insurance
This is the social security scheme for employees and students. It covers 57 million French people, more than 87% of the population. It also funds 86% of health spending in the country, with resources from mainly social contributions (48%) and CSG (36%).
In 2010, the CPAM (Caisse primary health insurance) paid 142 billion euros in benefits, an average of € 5,260 per person. This total includes:
-Benefits in kind: reimbursement of medical expenses, hospital fees …
-Cash benefits: daily allowances of sickness.
Its current deficit was 18.6 billion euros.
Note: the local scheme of comprehensive health insurance benefits paid by Medicare for the inhabitants of Alsace (Haut-Rhin, Bas-Rhin) and Moselle.
The agricultural system
The agricultural system provides both operators (attached to the AMEXA) and agricultural workers. It is managed by the MSA (MSA). It protects 3.5 million beneficiaries and $ 28 billion benefit in 2010, € 4670 per person per year. As for the general scheme, this amount includes benefits in kind and cash. Reimbursements for medical expenses are also identical. Its deficit is currently $ 1.4 billion.
Namely: the scheme provides not only those working on farms, but also employees of service companies in connection with the agricultural community, as insurance or banking.
The social system of independent (RSI)
This plan administers health insurance for artisans, merchants and professionals. However, it manages itself as contributions. Indeed, the repayments are in turn delegated to agencies under contract who are insurers or mutual. It covers 3.5 million beneficiaries who receive benefits 6.8 billion.
The reimbursement of medical expenses and hospitalization are again identical to those of employees. However, some professions, such as professionals, do not receive any daily allowances in case of sickness.
The special insurance
Certain sectors or companies, for historical reasons, developed their own health insurance. They are special diets. There are 11 in total, among which are the regimes of sailors, soldiers, mining companies (which merged with the basic plan to end 2013), SNCF, RATP, the gas industry and electricity, the Bank of France, clerks and employees of notaries … But also the Paris Opera, the Port of Bordeaux, the National Assembly or the Senate.
All these schemes are grouped in the National Union Special (UNRS). They cover a total of about 5 million people. Reimbursements for medical expenses are generally identical to those of employees. However, some plans offer more benefits.
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