There are two things you need to know about the health coverage provided to asylum seekers: the compulsory scheme, which is available to everyone, and the supplementary scheme, which is dependent on financial means.

The French social security system provides basic health protection for asylum seekers under the normal, accelerated or Dublin procedure. This is the Protection Universal Maladie (PUMa) scheme.
You can apply to it after having been in France for 3 months.

In addition to this health protection, for people with limited financial resources, there is a complementary health protection system, which covers part of the costs not covered by the compulsory health insurance scheme: this is the “Complémentaire Santé Solidaire” (CSS).
To obtain these rights, you need to go to the health insurance center known as the “Caisse primaire d’assurance maladie” in your département (the one where you live or where you are domiciled), with your asylum seeker’s certificate (ADDA) and a certificate of domiciliation.

WARNING : Gaining access to medical insurance coverage takes several months.
While you are waiting for coverage, in an emergency you can always turn to a hospital, but you must be sure to tell the person who takes charge of your case that you don’t have insurance.
When you are uninsured and go to the hospital emergency room, there will be an assistant or assistante sociale working there who will help you.
In public hospitals, you will go to a service called “Service PASS”.

The first time you apply for asylum, you encounter not only the officers of the Prefecture but also the employees of the OFII.  They will offer to take charge of your case, that is, ask if you wish to be enrolled in the national reception program and if you wish to be taken in charge for your housing, allowance, and for your guidance.

It is very important to accept this offer because if you don’t, you will have no access to housing or an allowance.  Even if you are living with a friend or someone from your family, if you need an allowance to live on you must accept the offer to be taken in charge.

>> If you don’t accept, and then change your mind, you must quickly file your appeal and then immediately find an association to help you go back to the beginning.  You have only a few days for this process.

1/ How much is the allowance
If you accept the offer and the OFII grants you a house, you will receive a financial assistance. If you are offered accommodation, your ADA (allowance) will be reduced. If no accommodation is offered, you will receive the full amount set by OFII.

2/ How can I receive the allowance’s money ?

The OFII gives you an ADA payment card, specially made for asylum seekers. This card allows you to receive your allowance each month.

3/ How long will I receive the allowance ?

Your allowance is paid throughout the duration of the asylum-seeking process.  Whether or not your application is accepted by the OFPRA, if you decide to file an appeal with the CNDA, the allowance will be paid until the end of the month which follows the notification of the final decision in your case.  To illustrate: assuming that you receive the definitive decision in June, the last month you will be paid is July, and you would receive the allowance in August.

You receive the allowance at the beginning of the month (allowance for January is received at the beginning of February). 

In principle, asylum-seekers have the right to housing.  That means each person who has filed a request for asylum in France should be housed by the OFII (Office francais de l’immigration et de l’integration), the same organization that provides your allowance.  In fact, however, there are far fewer lodgings than asylum-seekers. 

->That means that you are likely to find yourself homeless.  If that is the case, the first thing to do is to complain to the nearest Direction Territoriale branch of the OFII.

Important : In order to have the right to get a house from the OFII, you have to accept the offer the OFII’s employees will present you during your interview at the one-stop service (Guichet Unique) and sign a form.  

—In case you accepted, then you will receive the allowance (ADA), and MAYBE an accommodation (housing). This accommodation could be ANYWHERE in France : you will not be able to choose the place you will be offered.
— In case you refused, then you will have no right to the allowance or an accommodation.

SOME IMPORTANT THINGS TO KNOW:

•If you are placed in the care of what is called asylum housing, you will be cared for throughout the procedure and you will also receive help in completing your OFPRA (Office francais de protection des refugies et apartrides) file, in filing your appeal, as well as help with administrative details and schooling for your children, etc.  This assistance can be provided by social workers at the place where you are staying, or by an association near the building. Every centre has its rules, that you have to follow. In case you don’t, you may be forced to leave it and you will not be given another housing solution. 

• The OFII will call you on your telephone and propose a place that could be anywhere in France.If you don’t come to this place in person within five days of receiving the proposal, you will not receive another proposal, you will lose your allowance, and you will not be permitted to start the process over again.  Thus, it is very important to accept the proposal and to show up at the assigned housing within five days.  The OFII can pay for your transportation to the assigned housing if you ask.

• You may temporarily leave your housing center for five days without penalty.  If you intend to be absent for more than five days, you must request permission from the resident director.  If you are absent for more than five days without permission, and can provide no reason for your absence, you may not be permitted to return to your housing center.

• If you are placed in a CADA, you will be able to stay there until the final decision concerning your asylum application. If your application is denied, you will have one month to leave the houing. If you obtain the protection, you will be able to stay 3 months more renewable (6 months maximum) until you have to leave.

>>> In case the OFII had no housing to offer, you have the right to call the government telephone number 115 anytime day or night, free of charge.  Often there is no response when you call 115, but be prepared to wait, sometimes a long time, until someone answers the telephone.  It is very important to speak to someone on the telephone to register you.  If not, your call is a waste of time.  Any night that you are homeless, you must call the number 115.  One cannot call to reserve housing a week before.  You are required to call in the evening, or the morning, whenever you have no housing for the night.  The 115 has very few overnight beds, and so you may be sent to a hotel, or to a collective housing center where you will be mixed with other homeless people, not necessarily asylum-seekers.

CAUTION: If you give up your CADA accommodation, OFPRA may close your asylum application file. In this case, you will have 9 months to request the reopening of your application.

In most of the regions, people entitled to CSS have access to reduced price for public transports. You can get more information from associations in your area, or a social worker, or a ticket office of the place you live in.  

PARIS AREA:  “ILE DE FRANCE” :

If you live in the Paris area, you can benefit from reduced price tickets since you get your CSS attestation.

Then you can go to a RATP agency (that can be found in the main metro stations, such as Gare du Nord or Châtelet), ask for a “pass navigo” : this is the card you will be traveling with. It is free.
Finaly, you can call the “Agence Solidarité Transport” at their telephone number : 0800948999 to ask for the reduction, or apply through their website : http://www.solidaritetransport.fr/