Health Care Law at Mayotte (France)
Mayotte, as an overseas department of France, operates under a unique healthcare system that blends French national laws with specific regional adaptations. Here's an overview of the healthcare legal framework in Mayotte:
🏛️ Legal and Institutional Framework
Social Security and Health Insurance: In Mayotte, the Caisse de Sécurité Sociale de Mayotte (CSSM) administers health insurance, maternity, disability, and death benefits. However, universal health coverage (PUMA), which applies in mainland France, does not extend to Mayotte. Residents must meet specific criteria, such as a minimum number of work hours and contributions, to qualify for benefits . (The social security system in Mayotte - Welcome to France)
Public Health Establishments: Healthcare services are provided through public health establishments, including the Centre Hospitalier de Mayotte (CHM). These institutions operate under the French Social Security Code, with funding allocated based on annual budgets and multi-year contracts . (Mouvement social de 2018 à Mayotte, Title I: Provisions relating to health establishments, cooperation and ...)
🩺 Healthcare Services and Coverage
Emergency Medical Aid (AME): Unlike mainland France, Mayotte does not have the AME system for undocumented migrants. Individuals in irregular situations are not automatically entitled to healthcare services and may be required to pay for care . (State medical aid)
Maternity and Disability Benefits: To receive maternity allowances, insured individuals must submit documentation by the end of the third month of pregnancy. Disability pensions are available for those with reduced work capacity, contingent on meeting specific work history and contribution requirements . (The social security system in Mayotte - Welcome to France)
⚠️ Current Challenges
Healthcare Access Issues: Residents have reported difficulties accessing healthcare services due to factors such as insecurity, blockades, and shortages of medical professionals. These challenges have led to significant obstacles in obtaining timely medical care . (Mayotte: Serious Health Risks - Doctors of the World)
Emergency Department Strain: The emergency department at CHM is experiencing critical understaffing, with a significant shortfall in medical personnel, exacerbated by factors like water crises, epidemics, and internal conflicts . (A Mayotte, les urgences « en situation critique »)
🌍 Access for Expats and Non-Residents
Healthcare Access: Expats and non-residents may access healthcare services in Mayotte; however, they should be aware of the specific eligibility criteria and potential costs associated with services, especially if they do not meet the requirements for French social security coverage.
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