couverture sanitaire

Health system in Andorra, one of the best in the world

When planning an expatriation, health is one of our main concerns. If you want to live in a country close to France, Andorra remains an excellent option. How is the access to health care in the Principality? How does its health care system work?

How social security works in Andorra

In Andorra, the health system is particularly simplified. It is centralized in a single institution. This makes it easier for the insured to take advantage of the procedures. As in many European countries, health care is financed by Andorran residents. Almost 90% of the population is covered by social security. The public health system is effectively compulsory. Passive residents who cannot take advantage of this public coverage have the option of private insurance. 

It should be noted that the CASS, the social security system in Andorra, does not only cover illnesses. Accidents are also covered, whether in Andorra or in its neighboring countries, such as Portugal, Spain and France. However, you must notify the CASS of your trip with a few clicks online.

médecin référent

A physician for the family

For more personalized care, families will need to choose a physician. This may be a general practitioner or a pediatrician. This is to improve access to and organization of care. With a dedicated doctor, each member of the family can be followed up according to their state of health. This doctor will also be able to accompany his patients through the procedures of the Andorran health system.

These are just some of the reasons why the Principality is among the countries with the best health care system in the world. WHO statistics show an average life expectancy of 83.5 years.

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santé intégrative

Physicians under agreement and physicians not under agreement by the CASS

To ensure that you are properly reimbursed, you need to know whether or not you are dealing with a doctor who is covered by the CASS. When you are seen by a doctor who is covered by the CASS, you will be reimbursed up to 75% of your health care costs. If the doctor is not covered by the CASS, the social security coverage will be reduced to 33%.

Integrative health: Andorra’s new spearhead

Health professionals and patients alike are increasingly adopting integrative health care. This concept aims to combine non-conventional and conventional medicine to better cope with illness. Examples include hypnosis and acupuncture as well as the practice of meditation. All of this is in addition to the treatments.

One of the most accessible health care systems in the world

If you are planning to expatriate to Andorra, you have nothing to fear regarding the health care system in this country. You will be able to get the care you need in the best conditions and you will be reimbursed as it is the case in France, Belgium or in another European country. Don’t worry that the doctors in Andorra only speak Catalan. To better assist you, there are doctors who speak fluent French and English.


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