A French complementary insurance policy (mutuelle) costs roughly €30-€100/month for an adult, and covers the ~30% gap PUMA (see [[public-healthcare]]) doesn't reimburse. Combined public Sécu + mutuelle costs typically run €20-€100+/month per adult; average mutuelle pricing rises with age (e.g. ~€110/month for a 60-year-old, ~€134/month for a family of three). Mutuelle premiums are expected to rise over 4% in 2026 on average, driven by a new solidarity levy and cost transfers from Assurance Maladie. Private-sector employers are legally required to provide a mutuelle and cover at least 50% of the premium — this obligation does not extend to the self-employed or retirees, who must arrange their own. For newcomers without PUMA access yet, a standalone private/expat health plan costs €50-€300+/month depending on age and coverage.