Health insurance for retiring abroad
Retiring in Portugal, Thailand or Morocco: your pension follows you, French social security does not. Past 60, the right contract comes down to three criteria that online comparison sites ignore: the maximum age for taking out cover, what happens to conditions you already have, and trips back to France.

Medical questionnaire to join the CFENone
Maximum age to take out first-euro cover65–75, depending on insurer
Social security rights on returning to FranceDepends on length of stay and status
Most common set-up after 60CFE + top-up
The CFE or first-euro cover?
Both have their case, for different profiles. That is the analysis we make for every file.
| Criterion | CFE (Caisse des Français de l’Étranger) | First-euro cover |
|---|---|---|
| Reimbursement basis | French rates, not the actual cost | Actual cost, from the first euro |
| Medical questionnaire | None, pre-existing conditions covered | Yes, depending on insurer and age |
| Retirement | Validates pension quarters | No |
| Choice of care | Free, but high out-of-pocket cost outside France | Free, no closed network |
| Repatriation | Not included | Generally included |
| Ideal for | Retirees, existing conditions, planned return | Working professionals, families, high-cost countries |
A common third route: the mixed plan: CFE plus a first-euro top-up. Often the best of both for retirees and pre-existing conditions.
Healthy retirees with no return planned
First-euro insurance is still possible if you take it out before the insurer’s age limit, generally between 65 and 75. Past that point, the door closes: timing matters as much as budget.
Conditions you already have
High blood pressure, diabetes, a cardiac history or a treated cancer: private insurers exclude these or charge extra for them. The CFE (Caisse des Français de l’Étranger, the French state health fund for citizens abroad) accepts members without a medical questionnaire. It is often the only way to be covered for what actually matters.
Retirees who come back regularly
Grandchildren, medical follow-up in France, two homes: the CFE keeps your rights continuous when you return, and a mixed plan avoids paying twice into overlapping contracts.
Couples with different profiles
One in great shape, the other under treatment: nothing forces you into a single contract. We often set up two separate policies for the same couple, cheaper and better suited than a joint contract.

Your questions about this cover.
Up to what age can you take out expat retiree health insurance?
With private first-euro insurers, the age limit for subscribing is most often between 65 and 75, depending on the insurer and the plan; beyond that, only the CFE (Caisse des Français de l’Étranger, the French state fund for citizens abroad) remains open, with no age limit and no medical questionnaire. Once you have subscribed before the limit, the policy generally renews for life. Timing therefore matters more than price: subscribing at 64 opens options that no longer exist at 71.
Will my chronic condition be covered abroad?
With a private insurer, rarely without conditions: diabetes, treated hypertension or a history of cancer are excluded, surcharged, or accepted case by case after a questionnaire. The CFE, on the other hand, covers pre-existing conditions with no questionnaire, on the basis of French rates. The mixed plan, the CFE as a base with a first-euro top-up on top, is the arrangement that best covers a retiree already under medical follow-up.
Is the CFE alone enough for retirement abroad?
In a country where care costs less than in France, such as Morocco or Thailand outside Bangkok’s large private hospitals, it covers a real share of the bill. In an expensive country, it reimburses on the French basis and leaves an out-of-pocket cost of 60 to 85%. A first-euro top-up on the CFE closes that gap, and you keep the fund’s advantages: no questionnaire, continuity of rights on your return.
What happens if I move back to France for good?
A retiree who returns regains their rights to French health cover, but a waiting period and proof of residence may apply depending on the situation. A CFE member keeps their rights without interruption. Private policies generally cover temporary stays in France during the term of the policy, but not a permanent move back: plan the cancellation ahead of time so you do not pay for two types of cover at once.
How much does health insurance cost for a retiree abroad?
It all depends on age, country and the arrangement chosen. As a ballpark figure, a couple aged 65 settled in Portugal or Thailand often falls between €300 and €700 a month for full first-euro cover, and noticeably less on a mixed plan if the CFE takes the base. These are not firm rates: the comparator gives a personalised range in three questions, and Mustapha draws up the exact quote within 24 hours.
Reviewed by Mustapha Naït Cherif
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