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Déja vu as Puma bills arrive...
Connnexion is again hearing of isolated cases of state pensioners who are due “free” healthcare in France under the European S1 scheme being sent Cotisation subsidiaire maladie (Puma) bills by Urssaf.

This is likely to be because you are not known to them as having a French salary or pension. You should show them a copy of your S1 form.