Number of sessions with a psychologist covered by social security increases in France

People covered under France’s state healthcare system can now attend 12 reimbursed psychological support sessions per year, without requiring a doctor’s referral.

The changes are part of an overhaul of the Mon soutien psy (my psychological support) system, which was first introduced in April 2022, before an expansion was announced in June 2024 under then-Prime Minister Gabriel Attal.

The scheme’s evolution was published in a decree dated Tuesday May 13 and officially came into force last Friday (May 16) - although in practice, these improvements have been implemented since January 2025. 

Prior to this date eight appointments per year were available under the scheme. Now, the scheme is split into one initial assessment interview and a maximum of 11 follow-up sessions. 

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An official referral from a medical professional was also required to book a session, which is no longer the case. 

Some eligibility conditions have remained in place. For example, appointments must be led by an officially-approved psychologist (find a list here). 

Patients must also be aged three or over and have certain “light to moderate” psychological issues, such as anxiety or depressive disorders.

It is not intended for those requiring specialist advice. 

Mon soutien psy cost breakdown

Appointment costs are covered by state insurer Assurance Maladie (60%) and by top-up mutuelle health insurance (40%). Those without top-up insurance are responsible for paying the remaining amount.

Each session should cost no more than €50, however some people consider this price to be insufficient as many psychologists typically set higher rates.

People covered by the Alsace-Moselle health insurance benefit from an additional 30% of the cost being reimbursed by this regional scheme, alongside the 60% Assurance Maladie cover. This leaves the remaining 10% to be paid by mutuelle insurance. 

Read also: Health insurance in France: what you should expect to pay per age, region and gender

Patients currently have to pay at the end of their appointment before being reimbursed at a later date. The ameli.fr website states it is preparing to simplify the process, allowing use of the Carte Vitale with partner psychologists.

The Santé psy étudiants scheme means that students are fully covered, with no advance payment, no matter whether or not they have top up health insurance.

Other situations in which appointment costs are fully reimbursed include: those over five-months pregnant, or those receiving treatment in connection with an accident at work or an occupational illness. 

You can find out more about the scheme through the official website.