International Health Insurance in Monaco for Expats

Yes. Health insurance is mandatory for all residents of Monaco by law, and it’s a requirement for obtaining and renewing your Monaco residence permit, the Carte de Sejour. Employed residents contribute to the CSM public system through employer and employee contributions. Non-working residents must hold comprehensive private health insurance as a condition of their residence permit. This includes retirees, investors, and those living on passive income. Non-EU nationals, including Americans, must also show sufficient financial resources alongside their private health insurance when applying for Monaco residency.

The Caisses Sociales de Monaco (CSM) is Monaco’s public social security and health insurance system. All employees working in Monaco, whether they live in Monaco or commute from France, must contribute to the CSM, along with their employers. Employed residents and cross-border workers covered by the CSM get access to public healthcare facilities in Monaco, and the CSM covers a significant portion of medical costs. The CSM does not automatically cover non-working residents, though. Retirees and anyone not employed in Monaco need to arrange private cover independently.

Monaco’s proximity to France means residents frequently use French hospitals, specialists, and medical services, particularly in Nice and the surrounding region. Monaco is not a member of the EU, though, and doesn’t have the same healthcare agreements with France that EU member states share. This makes international health insurance plans that are valid in both Monaco and France particularly practical for American residents, since they provide seamless cover across both places. ExpatInsure can help you find a plan with the right geographic coverage.

For Americans applying for Monaco residency, comprehensive private health insurance is a mandatory part of the residence permit application. The policy must be comprehensive, long-term, and valid in Monaco. Standard travel insurance isn’t sufficient and won’t be accepted for residency purposes. Most ultra-high-net-worth residents in Monaco choose premium international health insurance with comprehensive worldwide cover. ExpatInsure can help you find a plan that meets Monaco’s residency requirements and suits your situation.

No. US Medicare doesn’t provide coverage outside the United States in most circumstances. This matters even more in Monaco, where private health insurance is a legal requirement for residency. International health insurance is essential for all American residents there. ExpatInsure can help you find options suited to your situation, including plans that cover Monaco, France, and worldwide, including the US for return visits.