International Health Insurance in Monaco for Expats

Yes – health insurance is mandatory for all residents of Monaco by law. This is a requirement for obtaining and renewing your Monaco residence permit (Carte de Sejour). Employed residents contribute to the CSM public system through employer and employee contributions. Non-working residents – including retirees, investors and those living on passive income – must hold comprehensive private health insurance as a condition of their residence permit. Non-EU nationals, including Americans, must demonstrate sufficient financial resources and comprehensive 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 resident in Monaco or commuting from France – and their employers are required to contribute to the CSM. Employed residents and cross-border workers covered by the CSM have access to public healthcare facilities in Monaco, with the CSM covering a significant portion of medical costs. However, the CSM does not automatically cover non-working residents, meaning retirees and those not employed in Monaco must arrange private cover independently.

Monaco’s proximity to France means that Monaco residents frequently access French hospitals, specialists and medical services, particularly in Nice and the surrounding region. However, Monaco is not a member of the EU and does not have reciprocal healthcare arrangements with France in the way EU member states do. International health insurance plans that are valid in both Monaco and France are particularly practical for American residents in Monaco, providing seamless cover across both jurisdictions. ExpatInsure can help you find a plan with appropriate geographic coverage.

For Americans applying for Monaco residency, comprehensive private health insurance is a mandatory requirement of the residence permit application. The policy must be comprehensive, long-term and valid in Monaco. Standard travel insurance is not sufficient and will not be accepted for residency purposes. Most ultra-high-net-worth residents in Monaco opt for premium international health insurance providing comprehensive worldwide cover. ExpatInsure can help you find a plan that meets Monaco’s residency requirements and provides the level of cover appropriate for your situation.

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