Legal residents in France gain eligibility for state healthcare through social security contributions from employment earnings. Non-working residents might need to pay the PUMA tax, known as cotisation subsidaire maladie. Most French citizens and many expats join the health system via employment or education. Exemptions exist for some expats if their home country's social protection system covers them, but if not enrolled in any system, all individuals are still obligated to contribute to the French healthcare system regardless of usage.
The French healthcare system is funded through social charges on the earnings of everyone who works through social security contributions deducted from income.
If you aren't paying into the public health care system in any country and you are not a student, a retiree, or receiving other benefits, you are still expected to contribute.
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