New System Aims to Curb Fraud Costing Millions
In a significant move to combat fraudulent sick leave, France’s national health insurance system, Assurance Maladie, has deployed a new remote medical control system. As of December 1, 2025, the agency can now initiate checks—either in-person or via video conference—to verify the legitimacy of a patient’s medical leave. The government announced the nationwide rollout in late November, following a three-month pilot in Normandy, Bourgogne-Franche-Comté, and Occitanie.
How the Remote Control Process Works
Patients selected for a control will receive notification via email and SMS at least two days in advance. The message will detail the connection procedure, date, and time for the video appointment. A reminder is sent the day before. The check is conducted exclusively by a medical advisor from Assurance Maladie.
Individuals can connect using the device of their choice. For those unable or unwilling to participate remotely, an in-person appointment will be offered as an alternative.
Immediate Consequences for Unjustified Leave
If the medical advisor determines the sick leave is unjustified, the patient and their primary care physician are informed immediately. Assurance Maladie can also demand the repayment of any wrongfully received daily allowances.
Broad Application and Justification
The government states the control mechanism applies not only to standard sick leave but also to cases involving work accidents, occupational diseases, and certain disability claims. Officials justify the remote system by citing a desire to “streamline exchanges between insured individuals and medical advisors” and “reduce travel for patients.”
Growing Financial Impact of Fraud
The crackdown addresses a substantial financial burden. According to the Ameli.fr website, fraudulent sick leave cost Assurance Maladie over €30 million in 2024, a sharp increase from €8 million in 2023.
