As long as you have a proper prescription and if possible some medical notes explaining why you need the treatment, you should not have a real problem in getting avastin. You will need to pay, of course. Where in France will you be? We might be able to put you in touch with an appropriate hospital or CSF group to help find the best place to go.
Thanking you again in advance,
On health care rights, however, I fear that it may be quite complicated. I assume that you are a US citizen and so may not benefit from the more relaxed rules which benefit EU citizens. Although I can confirm that as from January 2016 you need to be 'stably' resident in France for 3 months to qualify for health care, this relates to people within the EU and there are complications for people who do not work and are under retirement age. It is not automatic for those outside the EU. I suggest you check with the US Embassy to be sure.
They may also be able to help with possible insurers, my information, I am afraid, relates to the EU.
Where in France would you think of settling? Most hospitals will give you information on the cost of drugs so that should not be too difficult to sort out. It may also be that there is a CSF association in the area who could give you more practical help.
Do let us know how you get on, France can seem quite bureaucratic with oodles of paperwork but patience is often the key!!
Thank you again,
You are better informed on PUMA than I am! Of course, the whole point of PUMA is to create a level playing field for everyone irrespective of nationality and to try to reduce the need for multiple and complex systems. Anyone resident in France in a stable and regular manner for three months (and who can prove that) is entitled to have health care within the French system. As you have fluent French I am sure you have already studied the Assurance Maladie (AMELI) website on this but, if not, have a look here:
http://www.ameli.fr/assures/droits-et-d ... aladie.php
And this is the section which explains why there have been these changes, what steps you need to take to join the system and includes the form needed which can be downloaded.
http://www.ameli.fr/assures/soins-et-re ... idence.php
Interesting to note that although entry into the health system should be automatic it is not FREE. If you have income over €9611 (in 2016) then you have to pay 'cotisations' or contributions. My understanding is that these amount to 8% of income but obviously proper advice needs to be taken on how income is calculated etc. There are also differences for those past state retirement age, from countries with different reciprocal arrangements and so on.
The easiest way to find out exactly how your own position would be handled would be to visit the appropriate Caisse Primaire Assurance Maladie in the Avignon area. You could then also make some enquiries about treatment costs.
Finally, there is a CSF association in Provence-Gard which may be able to help you with details of hospitals and is also looking for volunteers!!! Would you like me to put you in touch with them?
It is true that once you are fully in the French system, cancer is treated as an affection de longue durée and treatment is covered 100%. It doesn't mean that EVERY cost is paid. Most people continue with a mutuelle for top up cover even if they have an ALD. First, any other illness is only partly reimbursed and secondly because not everything is included eg. if you see a specialist who charges above the standard rate, the extra will not be covered; if you opt to take medicines or treatment which is not on the "prescribed" list, they will not be covered.
Below is a link to the relevant page of the Ameli website, if you scroll down you will find what is NOT reimbursed.
http://www.ameli.fr/assures/droits-et-d ... bourse.php
I'll contact my colleagues in Provence for you. Do keep us "posted" on how you get on.