In the United States, everything starts with insurance: it decides the paediatrician, the hospital and what you will pay yourself. Once properly covered, the family has access to two of the country's best children's hospitals, UCSF and Stanford. Here are the essentials, checked against official websites and the consulate's list of practitioners.
Verified on 30 October 2026
How health insurance works
No universal social security and no Carte Vitale: each family has private insurance, almost always provided by the employer, with its own network of doctors and reimbursement rules.
Good to know
The consulate reminds expatriate or seconded employees to check with their employer what insurance the contract includes, and that local health insurance does not necessarily cover repatriation. Source ↗
California has required its residents to be insured since 2020; without coverage, a penalty is added to state tax. Source ↗
Without employer insurance, Covered California is the state's official marketplace; moving to California opens a special enrolment period, on top of the annual open enrolment that starts on 1 November. Source ↗
Children can stay on their parents' insurance until age 26, even if married or financially independent. Source ↗
Three words to master: the network (in-network, otherwise you pay much more), the annual deductible and the copay at each visit. With an HMO you go through your primary doctor to see a specialist; with a PPO access is freer but costs more.
Finding a paediatrician and preparing health records
Here the paediatrician is the children's family doctor until adolescence. Good practices are in demand: look for one in your insurer's directory before you even arrive.
Good to know
Choose an in-network paediatrician (the insurer's 'Find a doctor' tab), check they accept new patients and book a first check-up (well-child visit), recommended every year until 19. Source ↗
Bring the French health booklet and a translation of the vaccine pages: the paediatrician transfers them to the California school immunisation record (the 'Blue Card'), required by all schools. Source ↗
For San Francisco public schools you also need a tuberculosis risk clearance signed by a health examiner, and an oral health assessment by 31 May of the kindergarten year. Source ↗
The physical exam for entering kindergarten or first grade has no longer been required since 1 July 2024, but it is still strongly recommended. Source ↗
No paediatrician currently appears on the consulate's list: many families choose an English-speaking in-network paediatrician and keep a French-speaking GP or therapist for the rest. Source ↗
For a life-threatening emergency, 911. For everything else, a paediatric urgent care clinic saves hours of waiting and a very high hospital ER bill.
Good to know
In an emergency, call 911, which sends an ambulance or fire crew. The consulate recommends always carrying your insurance card and blood group. Source ↗
Poisoning (medicine, household product, plant): the California Poison Control System answers 24/7 on 1-800-222-1222. Source ↗
UCSF's children's emergency departments in San Francisco and Oakland are for children only, with teams trained in paediatric emergency medicine on site 24/7, 365 days a year. Source ↗
For fever, an ear infection or a minor injury, UCSF's paediatric urgent care clinics in San Francisco and Berkeley have paediatricians on site and open in the evening. Mental health crisis: 988, 24/7. Source ↗
Addresses
UCSF Benioff Children's Hospital San Francisco, urgences pédiatriques
Emergency
1975 Fourth Street, Mission Bay, San Francisco, CA 94158
Children-only emergency department, open 24/7, on the Mission Bay campus.
Marc and Laura Andreessen Pediatric Emergency Department (Stanford)
Emergency
900 Quarry Road Extension, Palo Alto, CA
Children's emergency department next to Lucile Packard Children's Hospital, the only Level 1 paediatric trauma centre between San Francisco and the South Bay; interpreters in 200 languages.
The French consulate general in San Francisco publishes a list of French-speaking doctors in Northern California (2026 edition). It is provided for information only, without engaging the administration's responsibility, and the choice of doctor is free. We list the Bay Area practitioners; always check they are in your insurance network.
Good to know
The list covers GPs, psychotherapists and psychologists, dentists, a speech therapist, an orthoptist and an obstetrician; it includes no paediatrician. Separate lists exist for Oregon, Washington State, Nevada, Utah, Idaho, Montana and Hawaii. Source ↗
These practitioners work privately or within large networks (UCSF in particular): reimbursement depends entirely on your insurance, so check before the first appointment.
The directories of French-language media (French District Northern California, French Morning, lepetitjournal.com San Francisco) complement the list with professionals who register themselves. Source ↗
Pregnancy follow-up is done by an in-network obstetrician-gynaecologist (OB-GYN) or certified nurse-midwife, and they determine the hospital where you will give birth: check which maternity unit your insurance covers from the start.
Good to know
There is no paid federal maternity leave: in California, State Disability Insurance (SDI) usually pays from 4 weeks before the due date and 6 weeks after the birth (8 after a caesarean). Source ↗
After that, the state's Paid Family Leave pays up to 8 weeks of benefits over 12 months to each parent to bond with the baby. Source ↗
A child born locally must be registered with the consulate (transcription of the birth certificate) to get French papers; birth in the United States also gives them US citizenship. Source ↗
Maternity units offer tours and antenatal classes: sign up early, and add the baby to your insurance within 30 days of birth (the usual employer deadline, check your plan).
Addresses
UCSF Birth Center, Betty Irene Moore Women's Hospital
Maternity
1855 4th Street, Mission Bay, San Francisco, CA 94158
Private rooms, midwives, neonatology and the UCSF children's hospital next door; tubs in the labour rooms.
Pharmacies are often inside the big chains (Walgreens, CVS) or supermarkets, with a prescription counter at the back of the store. Some open late or 24/7: find the one nearest your home.
Good to know
Paracetamol is called acetaminophen here (Tylenol brand) and ibuprofen is sold as Advil or Motrin; for children, check the syrup concentration, which differs from French versions, and dose by weight.
A French prescription is not filled by a California pharmacy: you need a prescription from a US practitioner. Arrive with a few weeks' supply and a letter from your doctor (in English if possible).
Some medicines sold without prescription in France need one here, and vice versa: when in doubt, the pharmacist gives free advice.
Your insurance sets the list of covered medicines and its network pharmacy: the price of the same drug can vary a lot from one pharmacy to another.
No school enrolment, public or private, without a complete vaccination record: California now only accepts medical exemptions. Have the record checked by the paediatrician as soon as you arrive.
Good to know
Personal belief or religious exemptions are no longer accepted; only valid medical exemptions, filed in the state system, are. Source ↗
To enter school (TK to grade 12), children need among others 5 doses of DTaP, 4 of polio, 3 of hepatitis B, 2 of MMR and 2 of varicella. Source ↗
The big difference for French children: varicella, which is not among France's compulsory vaccines, is required in two doses. Plan a catch-up with the paediatrician if your child is not vaccinated or has not had the disease. Source ↗
On entering 7th grade, a Tdap booster is required on top of the two varicella doses. Source ↗
Vaccines are given by the paediatrician, and flu and Covid shots often at the pharmacy; vaccines required for school remain covered by insurance in California.
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