Thursday, August 7

Here’s a comprehensive overview of the healthcare system in Saint Martin, broken down by the French side (Saint-Martin) and the Dutch side (Sint Maarten):


French Side – Saint-Martin

Healthcare System Type:

  • Public healthcare system funded and managed by the French government.
  • Residents have access to France’s national health insurance (Sécurité Sociale).

Main Hospital:

  • Centre Hospitalier Louis-Constant Fleming (located in Concordia, near Marigot)
    • Offers emergency services, surgery, maternity, pediatrics, radiology, and lab tests.
    • Modern but limited in highly specialized care.
    • Patients with complex conditions are evacuated to Guadeloupe or mainland France.

Health Insurance:

  • French nationals and legal residents can access healthcare via the French public insurance system.
  • EU citizens can use their European Health Insurance Card (EHIC).
  • Tourists need travel insurance or must pay upfront for services.

Dutch Side – Sint Maarten

Healthcare System Type:

  • A semi-public healthcare system with public hospitals and private clinics.
  • Not as comprehensive as the French system; depends more on private insurance.

Main Hospital:

  • St. Maarten Medical Center (SMMC) – located in Cay Hill, near Philipsburg.
    • Offers emergency care, surgery, internal medicine, dialysis, and maternity services.
    • Modern facilities, but patients needing advanced care may be transferred to Colombia, Aruba, or the Netherlands.

Health Insurance:

  • Locals are covered under the SZV (Social & Health Insurances) for basic care.
  • Private insurance is recommended for better coverage and faster service.
  • Tourists are advised to have travel medical insurance.

Medical Evacuation

  • Patients needing advanced or specialized treatment are flown to:
    • Guadeloupe or Martinique (from French side)
    • Colombia, Aruba, or Curaçao (from Dutch side)
  • Both sides have air ambulance services and agreements with regional hospitals.

Medical Professionals

  • French side: Mostly French-trained doctors and nurses.
  • Dutch side: Multinational staff, including Dutch, Caribbean, and Latin American professionals.

Public Health & Disease Control

  • Programs in place for:
    • Dengue, Zika, and Chikungunya control
    • COVID-19 (during pandemic) – both sides coordinated on vaccines and testing
    • Maternal and child health, HIV prevention, and nutrition

Emergency Numbers

SideAmbulance/Emergency Number
French Saint-Martin 15 or 112
Dutch Sint Maarten 912

Summary Comparison

Feature French Saint-Martin Dutch Sint Maarten
Healthcare TypePublic (France-based)Semi-public/private mix
Main HospitalLouis-Constant Fleming HospitalSt. Maarten Medical Center (SMMC)
InsuranceFrench national insurance (CPAM)SZV & private insurance
Care for TouristsMust pay or use travel insuranceSame
Advanced TreatmentReferred to Guadeloupe/FranceReferred to Colombia/Aruba
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