It is correct to say that the recipient must have a PayPal account (the only way to access the money at PayPal) and just as British bureaucracy would get very sniffy (or simply rude) at the suggestion, the French one is unlikely to go through this for one foreign ex-patient. By far the simplest way, if it is an option for you, is to ask someone with a French bank account to pay on your behalf and you reimburse them. Another is if you know someone going to France who can perhaps make a transfer by depositing in another branch of the bank they state they use. Ignoring the issue is not an option I would recommend, if only because you may again find yourself in France...., quite apart from the dishonesty that involves. All options that involve banks, Western Union, etc. will cost you money - one option is to use this as an excuse to go back. Then you can hand over the money in person and tell them that since they are so inflexible you went to a lot of trouble in order to remain correct and meeting your obligations.