{"id":71333,"date":"2017-04-04T04:00:47","date_gmt":"2017-04-04T02:00:47","guid":{"rendered":"https:\/\/vosgesinfo.fr\/epinalinfo\/2017\/04\/transports-patients-prise-charge-lassurance-maladie-conditions\/"},"modified":"2017-04-04T04:00:47","modified_gmt":"2017-04-04T02:00:47","slug":"transports-patients-prise-charge-lassurance-maladie-conditions","status":"publish","type":"post","link":"https:\/\/vosgesinfo.fr\/epinalinfo\/2017\/04\/transports-patients-prise-charge-lassurance-maladie-conditions\/","title":{"rendered":"Transports des patients : une prise en charge par l\u2019Assurance Maladie sous conditions"},"content":{"rendered":"

\"Sans<\/a>Au niveau national, les frais de transports sanitaires repr\u00e9sentent pour l\u2019Assurance Maladie des d\u00e9penses non seulement importantes mais qui augmentent de mani\u00e8re significative\u00a0: en 8 ans, ce poste est pass\u00e9 de 2,5\u00a0milliards d\u2019euros (2008) \u00e0 plus de 3,4\u00a0milliards d\u2019euros (2016) pour le r\u00e9gime g\u00e9n\u00e9ral soit une croissance de 36%.<\/h4>\n

Dans le d\u00e9partement des Vosges, le montant total des d\u00e9penses est pass\u00e9 de 21 millions d\u2019euros (2008) \u00e0 27 millions d\u2019euros (2016), soit une croissance de 28,57\u00a0%.<\/p>\n

Cette augmentation des d\u00e9penses s\u2019explique notamment par le recours de plus en plus syst\u00e9matique aux transports les plus co\u00fbteux (ambulances et taxis).<\/p>\n

Afin d\u2019accompagner les patients et les prescripteurs dans un recours adapt\u00e9 au transport, la caisse primaire des Vosges rappelle que la prescription de transport est un acte m\u00e9dical \u00e0 part enti\u00e8re, qui d\u00e9pend de l\u2019\u00e9tat de sant\u00e9 du patient, et que la prise en charge des frais de transport par l\u2019Assurance Maladie est soumise \u00e0 certaines conditions.<\/p>\n

Frais de transport\u00a0: une prise en charge soumise \u00e0 une prescription m\u00e9dicale<\/strong><\/h3>\n

Un patient qui a besoin de se d\u00e9placer pour recevoir des soins ou pour pratiquer des examens m\u00e9dicaux peut b\u00e9n\u00e9ficier d\u2019une prise en charge de ses frais de transport \u00e0 condition<\/u> de disposer d\u2019une prescription de son m\u00e9decin (ou de son chirurgien-dentiste).<\/p>\n

Cette prescription doit \u00eatre d\u00e9livr\u00e9e avant<\/u> que le transport ne soit effectu\u00e9 et indiquer les \u00e9l\u00e9ments d\u2019ordre m\u00e9dical pr\u00e9cisant le motif du d\u00e9placement et justifiant le mode de transport prescrit. En effet, c\u2019est au m\u00e9decin de choisir, au moment de la prescription m\u00e9dicale, le mode de transport adapt\u00e9 \u00e0 l\u2019\u00e9tat de sant\u00e9 du patient\u00a0: ambulance, taxi conventionn\u00e9 ou v\u00e9hicule sanitaire l\u00e9ger, v\u00e9hicule personnel ou transport en commun.<\/p>\n

Par ailleurs, pour \u00eatre pris en charge par l\u2019Assurance Maladie, le transport doit concerner des situations bien sp\u00e9cifiques\u00a0:<\/p>\n

– \u00eatre li\u00e9 \u00e0 une entr\u00e9e ou sortie d\u2019hospitalisation (compl\u00e8te, partielle ou ambulatoire, s\u00e9ance de chimioth\u00e9rapie, radioth\u00e9rapie et h\u00e9modialyse)\u00a0;<\/p>\n

– \u00eatre en lien avec une affection longue dur\u00e9e (ALD), si le patient pr\u00e9sente des d\u00e9ficiences ou incapacit\u00e9s particuli\u00e8res<\/u>\u00a0;<\/p>\n

– \u00eatre li\u00e9 \u00e0 un accident du travail ou une maladie professionnelle.<\/p>\n

De plus, un accord pr\u00e9alable du service m\u00e9dical de l\u2019Assurance Maladie, qui tient lieu de prescription m\u00e9dicale, est n\u00e9cessaire pour\u00a0:<\/p>\n

– les transports sup\u00e9rieurs \u00e0 150 kms\u00a0;<\/p>\n

– les transports en s\u00e9rie (\u00e0 partir de 4 fois pour le m\u00eame traitement au cours d\u2019une p\u00e9riode de 2 mois et quand chaque transport est effectu\u00e9 vers un lieu \u00e0 50 kms ou plus)\u00a0;<\/p>\n

– les transports en avion ou en bateau de ligne\u00a0;<\/p>\n

– les transports vers un centre d\u2019action m\u00e9dico-sociale pr\u00e9coce (CAMSP) ou un centre m\u00e9dico-psycho-p\u00e9dagogique (CMPP) pour un enfant ou un adolescent.<\/p>\n

Par ailleurs, le transport pour se rendre chez un fournisseur agr\u00e9\u00e9 d\u2019appareillage, pour r\u00e9pondre \u00e0 une convocation du contr\u00f4le m\u00e9dical ou d\u2019un m\u00e9decin expert ou pour se rendre \u00e0 la consultation d\u2019un expert est \u00e9galement pris en charge. Dans ce cas, la convocation tient lieu de prescription.<\/p>\n

 <\/p>\n

Un mode de transport prescrit par le m\u00e9decin, en fonction de l\u2019\u00e9tat de sant\u00e9 du patient<\/strong><\/h3>\n

 <\/p>\n

Il revient au m\u00e9decin d\u2019\u00e9valuer et de prescrire le mode de transport le plus adapt\u00e9 \u00e0 l\u2019\u00e9tat de sant\u00e9 et au niveau d\u2019autonomie de son patient :<\/p>\n\n\n\n\n\n
<\/td>\nLE PATIENT DOIT ETRE ALLONGE OU DEMI-ASSIS,<\/strong><\/p>\n

surveill\u00e9, sous oxyg\u00e8ne, brancard\u00e9 ou port\u00e9, ou transport\u00e9 dans des conditions sp\u00e9cifiques limitant la diffusion de germes<\/td>\n

<\/td>\n<\/td>\n<\/tr>\n
<\/td>\nLE PATIENT A BESOIN D\u2019UNE AIDE POUR SE DEPLACER,<\/strong><\/p>\n

il risque des effets secondaires pendant le transport,<\/p>\n

ou son \u00e9tat n\u00e9cessite le respect rigoureux des r\u00e8gles d\u2019hygi\u00e8ne<\/td>\n

<\/td>\n<\/td>\n<\/tr>\n
<\/td>\nLE PATIENT PEUT SE DEPLACER SEUL OU ACCOMPAGNE D\u2019UN PROCHE<\/strong><\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Au niveau national, les frais de transports sanitaires repr\u00e9sentent pour l\u2019Assurance Maladie des d\u00e9penses non seulement importantes mais qui augmentent […]<\/p>\n","protected":false},"author":52,"featured_media":266,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,5],"tags":[10232],"class_list":["post-71333","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante","category-vosges","tag-transports-des-patients-une-prise-en-charge-par-lassurance-maladie-sous-conditions"],"acf":[],"yoast_head":"\nTransports des patients : une prise en charge par l\u2019Assurance Maladie sous conditions - Epinal Info<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vosgesinfo.fr\/epinalinfo\/2017\/04\/transports-patients-prise-charge-lassurance-maladie-conditions\/\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Transports des patients : une prise en charge par l\u2019Assurance Maladie sous conditions - 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