{"id":3169,"date":"2026-02-26T11:28:39","date_gmt":"2026-02-26T11:28:39","guid":{"rendered":"https:\/\/site.feprafo.eu\/?p=3169"},"modified":"2026-02-26T11:31:00","modified_gmt":"2026-02-26T11:31:00","slug":"ticket-moderateur-quand-est-ce-la-maison-medicale-doit-le-rembourser-au-patient","status":"publish","type":"post","link":"https:\/\/site.feprafo.eu\/index.php\/2026\/02\/26\/ticket-moderateur-quand-est-ce-la-maison-medicale-doit-le-rembourser-au-patient\/","title":{"rendered":"Ticket mod\u00e9rateur : quand est-ce la maison m\u00e9dicale doit le rembourser au patient ?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3169\" class=\"elementor elementor-3169\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-17c6300 e-flex e-con-boxed e-con e-parent\" data-id=\"17c6300\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9bd0b97 elementor-widget elementor-widget-image\" data-id=\"9bd0b97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/02\/pexels-cottonbro-7579823-1-1-1024x683.jpg\" class=\"attachment-large size-large wp-image-3171\" alt=\"\" srcset=\"https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/02\/pexels-cottonbro-7579823-1-1-1024x683.jpg 1024w, https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/02\/pexels-cottonbro-7579823-1-1-300x200.jpg 300w, https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/02\/pexels-cottonbro-7579823-1-1-768x512.jpg 768w, https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/02\/pexels-cottonbro-7579823-1-1-1536x1024.jpg 1536w, https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/02\/pexels-cottonbro-7579823-1-1-2048x1365.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8d7a248 e-flex e-con-boxed e-con e-parent\" data-id=\"8d7a248\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1538193 elementor-widget elementor-widget-text-editor\" data-id=\"1538193\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><u>Q\u00a0: <\/u><\/p><p><strong><em>Quand est-ce que le remboursement du ticket mod\u00e9rateur est pris en charge par la maison m\u00e9dicale lors de prestations externes\u00a0? <\/em><\/strong><\/p><p><u>R\u00a0:<\/u><\/p><p>La prise en charge du remboursement du ticket mod\u00e9rateur par la maison m\u00e9dicale d\u00e9pend de la situation :<\/p><p>-Si la maison m\u00e9dicale n\u2019organise pas elle-m\u00eame les soins concern\u00e9s ou si vous avez-vous-m\u00eame propos\u00e9 au patient de se diriger vers un infirmier externe et ce dernier r\u00e9clame le ticket mod\u00e9rateur, alors la maison m\u00e9dicale doit le prendre en charge ;<\/p><p>-Si le patient prend l\u2019initiative de consulter en externe sans passer par le m\u00e9decin de la maison m\u00e9dicale, alors que vous offrez le service en question vous-m\u00eame pendant vos heures d\u2019ouverture, alors le ticket mod\u00e9rateur sera \u00e0 charge du patient.<\/p><p>Il faut aussi tenir compte de la zone de non-remboursement :<\/p><p>-Si le patient consulte un m\u00e9decin ou une infirmi\u00e8re externe dans la zone de non-remboursement pendant les heures d\u2019ouverture de la maison m\u00e9dicale, la maison m\u00e9dicale ne rembourse pas. Dans ce cas, le patient doit en effet aller \u00e0 la maison m\u00e9dicale et ne pas faire appel \u00e0 un m\u00e9decin ou un infirmier externe ;<\/p><p>-Si le patient consulte un m\u00e9decin ou une infirmi\u00e8re externe en dehors de la zone de non-remboursement (car il se trouve trop loin de la maison m\u00e9dicale ou la maison m\u00e9dicale est ferm\u00e9e), la maison m\u00e9dicale rembourse le patient \u00e0 l\u2019exception du ticket mod\u00e9rateur.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Q\u00a0: Quand est-ce que le remboursement du ticket mod\u00e9rateur est pris en charge par la maison m\u00e9dicale lors de prestations [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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