{"id":3236,"date":"2026-04-20T13:14:20","date_gmt":"2026-04-20T13:14:20","guid":{"rendered":"https:\/\/site.feprafo.eu\/?p=3236"},"modified":"2026-04-20T13:16:21","modified_gmt":"2026-04-20T13:16:21","slug":"statut-social-medecin-generaliste-comment-un-medecin-generaliste-peut-lobtenir-dans-le-secteur-forfaitaire","status":"publish","type":"post","link":"https:\/\/site.feprafo.eu\/index.php\/2026\/04\/20\/statut-social-medecin-generaliste-comment-un-medecin-generaliste-peut-lobtenir-dans-le-secteur-forfaitaire\/","title":{"rendered":"Statut social m\u00e9decin g\u00e9n\u00e9raliste : comment un m\u00e9decin g\u00e9n\u00e9raliste peut l\u2019obtenir dans le secteur forfaitaire ?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3236\" class=\"elementor elementor-3236\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e3fec80 e-flex e-con-boxed e-con e-parent\" data-id=\"e3fec80\" 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-b57fa26 elementor-widget elementor-widget-image\" data-id=\"b57fa26\" 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\/04\/pexels-karola-g-4021775-1-1-1024x683.jpg\" class=\"attachment-large size-large wp-image-3238\" alt=\"\" srcset=\"https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/04\/pexels-karola-g-4021775-1-1-1024x683.jpg 1024w, https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/04\/pexels-karola-g-4021775-1-1-300x200.jpg 300w, https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/04\/pexels-karola-g-4021775-1-1-768x512.jpg 768w, https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/04\/pexels-karola-g-4021775-1-1-1536x1024.jpg 1536w, https:\/\/site.feprafo.eu\/wp-content\/uploads\/2026\/04\/pexels-karola-g-4021775-1-1-2048x1365.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-da8c582 e-flex e-con-boxed e-con e-parent\" data-id=\"da8c582\" 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-c894ddf elementor-widget elementor-widget-text-editor\" data-id=\"c894ddf\" 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><em>\u00a0\u00a0<\/em><\/p><p><em><strong>Quels sont les diff\u00e9rents types d\u2019avantages de statut social pour les m\u00e9decins g\u00e9n\u00e9ralistes en fonction de la situation\u00a0? <\/strong><\/em><\/p><p><u>R\u00a0:<\/u><\/p><p>Il existe deux types d\u2019avantages en fonction de la situation professionnelle du m\u00e9decin\u00a0: l\u2019avantage social et l\u2019avantage de convention.<\/p><p>Tout d\u2019abord, l\u2019avantage social est vers\u00e9 par l\u2019INAMI \u00e0 la compagnie d\u2019assurance ou l\u2019organisme de pension du prestataire et cela garantit un revenu de remplacement en cas d\u2019invalidit\u00e9 et\/ou un contrat de pension. Ce dernier est vers\u00e9 pour chaque m\u00e9decin qui n\u2019a pas encore pris sa pension durant l\u2019ann\u00e9e d\u2019activit\u00e9 de la prime concern\u00e9e.<\/p><p>En revanche, l\u2019avantage de convention est directement vers\u00e9 sur le compte bancaire communiqu\u00e9 sur le profil ProSant\u00e9 du m\u00e9decin et concerne les m\u00e9decins g\u00e9n\u00e9ralistes ayant pris leur pension mais \u00e9tant toujours actifs.<\/p><p><u>Q\u00a0:<\/u><\/p><p><strong><em>Quelles sont les conditions pour pouvoir en b\u00e9n\u00e9ficier\u00a0?<\/em><\/strong><\/p><p><u>R\u00a0:<\/u><\/p><p>Pour pouvoir b\u00e9n\u00e9ficier de ce statut, il est important de respecter ces conditions\u00a0:<\/p><ul><li>Adh\u00e9rer \u00e0 l\u2019accord national m\u00e9dico-mutualiste durant toute l\u2019ann\u00e9e de la prime. Cela peut \u00eatre contr\u00f4l\u00e9 par l\u2019INAMI sur ProSant\u00e9\u00a0;<\/li><li>Disposer d\u2019un agr\u00e9ment donnant droit \u00e0 un num\u00e9ro INAMI\u00a0;<\/li><li>Avoir exerc\u00e9 l\u2019activit\u00e9 dans le cadre de la loi relative \u00e0 l\u2019assurance soins de sant\u00e9 obligatoire durant l\u2019ann\u00e9e enti\u00e8re\u00a0;<\/li><li>Avoir conclu l\u2019accord de contrat avec l\u2019organisme de pension ou la compagnie d\u2019assurance au plus tard le 31 d\u00e9cembre de l\u2019ann\u00e9e pr\u00e9c\u00e9dente concernant l\u2019avantage social.<\/li><\/ul><p><u>Q\u00a0:\u00a0 <\/u><\/p><p><strong><em>Quels sont les seuils d\u2019activit\u00e9 \u00e0 respecter pour pouvoir obtenir le statut social\u00a0?<\/em><\/strong><\/p><p><u>R\u00a0:<\/u><\/p><p>Dans une maison m\u00e9dicale forfaitaire, \u00e9tant donn\u00e9 que les prestations de m\u00e9decine g\u00e9n\u00e9rale effectu\u00e9es sont couvertes par le forfait, le seuil d\u2019activit\u00e9 minimal est de 13h moyenne par semaine.<\/p><p>Concernant le contr\u00f4le d\u2019activit\u00e9 de la part de l\u2019INAMI, les m\u00e9decins ind\u00e9pendants ont l\u2019obligation de remettre <a href=\"https:\/\/www.inami.fgov.be\/SiteCollectionDocuments\/formulaire_activite_hebdomadaire_heures.pdf\">ce document<\/a> pour le 15 juin de l\u2019ann\u00e9e X+1 au plus tard.Les salari\u00e9s \u00a0n\u2019ont, quant \u00e0 eux, \u00a0rien \u00e0 faire \u00e9tant donn\u00e9 que l\u2019INAMI dispose de toute leur activit\u00e9 sur ProSant\u00e9.<\/p><p><u>Q\u00a0:<\/u>\u00a0<\/p><p><strong><em>Comment se d\u00e9roule la proc\u00e9dure de la demande\u00a0?<\/em><\/strong><\/p><p><u>R\u00a0: <\/u><\/p><p>Comme pr\u00e9cis\u00e9 ci-dessus, l\u2019INAMI doit disposer de l\u2019activit\u00e9 correspondante \u00e0 l\u2019ann\u00e9e X pour le 15 juin de l\u2019ann\u00e9e X+1 au plus tard.<\/p><p>Ensuite, au d\u00e9but du mois de juillet, l\u2019INAMI cr\u00e9e une demande via leur r\u00e9sultat d\u2019\u00e9valuation. Le m\u00e9decin g\u00e9n\u00e9raliste peut visualiser ce r\u00e9sultat d\u2019\u00e9valuation et \u00e9galement ajouter ou modifier des \u00e9l\u00e9ments dans son dossier jusqu\u2019au 31 ao\u00fbt de cette ann\u00e9e X+1.<\/p><p>A partir du d\u00e9but du mois de septembre, l\u2019INAMI prend une d\u00e9cision finale concernant le montant vers\u00e9 \u00e0 chaque m\u00e9decin g\u00e9n\u00e9raliste en fonction de son activit\u00e9 et de son conventionnement.<\/p><p>En 2026, le montant maximal s\u2019\u00e9l\u00e8ve \u00e0 6078,26 \u20ac pour le seuil maximal et quelqu\u2019un de totalement conventionn\u00e9 et le montant minimal s\u2019\u00e9l\u00e8ve \u00e0 2867,26 \u20ac pour un m\u00e9decin avec un seuil d\u2019activit\u00e9 r\u00e9duit ou partiellement conventionn\u00e9.<\/p><p>Pour en savoir plus, suivez ce lien\u00a0: <a href=\"https:\/\/www.inami.fgov.be\/fr\/professionnels\/professionnels-de-la-sante\/medecins\/interventions-financieres\/statut-social-medecin-ou-pharmacien-biologiste#quels-montants-versonsnous\">https:\/\/www.inami.fgov.be\/fr\/professionnels\/professionnels-de-la-sante\/medecins\/interventions-financieres\/statut-social-medecin-ou-pharmacien-biologiste#quels-montants-versonsnous<\/a><\/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: \u00a0\u00a0 Quels sont les diff\u00e9rents types d\u2019avantages de statut social pour les m\u00e9decins g\u00e9n\u00e9ralistes en fonction de la situation\u00a0? [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[26,67],"tags":[],"class_list":["post-3236","post","type-post","status-publish","format-standard","hentry","category-frequently-asked-questions","category-statut-social"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/posts\/3236","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/comments?post=3236"}],"version-history":[{"count":4,"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/posts\/3236\/revisions"}],"predecessor-version":[{"id":3241,"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/posts\/3236\/revisions\/3241"}],"wp:attachment":[{"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/media?parent=3236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/categories?post=3236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/site.feprafo.eu\/index.php\/wp-json\/wp\/v2\/tags?post=3236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}