{"id":2577,"date":"2011-05-18T15:44:11","date_gmt":"2011-05-18T13:44:11","guid":{"rendered":"https:\/\/mon-taux-de-change.com\/?p=2577"},"modified":"2011-05-18T15:44:11","modified_gmt":"2011-05-18T13:44:11","slug":"assurance-sante-frontaliere-lamal","status":"publish","type":"post","link":"https:\/\/mon-taux.com\/blog\/2011\/05\/18\/assurance-sante-frontaliere-lamal\/","title":{"rendered":"Assurance sant\u00e9 frontali\u00e8re LAMal"},"content":{"rendered":"\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

<\/a>I – LE R\u00c9GIME SUISSE <\/strong>LAMal ( L’Assurance MALadie obligatoire)<\/strong><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

L’assurance maladie obligatoire (LAMal<\/strong>) pour frontalier <\/strong>est une des solutions possibles pour les travailleurs frontaliers<\/strong>.<\/span><\/p>\n

Les modalit\u00e9s et couvertures de ces assurances sont r\u00e9gies par la loi f\u00e9d\u00e9rale sur l’assurance maladie.<\/span>
\nSon fonctionnement est identique \u00e0 celui de l’assurance maladie obligatoire pour les r\u00e9sidents, mais il n’y a pas de syst\u00e8me de franchises, ni de mod\u00e8les d’assurance.<\/span>
\nElle ne d\u00e9pend pas de votre \u00e9tat de sant\u00e9 (les caisses maladie ne pourront pas refuser de vous assurer, m\u00eame si vous \u00eates en mauvaise sant\u00e9).<\/span><\/td>\n<\/tr>\n

Principe de couverture<\/strong><\/span><\/span><\/td>\n<\/tr>\n
L‘assurance maladie obligatoire pour frontalier <\/strong>est une assurance individuelle <\/strong>et doit \u00eatre souscrite par le travailleur.<\/span>
\nChaque membre de votre famille devra souscrire une assurance maladie obligatoire, sauf ceux qui sont d\u00e9j\u00e0 obligatoirement assur\u00e9s dans leur pays d’origine. Ainsi, si vous travaillez en Suisse et votre femme en France, elle ne sera pas oblig\u00e9e de souscrire une assurance maladie obligatoire pour frontalier, car elle sera d\u00e9j\u00e0 obligatoirement assur\u00e9e au r\u00e9gime d’assurance maladie en France.<\/span><\/td>\n<\/tr>\n
Couverture m\u00e9dicale des soins<\/strong><\/span><\/span><\/td>\n<\/tr>\n
\"\" \"\"E<\/span>n Suiss<\/span><\/span>e – libre acc\u00e8s pour tous type de soins :<\/span><\/span><\/p>\n

– Soins urgents <\/a><\/span>*<\/span><\/span><\/a><\/p>\n

– Soins n\u00e9cessaires <\/a><\/span>*<\/span><\/span><\/a><\/p>\n

– Soins programm\u00e9s <\/a><\/span>*<\/span><\/span><\/a>
\n<\/span><\/p>\n

Proc\u00e9dure :<\/span><\/span>
\nVous demandez le remboursement des soins directement aupr\u00e8s de la caisse suisse au sein de laquelle vous cotisez.<\/span>
\nCe remboursement s\u2019effectue en fonction de la r\u00e9glementation suisse.<\/span>
\nLe montant de la franchise n\u2019est pas rembours\u00e9, donc les premiers 300 CHF d\u00e9pens\u00e9s ne seront pas rembours\u00e9s.<\/span>
\nPour le reste des d\u00e9penses les remboursements se font \u00e0 90 % des frais engag\u00e9s.<\/span>
\nLa quote part (10% des co\u00fbts qui d\u00e9passent<\/span> la franchise) reste \u00e0 la charge de l\u2019assur\u00e9. Elle est plafonn\u00e9e \u00e0 700 Francs suisse par adulte.<\/span>
\nPour les enfants, aucune franchise n’est exig\u00e9e et le montant maximum de la quote part est r\u00e9duite de moiti\u00e9 (350 CHF).<\/span>
\n\u00a0<\/span>
\n\"\" En Franc<\/span><\/span>e –<\/span><\/span> libre acc\u00e8s pour tous type de soins :<\/span><\/span><\/p>\n

– Soins urgents <\/a><\/span>*<\/span><\/span><\/a>
\n<\/span><\/p>\n

– Soins n\u00e9cessaires <\/a><\/span>*<\/span><\/span><\/a>
\n<\/span><\/p>\n

– Soins programm\u00e9s <\/a><\/span>*<\/span><\/span><\/a>
\n<\/span><\/p>\n

Proc\u00e9dure :<\/span><\/span>
\nVous devez demander \u00e0 votre caisse suisse de vous d\u00e9livrer le formulaire E 106 qui vous permettra de b\u00e9n\u00e9ficier des prestations en nature du r\u00e9gime g\u00e9n\u00e9ral de s\u00e9curit\u00e9 sociale fran\u00e7ais.<\/span>
\nVous adresserez ce formulaire \u00e0 la CPAM de votre lieu de r\u00e9sidence (T\u00e9l : 3646).<\/span>
\nLes prestations sont servies par la CPAM en fonction des bases l\u00e9gales de remboursement. Vous b\u00e9n\u00e9ficierez du tiers payant en cas d\u2019hospitalisation.<\/span>
\nLa CPAM \u00e9dite une liste des m\u00e9dicaments, soins et actes m\u00e9dicaux faisant l’objet d’une couverture. Vous ne serez rembours\u00e9 que sur cette base.<\/span><\/td>\n<\/tr>\n

Couverture g\u00e9ographique<\/strong><\/span><\/span><\/td>\n<\/tr>\n
Vous pourrez b\u00e9n\u00e9ficier des soins en Suisse et en France, dans la mesure o\u00f9 ils font partie de la couverture m\u00e9dicale des soins.<\/span><\/td>\n<\/tr>\n
Co\u00fbt<\/strong><\/span><\/span><\/td>\n<\/tr>\n
Celle-ci d\u00e9pend de votre \u00e2ge et de votre pays de r\u00e9sidence. Dans la mesure o\u00f9 la couverture maladie est la m\u00eame dans toutes les caisses, la s\u00e9lection de la caisse la moins ch\u00e8re ne vous p\u00e9nalisera donc pas.<\/span><\/td>\n<\/tr>\n
Conditions d’adh\u00e9sion<\/strong><\/span><\/span><\/td>\n<\/tr>\n
Aucune<\/span><\/td>\n<\/tr>\n
\n

La couverture m\u00e9dicale propos\u00e9e par l\u2019assurance obligatoire apporte tr\u00e8s peu de couverture.<\/span><\/span><\/p>\n

\u00ab Mon-taux.com \u00bb vous recommande de souscrire une assurance compl\u00e9mentaire ou une mutuelle qui viendra compl\u00e9ter la couverture.<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

I – LE R\u00c9GIME SUISSE LAMal ( L’Assurance MALadie obligatoire) L’assurance maladie obligatoire (LAMal) pour frontalier est une des solutions possibles pour les travailleurs frontaliers. Les modalit\u00e9s et couvertures de ces assurances sont r\u00e9gies par la loi f\u00e9d\u00e9rale sur l’assurance maladie. Son fonctionnement est identique \u00e0 celui de l’assurance maladie obligatoire pour les r\u00e9sidents, mais […]<\/p>\n","protected":false},"author":2,"featured_media":31324,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[18],"class_list":{"0":"post-2577","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-assurances","8":"tag-lamal","9":"czr-hentry"},"yoast_head":"\nAssurance sant\u00e9 frontali\u00e8re LAMal - Mon-taux.com - Blog des experts en frontaliers<\/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:\/\/mon-taux.com\/blog\/2011\/05\/18\/assurance-sante-frontaliere-lamal\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Assurance sant\u00e9 frontali\u00e8re LAMal - Mon-taux.com - Blog des experts en frontaliers\" \/>\n<meta property=\"og:description\" content=\"I – LE R\u00c9GIME SUISSE LAMal ( L’Assurance MALadie obligatoire) L’assurance maladie obligatoire (LAMal) pour frontalier est une des solutions possibles pour les travailleurs frontaliers. Les modalit\u00e9s et couvertures de ces assurances sont r\u00e9gies par la loi f\u00e9d\u00e9rale sur l’assurance maladie. 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