{"id":1923,"date":"2011-05-30T15:29:54","date_gmt":"2011-05-30T13:29:54","guid":{"rendered":"http:\/\/lyonbondyblog.fr\/LBB\/?p=1923"},"modified":"2013-07-26T15:34:59","modified_gmt":"2013-07-26T13:34:59","slug":"vis-ma-vie-dhandicape-2","status":"publish","type":"post","link":"https:\/\/lyonbondyblog.fr\/LBB\/vis-ma-vie-dhandicape-2\/","title":{"rendered":"Vis ma vie d\u2019handicap\u00e9 #2"},"content":{"rendered":"

ENQUETE CITOYENNE. Tout au long de ces prochaines semaines, Pascale, Lyon Bondy Blogueuse, enqu\u00eatera avec Marine, jeune active handicap\u00e9e, sur la prise en charge des d\u00e9penses de sant\u00e9 des personnes handicap\u00e9es. Nous recueillerons aussi toutes les remarques li\u00e9es \u00e0 cette th\u00e9matique sur Twitter, Facebook et par mail.<\/p>\n

\" <\/a><\/div>\n
<\/div>\n

[rappel<\/span><\/i><\/b>\u00a0: Pour celles et ceux qui n\u2019auraient pas suivi l\u2019\u00e9pisode #1<\/b><\/a>, petit rappel de circonstance\u00a0: Marine, qui souffre d’arthrogrypose depuis sa naissance, ne peut pas marcher sans chaussures orthop\u00e9diques et a besoin d\u2019une aide \u00e0 domicile chaque matin, ainsi que des s\u00e9ances de kin\u00e9. Jusqu\u2019\u00e0 pr\u00e9sent, toutes ses d\u00e9penses de sant\u00e9 \u00e9taient prises en charge \u00e0 hauteur de 100 % par la Caisse Primaire d’Assurance Maladie. Brutal changement cette ann\u00e9e\u00a0: Marine ne sera prise en charge qu\u2019\u00e0 hauteur de 60 %. (le reste \u00e9tant rembours\u00e9 par sa compl\u00e9mentaire sant\u00e9). ]<\/p>\n

Cette semaine, nous partageons les documents officiels de la d\u00e9cision de la CPAM de l’Is\u00e8re. (voir en bas de l’article)<\/b><\/p>\n

Marine devra-t-elle payer de sa poche\u00a0? <\/b><\/p>\n

Si pour l\u2019ann\u00e9e 2011, cette d\u00e9cision ne portera pas pr\u00e9judice au portefeuille de Marine, cela risque de ne pas durer. \u00ab Pour le moment, ma compl\u00e9mentaire sant\u00e9 est oblig\u00e9e de rembourser les sommes restantes. Ces derni\u00e8res seront plus importantes et il n\u2019est pas exclu que mon contrat soit revu \u00e0 la hausse. Je vais tr\u00e8s certainement devoir d\u00e9penser plus pour ma compl\u00e9mentaire en 2012*. <\/i>\u00bb Comme le pr\u00e9cise Marine, CPAM et Compl\u00e9mentaire sant\u00e9 sont dans l\u2019obligation de prendre en charge la totalit\u00e9 de ses d\u00e9penses de sant\u00e9. Pour le moment. \u00ab Mes chaussures ne sont pas consid\u00e9r\u00e9es comme une d\u00e9pense esth\u00e9tique, je ne paye donc rien de ma poche. Mais je connais une personne quasi-aveugle pour qui ses lunettes sont consid\u00e9r\u00e9es comme tel et donc, non rembours\u00e9es. Comment une personne qui n’a pas de moyens financiers peut-elle d\u00e9bourser des sommes pouvant depasser 2000 euros\u00a0?\u00a0<\/i>\u00bb<\/p>\n

Comment la CPAM justifie cette d\u00e9cision et sur quoi elle-est bas\u00e9e\u00a0? <\/b><\/p>\n

C\u2019est au cours de l\u2019\u00e9t\u00e9 2010 que Marine apprend cette baisse de prise en charge. Selon les courriers de la CPAM de l\u2019Is\u00e8re \u00ab\u00a0son affection ne correspond pas aux crit\u00e8res m\u00e9dicaux d\u2019admission\u00a0\u00bb (doc 2)<\/b> Rapidement, Marine fera appel de cette d\u00e9cision en transmettant un courrier au m\u00e9decin conseil de la CPAM de l\u2019Is\u00e8re (doc 1). R\u00e9ponse de la CPAM fin 2010\u00a0: \u00ab\u00a0Selon les conclusions d\u00e9pos\u00e9es par le M\u00e9decin-Expert,il s\u2019av\u00e8re que la malade n\u2019est pas atteinte d\u2019une des affections inscrites sur la liste des <\/b>30 maladies pr\u00e9vues par l\u2019article D322-1 du CSS<\/b><\/a> \u00bb<\/b><\/p>\n

\u00ab Ce qui est dur \u00e0 accepter pour moi c\u2019est ce double discours\u00a0: d\u2019un c\u00f4t\u00e9, une administration comme P\u00f4le Emploi me dit qu\u2019avec mon handicap j\u2019ai droit \u00e0 une prime d\u00e8s lors que je retrouve un travail, chose que je trouve particuli\u00e8rement injuste par rapport aux autres actifs non handicap\u00e9s\u00a0; et parall\u00e8lement \u00e0 cela, la CPAM ne dit que je ne suis pas assez handicap\u00e9e pour me faire rembourser mes d\u00e9penses de sant\u00e9.<\/i> \u00bb, me confiera Marine.<\/p>\n

* :non pris en charge par son employeur.<\/i><\/p>\n

Journaliste : Pascale Lagahe<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

ENQUETE CITOYENNE. Tout au long de ces prochaines semaines, Pascale, Lyon Bondy Blogueuse, enqu\u00eatera avec Marine, jeune active handicap\u00e9e, sur la prise en charge des … <\/p>\n","protected":false},"author":1,"featured_media":1937,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[2],"tags":[10,112],"class_list":["post-1923","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-societe","tag-lyon-2","tag-lyon-bondy-blog"],"yoast_head":"\nVis ma vie d\u2019handicap\u00e9 #2 - Lyon Bondy Blog<\/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:\/\/lyonbondyblog.fr\/LBB\/vis-ma-vie-dhandicape-2\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vis ma vie d\u2019handicap\u00e9 #2 - Lyon Bondy Blog\" \/>\n<meta property=\"og:description\" content=\"ENQUETE CITOYENNE. 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