{"id":21827,"date":"2025-07-09T11:23:11","date_gmt":"2025-07-09T11:23:11","guid":{"rendered":"https:\/\/www.latribunedufaso.net\/?p=21827"},"modified":"2025-07-09T11:23:11","modified_gmt":"2025-07-09T11:23:11","slug":"bon-a-savoir-panier-de-soins-du-regime-dassurance-maladie-universelle","status":"publish","type":"post","link":"https:\/\/www.latribunedufaso.net\/?p=21827","title":{"rendered":"Bon \u00e0 savoir : Panier de soins du R\u00e9gime d’assurance maladie universelle"},"content":{"rendered":"

Le panier de soins est l\u2019ensemble des actes, des biens et des services de sant\u00e9 pris en charge par les organismes de gestion.<\/strong><\/p>\n

Le panier de soins comprend :<\/strong><\/p>\n

Les actes de m\u00e9decine g\u00e9n\u00e9rale et de sp\u00e9cialit\u00e9s m\u00e9dicales et chirurgicales ;<\/p>\n

Les actes infirmiers ;<\/p>\n

Les soins relatifs au suivi de la grossesse, \u00e0 l\u2019accouchement et aux suites de couches ;<\/p>\n

Les actes et les soins lies \u00e0 l\u2019hospitalisation et aux interventions chirurgicales ;<\/p>\n

Les soins bucco-dentaires d\u2019urgence ;<\/p>\n

Les examens de biologie m\u00e9dicale ;<\/p>\n

Les actes de radiologie et d\u2019imagerie m\u00e9dicale ;<\/p>\n

Les explorations fonctionnelles ;<\/p>\n

Les produits de sant\u00e9 en ambulatoire et en hospitalisation ;<\/p>\n

Les actes de r\u00e9\u00e9ducation fonctionnelle et de kin\u00e9sith\u00e9rapie ;<\/p>\n

Le transport m\u00e9dicalis\u00e9 des malades vers les \u00e9tablissements de sant\u00e9 ;<\/p>\n

Les actes de consultation de m\u00e9decine traditionnelle agr\u00e9\u00e9s.<\/p>\n

Les modalit\u00e9s de prise en charge du transport m\u00e9dicalis\u00e9 des malades vers les \u00e9tablissements de sant\u00e9 sont d\u00e9finies par un arr\u00eat\u00e9 conjoint du ministre charg\u00e9 de la protection sociale et du ministre de la Sant\u00e9.<\/p>\n

Sont exclus du panier de soins :<\/strong><\/p>\n

Les activit\u00e9s relevant du Programme \u00e9largi de vaccination ;<\/p>\n

La lunetterie ;<\/p>\n

Les vaccins des voyageurs ;<\/p>\n

Les activit\u00e9s de promotion de la sant\u00e9, de pr\u00e9vention, de d\u00e9pistage et de prise en charge sociale qui rel\u00e8vent de la responsabilit\u00e9 du minist\u00e8re en charge de la Sant\u00e9 ;<\/p>\n

Les pathologies faisant l\u2019objet de programmes ou de financements sp\u00e9cifiques par l\u2019Etat ou par les partenaires techniques et financiers nationaux et\/ou ext\u00e9rieurs.\u00a0<\/p>\n

La liste de ces pathologies et programmes est fix\u00e9e par arr\u00eat\u00e9 conjoint du ministre charg\u00e9 de la sant\u00e9 et du ministre charg\u00e9 de la protection sociale ;<\/p>\n

Les biens et services de sant\u00e9 entrant dans le cadre de la prise en charge des \u00e9pid\u00e9mies d\u00e9clar\u00e9es par les autorit\u00e9s comp\u00e9tentes et qui sont prises en charge par le minist\u00e8re en charge de la sant\u00e9 ;<\/p>\n

Les interventions de chirurgie plastique et esth\u00e9tique, \u00e0 l\u2019exception des actes de chirurgie r\u00e9paratrice et d\u2019orthop\u00e9die maxillo-faciale m\u00e9dicalement requis ;<\/p>\n

Les prestations de sant\u00e9 servies dans le cadre de la m\u00e9decine dite douce ;<\/p>\n

Les examens compl\u00e9mentaires r\u00e9alis\u00e9s en dehors du territoire national.<\/p>\n

Le b\u00e9n\u00e9fice des prestations de soins de sant\u00e9 garantis dans le cadre du panier de soins est subordonn\u00e9 au respect de la pyramide sanitaire conform\u00e9ment aux textes en vigueur et au paiement d\u2019un ticket mod\u00e9rateur de trente pour cent (30%).<\/p>\n

Les modalit\u00e9s de b\u00e9n\u00e9fice des prestations dans les \u00e9tablissements priv\u00e9s de soins de sant\u00e9 sont d\u00e9termin\u00e9es dans les conventions nationales ou individuelles.<\/p>\n

Sont subordonn\u00e9es \u00e0 l\u2019accord pr\u00e9alable des organismes de gestion de l\u2019assurance maladie, les prestations suivantes :<\/strong><\/p>\n

-les dispositifs m\u00e9dicaux et implants n\u00e9cessaires aux diff\u00e9rents actes m\u00e9dicaux et chirurgicaux compte tenu de la nature de la maladie ou de l\u2019accident ;<\/p>\n

-l\u2019appareillage correctif ou substitutif ;<\/p>\n

Les soins bucco-dentaires avec proth\u00e8se ou appareillage ou implant ;<\/p>\n

-les visites m\u00e9dicales \u00e0 domicile.<\/p>\n

Les organismes de gestion \u00e9tablissent le r\u00e9f\u00e9rentiel des prestations de soins soumises \u00e0 accord pr\u00e9alable.<\/p>\n

Le r\u00e9f\u00e9rentiel des prestations de soins soumises \u00e0 accord pr\u00e9alable est renouvel\u00e9 tous les deux (02) ans.<\/p>\n

Les r\u00e9f\u00e9rentiels des produits de sant\u00e9 et des actes \u00e9ligibles et leur base de tarification sont adopt\u00e9s par arr\u00eat\u00e9 conjoint du Ministre charg\u00e9 de la protection sociale et du Ministre charg\u00e9 de la sant\u00e9.<\/p>\n

Latribunedufaso.net<\/strong><\/p>\n

Source : D\u00e9cret N\u00b02023-1410\/PRES-TRANS\/PM\/MFPTPS\/MEFP\/MSHP portant d\u00e9finition du panier de soins du r\u00e9gime d\u2019assurance maladie universelle\u00a0<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Le panier de soins est l\u2019ensemble des actes, des biens et des services de sant\u00e9 pris en charge par les organismes de gestion.<\/p>\n","protected":false},"author":5,"featured_media":16546,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13,1,8],"tags":[370,39],"class_list":["post-21827","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-une","category-actu","category-societe","tag-assurance-maladie-universelle","tag-latribunedufaso-net"],"yoast_head":"\nBon \u00e0 savoir : Panier de soins du R\u00e9gime d'assurance maladie universelle - La Tribune du Faso<\/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:\/\/www.latribunedufaso.net\/?p=21827\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bon \u00e0 savoir : Panier de soins du R\u00e9gime d'assurance maladie universelle - 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