{ "article": { "LEGIARTI000006758411": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "38", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006758411", "URL": "article/LEGI/ARTI/00/00/06/75/84/LEGIARTI000006758411.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSEAEJXXXXX038AXXXXXXXAA" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006756628", "@num": "6-3", "#text": "Loi n°89-1009 du 31 décembre 1989 - art. 6-3 (M)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CREATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006745385", "@num": "L861-3", "#text": "Code de la sécurité sociale. - art. L861-3 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006127116", "@fin": "2999-01-01", "#text": "Section 1 : Branche maladie.", "@debut": "2001-12-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106319", "@fin": "2999-01-01", "#text": "TITRE IV : DISPOSITIONS RELATIVES AUX DÉPENSES ET À LA TRÉSORERIE", "@debut": "2001-12-26" } ] }, "@cid": "JORFTEXT000000396224", "@nor": "MESX0100129L", "@num": "2001-1246", "@nature": "LOI", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "LOI no 2001-1246 du 21 décembre 2001 de financement de la sécurité sociale pour 2002 (1)", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000000396224", "@c_titre_court": "Loi n°2001-1246 du 21 décembre 2001" }, { "@fin": "2999-01-01", "#text": "Loi n° 2001-1246 du 21 décembre 2001 de financement de la sécurité sociale pour 2002 (1)", "@debut": "2001-12-26", "@id_txt": "LEGITEXT000005631900", "@c_titre_court": "Loi n° 2001-1246 du 21 décembre 2001" } ], "@date_publi": "2001-12-26", "@date_signature": "2001-12-21" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000006758411", "@fin": "2999-01-01", "@num": "38", "@debut": "2999-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "a modifié les dispositions suivantes
\n
" } }, "LEGIARTI000006745385": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L861-3", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2005-12-20", "DATE_DEBUT": "2001-12-26" } }, "META_COMMUN": { "ID": "LEGIARTI000006745385", "URL": "article/LEGI/ARTI/00/00/06/74/53/LEGIARTI000006745385.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X861L03AXXAC" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000006756625", "@num": "6-1", "#text": "Loi n° 89-1009 du 31 décembre 1989 - art. 6-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006756626", "@num": "6-2", "#text": "Loi n° 89-1009 du 31 décembre 1989 - art. 6-2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000037950400", "@num": "6-3", "#text": "Loi n° 89-1009 du 31 décembre 1989 - art. 6-3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006756611", "@num": "9", "#text": "Loi n°89-1009 du 31 décembre 1989 - art. 9 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000709057", "@nortexte": "SPSX8900080L", "@numtexte": "89-1009", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1989-12-31" }, { "@id": "LEGIARTI000006758129", "@num": "28", "#text": "Loi n°99-641 du 27 juillet 1999 - art. 28 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000198392", "@nortexte": "MESX9900011L", "@numtexte": "99-641", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1999-07-27" }, { "@id": "LEGIARTI000006758181", "@num": "72", "#text": "Loi n°99-641 du 27 juillet 1999 - art. 72 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000198392", "@nortexte": "MESX9900011L", "@numtexte": "99-641", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1999-07-27" }, { "@id": "LEGIARTI000006779223", "@num": "2", "#text": "Décret n°99-1079 du 21 décembre 1999 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000568256", "@nortexte": "MESS9923699D", "@numtexte": "99-1079", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1999-12-21" }, { "@id": "LEGITEXT000005628955", "#text": "Arrêté du 31 décembre 1999", "@sens": "cible", "@cidtexte": "JORFTEXT000000398571", "@nortexte": "MESS9924029A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "1999-12-31" }, { "@id": "LEGIARTI000006791673", "@num": "1", "#text": "Arrêté du 31 décembre 1999 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000398571", "@nortexte": "MESS9924029A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "1999-12-31" }, { "@id": "LEGIARTI000006791676", "@num": "2", "#text": "Arrêté du 31 décembre 1999 - 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L861-7 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006745409", "@num": "L861-9", "#text": "Code de la sécurité sociale. - art. L861-9 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000042686114", "@num": "L862-1", "#text": "Code de la sécurité sociale. - art. L862-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000044628810", "@num": "L862-2", "#text": "Code de la sécurité sociale. - art. L862-2 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000022267838", "@num": "L862-4", "#text": "Code de la sécurité sociale. - art. L862-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037950320", "@num": "L911-7-1", "#text": "Code de la sécurité sociale. - art. L911-7-1 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031827682", "@num": "R161-1", "#text": "Code de la sécurité sociale. - art. R161-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000038701542", "@num": "R242-1-6", "#text": "Code de la sécurité sociale. - art. R242-1-6 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000044492530", "@num": "R861-16-2", "#text": "Code de la sécurité sociale. - art. R861-16-2 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000021508366", "@num": "R861-19", "#text": "Code de la sécurité sociale. - art. R861-19 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000042904693", "@num": "R862-11", "#text": "Code de la sécurité sociale. - art. R862-11 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006753343", "@num": "R862-12", "#text": "Code de la sécurité sociale. - art. R862-12 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000027964435", "@num": "R862-12-1", "#text": "Code de la sécurité sociale. - art. R862-12-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000024727306", "@num": "R862-13", "#text": "Code de la sécurité sociale. - art. 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Les personnes mentionnées à l'article L. 861-1 ont droit, sans contrepartie contributive, à la prise en charge, sous réserve de la réduction, de la suppression ou de la dispense de participation prévues par le présent code ou stipulées par les garanties collectives obligatoires professionnelles :
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1° De la participation de l'assuré aux tarifs de responsabilité des organismes de sécurité sociale pour les prestations couvertes par les régimes obligatoires ;
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2° Du forfait journalier prévu à l'article L. 174-4 ;
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3° Des frais exposés, en sus des tarifs de responsabilité, pour les soins dentaires prothétiques ou d'orthopédie dento-faciale et pour les dispositifs médicaux à usage individuel admis au remboursement, dans des limites fixées par arrêté interministériel.
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L'arrêté mentionné au 3° ci-dessus précise notamment la liste des dispositifs et la limite du montant des frais pris en charge.
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Les personnes mentionnées à l'article L. 861-1 sont dispensées de l'avance de frais pour les dépenses prises en charge par les régimes obligatoires des assurances maladie et maternité et celles prévues au présent article.
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Les personnes ayant souscrit un acte d'adhésion, transmis à leur caisse d'assurance maladie, formalisant leur engagement auprès d'un médecin référent dans une démarche qualité fondée sur la continuité et la coordination des soins bénéficient de la procédure de dispense d'avance de frais pour les frais des actes réalisés par ce médecin ou par les médecins spécialistes qui se déclarent correspondants de ce médecin, pour eux-mêmes ou leurs ayants droit.
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Les personnes dont le droit aux prestations définies aux cinq premiers alinéas du présent article vient à expiration bénéficient, pour une durée d'un an à compter de la date d'expiration de ce droit, de la procédure de dispense d'avance des frais prévue à l'alinéa précédent pour la part de leurs dépenses prise en charge par les régimes obligatoires d'assurance maladie et maternité.
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Pour l'application de cette dispense d'avance de frais, un décret détermine les modalités de paiement des professionnels et établissements de santé permettant notamment qu'ils aient un interlocuteur unique pour l'ensemble de la procédure.
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Lorsque les personnes mentionnées au huitième alinéa de l'article L. 861-3 du code de la sécurité sociale acquièrent une protection complémentaire souscrite à titre individuel en matière de frais de soins de santé, aucune période probatoire ne peut leur être opposée. Elles bénéficient en outre de la procédure de dispense d'avance de frais, pour une durée d'un an à compter de l'expiration de leur droit aux prestations définies aux cinq premiers alinéas de l'article L. 861-3 précité, dans les conditions prévues par décret, pour la part de ces mêmes dépenses prise en charge par les organismes visés au b de l'article L. 861-4 du code de la sécurité sociale.
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Article 38 ENTIEREMENT_MODIF (LOI no 2001-1246 du 21 décembre 2001 de financement de la sécurité sociale pour 2002 (1))