{"id":293362,"date":"2023-08-10T12:21:42","date_gmt":"2023-08-10T11:21:42","guid":{"rendered":"https:\/\/realites.com.tn\/fr\/?p=293362"},"modified":"2023-08-10T13:36:56","modified_gmt":"2023-08-10T12:36:56","slug":"cnam-mise-a-jour-du-plafond-annuel-des-traitements","status":"publish","type":"post","link":"https:\/\/realites.com.tn\/fr\/cnam-mise-a-jour-du-plafond-annuel-des-traitements\/","title":{"rendered":"CNAM: mise \u00e0 jour du plafond annuel des traitements"},"content":{"rendered":"

La Caisse nationale d\u2019assurance maladie (CNAM) vient de mettre \u00e0 jour les plafonds annuels des traitements.
\nSelon un commuiniqu\u00e9 rendu public sur sa page officielle Facebook, les nouveaux plafonds annuels des traitements ont \u00e9t\u00e9 fix\u00e9s comme suit:
\n* Assur\u00e9 social sans personne \u00e0 parrainer (un seul b\u00e9n\u00e9ficiaire) : 300 dinars.
\n* Assur\u00e9 social et une personne \u00e0 parrainer (deux b\u00e9n\u00e9ficiaires) : 375 dinars.
\n* Assur\u00e9 social \u00e0 deux personnes sous parrainage (trois b\u00e9n\u00e9ficiaires) : 450 dinars
\n* Assur\u00e9 social avec trois parrains (quatre b\u00e9n\u00e9ficiaires) : 525 dinars.
\n* Assur\u00e9 social avec quatre personnes ou plus dans le parrainage (cinq b\u00e9n\u00e9ficiaires ou plus) : 600 dinars.
\nLe plafond sera augment\u00e9 de 75 dinars pour chaque parent en cas de pr\u00e9sence d’ascendants dans le parrainage (p\u00e8re et m\u00e8re) au-dessus des cinq b\u00e9n\u00e9ficiaires.
\nL’assur\u00e9 social ou l’\u00e9pouse de l’assur\u00e9 social pendant la grossesse b\u00e9n\u00e9ficie d’un suppl\u00e9ment de 150 dinars pour les d\u00e9penses des services de sant\u00e9 externes et pour le suivi de la grossesse.
\nIl convient de noter que les d\u00e9penses de sant\u00e9 suivantes sont exclues du plafond annuel de soins au profit des assur\u00e9s sociaux qui b\u00e9n\u00e9ficient du r\u00e9gime de remboursement des frais ou du r\u00e9gime de soins priv\u00e9s (m\u00e9decin de famille) les d\u00e9penses de sant\u00e9 suivantes :
\n*Services de sant\u00e9 externes fournis dans le cadre du diagnostic, du traitement et du suivi des maladies graves ou chroniques (APCI).
\n*Les services de sant\u00e9 suivants, quelle que soit leur relation avec des maladies lourdes ou chroniques ou une hospitalisation
\n* Scanner, imagerie par r\u00e9sonance magn\u00e9tique (IRM) et examen radiographique des muscles cardiaques, le traitement des calculs r\u00e9naux, physioth\u00e9rapie, traitement \u00e0 l’eau min\u00e9rale, l\u2019h\u00e9modialyse, proth\u00e8ses et appareils m\u00e9dicaux orthop\u00e9diques, les op\u00e9rations chirurgicales et les m\u00e9dicaments sp\u00e9cifiques<\/p>\n","protected":false},"excerpt":{"rendered":"

La Caisse nationale d\u2019assurance maladie (CNAM) vient de mettre \u00e0 jour les plafonds annuels des traitements. Selon un commuiniqu\u00e9 rendu public sur sa page officielle Facebook, les nouveaux plafonds annuels…<\/p>\n","protected":false},"author":60,"featured_media":183157,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[4],"tags":[],"class_list":["post-293362","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualites"],"yoast_head":"\nCNAM: mise \u00e0 jour du plafond annuel des traitements - R\u00e9alit\u00e9s Magazine<\/title>\n<meta name=\"description\" content=\"La Caisse nationale d\u2019assurance maladie (CNAM) vient de mettre \u00e0 jour les plafonds annuels des traitements. 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