Reimbursement of transport costs by the Health Insurance

Verified 31 March 2024 - Directorate for Legal and Administrative Information (Prime Minister)

Shared transportation and medical deductible

Published on 31 March 2024

Law No. 2023-1250 of 26 December 2023 on financing social security for 2024 provides that if the possibility of shared transport exists and that your medical condition allows itSo you have a financial incentive to use it.

Affected trips should be repeated (for example, dialysis or rehabilitation sessions) and done in contracted taxis or with a sanitary transport company.

A decree should set out the implementation of this measure. Once published, this page will be updated.

Do you need transport for treatment, testing or to go home after hospitalization? Health insurance can cover your transport costs, under certain conditions and if your health justifies it. We're giving you the regulations to know.

The following persons may benefit from the payment of transport costs:

  • You and your rights-holders
  • A possible companion when the sick person is under 16 years of age or needs the assistance of a third person. In this case, the reimbursement relates only to public transit costs.

Your transport costs can be covered provided you are prescribed by your doctor.

Your doctor will prescribe the nearest healthcare facility that is appropriate for your condition.

If you are summoned to a review, the summons or notice of hearing is the statute of limitations.

In case of emergency, the medical prescription can be established afterwards.

The transport costs to get to a thermal cure (and back) are supported based on your resources.


A medical prescription (form to be filled in by the doctor and sent by the patient to the doctor advising his CPAM: titleContent) is sufficient for transport which corresponds in particular to the following reasons:

  • Hospitalization (hospital entry and/or discharge), regardless of duration (full, partial, or outpatient)
  • Long-term disorder (ALD) if your health does not allow you to travel on your own
  • Condition warranting prolonged transport or constant monitoring (ambulance)
  • Regulatory control (convocation of a medical examination, of an expert doctor, or of a supplier of approved equipment)
  • Accident at work Care related to an occupational disorder
  • Home Returns as part of discharge permissions for patients under 20 years hospitalized 14 days and more

Prior agreement

For certain types of transport, the cost of transport must be covered by a medical prescription with request prior agreement.

The healthcare professional fills out a specific form and gives it to you for sending to your CPAM medical service.

These include:

  • Long distance, more than 150 km
  • Series, when you need to make at least 4 times a trip of more than 50 km one way, over a period of 2 months, for the same treatment
  • Children and adolescents accommodated in centers for early medical-social action (CAMSP) and medical-psycho-pedagogical centers (CMPP)
  • Regular airliner or liner

The absence of a response from your cashier 15 days after sending your request means that it is accepted.

In case of refusal, you receive a letter from the Health Insurance.

Your doctor tells you the following information:

  • The mode of transport best suited to your health
  • Reason for transport
  • Shared transport if your health permits.

The means of transport that can be covered by the Health Insurance are:

  • Ambulance (e.g. you must be lying down or monitored)
  • Professional seated transport: light sanitary vehicle (LSV) or contracted taxi
  • Public transport by land (bus, metro train...), plane or regular boat
  • Individual means of transport (you can travel alone or accompanied by a relative)


Emergency pre-hospital transport, including when operated by private carriers, is fully covered by Compulsory Health Insurance.

To find a VSL or ambulance, you can consult the website Ameli Health Directory.

For a contracted taxi, contact your cash register.

Who shall I contact

You must follow the instructions of your doctor who gives you the medical prescription for transport for your gait. This The prescription is valid for one year.

You are addressing your CPAM: titleContent the following documents:

  • Medical prescription for transport (form cerfa n°11574). A specific form exists for an exit permit for those under 20 years of age hospitalized for 14 days or more.
  • Medical prescription for transport with request for prior approval, (form cerfa no. 11575) , if necessary
  • Proof of payment, i.e. according to your mode of transport, either an invoice from the carrier or a statement of your costs (form cerfa no. 11162) with the tickets used (proof of transport, tolls...)
  • Freight Invoice (cerfa no. 11163) for light medical vehicle (LSV) and ambulance transport.

Please note

The form cerfa no. 11162 concerns the personal vehicle and/or public transport. For the costs in a contracted taxi, send the medical prescription and the invoice to the Health Insurance.

Reimbursement rate

The refund rate is 55% within the limits of Social Security tariffs, in different conditions depending on the mode of transport.

In some situations, your expenses may be covered at 100% within the limits of Social Security tariffs. Examples:

Ask your cash register for more information.

Who shall I contact


Except in cases of emergency or exemption, you will have to pay a contribution, called medical deductible, on conventional taxi, VSL and ambulance transport. This participation shall be deducted from the reimbursement.

This deductible is €4 by sanitary transport up to €8 per day.

Its amount shall not exceed €50 per year per person.


the exemption does not apply to transport by personal vehicle, public transport or emergency transport (Samu call center 15).