Section actions
Duration: Application — weeks; validity — often renewable
Cost: Free; ALD care — 100 % refund
Possible online
Who this guide is for
Section actions
- You if you have been diagnosed with a chronic disease
- If you want to understand how to get ALD and 100%
- You if your doctor has mentioned a "ALD care protocol"
To be prepared in advance
Section actions
- Diagnosis and medical opinion of specialist
- Care protocol form (Cerfa), completed by the doctor
- Medical history and examinations
Step-by-step procedure
Section actions
- 1Confirm the diagnosis in a specialist: the doctor completes the ALD treatment protocol (Cerfa 11626) describing the disease and the necessary care.
- 2The doctor sends the protocol to the CPAM (or you drop it yourself). CPAM investigates the case through its medical consultant.
- 3The CPAM attributes the ALD (usually on the ALD 30 list — diabetes, cancer, HIV; or ALD off-list for other chronicles, requiring additional evidence).
- 4In case of favourable opinion: the CPAM issues an ALD notification with validity period (often renewable). You benefit from the exemption from the user ticket — 100 % refund for care related to the ALD.
- 5Use the Vital Card: care and medicines in ALD will be in paid third party (free or stay only for overtakings).
- 6Renewal: 2 at 3 months before expiry, the doctor updates the protocol, the CPAM prolongs.
- 7LALD does not cure the disease; it removes the financial burden of treatment. Non-ALD-related care is normally reimbursed (70 %, remains with mutual care).
- 8It also provides for prolonged sick sentences (3 years of IJSS) and protection against dismissal for certain judgments.
Common mistakes
Section actions
- Do not ask the doctor for the ALD protocol — loss of 100%.
- Believing that ALD covers ALL care. Only those of the protocol (related to disease).
- Do not renew the ALD — the coverage expires.
- Do not present the Vital Card with current ALD — pay in advance.
- Hide the ALD from the employer — loss of protection in stoppage.
Official sources
Section actions
Show sources in this section
Important remark
The list of LRAs and the conditions for recognition are the responsibility of the CPAM. This information is indicative — for your illness, consult a doctor.
Did this guide help you?
Thank you! Signal transmitted anonymously if the statistics are enabled.
Have you noticed a mistake?
The message opens in your email with the page, address and context. Vitalpes does not store the report on the site.
