Section actions
Who this guide is for
Section actions
- You if you are in ALD and the doctor gives a prescription to several treatments
- You if you want to understand why the prescription is divided
- You if you work in pharmacy/with a doctor and want to formalize the bizone
To be prepared in advance
Section actions
- ALD status (notification CPAM)
- List of all current drugs/cares
- A doctor informed of your ALD status
Step-by-step procedure
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- 1Report your ALD status to the doctor at the time of consultation. The physician knows which care is related to the disease (100 %) and which are not.
- 2The doctor issues a bizone prescription: upper part — ALD care and medicines (reimbursement 100), lower part — non-ALD care (standard reimbursement 70 %, remains mutual).
- 3In pharmacy or in a healthcare professional: present the complete prescription. The pharmacist distinguishes the care and applies the right rate automatically.
- 4Reimbursement: ALD care — 100 % CPAM (without remaining charge); other care — 70 % CPAM + mutual care. Third party paying when available.
- 5Update the order to maturity (often 12 months). The doctor will do it again if the ALD is renewed or the treatment changed.
- 6Examinations (laboratory, imaging) and care (kiné) also via the bizone prescription if a party is related to the ALD.
- 7Keep order and invoices — proof in case of CPAM check.
- 8In case of doubt about treatment related to ALD — discuss with doctor and CPAM. An erroneous inclusion may result in a refusal.
Common mistakes
Section actions
- Believe all prescription is 100 % ALD. Only related care.
- Do not use the bizone prescription — the pharmacist applies the standard rate.
- Include non-related care in the upper zone — risk of refusal CPAM.
- Do not renew the order due — no refund.
- Losing the order — difficult to reconstruct history.
Official sources
Section actions
Show sources in this section
Important remark
The application of the bizone order depends on the ALD status. This information is indicative — for your case, check with the doctor and the CPAM.
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