Chronic condition status: information for dentists
Persons with a chronic condition may be entitled to chronic condition status.
Persons with a chronic condition who meet the conditions are entitled to chronic condition status.
The status is granted automatically .
Who is the statute for?
The chronic condition status is granted in three situations.
- For a period of two years :
- to persons who have had at least 300 euros in medical expenses each quarter for eight consecutive quarters (two full calendar years) (not including fee supplements);
- to persons who receive the healthcare fixed allowance (also called the chronically ill lump sum), from 1 January of the year following the award of the healthcare fixed allowance.
- For a period of five years :
- to persons who have had at least 300 euros in medical expenses each quarter for eight consecutive quarters (two full calendar years) (not including fee supplements) and suffer from a rare or orphan disease.
Notification of rare disease or orphan disease
The fact that someone has a rare or orphan disease is proven by the 'Rare disease' certificate that the person concerned provides to CM. This certificate can only be completed by a medical specialist . In addition to the identification details, the certificate must state the full name of the condition as recorded in Orphanet.
What are the advantages?
- Reduction of 100 euros from the ceiling for the maximum invoice (MAF) if the chronically ill person does not benefit from a reduction through other regulations.
- Application of the third-party payment scheme if the doctor or dentist agrees. To prove that he has chronic condition status, the patient received a letter from CM . You do not need to keep this document or add it to the invoice.