Bons de Transport

This isn’t a question about how bons de transport work, I am just interested to know if the actual system is paper-based everywhere. With our transport company we have to get the original green triplicate version from the hospital (often by snail mail) and then hope that it arrives in time to give it to the driver on the day. I just wondered if elsewhere, they had thought of an upload to a secure platform by the hospital and a download by the taxi company, which would not need to involve the patient?

Ours are on paper, but I often don’t get to see it. Taxi driver gets it (something?) straight from hospital admin, we sign the receipt that spews out of his onboard machine with the date/time and km, and that’s it.

If a consultation so using my partner as the taxi then secretary gives me the confirmation there and then, and I send in receipts with the s340 form. I used to get a green form, but that went a couple of years ago - happily.

When OH had daily physio in the rehab clinic in Carcassonne after her knee replacment, I took her in and back every day. After the physio finished the secretary gave her a form to fill in to claim mileage for the trips I made. We had no idea that we could have had bons de transport for the journeys and no idea we could claim for doing it ourselves. It came as quite a suprise.

I don’t ever do the driving. My husband has taxis, both assis and allongé recently. The issues are around having to chase the bons de transport from the hospital and get them to the taxi firm on time. He has probably had a couple of hundred trips over the last two years so the paperwork is quite significant. It is such an obvious process to put on line and am glad to hear that it happens in some places. The forms in triplicate are so archaic I can’t even remember what they are called in English. Will nobody think of the trees? :open_mouth:

But if trees don’t get cut down for paper there would be no forests?

Thankfully we don’t need a bon in advance, the local taxi firm seems quite confident and if we phone and say it’s a hospital case then they are content to get whatever it is they need on arrival.

Mind you this might change as rules on transport are getting squeezed tighter.

Yes, the recent trips have had the seul box ticked, but the tour de Normandie to collect and drop off is quite a thing, especially in snow and ice.

Which is rather ridiculous if he is a repeat customer. Won’t they even give you a bon for the next appointment as you leave?

They sign off several at a time, but we are always dealing with different departments and hospitals and everyone does it differently!

@EmilyA Sorry Emily, I know you said you don’t want to know how b de t work, but I’d be grateful for some info please. We have never been offered anything like this, yet it seems from what’s being said here that perhaps we should.

Our main hospital is Agen and 50 minutes drive away. There have been occasions when we have HAD to act as a driver for each other because of the nature of the circumstances eg:
I had a pacemaker inserted and I could not have driven myself home.
OH had a major op and was convalescing at the hospital when it was agreed he could go home although he was still frail. I drove him.
OH had a cataract op and I drove him home.
I had a blood transfusion and the staff were insistent that he collected me and I did not drive myself.
Should we have had bons de transport on all these occasions?

I don’t know for sure, but I thought they were mostly for ALD (Affection Longue Durée) such as cancer or heart disease and for stays in hospital.
This is what the Assurance Maladie says.
Vous pouvez être remboursé de vos frais de transport par l’Assurance Maladie, sur prescription médicale, dans les cas suivants :

  • transports liés à une hospitalisation (entrée et/ou sortie de l’hôpital), quelle que soit la durée de l’hospitalisation(complète, partielle, ou ambulatoire) ;
  • transports liés aux traitements et soins en lien avec votre affection longue durée (ALD) et si vous présentez une incapacité ou déficience au déplacement définies par le Référentiel de prescription des transports (PDF) ;
  • transports liés à votre état, qui nécessite d’être allongé ou sous surveillance ;
  • transports pour parcourir une longue distance (plus de 150 km aller) ;
  • transports pour vous déplacer plusieurs fois (transports en série - au moins 4 voyages de plus de 50 km aller, sur une période de deux mois, au titre d’un même traitement) ;
  • transports pour un contrôle réglementaire (convocation du contrôle médical, d’un médecin expert, ou d’un fournisseur d’appareillage agréé) ;
  • transports vers un centre d’action médico-sociale précoce (CAMSP) ou centre médico-psycho-pédagogique (CMPP) ;
  • transports liés aux traitements ou examens en rapport avec un accident du travail ou une maladie professionnelle.

Yes, apart possibly from transfusion. Any journey linked to hospitalisation can qualify, even if on ambulatoire.

I had one for my recent cataract, which was not linked to my ALD as was 135km away so a lot of driving and hanging around for OH. I have had to learn not to be British and ask for them, although I didn’t for colonoscopy or minor toe op as only 30km away.

Generally specialist consultations don’t qualify but with an ALD it is more open, but rules are getting tighter. My consultant is a stickler so I get a bon for consultations when it is clear that I cannot drive myself and not when I am in fine form. And it’s for a voiture particulier, not a VSL. Even so if OH drives me and we claim it’s enough extra to have a nice lunch.

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Thanks @EmilyA and @JaneJones
Obviously the cataract op was not ALD but all the others have been - heart and cancer. Transfusion needed because of blood thinners for heart condition - so yes, ALD.

Then you need to knit a cover for your NHS British soul, pop it on, and ask. They don’t generally offer them in my experience.

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Time to play the elderly batty English woman who doesn’t understand the system. :slight_smile: (which in this case is completely true).

Interesting to read about the different way things work…

For several years now there has been a notice in our Doc’s waiting rooms and many health places… asking people not to ask for a Bon d Transport unless absolutely essential… due to the overloading/shortages of the medical taxi service.
Of course, if the Doc reckons it’s essential the BdT will be provided and that has certainly been our experience.

I was reading today about the proposal for people to share medical taxis and ambulances.

We have been asked if we would share ever since end of Covid.

The hospitals we use have signs in the bureau d’entrée saying no bons for consultations. Which we find a bit harsh as means eg for my toe op my OH had to drive me to anaesthetic consultation, drive me to op, and drive me to the suivi appointment. Three 150km journeys in 10 days. Asking whether the consultations could be done by telemedicine was met with blank face.

(I could have had taxi for actual op, but chose not to and just got km)

I was sent a series of bons de transport by the hospital a few months ago, to check up on repairs following an accident… The hospital were adamant that I had to use the medical taxis, and not be driven in by anyone else. I thought that an absurd use of scarce resources, believing I was more than ok to be driven in by my wife. Being privately insured with a high excess, we would have obviously had to pay them ourselves. We worked out that the cost would be over 650€. So my wife drove me in, covertly dropping me off on a roundabout just outside the hospital then hurriedly scarpering. At the end of the series of checkups, the doctors beamed and said that in future as things were mending so well, I could be driven in by my wife for the next visit. I was smiling at this thought, all the way back to the roundabout to be picked up by my wife…

Glad all went well…

in view of the damage you suffered from your nasty accident, I can understand the Hospital not wanting to take any risks by refusing medical transport until you’d been cleared by their Doctors. :+1:

OH had her knee replacement a couple of weeks ago and then spent 14 days at Le Normandy for re-education/réadaptation. I collected her yesterday, paid bill etc and they gave me all the paperwork, including a green prescription médicale de transport (with various boxes checked) which they said to send to CPAM.
Never had one of these before, I’m guessing they might want to reimburse for the travel, but nowhere on the form does it ask for kilométrage. Does anyone know if they (CPAM) work this out or do I need to include a covering attestation? TIA, Mark

OH in exactly the same situation just over two years ago. We were given a form after she finished as an outpatient in the rehab clinic, and I think we had to give kilométrage and number of trips but may be mistaken. I suppose if they have your address and where you went, and know how long she was an outpatient at the clinic then they could calculate this easily themselves ?

BTW, good luck to your OH with the new knee. With my OH it was a resounding success and her mobility is now back to normal.