Facing a strange situation regarding "maladie de longue durée exonérante"

Bit censorious?!!

didn’t mean to be censorious… to me it seemed a simple route to let the GP make the submission…

The ALD scheme has become more and more restrictive over the years.

At a time I qualified for ALD because of my high blood pressure. When my wife had to change caisse a few years ago because she changed jobs the new caisse wouldn’t renew my ALD entitlement.

My GP kicked of the original paperwork (some 10 plus years ago) but he explained that the ALD provisions were being rowed back on because of the cost implications.

In any event it isn’t down to the GP or the specialist, they only make recommendations, each caisse has medical specialists that rule on the submissions.

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Thanks for your explanation Grahame - somehow missed it before.

One of the reasons for the ALD list is that having one of these chronic disease can be expensive for the patient, and beyond their means if they are not poor enough to qualify for ACS but not rich enough to have a mutuelle. My drug bill is 1000€/month so would be pricy without the ALD.

Since BP medication is as cheap as chips, and much can be done with lifestyle changes, it could be that simple high BP is no longer seen as needing extra support? There are chronic cardiac conditions, of which high BP can be a symptom, which are covered.

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Jane,

Probably true but the point I was making was that what qualifies has changed over the years and it is down to the caisse’s medical experts to make the decision and that varies from caisse to caisse.

Life style changes can ameliorate all kinds of conditions including high blood pressure but the life style changes are not always effective. For some of us even “cheap as chips” options not necessarily cheap enough.

Grahame Pigney

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My BP meds were not included in ALD and cost me 1.60€ a month… (although no longer need them thanks to lifestyle changes). Of course others need more drugs and self-help doesn’t work, but even so cost is often still modest.

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