Reimbursement of Adapted Physical Activity: Will It Become a Reality in the Next Social Security Financing Bill?

2023-09-24 17:12:00

In July, during an Olympic council, Emmanuel Macron expressed the wish that “adapted physical activity (APA) benefits from common law coverage by compulsory health insurance organizations or complementary health insurance for certain people. Care course “. Will this wish be made a reality in the next Social Security financing bill (PLFSS)?

To date, in the event of chronic illness and long-term illness, a doctor can prescribe physical activity sessions, but they are not reimbursed by Social Security. Only the financial support for the assessment prior to the sessions for a person suffering from cancer was decided in 2020, up to 180 euros. However, things might change for certain pathologies.

This summer, Health Insurance proposed in its 2024 report “to initiate this support by targeting people with cancer or diabetes”.

Up to 40 euros per session

“Non-reimbursement is one of the obstacles” to the development of APA, explains Martine Duclos, endocrinologist and physiologist, president of the National Observatory of physical activity and sedentary lifestyle (Onaps). Especially since these illnesses can affect populations “who do not have mutual insurance” and “difficult access to care”.

A session can cost “40 euros”, a decreasing rate for groups, she adds. Martine Duclos participated in a report on sport and health, submitted this summer, which recommends treatment for “all chronic illnesses”.

For former MP Régis Juanico (Generation. s), “we need an “act II” of adapted physical activity with reimbursement”. Author of the book Let’s Move, a manifesto for more active lifestyles, he explains that “we should start by reimbursing the first consultation”, assessment and questionnaire, consultation which is not reimbursed.

He is also vigilant so that sports-health centers can have “sustainable financing”.

For years, scientific studies have proven the benefits of physical activity alongside treatments for cancer, mild depression and even diabetes. The sports law promulgated in March 2022 extended the list of pathologies that can justify an APA to certain chronic illnesses as well as loss of autonomy for the elderly, for example.

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