The objective of the new health insurance service, the PDP TI, is twofold:
→ Allow the Health Insurance early detection of self-employed workers who may not be able to resume their professional activity
→ Offer them a medico-socio-professional support during their stop.
On arrival, the goal is to help a return to work in good conditions.
Who is affected by this device?
All self-employed workers, craftsmen, traders, liberal professionals, on sick leave, and facing health problems, are able to benefit from this service.
→ The most targeted are entrepreneurs having developed a disability, or professional wear and tear, likely to generate consequences on their activity.
In practice, the self-employed will benefit from capacity assessment whether or not to return to work.
Health insurance can, if necessary, offer suitable tools like a job adjustment, or even a professional reorientation.
He will also have access to medical-professional consultations in order to assess its capabilities.
Several consultations can be organized if necessary, the Health Insurance also has the capacity to refer the self-employed worker to his attending physician for specific follow-up or additional examinations.
In cases where it is impossible to return to work, the Health Insurance system refers the self-employed person to incapacity proceedings.
How to benefit from it?
The social service of the Assurance Maladie contacts the self-employed worker on sick leave, whom she identified as being “at risk of professional withdrawal”.
But the request can also be at the initiative of the professional who makes it via his account improved, section “My messaging”, or by calling the social service of the Health Insurance at 36 46 (free service + cost of the call).
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