{"id":312,"date":"2025-06-03T10:32:39","date_gmt":"2025-06-03T08:32:39","guid":{"rendered":"https:\/\/cpts-ouest-herault.fr\/?p=312"},"modified":"2025-11-19T16:19:56","modified_gmt":"2025-11-19T15:19:56","slug":"accident-cause-par-un-tiers-signalez-le-a-lassurance-maladie","status":"publish","type":"post","link":"https:\/\/cpts-ouest-herault.fr\/index.php\/2025\/06\/03\/accident-cause-par-un-tiers-signalez-le-a-lassurance-maladie\/","title":{"rendered":"Accident caus\u00e9 par un tiers ? Signalez-le \u00e0 l\u2019Assurance Maladie !"},"content":{"rendered":"\n<p>Un accident peut survenir \u00e0 tout moment : une chute de v\u00e9lo provoqu\u00e9e par un autre usager, un objet qui vous blesse pendant un d\u00e9m\u00e9nagement, ou encore une blessure li\u00e9e \u00e0 un animal ou un enfant sous la responsabilit\u00e9 d\u2019un tiers.<br>Si un <strong>tiers est responsable de votre accident<\/strong>, m\u00eame de fa\u00e7on involontaire, il est essentiel de le <strong>signaler \u00e0 l\u2019Assurance Maladie<\/strong>. C\u2019est ce qu\u2019on appelle le <strong>recours contre tiers<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Pourquoi d\u00e9clarer un accident caus\u00e9 par un tiers ?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vos soins sont pris en charge normalement par l\u2019Assurance Maladie.<\/li>\n\n\n\n<li>En d\u00e9clarant l\u2019accident, l\u2019Assurance Maladie peut ensuite se faire rembourser les frais aupr\u00e8s de l\u2019assureur du responsable, sans changer votre remboursement habituel.<\/li>\n\n\n\n<li>Cette d\u00e9marche vous ouvre aussi la possibilit\u00e9 d\u2019une indemnisation compl\u00e9mentaire par l\u2019assurance du tiers responsable (frais \u00e0 charge, d\u00e9passements, mat\u00e9riel\u2026).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Quels accidents sont concern\u00e9s ?<\/h3>\n\n\n\n<p>Le recours contre tiers peut s\u2019appliquer dans de nombreux cas :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Accident de la route impliquant un autre v\u00e9hicule, v\u00e9lo ou trottinette<\/li>\n\n\n\n<li>Blessure caus\u00e9e par un animal ou un enfant sous la garde d\u2019un tiers<\/li>\n\n\n\n<li>Accident domestique chez un tiers (ex. : sol glissant, chute d\u2019objet)<\/li>\n\n\n\n<li>Coup et blessures (avec d\u00e9p\u00f4t de plainte)<\/li>\n\n\n\n<li>Accident \u00e0 l\u2019\u00e9tranger, selon la situation<\/li>\n<\/ul>\n\n\n\n<p><strong>M\u00eame les petits accidents peuvent faire l\u2019objet d\u2019une d\u00e9claration.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Comment d\u00e9clarer un accident caus\u00e9 par un tiers ?<\/h3>\n\n\n\n<p>C\u2019est simple et rapide :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Depuis votre <strong>compte ameli<\/strong>, rubrique \u00ab Mes d\u00e9marches \u00bb<\/li>\n\n\n\n<li>Sur le site <strong><a href=\"https:\/\/www.onmablesse.fr\/\">onmablesse.fr<\/a><\/strong><\/li>\n\n\n\n<li>Par t\u00e9l\u00e9phone au <strong>36 46<\/strong> (du lundi au vendredi)<\/li>\n\n\n\n<li>Ou par courrier, avec le formulaire disponible sur <strong><a href=\"https:\/\/www.ameli.fr\/herault\/assure\/actualites\/victime-d-un-accident-cause-par-un-tiers-adopter-le-reflexe-du-recours-contre-tiers\">ameli.fr<\/a><\/strong><\/li>\n<\/ul>\n\n\n\n<p>Pensez \u00e0 informer vos professionnels de sant\u00e9 (m\u00e9decin, kin\u00e9, pharmacien\u2026) que vos soins sont li\u00e9s \u00e0 un accident caus\u00e9 par un tiers.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Bon \u00e0 savoir<\/h3>\n\n\n\n<p>Signaler un accident caus\u00e9 par un tiers, c\u2019est <strong>un geste responsable<\/strong> qui participe au bon fonctionnement de notre syst\u00e8me de sant\u00e9. En permettant \u00e0 l\u2019Assurance Maladie de r\u00e9cup\u00e9rer les frais engag\u00e9s, chacun contribue \u00e0 une gestion plus \u00e9quitable et solidaire des d\u00e9penses de sant\u00e9.<\/p>\n\n\n\n<p>\ud83d\udd17 Pour plus d\u2019informations, cliquez <a href=\"https:\/\/www.ameli.fr\/herault\/assure\/actualites\/victime-d-un-accident-cause-par-un-tiers-adopter-le-reflexe-du-recours-contre-tiers\">ici <\/a>!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un accident peut survenir \u00e0 tout moment : une chute de v\u00e9lo provoqu\u00e9e par un autre usager, un objet qui vous blesse pendant un d\u00e9m\u00e9nagement, ou encore une blessure li\u00e9e \u00e0 un animal ou un enfant sous la responsabilit\u00e9 d\u2019un tiers.<br \/>\nSi un tiers est responsable de votre accident, m\u00eame de fa\u00e7on involontaire, il est essentiel de le signaler \u00e0 l\u2019Assurance Maladie. C\u2019est ce qu\u2019on appelle le recours contre tiers.<\/p>\n","protected":false},"author":1,"featured_media":313,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[39],"tags":[],"class_list":["post-312","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-national"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Accident caus\u00e9 par un tiers ? 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