Shared medical transport: what are the new rules?

A decree of 28 February 2025 specifies the rules for shared medical transport.

Shared medical transportation is a carpooling system that can be used if the patient's medical condition allows it (it is the prescriber who makes sure). Two patients can thus be transported at the same time.

Shared transport is available:

• to go to the place of treatment;
• to return from the place of care;
• to make the 2 journeys.

In order to benefit from this type of transport, the limitation period must relate to professionalized seated transport (VSL, light sanitary vehicle, or taxi).

Medical transports carried out under the Emergency Medical Assistance (EMA) scheme may not be the subject of a proposal for shared transport.

Shared medical transport: in what cases and under what conditions?

Shared transport may be established exclusively for scheduled and scheduled transport related to:

• systemic drug therapies for cancer;
• radiotherapy sessions;
• extrarenal washout sessions for chronic kidney disease;
• rehabilitation care;
• care as part of a day-care hospital.

And under 2 cumulative conditions.

1/ A condition linked to the detour occasioned

A shared transport can be offered if the detour it causes shall not exceed 10 km per person carried from 2^e person, within 30 kilometers.

2/ A condition related to waiting at the place of care

Shared transport must be organized in such a way as to ensure that the patient waits at the point of care before and after the scheduled time of care, not exceed 45 minutes in total.

How to find a vehicle with a contract?

To find a VSL, you can consult theameli health directory.

To book a contracted taxi, you can contact your health insurance fund from your ameli account. A chatbot can inform you by asking “I am looking for a contracted taxi” or by telephone at 3646.

Conventional taxis have a blue logo on the right rear window of the vehicle. Beware, if you use an unconventional taxi, the trip will be entirely at your expense.

How's the care going?

For the reimbursement of shared transport costs, the doctor will inform you about the steps at the time of prescription.

Patients who accept shared transportation benefit from the third party payer and thus do not advance their transportation costs.

If the trip arranged by the VSL or the contracted taxi can be shared, but the eligible patient refuses it, the third-party payer will not apply; the patient will be reimbursed later under the usual conditions.

Find all the information on the reimbursement of transport costs by the Health Insurance on the dedicated card of Service-Public.fr.