These are vehicles used for ground sanitary transport other than specially adapted vehicles.

The VSL is reserved for sanitary transport of up to 3 patients in a seated position.

It can be used for transporting labile blood products (products derived from donor blood, intended to be transfused to a patient). It can also transport a patient and the labile blood products intended for him at the same time.

The choice of mode of transport should be prescribed by the physician according to the condition of the patient: sitting or lying down, monitoring or administration of oxygen for example.

Approved vehicles shall contain the following elements:

• Warnings and special lights
• Regular cross with 6 branches blue
• Trade name of sanitary transport activity
• Name of the natural or legal person holding the authorization

The crew on board a VSL must meet certain conditions of qualification and professional competence.

A VSL shall carry at least one person on board who shall hold one of the following diplomas or qualifications:

• State Diploma of Paramedic (DEA) or Certificate of Paramedic Capability (CCA)
• Holder of Level 1 Civic Prevention and Relief Teaching Unit or Health Aid Card
• Diploma in a medical profession, as a medical assistant, as a carer, as a childcare assistant or as a dental assistant

At least the crew members must also hold a B driving license with a certificate issued by the prefect following a medical examination of physical fitness. His license must be more than 3 years old (2 years for those who have taken an early learning of driving).

It should be vaccinated against the following diseases:

• Hepatitis B
• Diphtheria
• Tetanus
• Poliomyelitis

They must also wear clothing and have activity-specific changes consisting of white and/or blue trousers, blouses and jackets. The wearing of the outfit is forbidden outside the activity.

The crew must follow safety instructions. For example:

• Ease of passage: use special warning devices (lights and sirens) in emergency situations
• Priority: Specific Warnings
• Number of persons carried: not to exceed the number of seating positions

The sanitary transport company must send the list of their personnel who are part of the crew of their sanitary transport vehicles to the Regional Health Agency (ARS) each year. When the company hires a new employee or changes cars, it must immediately inform the LRA.

In order to carry out its health transport activity, the company must:

• It must seek approval from the LRA territorial delegation (DTARS: titleContent). This must be done at least 2 months before the plan to create or take over a sanitary transport company.
• They have to register with theUrssaf: titleContent.
• Once the authorization has been granted, it must register in the commercial and business register and transmit the extract Kbis to the DTARS: titleContent.

The application shall include details of medical facilities, personnel, physical facilities and the company applying for approval.

Company Information

The company must include in its application:

• The person's name, address, trade name used, and a criminal record extract of the person responsible
• If it is an association or a business, its statutes
• Address and telephone number of each location of the land health transport activity

Vehicle information to be attached

The company must include the following information with its application for registration:

• Double-sided photocopy of the certificate of registration and the certificate of compliance with the minimum standards drawn up by the manufacturer or the body builder
• For vehicles hired, photocopy of the lease
• List of on-board equipment conforming to the minimum standards and their approval number if available

Crew information to be attached

The company must include the following information with its application for registration:

• List of the names of persons crewing medical vehicles and their qualifications
• Double-sided copy of driving licenses and required diplomas

Physical Facilities Information to Attach

The company must include the following information with its application for registration:

• Address of the premises used for the health transport activity and its use
• Declaration on honor attesting that these installations are in conformity with the required standards

A company carrying out medical transport may sign an agreement with the primary sickness insurance fund. This agreement lays down the rates and the conditions for taking over. Without this prior agreement, no reimbursement to the insured person or waiver of advance payment of costs may be made.

The caisse sends its agreement to the health carriers that depend on it geographically. The health carrier has one month to send its reply in writing to the cash register. If he decides to sign the agreement, he must send an additional Urssaf certificate which indicates that it is up to date with the payment of its employee and employer contributions.

Failure to reply within 1 month shall be deemed to constitute a refusal to accede to the Convention.

In order to keep the agreement, the company must send the Urssaf's certificate each year during the second quarter.

It is also possible to stop accession. In the event of a change of situation, a period of 1 month is necessary to amend the accession to the Convention.

The trader can see all the information about his activity on his Ameli account.

Enhanced account for healthcare professionals

Rates

Pricing for health transport comes in several forms: fixed price (variable according to the area), short-trip pricing, price per kilometer.

The kilometric rate is based on the distance between the departure and the place of arrival, less the first 3 km included in the departmental package (or from 1^er km traveled in case of billing of the support).

In the departmental package, the fare applicable to each sanitary transport company (ETS) is that of the department where the company is located (classification of departments into zones A, B, C and D), including when traveling to another department.

The billing can be made as a direct payment by the patient or as a paying third party. The reimbursement of costs by the Health Insurance may be carried out in part or 100%.

Support

Support cannot be charged by companies only in certain municipalities in the Paris region.

Surcharge

Surcharges are available at night, on Sundays and on public holidays.