Active wound dressings - healthcare providers

The reimbursement is part of the specific protection measures for the chronically ill.

• You as a prescriber must demonstrate that treatment with active dressings is necessary. That is why you keep the documents that prove this in the patient's file.
• When requested, you make them available to the consulting physician and to the medical evaluation and control service.
• The amount charged to the patient counts as a personal share for the maximum bill (MAF).
• The reimbursement does not apply to patients admitted to hospital or a psychiatric care home.

What are the conditions?

• The patient has a chronic wound :
  • it is a well-defined wound as published in the Belgian Official Gazette:
    • arterial ulcer;
    • venous ulcer;
    • diabetic ulcer;
    • pressure ulcer of stage II, III or IV;
    • neuropathic ulcer (in non-diabetics);
    • ulcers due to vasculitis;
    • hydradenitis suppurativa;
    • oncological wounds;
    • post-surgical wounds;
    • burns;
    • junctional or dystrophic epidermolysis bullosa;
    • chronic ulcer not mentioned above, for which active dressings are the only therapeutic alternative, confirmed by a physician specialist in dermato-venereology, after a diagnostic examination.
  • the wound has not healed sufficiently after six weeks of treatment.
• The material is eligible for a refund.

What is the procedure?

Application and approval

• The treating physician provides an application form to CM's advising physician.
• The approval is valid for a maximum of three months and can be renewed three times.
• After one year of treatment, approval can be renewed every three months (or for a maximum of one year in the case of junctional or dystrophic epidermolysis bullosa). This must be requested by a specialist doctor.

Awarding reimbursement

When purchasing an active dressing, the pharmacist will immediately settle this upon presentation of:

• the electronic identity card or ISI+ card;
• a prescription;
• the approval.