Healthcare budget for those in serious need of care
This care budget is for people who need a lot of care at home. You are also entitled to this if you stay in a retirement home or psychiatric care home.
The healthcare budget for people in serious need of care is 140 euros per month. You can spend this on non-medical costs.
Who is entitled to the healthcare budget for those in serious need of care?
You are entitled if:
- you are a home care patient and are recognized as requiring serious care;
- you are staying in a residential care center;
- you have been admitted to a rest and care home (RVT) or psychiatric care home (PVT).
Your age doesn't matter . Even if you are younger than 26 years old and do not yet pay health insurance premiums, you are eligible for this health care budget.
There is a separate scheme for people with a disability who have a personal budget.
How do you apply for the healthcare budget?
To receive the healthcare budget for people in serious need of care, you must provide proof .
- As a home care patient, are you entitled to this care budget? You will then usually automatically receive proof to apply for the healthcare budget.
- Even if you are admitted to a residential or psychiatric care center, you will usually receive the proof automatically.
Can CM-Zorgkas not provide you with proof? Then you can apply for the healthcare budget with one of the proofs below .
| Conditions | Who can provide the evidence? |
|---|---|
| You have a total score of at least 13 points on the BelRAI Screener for family care or cleaning help. Or you have a partial score of at least 5.5 points on the IADL and ADL modules together. | Recognized family care service and additional home care or logistical assistance service |
| You have at least a score of 15 on the medical-social scale for evaluating the level of self-reliance for the integration allowance, the care budget for the elderly with a care need or the allowance for assistance to the elderly. | Ministry of Social Affairs |
| You receive healthcare allowance for children with specific support needs and score at least 18 points on the medical-social scale. | Agency Growing Up |
| You have a palliative fixed allowance certificate . This can only be used for the first request. With a palliative fixed allowance certificate, the waiting time also disappears. | The doctor |
| You have been admitted to a rest home, RVT or PVT | Rest home, RVT, PVT |
Are you not using family care or are you unable to provide a certificate? Then an investigation must be carried out into your level of care needs. The Social Work Department can conduct that investigation.
What steps do you follow once you have received the proof?
Are you admitted to a residential care center or psychiatric care home that is recognized by the Flemish government? The application will then be processed automatically by CM-Zorgkas .
Download the application form
- You are a home care patient: download the care budget application form for people in serious need of care .
or - You are staying in a residential care center, RVT or PVT that is not recognized by the Flemish government : download the care budget application form for people in serious need of care .
fill in the form
Complete and sign the form.
Add evidence
Please include the required proof with your application.
Are you applying for reimbursement as a home care patient and cannot provide proof? CM-Zorgkas will then work with you to determine which service can determine your level of care need.
Provide the documents to CM-Zorgkas
This can be done via the contact form or the CM mailbox. Or send it to CM-Zorgkas, Martelaarslaan 17 in 9000 Ghent.
Important :
- Anyone who submits an application late may be recognized retroactively under certain conditions.
- Residents of Brussels who joined a care fund at a late stage must complete a legal waiting period before they can apply for this care budget.
When is the healthcare budget paid out?
CM-Zorgkas submits the payment order on the 24th of the month. Depending on your bank, the amount will be in your account after one or two working days.
- Your right to this healthcare budget starts in the fourth month after the application . For example, if you submit your application to CM-Zorgkas in January, you will be entitled to it from May at the earliest.
- Home care patients receive their care budget each month . Example: the May healthcare budget is paid out in May.
- Nursing home residents and residents of a psychiatric care home receive their care budget the following month . Example: the May healthcare budget is paid out in June.
More info
Contact CM-Zorgkas via the contact form or 078 15 40 40.