Maximum invoice
Are you not well off or are you seriously ill for a long time? Then medical costs can weigh heavily on the budget. The maximum bill (MAF) limits annual medical costs for families to a ceiling amount. All co-payments above that ceiling amount will be reimbursed by CM.
These costs are counted to calculate expenses and are refunded if the ceiling is exceeded:
- co-payments for benefits provided by doctors, dentists, nurses, physiotherapists and other healthcare providers;
- co-payment for medicines from categories A, B and C (not Cs and Cx) and for pharmaceutical preparations ;
- co-payment for technical services such as operations, X-rays, lab tests;
- certain costs in the event of hospitalization, such as the personal share in the bed-day price (for admission to a psychiatric hospital, only up to the 365th day);
- delivery margin for implants.
CM maintains the co-payment counter
CM keeps track of the co-payment counter per family and per member.
Co-payment above the ceiling amount?
Does the co-payment exceed the ceiling amount? CM will then automatically reimburse you. You can recognize the refund by the message 'terugbetaling MX'.
Do you buy medicines?
Has the ceiling amount been reached and are you purchasing medicines from the pharmacy that qualify for the maximum invoice? Then you no longer have to pay a co-payment at the pharmacy. This will be settled automatically between the pharmacist and CM.
What are the conditions?
There is an income MAF and a social MAF.
- Every family is eligible for the income MAF.
- Are there people in your family who are entitled to an increased allowance? Then you can enjoy an additional right to the social MAF.
- Read all about these different types of MAF here.