Specific arrangements in health insurance

Persons with a chronic condition who meet the conditions may be entitled to chronic condition status.

People with chronic renal insufficiency can enter into a care program. A care pathway is an agreement between the patient, his GP and the medical specialist involved in the treatment. The doctors have regular consultations about the patient's treatment. This results in optimal coordination and follow-up of care.

All data about your health is kept in the Global Medical File (GMD). The GP may charge a fee for this per calendar year, which is fully paid by CM. The settlement is made directly between the GP and CM.

Anyone who, 12 weeks after a positive test or first symptoms of a Covid-19 infection, still experiences complaints linked to Covid-19 and has a visible impact on daily life, may be eligible for compensation within a care program.

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.

Are you cared for at home as a palliative patient? Then you may be entitled to the palliative care allowance.

A remote consultation can be done by telephone or video call. Your doctor must apply the paying third party scheme for such a consultation. So you only pay the co-payment.

If you have a low income, you may be entitled to the isupplemented refunds. You will then pay less for healthcare and have other financial benefits. Are you eligible for supplemented refunds?

People with a low income are entitled to supplemented refunds. With supplemented refunds, they pay less for health care and receive other financial benefits.

With the 'third party paying scheme' (also called 'third party paying scheme') you only pay your co-payment to your healthcare provider (GP, dentist, specialist). That is the part of the costs that is not reimbursed by CM.

People with type 2 diabetes can enter into a care program. A care pathway is an agreement between the patient, his GP and the medical specialist involved in the treatment. The doctors have regular consultations about the patient's treatment. This results in optimal coordination and follow-up of care.