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Country-by-country guide

Accessing healthcare in Belgium

You should check whether a doctor you wish to see is registered with the national health service (conventionné/ geconventioneerd) or offers private healthcare.

The state mutuelle/mutualiteit scheme allows patients to choose their healthcare provider as long as they confirm the provider is registered with one of the insurance companies.

Non-EEA nationals are covered in Belgium.

Where to get information while in Belgium

The Ministry of Health will be able to provide information.

Ministry of Health
SPF Sante Publique,
Securite de la Chaine Alimentaire et Environment
Eurostation, bloc 2
Place Victor Horta 40 boite 10
1060 Bruxelles
Belgium

Emergency numbers

In case you find yourself in an emergency during your stay in Belgium, dial 100. You can also use 112, which is the equivalent for the European Union. You might want to save the number in your phone. 

Treatment, coverage and costs

Doctors

Most doctors in Belgium offer private healthcare, but there are a few who do both. It is necessary to pay a doctor for any healthcare provided, but you might be able to claim back up to 75% of the costs. The 25% is non-refundable in Belgium but you may be able to seek reimbursement when you are back in the UK.

The doctor might provide a medical certificate where necessary and you should always ask your doctor for a receipt on an ‘Attestation de soins donnés/Getuigschrift voor verstrekte hulp’. 

Dentists

The majority of dentists in Belgium offer private healthcare. However, some dentists accept part-payment if you show your European Health Insurance Card (EHIC). You should therefore check before registering with a dentist as treatment charges differ considerably.

Bigger cities, Brussels in particular, offer international dentistry practices, though they can be considerably more expensive.

For any specialist work, such as crowns and bridges, the dentist may be able to offer you different payment options and quotations for your treatment.

In all cases, it is necessary to pay the dentist for any healthcare provided but you might be able to claim back up to 75% of the costs. The 25% is non-refundable in Belgium but you may be able to seek reimbursement when you are back in the UK.

A dentist might provide a medical certificate, where necessary and you should always ask your dentist for a receipt on an ‘Attestation de soins donnés/Getuigschrift voor verstrekte hulp’. 

Anyone living in Belgium must visit the dentist at least once a year to qualify for health insurance reimbursement.

Hospital treatment

A doctor referral is not necessary. You can arrange to see a specialist of your choice at any hospital. Accident and Emergency departments also offer immediate treatment, though you should not use this as a doctor replacement.

In Brussels, the 11 biggest public hospitals are organised under the Iris Association (information available only in French or Dutch).

Prescriptions

You can obtain medicines from any pharmacy in Belgium, but in most cases, you will need to present a prescription. You will have to pay for your prescription at the pharmacy though the charges may vary between 0 % and 80 %. The 25% is non-refundable in Belgium but you may be able to seek reimbursement when you are back in the UK.

The pharmacist should issue you a certificate that states the medicine provided and the charge paid. This allows you to claim reimbursements subsequently from a Belgian health insurance organisation.

Finally, you may be able to claim back some outpatient care (eg. physiotherapy) when covered by a prescription. There is list of medicines for which reimbursement is made. For more information, contact the Ministry of Health in Belgium.

Ambulance

In most cases, ambulance travel in Belgium is charged. State health provision does not generally provide any reimbursement for use of an ambulance. There is a standard charge for using an ambulance (the so-called '100'). Additionally, a charge per km is added covering the distance of travel to the hospital. In the end you will be sent an invoice with the amount to be paid by post that you must pay in full. These charges are non-refundable in Belgium but you may be able to seek reimbursement when you are back in the UK.

Air ambulance

No information available.

Making healthcare arrangements in advance

Certain treatments must be pre-arranged before arriving in Belgium. You should consult your GP before travelling. Remember, you must present your EHIC for all treatments abroad.

Oxygen therapy

In Belgium there are three different types of oxygen: gassiform, oxygenconcentrator and fluid oxygen.

The easiest way to access oxygen during a visit to Belgium is to use gassiform oxygen. You can obtain this at any Belgian pharmacist. Reimbursements can be obtained at any Belgian Social Security Fund but you must have a valid EHIC. Addresses and phone numbers of pharmacists can be found on the Apotheek.be website (available in French or Dutch).

Oxygenconcentrator or fluid oxygen can be obtained through a hospital, though some smaller hospitals do not provide it. You should contact one of the bigger hospitals in Belgium before travelling. Visit hospitals.be for more information (available in Dutch only).

If you contact one of the Belgian Sickness Insurance Funds this will simplify the processing of any request you make for reimbursement. Visit inami.be for more information (available in French or Dutch).

 

 

1. Gassiform oxygen

Advantages:

  • can be obtained at any pharmacist
  • pure oxygen

Disadvantages:

  • heavy bottle
  • low capacity
  • only partially taken in charge according to Belgian legislation

2. Oxygenconcentrator

Advantages: 

  • comfortable
  • daily reimbursement of about €8.50 (contact Belgian Sickness Insurance Fund beforehand)
  • safe
  • easy to use

Disadvantages:

  • could be interrupted, therefore an alternative method must also be present
  • high personal charge
  • delivered only under strict conditions

3. Fluid oxygen

Advantages:

  • lightweight
  • high capacity
  • pure oxygen
  • no charge for the patient (contact Belgian Sickness Insurance Fund beforehand)

Disadvantages:

  • spontaneous evaporation
  • risk of freezing injuries
  • irritation of the nose due to low temperature
  • delivered only under strict conditions 

Dialysis

You need to speak to the co-ordinator in your UK Dialysis Unit who will contact the dialysis unit in Belgium in order to arrange dialysis in the unit nearest to where you will be staying. The provision of dialysis will be subject to availability in Belgium. 

Leisure or business - using your EHIC in Belgium

Your European Health Insurance Card (EHIC) will enable you to access state provided healthcare at a reduced cost or sometimes free. It will cover you for treatment that is needed in order to allow you to continue your stay until your planned return. It also covers you for treatment of pre-existing medical conditions and for routine maternity care provided the reason for your visit is not specifically to give birth.

How to claim refunds

You should contact the Ministry of Health for advice on how to claim refunds in Belgium.

If you have had to pay for the cost of your care and have been unable to claim a refund during your stay in Belgium you should contact the Overseas Healthcare Team (Newcastle) on 0191 218 1999 (Monday - Friday, 8am - 5pm) on your return to the UK. However, the process will take considerably longer from the UK than claiming for a refund in Belgium.

Note: you will not be able to claim refunds for private healthcare.

Living in Belgium

If you're receiving a UK state pension, or in receipt of long-term incapacity benefit, you may be entitled to state healthcare paid for by the UK. You will need to apply for an E121, which you should then present to the health authorities in Belgium.

However, if you move to Belgium to live but not work and do not receive a UK benefit, you may be eligible for up to two-and-a-half years of state healthcare cover, paid for by the UK. In this case, you will need to apply for an E106.

For more details on how to apply for an E121 or E106, visit the  'Moving abroad' section.

How to register your E121 or E106

In both cases, you will need to contact the Ministry of Health in Belgium. Additionally, you might be asked to provide a copy of the original E121/ E106 and a proof of identity.

How to register with a GP

No information available.

Working in Belgium

This section applies if you have been issued with an E106.

How to register your E106

You will need to contact the Ministry of Health in Belgium. Additionally, you might be asked to provide a copy of the original E106 and a proof of identity.

How to register with a GP

No information available.

Am I still eligible for treatment under the NHS?

UK citizens registered in another EEA country and using an E106 or E121 are not automatically eligible for free treatment in the UK.

You should also visit the 'Planned treatment abroad' section for detailed information.

Last reviewed: 23/06/2011

Next review due: 23/06/2013

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