BEL GVT Compulsory Health Care


On Jan. 23, BEL GVT amended decree on compulsory health care.


  • BEL GVT published Royal Decree of Jan. 15, 2024 amending the Royal Decree of Jul. 3, 1996 implementing the law relating to compulsory health care and compensation insurance coordinated on Jul. 14, 1994, re evaluation commissions for work incapacity.
  • The amendments entered into force on Jan. 1, 2024.
  • Feb. 2024 Active Dressings Decree
  • On Feb. 6, 2024, BEL GVT published Royal Decree amending the royal decree of Mar. 23, 2019 implementing article 37, § 16bis, para. 1, 3°, and para. 4, of law relating to compulsory health and care insurance compensation, coordinated on Jul. 14, 1994.
  • The text of the decree concerned the rules relating to a use of certain active dressings under compulsory health care and compensation insurance, for all relevant claimants.
  • It also includes a table of additional dressing that can all be used under both schemes.
  • The decree comes in force on first day of the month following the expiration of a period of ten days beginning on day following publication in Official Gazette, on Mar. 1, 2024.
  • Mar. 2024 Surgical Nomenclature
  • On Mar. 12, 2024, BEL GVT published a Royal Decree amending article 16 of the annex to the Royal Decree of Sep. 14, 1984 establishing the nomenclature of health benefits in terms of compulsory health insurance and compensation, for some health benefits.
  • The decree amended the Dutch text geneesheer to be replaced by the word arts and the phrase geneesheer-specialist is therefore now replaced by words arts-specialist.
  • In para 6, the words In derogation of are now replaced by the words By derogation of.
  • This is supplemented by paragraph 7, that is now worded as § 7. By way of derogation from § 5, surgical assistance cannot be certified for services 312410-312421 and 312432-312443 unless it is carried out by a specialist doctor training in stomatology.
  • The new decree comes into force on the first day of the second month following that of its publication in the Belgian Official Gazette, making it effective as from May, 1, 2024.
  • Mar. 13, 2024 Psychiatric Care Home Billing
  • On Mar. 13, 2024, BEL GVT published a Royal Decree on the invoicing of medicines by all psychiatric care homes, from Jul. 2024, when the process will move to MyCareNet.
  • The psychiatric care home will send the billing file to the cooperating social security institution, then to Social Security Crossroads Bank via MyCareNet electronic network.
  • The date referred to in Article 53, § 1, paragraph 3, of the law relating to compulsory health care and compensation insurance, coordinated on Jul. 14, 1994, is Jul. 1, 2024.
  • The Minister responsible for Social Affairs. is responsible for implementing this order.
  • Mar. 19, 2024 Holder Status, Nomenclature
  • On Mar. 19, 2024, BEL GVT published royal decree of Mar. 15, 2024 amending the royal decree of Jul. 3, 1996 implementing the law relating to compulsory health care and compensation insurance, coordinated on Jul. 14, 1994 re the holder status.
  • Amendments to the condition of cohabitation between a holder and his dependent.
  • Effects on holder status in case of removal from National Register of Natural Persons.
  • Effective on Jan. 1, 2024, for the extension of the right to health care on year 2022.
  • BEL GVT also published royal decree of Feb. 25, 2024 amending articles 3, § 1, C., and 24, § 1, of the annex to the royal decree of Sep. 14, 1984 establishing the nomenclature of health benefits in terms of insurance compulsory health care and compensation, regarding amendments to the value index of some blood examinations.
  • BEL GVT also published royal decree of Feb. 25, 2024, amending article 24, § 1, of the annex to the royal decree of Sep. 14, 1984 establishing the nomenclature of health benefits in terms of compulsory health insurance and compensation, re blood services.
  • Additions and replacements of certain blood services, possible cumulation of services.
  • Changes apply on the 1st day of the 2nd month after publication, on May 1, 2024.
  • Mar. 25, 2024 Compulsory Health Care, Nomenclature
  • On Mar. 25, 2024, BEL GVT published royal decree of Feb. 29, 2024 modifying art. 37bis of the law re compulsory health care, compensation insurance of Jul. 14, 1994.
  • Additional order numbers in art 37bis, § 1 , E, 5 of Law of Jul. 14, 1994, as amended.
  • BEL GVT published royal decree of Mar. 12, 2024 amending art 27 and 29 of the annex to the royal decree of Sep. 14, 1984 establishing the nomenclature of health benefits in terms of compulsory health insurance and compensation; it deleted certain words.
  • BEL GVT published royal decree of Feb. 29, 2024 amending art 20 of the annex to the royal decree of Sep. 14, 1984 establishing the nomenclature of health benefits in terms of compulsory health insurance and compensation; changes in annexed table.
  • All decrees apply on the 1st day of the 2nd month after publication, on May 1, 2024.
  • Apr. 2024 Nomenclature of Health Services
  • On Apr. 5, 2024, BEL GVT published royal decree of Mar. 28, 2024 amending article 31 of the annex to the royal decree of Sep. 14, 1984 establishing the nomenclature of health benefits in the field of compulsory health care insurance and allowances.
  • The application procedure re intervention of the insurance company updated.
  • In force on the first day of the second month after publication in the official gazette.
  • Apr. 12. 2024 Nomenclature of Health Benefits
  • On Apr. 12, 2024, BEL GVT published royal decree of Mar. 28, 2024 amending article 27 of annex to the royal decree of September 14, 1984 establishing the nomenclature of health benefits in terms of compulsory health insurance and compensation rules.
  • Modifications were made by adding a paragraph inserted between para 2 and 3 that defined Digestive stoma and Urinary ostomy, in specific terms for medical definitions.
  • Before first intervention of insurance, a notification consisting of medical prescription and certificate of delivery must be sent to medical advisor by the approved bandagist before the end of the second month following month in which first delivery was made.
  • The sentence regarding timing of renewal prescriptions now states the period appears on medical prescription cannot exceed 1 year for first request or 3 years for renewal.
  • This decree comes into force on the first day of the second month following that during which it is published in the Belgian Official Gazette, thus effective from Jul. 1, 2024.

Regulators BEL GVT
Entity Types Auditor; CNSM; Corp; Ins
Reference OG 2024003066, 4/12/2024; OG 2024003057, 4/5/2024; Decree 3/28/2024; OG 2024002394, OG 2024002659, OG 2024002393, 3/25/2024; Royal Decree 2/29/2024; Royal Decree 3/12/2024; Law 7/14/1994; Royal Decree 9/14/1984; OG 2024002615, 3/19/2024; Royal Decree 3/15/2024; OG 2024002389, 3/19/2024, Royal Decree 2/25/2024; OG 2024002390, 3/19/2024; Royal Decree 2/25/2024; OG 2024002142, 3/13/2024; Royal Decree 2/25/2024; OG 2024002143, 3/12/2024; Royal Decree 2/21/2024; OG 2024000720, 2/6/2024; Royal Decree 1/21/2024; OG 2023206779, 1/23/2024; Royal Decree 1/15/2024; Royal Decree 7/3/1996; ESG
Functions Accounting; Claims/Accelerated Benefits; Compliance; Financial; HR; Legal; Operations; Privacy; Product Administration; Reporting; Risk; Social; Technology; Treasury
Countries Belgium
Category
State
Products Corporate; Disability; Family/Medical Leave; Insurance; Insurance-Health
Regions EMEA
Rule Type Final
Rule Date 1/23/2024
Effective Date 7/1/2024
Rule Id 198894
Linked to N/A
Reg. Last Update 4/12/2024
Report Section EU

Last substantive update on 04/16/2024