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Specific Question on Complementary Insurance (Assurance Complementaire)

Question

Hello all,

I have a query I would like some help with. Basically, my family and I have compulsory health insurance (assurance obligatoire) with Partenamut and receive 70% reimbursement of medical fees. We are now considering whether to upgrade to complementary insurance (assurance complementaire) but I'm wondering what exactly the benefit is. Basically I have read the explanations where they offer money for acne treatment, homeopothy, opticians, sports club refund money etc,etc, but I am not interested in any of that. What I am interested in is whether upgrading to complementary insurance will give me a bigger percentage refund of my out-patient medical bills.

I have hospitalisation insurance from my work which covers incidents of hospitalisation, so I'm not interested in that aspect either. Ideally, I would like to have an insurance plan which gives me 100% reimbursement of all out-patient appointments and procedures with my doctor. So, if I need to visit my GP for a check-up, or if my wife needs to visit her foot-doctor for example for a minor procedure, I would like all of those costs to be covered by the mutuelle. Will complementary insurance (assurance complementaire) provide this?

Thanks in advance. I also want to say thanks to all the people on this site who provide invaluable and helpful information to people when they need it. I have found this website to be a great resource when feeling confused or overwhelmed by silly rules and bureacracy in Belgium.

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Are you sure you are only insured for obligatory level? That is for people who are unemployed / on the sick? Complementary level is for people who work, as far as I understand? Well that's what my mutuelle tell me. You mention hospitalisation insurance that you have from work, so I'm assuming you are therefore at complementary level. I claim for sports club memberships, credits of sports stages etc, what I pay in per month is less than what I claim back through these small sports club / stage credits. I pay 5 euro to see the GP.
I'd do the sums first, to see what you can claim back, plus what you currently claim for.

Oct 31, 2012 18:08