Coverage for my outpatient care costs

For year-round protection and convenience, even outside the confines of a hospital stay

Additional outpatient care insurance provided by your employer to cover the cost of “run-of-the-mill” medical services and treatments.

Refund all year round

Does your corporate plan include Ambucare Flexible outpatient care coverage? Lucky you! This means you’re entitled to a refund for medical treatment unrelated to an inpatient hospital stay, all year round.

Read on for an overview of the covers.

Note: You don’t know if your employer has subscribed this cover for you? Check it with your human resources department.

Three standard covers

Full coverage (up to 80%) for all your outpatient care expenses

Outpatient medical care

Outpatient medical care refers to medical treatment unrelated to an inpatient stay and not necessarily administered in a hospital setting. This includes doctors' appointments and physiotherapy sessions as well as medical imaging for sprains and broken bones.

Ambucare Flexible covers the following treatments and services:

doctors' appointments, house calls, technical medical services and minor surgery
paramedical treatment (nurse-administered treatment, kinesiotherapy and physiotherapy)
diagnostic testing (radiology, medical imaging and laboratory analysis)
etc.

Pharmaceutical products, orthotics and eyewear

Refunds for items prescribed by your doctor. This includes medication as well as eyeglasses, orthopaedic insoles, etc.

Ambucare Flexible covers the cost of the following services:

licenced medication and bandages sold in pharmacies
eyeglasses and eyeglass frames, contact lenses and hearing aids
bandages and splints
orthopaedic devices and artificial limbs

Tip: Click here to find out more about how to use the My Healthcare Card to get your money back for your pharmacy purchases.

Dental care and dental prosthetics

Ambucare Flexible also covers the cost of your dental treatment.

This includes:

dental treatment (dentists' appointments, preventive check-ups, x-rays, etc.)
dental prosthetics (crowns, bridges and implants)
orthodontic treatment and devices

You will be able to claim 80% of your costs back, less potential statutory compensation paid by the Sickness Fund.

And still more…

For certain plans, Ambucare Flexible also provides partial coverage (50%) for paramedical treatment such as:

consultations with a psychologist, nutritionist, podiatrist or speech pathologist
consultations with an osteopath, chiropractor, homeopath or acupuncturist
homeopathic remedies

Tips and other useful information:

Reimbursements will be capped at a maximum of EUR 500, 1250 or 2500 per insured and per policy year, and a deductible of EUR 0, 75 or 125 will apply, depending on terms selected by your employer.

Ambucare Flexible can also be used to claim back the cost of doctors' appointments in foreign country.

How to submit my medical expenses?

All info on the hospitalization website

The cover can be used for medical costs made abroad