Pre-admission and post-discharge medical expenses
In most cases, a hospital stay is not an isolated incident. Preliminary diagnostics are usually required as well as specific post-discharge treatment. Good news: your hospital plan not only covers your hospital bill, but also the medical expenses associated with your inpatient stay, such as pharmacy purchases and doctors’ appointments, for a set pre-admission and post-discharge period. Depending on the terms of your policy, this period is 1-3 months or 2-6 months. For example, 1-3: for a hospital stay from 10 to 15 June, we cover the cost of pre-admission and post-discharge treatment from 9 May to 16 September.
Undergoing treatment for a critical illness (download the list in French or Dutch)? Your hospital plan will cover your costs all year round.
Note: you will only be able to claim back your costs if you have opened a case file for your hospital stay
- Does your plan come with Medi-Assistance? Report your hospital admission online here, or click here to find out more about the Medi-Assistance option.
- No Medi-Assistance? Create your case file here, and start filing your medical expenses straight away!
Not sure? Check your card to see if it features the Medi-Assistance logo!
Tip: Once you have reported your claim, we will send you a form with instructions on how to collect a refund for medical expenses associated with an inpatient stay. You also find this form at the bottom of this page.
Outpatient medical care
If you have Ambucare Flexible outpatient care coverage through your employer, you will be entitled to claim a refund for co-payments1 and supplemental charges for outpatient services, year-round. Great news for you, as some outpatient services are unrelated to a recent hospital stay and are therefore not covered by your hospitalisation insurance.
Outpatient care doesn’t necessarily have to be administered in a hospital setting to qualify for coverage. It includes the most common medical treatments and services such as doctors’ appointments, physiotherapy sessions, medical imaging and your monthly pharmacy expenses.
1For example, you pay EUR 22 for a consultation with your General Practitioner. You get EUR 17 back from the Sickness Fund. The difference, EUR 5, is your co-payment.