Social Security & Insurance in Belgium

social security

Navigating a new country's social system can feel overwhelming, but Belgium offers one of the world's most comprehensive networks of social protection.The Belgian social security system is designed to support residents throughout their professional and personal lives.

Whether you are moving here for work, studying, or starting a business, you will find practical information to help you stay protected and make informed decisions.

Basic Coverage

Compulsary Insurance

In Belgium, individuals must be affiliated with a public health insurance fund to benefit from the following:

  • Reimbursement of health expenses + replacement salary (illness, disability, maternity and paternity leave)
  • Amounts & Criteria set by INAMI (Institut national d'assurance maladie-invalidité) / RIZIV (Rijksinstitut voor Ziekte en Invaliditeitsverzekering)

Supplementary Insurance

These are the services and benefits that are specific to each public health insurance fund and also the part to which you contribute.

There is also a part of optional health insurance to complement your basic coverage to optimize protection in event of hospitalization or significant medical costs.

Contribution to the pubilc health insurance depends on your income in Belgium, therefore, "Declaration of Honour" and "Household Composition" are two crucial documents needed from the city hall of your residence.

Is Public Health Insurance Mandatory?

Mandatory

In both situations below, you are obliged to be submitted to Belgium Social Security...

  • You are an employee on the payroll of a Belgian company.
  • You are self-employed.

Procedure

  • Register to a "Sociaal Secretariaat" such as Partena Professional, Acerta, Attentia, SD Works, Liantis...
  • Pay first contribution to social security (€898,30/trimester during the first 3 years)

Not Mandatory

  • You are paying social taxes in another EU country. In this case, a S1 document must be provided to register to a public health insurance company to receive all benefits and reimbursements.
  • You are paying social taxes in a country with bilateral conventions such as Albania, Algeria, Boznia-Herzegovina, North-Macedonia, Morocco, Montenegro, Serbia, Tunesia, Turkey, Quebec, UK, Australia. Specific documents must also be presented as proof.

Continue reading below...

doctor

While consulting a General Practitioner (GP) or Specialist, it is important o be aware that medical providers can be committed or not.

What does that mean?

  • Committed providers: comply with the legal fee
  • Non-committed providers: may charge additional supplement

You can find a GP and make appointment online through Doctena and Doctor Any Time.

How to Reimburse?

With Belgian ID / permit

The pharmacist can check your medical and basic information through your ID card and directly link your visit to the health insurance companies. Therefore, you only pay the remainder fee at the pharmacy with the prescription.

reimbursement

Without Belgian ID / permit

You will have to cover full price in the begining, Together with the prescription, you will have to drop a Annex 30 document in a mailbox of your health insurance company (if you are insured here) and wait to receive the reimbursement into your bank account afterwards.

In case you have an insurance abroad or in your home country, the rules here might not apply. We suggest contacting your original insurance company for clearer information.

reimbursement

More to Know

Global Medical File

A Global Medical File gathers your medical information and history. This can be asked to your general practitioner. Your general practitioner will be in charge of storing and updating this file. With this file, you might be entitled to higher reimbursement fee.

"Patient Stop"

During flu season, most doctors in Flanders carry out a "patient stop" period which means only recurrent patients are allowed to make appointments, and the available slots are limited. This method is due to the lack of medical personneel in the region. There are a few solutions to this situation:

  • Have yourself places on a reserve list. Once there is any spot open, you will be taken into account as a potential patient.
  • For urgent matters, you can call the local Guard post.
  • Wacht Posten is a website where all on-call practices are listed. Local GPs take turns providing on-call services in the evenings, at night, and on weekends.

Vaccination

For flu vaccines, you can visit a local pharmacy for the injection. 

Without a prescription from a general practitioner, you will pay full amount of €18, and the pharmacy will give you a document to submit to your health insurance company for reimbursement. The injection itself should cost no more than €5.

Hospitalization

Private hospitals requrie higher costs than public hospitals, as a result, we usually suggest visiting a public one in case of emergency.

You will be reimbursed for most medical and hospitalization fees according to the rates set by the INAMI / RIZIV. The remaining share will be covered by the patient individually. This fee vary from one hospital to another and from one GP to another.

Find a Doctor & Make Appointment

You can find a GP and make appointment online through Doctena and Doctor Any Time.

Travelling Abroad & Emergency

While travelling abroad, it is important and helpful to carry your European Health Insurance Card (EHIC). This card is used only within the EU and can be ordered directly from your online service desk.

You can also benefit from emergency assistance in the EU from the Mediphone Assist Center, which you can reach 24/7 on +32 2 778 94 94.

In case you are leaving Belgium for a longer period, after your national registration (address removal) at the local municipalityn/city hall, you must contact the health insurance company to completely close down your health file to avoid further charge after your departure. Once you return to Belgium, this file can be re-opened easily, too.

If you are travelling to another EU State for long stay, Belgian health insurance companies can also provide you with an E104 document with the summary of your insurance, employment, and residency in Belgium to support you with applying for other insurances in a foreign but EU state.

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