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Is there an exemption under the ambulatory plan?

The exemption is the amount of the covered costs that you have to pay yourself. This exemption applies to each insured person, but also sometimes to each family. Depending on your policy, the exemption will be withheld per insurance year or per claim year (as from when the first expenses were submitted).

This exemption is deducted from the eligible expenses you have submitted until the amount of the exemption has been reached. When you receive a settlement from us, the amount deducted from the exemption is always stated.

Consult your policy conditions for a detailed overview of the exemptions.

Frequently asked questions

What exactly is ambulatory care?

'Ambulatory care' is all medical care that you receive outside of a hospital admission. Just think of a visit to the general practitioner or the specialist, a scan or ultrasound, a treatment with the physiotherapist, ... Even if you buy medication from the pharmacist, this is part of the ambulatory medical expenses.

Which costs are reimbursed under the ambulatory plan?

An ambulatory plan provides for the reimbursement of certain ambulatory medical expenses that do not fall within the pre-post period of an admission, or under a serious illness file.

How do I submit statements of the health insurance fund?

Provide us with the individual statements per service. We can't accept summary lists.
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