Frequently Asked Questions
Knowledge CenterSerious Illness
A serious illness remains covered as long as you still receive treatment for the same disorder, or until the end of your affiliation under this policy.
Follow-up
It is possible that our medical adviser asks for a follow-up report in order to stay informed about your file. In that case, we will keep you informed.
Reimbursement
Reimbursements in connection with your serious illness are always done according to the conditions of your policy.
A serious illness case can typically remain open for as long as you require treatment or until your insurance coverage ends. Our physician advisor may periodically request updated follow-up reports to reassess your case. We will always keep you informed of the status of your file.
Some serious disorders are defined as a 'serious illness' and are covered by the guarantee of serious illnesses of your policy. Most policies do have such a guarantee, but not all of them.
Therefore, check your policy to find out whether your policy contains a cover for serious illness and whether your serious illness is included in the list of illnesses to which this cover applies.
Your file will be running as long as treatments are needed, or until the end of your affiliation. In some cases, our medical adviser requests follow-up reports in order to further assess your file. In that case, we will keep you informed.
Unfortunately, we are unable to pay any advance on your behalf. If you have paid an advance at the hospital, this amount will be shown on your final bill. We always take any advances you have paid into account when calculating your settlement note. Your final reimbursement of costs will depend on the terms and conditions of your insurance policy.
Please note: Always check that any advance you have paid is clearly stated on the hospital’s final bill or invoice. Only then can we process any applicable reimbursement. If you’re using the Medi-Link third-party payment scheme, your hospital is not allowed to charge you an advance.
Are you submitting your medical expenses online via the Vanbreda App or the web portal? Select the type of coverage that applies to your expense for smooth administrative processing and fast reimbursement.
Hospitalisation
Select the ‘Hospitalisation’ option in the app or web portal for all medical expenses related to a hospital stay. This includes, for example, your hospital bill, as well as costs incurred during the official pre- or post-admission period of your hospitalisation, such as medication, doctor’s visits and physiotherapy. Request your policy terms and conditions to check which costs are covered by your insurance plan and the duration of your official pre- and post-hospitalisation period.
Serious illness
Select the ‘Serious illness’ option in the app or web portal for all medical expenses related to a recognised serious illness (e.g. cancer or diabetes). Examples of related costs include medication, doctor’s visits, physiotherapy and care services. Request your policy terms and conditions to check which costs are covered by your insurance plan and which conditions are recognised as serious illnesses.
Outpatient care
Select the ‘Outpatient’ option in the app or web portal for all medical expenses that aren’t related to a hospital admission or a recognised serious illness. If you only have a hospitalisation plan with Vanbreda Health Care, outpatient expenses that are not related to hospitalisation or serious illness are typically not covered and do not need to be submitted. If you have an outpatient plan with Vanbreda Health Care, your insurance policy will reimburse certain outpatient expenses. Request your policy terms and conditions to see exactly which outpatient costs are covered by your insurance.
Report your serious illness as soon as possible via the app or web portal. To submit a valid report, you will need a medical statement from your treating physician.
This statement must include either a confirmation of the condition or a formal diagnosis. Additionally, your doctor should provide details of any procedures already carried out and any planned treatments. Simply upload your doctor’s medical report when submitting your serious illness report online.
Our physician advisor will then review your information to process the documents you’ve submitted. You can track the status of your file online, and we’ll notify you as soon as possible whether your illness is covered by your insurance plan. Coverage depends on the individual terms and conditions of your policy.
If so, file a separate online report for each serious illness, including the relevant medical reports.
Has the date of your hospital admission changed, or would you like to modify other details of a hospitalisation you’ve already submitted via the Vanbreda App or the web portal? Simply submit a new hospitalisation request.
You can report your hospitalisation as usual, using the updated information (for example, a different hospital or a new admission date). You’ll then receive a new confirmation. The original hospitalisation report will remain visible in the overview – you can simply ignore it.
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