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Belgium – Health Insurance

Belgium is a small country located in Western Europe, known for its chocolate, beer, and beautiful cities. As an expat living in Belgium, it is important to understand the healthcare system in the country, including health insurance. This article will provide information on whether health insurance is mandatory in Belgium, how the state health insurance system works, and what it covers. It will also provide a step-by-step guide on how to apply to join the state health insurance system in Belgium. Finally, it will highlight the advantages of international private medical insurance for expats living in Belgium.

Health Insurance Requirements in Belgium

Health insurance is mandatory for all residents of Belgium. The government requires all residents to have health insurance, either through the state health insurance system or private medical insurance.

State Health Insurance System in Belgium

The state health insurance system in Belgium is called the National Institute for Health and Disability Insurance (NIHDI). It is a universal healthcare system that provides coverage to all citizens and residents of Belgium. NIHDI is funded through social security contributions and taxes.

NIHDI covers a range of medical services, including primary care, specialist care, hospitalization, and emergency care. It also covers prescription medication, diagnostic tests, and medical equipment such as crutches and wheelchairs. Dental care is not covered by NIHDI, except for emergency dental care.

It is important to note that NIHDI does not cover everything. Some services, such as cosmetic surgery and some experimental treatments, are not covered by the system. In these cases, patients would need to pay for these services out of pocket or through private medical insurance.

Applying for State Health Insurance System in Belgium

All residents of Belgium are eligible for NIHDI. Here is a step-by-step guide on how to apply:


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  1. Obtain a Belgian identity card: To apply for NIHDI, you need to have a valid Belgian identity card. You can obtain this card by registering with your local municipality.

  2. Register with a health insurance fund: Once you have your Belgian identity card, you will need to register with a health insurance fund. There are several health insurance funds in Belgium, and you can choose any one of them.

  3. Choose a doctor: After registering with a health insurance fund, you will need to choose a primary care physician. You can choose any doctor who participates in the NIHDI system.

  4. Receive your health insurance card: Once you have completed the registration process and chosen a doctor, you will receive your health insurance card. This card will be used to access healthcare services in Belgium.

Advantages of Private Medical Insurance in Belgium

While NIHDI provides comprehensive coverage for most medical services, some expats may choose to have international private medical insurance for additional coverage and benefits. Here are some advantages of having private medical insurance:

  1. Greater flexibility: Private medical insurance provides greater flexibility in terms of choosing healthcare providers and treatment options.

  2. Additional services: Private medical insurance often covers additional services that may not be covered by NIHDI, such as alternative therapies and mental health services.

  3. Coverage outside of Belgium: Private medical insurance also provides coverage outside of Belgium, which can be useful for expats who travel frequently or have family members living in other countries.

  4. Shorter waiting times: Private medical insurance may also offer shorter waiting times for certain procedures or appointments.

  5. English-speaking doctors: For expats who may not speak the local language, private medical insurance can provide access to English-speaking doctors and healthcare providers.

It is important to note that private medical insurance can be costly, and the level of coverage and benefits can vary widely depending on the plan. It is crucial to research and compare plans thoroughly before choosing one.

In conclusion, health insurance is mandatory for all residents of Belgium, either through the state health insurance system or private medical insurance. The state health insurance system, NIHDI, provides comprehensive coverage for most medical services. Expats living in Belgium may also choose to have international private medical insurance for additional coverage and benefits. Understanding the healthcare system in Belgium and having the appropriate health insurance coverage is essential for a comfortable and secure life in this beautiful country.


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