Medical assessment of incapacity for work
When you receive incapacity benefits, you may be called for a medical assessment. This may occur at the start, during or at the end of your incapacity for work. The medical officer evaluates whether or not you meet the medical conditions of being incapacitated for work. He or she provides health monitoring and coordinates efforts to enable your return to work. You cannot refuse to have a medical assessment.
Invitation for a medical assessment
The health insurance fund's medical officer may invite you for a medical assessment when you are incapacitated for work. You will receive a invitation letter for it. Is the proposed assessment date not possible for medical reasons? Then contact the medical officer as soon as possible to arrange another date. You will find the contact details of the medical officer in the invitation letter.
Please notify the medical officer in advance if you cannot be present at your official address for a specified period of time. This will prevent you from missing an assessment examination, which could lead to an interruption in the payment of your benefits.
Who performs the medical assessment?
In the first year of incapacity for work, the health insurance fund's medical officer will assess your incapacity for work.
And during the invalidity period, the health insurance fund's medical officer will continue to monitor your incapacity for work. When you transition from primary incapacity for work to invalidity, or when your invalidity period is prolonged, the medical officer will submit a proposal to the GRI (Medical Council for Invalidity). The Medical Council for Invalidity is a college of doctors under the jurisdiction of the NIHDI. The GRI may accept the proposal, or request an additional verification.
What if you don't show up for your assessment?
If you fail to attend an assessment without prior notification, you risk losing your benefits, either temporarily or permanently. Have you received a letter about your absence from the medical assessment? Have you noticed that your benefits are no longer being paid? If so, contact us immediately. Be sure to keep your health insurance fund informed of any change of address.
What if you go on holiday?
Request permission from the health insurance fund at least 10 days before your departure date. Ask permission when holidaying at home and abroad. You can do this easily on My Helan. This will avoid the medical officer scheduling a medical assessment during your absence.
Are you going on holiday in the first year of incapacity for work? Then submit an extension before your departure. This is because your incapacity must be declared, even while on holiday, by submitting an incapacity-for-work certificate.
Contact details for medical cabinets
Bruges
- Gistelsesteenweg 294 bus 1, 8200 Sint-Andries
- 02 421 46 67
Kortrijk
- Veemarkt 39/001, 8500 Kortrijk
- 02 421 46 85
Gent
- Kortrijksesteenweg 302, 9000 Gent
- 02 778 92 19
Sint-Niklaas
- Hofstraat 51, 9100 Sint Niklaas
- 02 421 45 86
Herentals
- Zandstraat 95, 2200 Herentals
- 02 421 46 79
Wilrijk
- Kruishofstraat 250, 2610 Wilrijk
- 02 421 46 71
Halle
- Bergensesteenweg 93B, 1500 Halle
- 02 421 46 92
Leuven
- Van Waeyenberglaan 36, 3000 Leuven
- 02 421 46 93
Genk
- Centrumlaan 3 , 3600 Genk
- 02 421 46 72
Brussels
- Kunstlaan 52, 1000 Brussel
- 02 421 46 91
Ganshoren
- Zelliksesteenweg 12, 1082 sint-Agatha-Berchem
- 02 421 46 86
Mons
- Rue Gustave Boël 25, 7100 La Louvière
- 02 421 46 74
Charleroi
- Boulevard Audent 14, 6000 Charleroi
- 02 421 46 68
Waver
- Chaussée de Louvain 125, 1300 Waver
- 02 421 46 97
Namur
- Chaussée de Liège 652b, 5100 Namen
- 02 421 46 49
Liege
- Rue Natalis 48b, 4000 Liège
- 02 421 46 58
Jemeppe
- Rue Quirini 19, 4101 Jemeppe sur Meuse (Seraing)
- 02 421 46 43
Eupen
- Vervierser Strasse 6A, 4700 Eupen
- 02 421 46 75
Saint Vith
- Schwarzer Wag 1, 4780 Saint Vith
- 02 421 46 75
Libramont
- Avenue de Houffalize 43B, 6800 Libramont
- 02 421 46 49
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Helan Independent Health Insurance Fund is the insurance agent (n° CDZ 5006c) for ‘MLOZ Insurance’, the VMOB of Independent Health Insurance Funds, (Register of Legal Entities in Brussels, 422.189.629, recognised under no. CDZ 750/01 for branches 2 and 18). View the data sheet and the General Terms and Conditions. Belgian law applies to the insurance contract. The term of the contract is whole life. In the event of any complaint, contact the complaints department of Helan Health Insurance Fund or the insurance ombudsman. For more information about purchasing this/these product(s), please contact Helan Health Insurance Fund. Helan Onafhankelijk ziekenfonds, Boomsesteenweg 5, 2610 Wilrijk, 0411.696.011, RPR Antwerpen, www.helan.be.