Reimbursement of medical costs via the Serious Illnesses Guarantee
Do you have invoices for treatment costs related to a serious illness? Here we explain step by step how to request reimbursement via the serious illnesses guarantee option of your Hospitalia insurance.
How do you arrange a reimbursement
Download a recent application form for serious illnesses guarantee. Fill it in and sign it.
Please send us the completed and signed request form, together with a recent medical certificate from your treating physician stating the nature of the illness and the date of diagnosis. Affix a white adhesive stamp to any documents you do not submit digitally so we can identify them immediately.
- Submit your documents digitally via the My Helan App or via My Helan Web.
- Or drop them in a Helan mailbox near you.
- Or send them by post to Helan Onafhankelijk ziekenfonds, Boomsesteenweg 5, 2610 Wilrijk.
Please note! A certificate of provided care (paper doctor’s note) must not be submitted digitally. We need the original for reimbursement by the statutory health insurance.
Once the medical advisor approves your application, the treatment costs of the illness will be reimbursed.
On My Helan you will find a convenient overview of all your reimbursements. You can also request a PDF with a reimbursement overview for yourself and for your dependants: per insurance, per provider, per date of care, and per payment date.
Good to know
Are you waiting for a reimbursement? Subscribe to payment notifications in My Helan. You will immediately receive a notification by SMS or email as soon as a reimbursement has been paid.
What does the Serious Illnesses Guarantee reimburse?
Have you been diagnosed with one of the 33 recognised serious illnesses and added the serious illnesses guarantee option to your hospitalisation insurance? Then treatment costs are reimbursed up to €7,000 per year.
Reimbursements:
- Co-payments and supplements up to 100% of the agreed tariff for many consultations.
- Pharmaceutical costs, after intervention by the statutory health insurance.
- Hair prostheses on medical prescription and after intervention by the statutory health insurance.
- Rental of medical equipment.
Practical questions and answers
With serious illnesses guarantee, you are insured for the treatment costs of 33 recognised serious illnesses:
- Cancer
- Leukaemia
- Parkinson’s disease
- Hodgkin’s disease
- Alzheimer’s disease
- AIDS
- Tuberculosis
- Multiple sclerosis
- Amyotrophic lateral sclerosis
- Cerebrospinal meningitis
- Poliomyelitis
- Progressive muscular dystrophy
- Encephalitis
- Tetanus
- Cystic fibrosis
- Crohn’s disease
- Brucellosis
- Liver cirrhosis due to hepatitis
- Scleroderma with organ involvement
- Type 1 diabetes
- Ulcerative colitis
- Pompe disease
- Malaria
- Exanthematic typhus
- Typhoid and paratyphoid diseases
- Diphtheria
- Cholera
- Anthrax
- Creutzfeldt-Jakob disease
- Huntington’s disease
- Dementia
- Renal failure requiring dialysis
- Organ transplantation (excluding cornea and skin transplants)
If your application is approved by the medical advisor, the approval remains valid for one year. This period will be extended each time by one year, whether consecutive or not, for the same illness.
For a renewal request, a doctor’s note from your treating physician is sufficient, stating that there are still costs related to the illness. To determine the start date of the approval and its renewals, a maximum period of 6 months is taken into account retroactively from the date the request is received.
For 17 recognised serious illnesses, approval is granted for life:
- Parkinson’s disease
- Alzheimer’s disease
- AIDS
- Multiple sclerosis
- Amyotrophic lateral sclerosis
- Poliomyelitis
- Progressive muscular dystrophy
- Cystic fibrosis
- Crohn’s disease
- Liver cirrhosis due to hepatitis
- Scleroderma with organ involvement
- Type 1 diabetes
- Ulcerative colitis
- Pompe disease
- Creutzfeldt-Jakob disease
- Renal failure requiring dialysis
- Organ transplantation, excluding cornea and skin transplants
