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Psychological care

There is a reimbursement from the statutory health insurance and from the CM benefit.

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Access mental health care

Health insurance provides reimbursement for psychological care organized by a mental health network.

As a CM member, thanks to the CM benefit, you can - under certain conditions - also count on reimbursement for psychological sessions or psychotherapy that are not reimbursed by health insurance.

Health insurance

Health insurance is mandatory in Belgium. Everyone who contributes can enjoy it.

You get this from your health insurance

CM advantage

In addition to the mandatory health insurance, as a CM member you receive additional benefits.

As a CM member you will receive an additional refund

Health insurance

Health insurance reimburses psychological care in primary care through 3 functions: community-oriented interventions, primary psychological support and psychological treatment in primary care.

Children and young people no longer pay a personal share for psychological care sessions organized by a mental health network since February 1, 2024. You also do not pay a personal share for group sessions in the community-oriented interventions function. Finally, this also applies to the first individual conversation.

Are you over 23 years old? Then you pay this personal share:

  • 11 euros per session (or 4 euros if you have the increased allowance) for individual sessions;
  • 2.50 euros per session for group sessions.
     

What is a Mental Health Network?

Please note, not all clinical psychologists and orthopedagogues can conventionalize. You can find this reimbursed psychological care from clinical psychologists and educational psychologists who have an agreement for this purpose with the mental health network.

Sessions can be done individually or in groups. They can take place in a practice room of the network, but also in a suitable room with the patient or via video.


Reimbursement by health insurance is limited in number of sessions. This takes into account:

  • the type of psychological function (community-based interventions, primary psychological support and psychological treatment in primary care). Together with your clinical psychologist or educational psychologist, you will determine which position is most suitable to answer your request for help. More information about the different types of psychological functions can be found here .
  • the age group (children and young people up to 23 years old, or adults from 15 years old). The age groups overlap : children and young people up to 23 years old, and adults from 15 years old. Young adults aged 15 to 23 can choose which group they find the most suitable offer.
     
    Children and young people up to 23 years old
    • Community-based interventions: group sessions at a site.
    • First-line psychological support: 10 individual or group sessions per 12 months.
    • Psychological treatment in primary care: on average 10 (maximum 20) individual or group sessions per 12 months.
    Adults from 15 years
    • Community-based interventions: group sessions at a site
    • First-line psychological support: 8 individual or group sessions per 12 months.
    • Psychological treatment in primary care: on average 8 (maximum 20) individual or group sessions per 12 months.
       

    BloomUp

    Would you like to request a video call with a psychologist or psychotherapist?
    Read how here

    What should you do?

    Contact a clinical psychologist or clinical educationalist affiliated with a mental health network that has signed the new convention with the Riziv.

    What are the conditions?

    • Psychological care is organized by a mental health network that has signed the new convention with the Riziv.
    • Individual sessions are supervised by a clinical psychologist or clinical educationalist who is affiliated with such a network. For group sessions , the psychologist or educational psychologist can collaborate with other healthcare or social workers who are connected to the network.
    • A referral or prescription is not required to initiate primary psychological care. To initiate specialized psychological care, the psychologist or educational psychologist draws up a functional assessment during the first session.

    CM advantage

    As a CM member you can count on a maximum of 24 refunds per life. Only one session per day will be refunded.

    Fully digital processes are also eligible for reimbursement. These must take place via a secure online communication channel that guarantees the minimum conditions and usage rules for secure communication, as stated on the eHealth platform .

      Reimbursement for children and young people

      50 percent of the fee paid will be refunded per session, with a maximum of 30 euros. Members with an increased allowance will be reimbursed 75 percent of the fee per session, with a maximum of 45 euros.

      Refund for adults

      CM will reimburse 10 euros per session. Members with increased allowance receive 15 euros per session. The refund is limited to the actual fee paid (including VAT).

      Find your healthcare provider

      Find a healthcare provider for your psychological or psychotherapeutic treatment.

      Download the application form

      You will find the psychological care application form here.

      For BloomUp sessions eligible for reimbursement, the application form is not required; the refund is done automatically.

      Send the form to CM

      Deliver the completed form or the healthcare provider's own certificate (with the patient's yellow sticker) via the My CM app or CM mailbox .

      You will receive the refund

      CM will deposit the refund into your account.

      What are the conditions?