General practitioners: home visit rate 2023

In this overview you will find the fees and reimbursement rates for home visits.

The fees apply to doctors who have accepted the rate agreement with the health insurance funds (conventional).

Patients with a global medical file (GMD) receive a 1/3 reduction in co-payment for consultations and in certain cases are also reimbursed more for a home visit.
Some people with a low income are entitled to the increased allowance . They receive more reimbursement and are entitled to the paying third party scheme .
Anyone who is registered in a community health center and contacts a general practitioner there does not pay anything for a consultation or home visit. The normal fee can only be charged for technical services.

An overview of CM refunds can be found in the 'My refunds' section or via the My CM app .

Information about other achievements can be found via the links or you can request it from a CM consultant.

Children under 10 years old

Code	Performance	Fees	You are Ordinary insured		You have increased compensation
Amounts applicable since January 1, 2023
			Back- payment	Co-payment	Back- payment	Co-payment
103110	Visit a GP with acquired rights	35.27	27.27	8.00	33.27	2.00
103110	With global medical file	35.27	27.27	8.00	33.27	2.00
103132	Visit a recognized general practitioner	43.19	35.19	8.00	41.19	2.00
103132	With global medical file	43.19	35.19	8.00	41.19	2.00
104215	Visit a recognized general practitioner between 6 p.m. and 9 p.m	57.44	45.70	11.74	54.80	2.64
104215	With global medical file	57.44	45.70	11.74	54.80	2.64
104230	Visit a recognized general practitioner at night between 9 p.m. and 8 a.m	99.34	73.01	26.33	95.42	3.92
104230	With global medical file	99.34	73.01	26.33	95.42	3.92
104252	Visit a recognized general practitioner on Saturday, Sunday or a public holiday between 8 a.m. and 9 p.m	64.78	50.75	14.03	61.84	2.94
104252	With global medical file	64.78	50.75	14.03	61.84	2.94

Code	Performance	Fees	You are Ordinary insured		You have increased compensation
Amounts applicable since January 1, 2023
			Back- payment	Co-payment	Back- payment	Co-payment
103110	Visit a GP with acquired rights	35.27	21.93	13.34	31.87	3.40
103110	With global medical file	35.27	22.93	12.34	31.87	3.40
103132	Visit a recognized general practitioner	43.19	27.08	16.11	39.83	3.36
103132	With global medical file	43.19	28.08	15.11	39.83	3.36
104215	Visit a recognized general practitioner between 6 p.m. and 9 p.m	57.44	37.81	19.63	52.17	5.27
104215	With global medical file	57.44	38.81	18.63	52.17	5.27
104230	Visit a recognized general practitioner at night between 9 p.m. and 8 a.m	99.34	64.99	34.35	91.49	7.85
104230	With global medical file	99.34	65.99	33.35	91.49	7.85
104252	Visit a recognized general practitioner on Saturday, Sunday or a public holiday between 8 a.m. and 9 p.m	64.78	42.67	22.11	59.19	5.59
104252	With global medical file	64.78	43.67	21.11	59.19	5.59

Code	Performance	Fees	You are Ordinary insured		You have increased compensation
Amounts applicable from 1 January 2023
			Back- payment	Co-payment	Back- payment	Co-payment
103110	Visit a GP with acquired rights	35.27	22.93	12.34	31.87	3.40
103110	With global medical file	35.27	26.64	8.63	32.89	2.38
103132	Visit a recognized general practitioner	43.19	28.08	15.11	39.83	3.36
103132	With global medical file	43.19	32.62	10.57	40.84	2.35
104215	Visit a recognized general practitioner between 6 p.m. and 9 p.m	57.44	38.81	18.63	52.17	5.27
104215	With global medical file	57.44	38.81	18.63	52.17	5.27
104230	Visit a recognized general practitioner at night between 9 p.m. and 8 a.m	99.34	65.99	33.35	91.49	7.85
104230	With global medical file	99.34	65.99	33.35	91.49	7.85
104252	Visit a recognized general practitioner on Saturday, Sunday or a public holiday between 8 a.m. and 9 p.m	64.78	43.67	21.11	59.19	5.59
104252	With global medical file	64.78	43.67	21.11	59.19	5.59