CM-MediKo Plan
CM-MediKo Plan is a cost-covering insurance that reimburses high medical costs without hospitalization. This can range from braces to glasses to visits to the physiotherapist.
The biggest advantages of CM-MediKo Plan are the reimbursement of 600 euros for dental care and the reimbursement of 75% for co-payments for services provided by (dentist) doctors, specialists, physiotherapists, speech therapists and other healthcare providers.
Where CM-MediKo Plan makes the difference.
Co-payment
Thanks to CM-MediKo Plan, you will be reimbursed up to 75% of the co-payment for services provided by: - doctors - specialists - dentists - physiotherapists - speech therapists - nurses - other healthcare providers. This up to 1,050 euros per year, with a deductible of 30 euros per insured person per year . And this is in addition to the maximum reimbursements for the orthodontics, periodontology and childbirth allowance guarantees.
Hearing aid
CM-MediKo Plan offers up to 600 euros reimbursement per hearing aid. As a CM member you also receive a 10% discount if you purchase the hearing aid in a Goed hearing center.
Nutrition and diet advice
CM-MediKo Plan also provides nutritional and dietary advice for up to 40 euros per year. Did you know that CM is also a reference in the field of healthy nutrition? You can read all about it at cm.be/voeding.
Dental care
CM-MediKo Plan provides up to 600 euros reimbursement for orthodontics for both children and adults. It does not matter whether the treatment plan was started before or after the 18th birthday. Please note that a refund is only provided if the first device is installed after the waiting period for connection to CM-MediKo Plan. CM-MediKo also provides dental prostheses and implants for 600 euros per year. In addition, thanks to CM-MediKo, you also benefit from a reimbursement of 600 euros per year for periodontology. Paradontology is a specialty within dentistry that focuses on the supporting tissues of the teeth and molars: including the jawbone and gums.
Childbirth lump sum
CM-MediKo Plan intervenes for 250 euros per delivery. All you need is a birth certificate from the city or municipality where the child is registered.
Eye care
Anyone who is affiliated with CM-MediKo Plan will be reimbursed up to 120 euros per year for corrective glasses and contact lenses. Also in the field of eye care, thanks to CM-MediKo Plan, you will receive up to 250 euros per year for intraocular lenses (implant lenses) and outpatient surgical corrections of vision.
Travel vaccines
CM-MediKo Plan offers up to 25 euros per year reimbursement for the following travel vaccines: - yellow fever - hepatitis A - typhoid fever - Japanese encephalitis - Tick-borne encephalitis - Polio - meningitis A - meningitis W - meningitis Y
CM insurance at a glance
CM-MediKo Plan
- for medical costs without hospitalization
- up to 75% of the co-payments of (dentist) doctors, specialists, physiotherapists and other healthcare providers are reimbursed
- up to 600 euros reimbursement for, among other things, dental and eye care
CM Hospital Plan
- premiums start from 4.22 euros per month
- Anyone can join, young or old or with a pre-existing condition
- waiting time of only 3 months
- very favorable connection conditions for newborns
- combine CM-MediKo Plan and CM-Hospitaalplan and enjoy a 5% discount
CM-Hospitaalfix and Fix Extra
- in addition to your existing insurance
- additional hospitalization insurance
- fixed fee per day in the hospital
- CM-Hospitaalfix: 12.37 euros per nursing day
- CM-Hospitaalfix Extra: 25 euros per day of care or for certain day admissions
Do you still have questions?
Our specialists are ready to remove the last doubts.
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Zit je met een vraag? Raadpleeg de veelgestelde vragen over CM-MediKo plan. MIsschien is een contactname daarna niet meer nodig.
Start of plan een videogesprek
We voorzien een beeldbelafspraak van 20 minuten op een tijdstip dat voor jou het beste uitkomt.
Stel je vraag per telefoon
maandag tot donderdag: 08.30 tot 12.00 uur en 13.00 tot 17.00
vrijdag: 08.30 tot 12.00 en 13.00 tot 16.00
Maak een afspraak in een CM-contactpunt
Uiteraard kun je ook op afspraak langskomen in één van onze CM-contactpunten.
Request your refund
1. Provide the certificate for assistance provided to CM
The certificate for assistance provided is the note that you receive from your doctor or healthcare provider after your consultation. You deliver it to CM via one of the white CM mailboxes. An envelope is not necessary.
2. You will receive the compensation directly into your account
Repayment is made automatically and four times a year at fixed times.
FAQ What if I do not receive a certificate of assistance provided after my consultation?
Your doctor or healthcare provider will then send the certificate directly (electronically) to CM. You don't have to do anything else. The co-payment will be transferred to your account.
FAQ What if I am an employee of the NMBS, work for a European institution or am affiliated with a medical house?
Provide CM with a detailed settlement statement from which the co-payment for each provision can be derived. The co-payment will be transferred to your account.
FAQ When will I receive the co-payment refund?
Repayment is made four times a year and according to a fixed schedule:
January 1 to March 31 - mid-June
April 1 to June 30 - end of August
July 1 to September 30 - end of November
October 1 to December 31 - end of February the following year
1. Have your doctor complete a reimbursement form.
The Riziv makes this document available for this purpose.
2. Submit the completed receipt to CM for reimbursement.
The certificate for assistance provided is the note that you receive from your doctor or healthcare provider after your consultation. You use one of the white CM letterboxes for this. An envelope is not necessary.
3. Provide CM with the certificate for assistance provided.
You also use one of the white CM letterboxes for this. An envelope is not necessary.
4. Orthodontics: Have the doctor draw up a treatment plan
This is mandatory for orthodontic treatments without the right to reimbursement from health insurance. This plan includes:
- The diagnose
- The description of the treatment plan
- The equipment to be installed
- The creation date
5. Orthodontics: provide the treatment plan to CM
Do this when you first apply for compensation from CM-MediKo Plan.
6. You will receive the refund directly to your account.
FAQ What if I do not receive a certificate of assistance provided after my consultation?
Your doctor or healthcare provider will then send the certificate directly (electronically) to CM.
FAQ When will I receive reimbursement for dental care?
The refund will always be made within three weeks after CM has processed the supporting documents.
If you only pay the personal share (co-payment and any supplement) to the care provider, the reimbursement depends on the time at which CM receives the certificates from the care provider. As a result, the three-week period may be exceeded.
Glasses or lenses
1. Provide CM with the detailed invoice
2. Provide CM with the certificate of assistance provided or delivery together with the prescription
Lens implants or laser treatment
1. Provide CM with the detailed invoice or application form.
Complete it, sign it and have it signed by your doctor or other healthcare provider.
2. Provide CM with the certificate of assistance provided or delivery
FAQ What if I do not receive a certificate of assistance provided after my consultation?
Your doctor or healthcare provider will then send the certificate directly (electronically) to CM.
FAQ When will I receive reimbursement for eye care?
The refund will always be made within three weeks after CM has processed the supporting documents.
If you only pay the personal share (co-payment and any supplement) to the ophthalmologist, the reimbursement depends on the time at which CM receives the certificates from that same ophthalmologist. As a result, the three-week period may be exceeded.
1. You only pay your personal share at the hearing care professional
2. Your hearing care professional provides the delivery certificate to CM
3. CM pays the compensation from CM-MediKo
FAQ When will I receive the refund for a hearing aid?
Normally the refund will be made within three weeks after CM has processed the supporting documents.
Because with many hearing care professionals you only pay the personal share (co-payment and any supplement), the reimbursement depends on the time at which CM receives the certificates from him. As a result, the three-week period may be exceeded. The repayment never takes longer than three months.
Provide CM with one of the following documents:
- The BVAC certificate from the pharmacist
- The detailed invoice from the hospital or vaccination center
- The application form, completed and signed by yourself and the healthcare provider.
FAQ When will I receive the refund for travel vaccines? The refund will always be made within three weeks after CM has processed the supporting documents.
If you only pay the personal share (co-payment and any supplement) to the healthcare provider, the reimbursement depends on the time at which CM receives the certificates from that same healthcare provider. As a result, the three-week period may be exceeded.
Provide CM with the birth certificate from the municipality or city.
FAQ When will I receive the maternity allowance?
The refund will always be made within three weeks after CM has processed the supporting documents.
Provide CM with one of the following documents:
- The detailed invoice
- The application form (completed and signed by you and the healthcare provider), together with the certificate for assistance provided.
FAQ When will I receive reimbursement for nutritional and dietary advice? The refund will always be made within three weeks after CM has processed the supporting documents.
If you only pay the personal share (co-payment and any supplement) to the dietician or other healthcare provider, the reimbursement depends on the time at which CM receives the certificates from that same healthcare provider. As a result, the three-week period may be exceeded.
