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Breast reconstruction

Breast reconstruction is done by placing a breast implant or by using your own tissue (skin, fat, muscle) taken from other parts of the body. You will receive reimbursement from your health insurance for breast reconstruction.

Breast prostheses

Health insurance

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

What the health insurance reimburses

Supplements

Supplements are the extra amounts the patient pays for room, doctors' fees and equipment.

What supplements are included

Health insurance

Breast reconstruction is fully reimbursed if you choose a double room or shared room. Supplements are only charged for a single room. Neither the doctor nor the hospital can force you to choose a single room.

Supplements

Breast reconstruction using your own tissue usually takes place in three phases within one year (if there are no complications).

  • maximum 3,547.73 euros for one breast;
  • maximum 5,390.97 euros for two breasts.

  • maximum of 785.95 euros after reconstruction of one breast in phase 1;
  • maximum 914.60 euros after reconstruction of two breasts in phase 1;
  • maximum of 392.97 euros for any additional remodeling.

During remodeling it is possible that a breast implant will still be placed. The implant is included in the remodeling, the implant is not. Nipple reconstruction is also included.

  • maximum 111.58 euros for one breast;
  • maximum 223.16 euros for two breasts.

This is done under the supervision of or by the plastic surgeon.

  • maximum 962.87 euros.

This is a mandatory revision within 7 days following the microsurgical transplantation of tissue (phase 1).

Agreement 2016

No excessive supplements will be charged for the procedure using your own tissue, thanks to the agreement in 2016. This is done in hospitals that have an agreement with the National Institute for Health and Disability Insurance (Riziv). In addition, several hospitals have an agreement with the Riziv to limit fee supplements.

Hospitals that have an agreement with the Riziv limit the fee supplements for the plastic surgeon to the maximum amounts below for breast reconstruction.