Chronic renal insufficiency care pathway
People with chronic renal insufficiency can enter into a care program. A care pathway is an agreement between the patient, his GP and the medical specialist involved in the treatment. The doctors have regular consultations about the patient's treatment. This results in optimal coordination and follow-up of care.
Draw up your care pathway contract
You do this together with your GP and the treating medical specialist. You decide whether and when you conclude a contract. The contract is valid indefinitely.
The GP issues the CM contract
The GP provides CM with a copy of the signed contract.
CM's consultant doctor informs
CM's advising doctor will let you know when the care process starts. The care process starts on the day that CM receives the copy. This is on the condition that the contract has been drawn up fully in accordance with the regulations.
Advantages
- Full reimbursement of consultations with the general practitioner and the treating medical specialist during the care process. Only the official rate and the co-payment will be refunded. If your doctor charges more, you will pay any additional costs yourself.
- You are entitled to a refund up to 60 euros for the purchase of a validated blood pressure monitor prescribed by the GP.
- Reimbursement of 2 to 4 sessions per calendar year with a certified dietitian (depending on the stage of the disease).
- Reimbursement of certain medicines. You need permission from the consulting physician for this.
What are the conditions?
- You are at least 18 years old.
- You have at least two contacts (consultation or home visit) with your GP per year of treatment.
- You consult a medical specialist who is authorized to sign a care program at least once in a period of 18 months. This period starts on the first day of the second year of the care program.
- Your GP manages your Global Medical File (GMD).
- You have chronic renal insufficiency in a severe stage (GFR < 45, determined twice by a blood analysis) or chronic renal insufficiency with a proteinuria of more than 1 gram per day (determined twice by a urine test).
- You should not undergo kidney dialysis or a transplant.