Speech therapy
How much do you get reimbursed for speech therapy treatment?
Many speech therapy treatments are reimbursed by health insurance . If the treatment is not or no longer reimbursed by the health insurance, you are entitled to the CM benefit .
Health insurance
Health insurance is mandatory in Belgium. Everyone who contributes can enjoy it.
CM advantage
In addition to the mandatory health insurance, as a CM member you receive additional benefits.
Health insurance | to request
Ask your doctor for a prescription
This prescription serves as the basis for a bilan, a report that speech therapists draw up.
Have the speech therapist make an assessment
Doctor specialist makes prescription
Based on the result of the assessment, a qualified specialist doctor draws up a prescription for therapy.
You will receive a certificate
After the therapy, you will receive a certificate from the speech therapist for the assistance provided.
Send the certificate to CM
You deliver this via a CM mailbox .
You will receive your refund
The refund will be transferred to your account. Please note, there is no reimbursement for an IQ test.
Health insurance | refunds
Below you will find the official fees of conventional speech therapists for frequently occurring services.
- The reimbursement for regular insured persons is lower (-25%) if the speech therapist is non-contracted.
- This lower reimbursement (-25%) does not apply to members with increased reimbursement : the co-payment is the same for a contracted or non-contracted speech therapist.
Non-contracted speech therapists freely determine their fees for services provided to regular insured persons. They charge a freely selectable supplement on top of the co-payment. The supplement is not eligible for the maximum bill.
You can easily request information about other services and the conditions for receiving a refund via our contact form.
An overview of CM refunds can be found in the 'My refunds' section and in the My CM app .
You are simply insured
fee: 36.50 euros
refund: 29.00 euros
co-payment: 7.50 euros
You have VT
fee: 33.50 euros
refund: 33.50 euros
co-payment: 3.00 euros
You are simply insured
fee: 51.50 euros
refund: 40.50 euros
co-payment: 11.00 euros
You have VT
fee: 51.50 euros
refund: 47.00 euros
co-payment: 4.50 euros
You are simply insured
fee: 29.81 euros
reimbursement: 23.81 euros
co-payment: 6.00 euros
You have VT
fee: 29.81 euros
reimbursement: 27.81 euros
co-payment: 2.00 euros
You are simply insured
fee: 61.98 euros
refund: 50.98 euros
co-payment: 11.00 euros
You have VT
fee: 61.98 euros
refund: 57.48 euros
co-payment: 4.50 euros
CM advantage
Are you receiving treatment from a speech therapist? CM will reimburse 10 euros per session for this (or 15 euros if you have the increased allowance ).
- Up to and including 18 years of age : you will be reimbursed for up to forty sessions ( plus forty additional sessions if the child is on a waiting list for treatment in a Center for Outpatient Rehabilitation or is not included on the waiting list due to a waiting list stop ).
- From 19 years old : you will be reimbursed for up to ten sessions .
Provide CM with the following documents
- the prescription drawn up by a general practitioner or specialist doctor
- the forms as described by the Riziv (the National Office for Health and Disability Insurance), filled in by yourself and the specialist doctor
Provide CM with a certificate afterwards
On this certificate you will find the treatment session(s) as well as a yellow sticker from the patient. You deliver it to CM via the My CM app or a CM mailbox .
You will receive your refund
The refund will be transferred to your account.
Extra sessions for children on waiting list?
Would you like to request extra sessions for children who are on a waiting list for treatment in a Center for Outpatient Rehabilitation? Then submit the application form to CM as soon as the first forty sessions are over.
What are the conditions?
- You are a CM member.
- The treatment:
- is performed by a speech therapist recognized by the National Institute for Health and Disability Insurance (Riziv);
- includes sessions that last at least thirty minutes;
- is not (partially) reimbursed by the compulsory health insurance.
- There are no refunds for sessions attended in:
- special education (for disorders B2, B3 and F, except in July and August);
- a subsidized institution where the position of speech therapist is included in the recognition standards;
- a hospital service that includes speech therapy treatments (code letters G, T, A, Sp or K);
- a psychiatric care home (PVT), rest home for the elderly (ROB) or rest and care home (RVT);
- a recognized rehabilitation center (except for disorders B6.3 and D).
- A maximum of one session with a minimum duration of thirty minutes can be reimbursed per day.
Important
- There is a maximum number of sessions per condition.
- Parental guidance is reimbursed for certain disorders (e.g. language disorders, dyslexia, dysphasia, hearing disorders). Through this guidance, people raising the child learn strategies to support the child's speech therapy treatment with targeted interventions and make it more efficient.