People with a low income are entitled to supplemented refunds. With supplemented refunds, they pay less for health care and receive other financial benefits.
What are the benefits?
- Reimbursement of medical expenses
You pay less co-payment for healthcare expenses. This applies to some medicines, when visiting the doctor, dentist, physiotherapist or other healthcare provider and when admitted to hospital. Rates for frequently occurring services.
- Third party paying arrangement
The paying third party scheme applies to consultations with your GP. This means you only have to pay the co-payment. The remainder of the fee is settled directly between the doctor and CM.
Lower personal share of accommodation costs.
- Maximum invoice
Lower ceiling amount for the healthcare costs that you have to pay annually. As soon as your costs reach a limit during a calendar year, you will automatically receive a full refund for subsequent services.
- Recovery stay
Higher reimbursement for a stay in a recovery home.
Higher reimbursement of psychological care.
- Travel assistance
Lower deductible for urgent medical costs during holiday abroad.
- Youth holidays
Extra discount for youth holidays with Kazou.
Extra discount for holidays and courses for chronically ill people.
- Health promotion
Discount for information sessions and courses on health.
- Other CM benefits
There are plenty of CM services and benefits where you have an extra advantage with supplemented refunds.
Lower contribution for Flemish social protection.
- Public transport
Affordable rates on train, bus, tram and metro.
Social telephone rate in case of disability or for people over 65.
- Social heating fund
Heating allowance if the home is heated with bulk propane gas, domestic heating oil (in bulk or at the pump) or heating petroleum at the pump.
- Social rate for energy
Social rate for natural gas and electricity from February 1, 2021 to June 30, 2023.
- Energy saving
Discounts for holidays and day trips through Rap op Sta , a travel agency for people on a limited budget.
- Covid self-test
Reduction in the price of a Covid self-test purchased in a public pharmacy.
In some regions: municipal or provincial reimbursements. You can obtain more information from the Social Work department or from a CM consultant.
Use the simulation tool
Do you want to know whether you are entitled to supplemented refunds? You can use the simulation tool to see if you qualify. The simulation tool does not make an official calculation, but only gives you an indication.
Apply for supplemented refunds
- Do you meet the conditions ? Then you don't have to do anything. CM automatically awards you supplemented refunds and provides you with new yellow stickers with an adjusted code.
- Do you have a low income and do you not receive it automatically? If you think you qualify, you can apply at the CM office. Make an appointment for this.
- Has your situation (income) changed ? For example, have you retired? Or do you receive disability compensation that makes you eligible for supplemented refunds? CM will then contact you.
Complete the application form
You complete an application form together with the CM consultant. You then have two months to submit these documents :
- a declaration of honor from yourself and all family members about the income;
- all supporting documents proving the income.
Bring as many proofs of income as possible (see income) to the appointment with the CM consultant.
Provide the documents
Have you brought in all the documents? CM will then examine your application and inform you of the decision. If you receive supplemented refunds, CM will provide you with new yellow stickers with an adjusted code.
What are the conditions?
Whether you are entitled to the supplemented refunds depends on your situation:
These benefits entitle you to the increased allowance:
- living wage or equivalent support from the OCMW for three full and uninterrupted months;
- income guarantee for the elderly ( IGO ) or guaranteed income for the elderly;
- allowance for persons with disabilities :
- integration allowance;
- or income replacement allowance;
- or care budget for elderly people with a care need;
- allowance for children with a disability or condition with a recognition of at least 66% disability or four points on the first pillar of the medical-social scale.
These qualities entitle you to supplemented refunds:
- unaccompanied minor alien.
By default, the gross taxable family income of the previous year is taken into account. For applications in 2023, this will be with the income of 2022. This must be lower than 23,303.84 euros, increased by 4,314.18 euros per additional family member (you can read who is considered a family member on the page about income).
Exceptions to this rule are the following persons, provided they have a stable income:
- disabled people;
- persons receiving a survivor's pension;
- persons receiving disability benefits;
- civil servants on disability whose illness period is at least three months;
- military personnel who have been temporarily relieved of duty for at least three months due to illness;
- single-parent families, under certain conditions also in the case of co-parenting;
- persons who have been continuously incapacitated for work or completely unemployed for at least three months, or a combination of both;
- self-employed persons in classic bridging law (not Covid bridging law) for at least one quarter. At the time of the application, the self-employed person must still benefit from the bridging right.
Do you belong to one of these groups? Then the calculation takes place:
- either on the basis of the gross taxable family income of the previous year (see standard calculation above);
- or based on the gross taxable monthly income of the family (you can read more about this calculation on the income page).
The calculation that is most advantageous for you will be taken into account.
When calculating based on the monthly income, your income must be lower than 26.313,70 euros per year, increased by 4.871,39 euros per additional family member (amounts valid since November 1, 2023).