What is the difference between a contracted physician, a partly contracted physician and a non-contracted/private physician?

It is important to know whether your physician is contracted, partly contracted or private as this will affect the amount you will pay for your medical consultation.

Representatives from health insurance funds and the medical profession meet to negotiate agreements that set the fees for physicians. Physicians are free or otherwise to be a party to these agreements.

A contracted physician is one who sets his fees in accordance with the terms of the agreement. In this case, you only make what is known as the co-payment, i.e. the difference between the amount refunded by the health insurance fund and the fees set under the agreement.

A non-contracted physician is free to set the prices he wishes. He can therefore charge in excess of the fees set under the agreement. This is referred to as additional fees. These fees are never refunded by the health insurance fund.

A partly contracted physician sets his fees in accordance with the terms of the agreement on certain days and at certain hours. The hours during which the agreement fees are applied must be clearly publicised.

The status of each of our health care providers is shown on their page on our website and can also be seen on the INAMI website.

For further information, you may contact our Mediator :

Caroline Stainier
Clinic Saint-Jean
Boulevard du Jardin Botanique, 32
1000 Bruxelles
Tl : 02/221.90.70 (From Monday to Tuesday, from 9:00 to 17:00)
E-mail : mediation@clstjean.be

Caroline Stainier
Clinique Saint-Jean
Boulevard du Jardin Botanique, 32
1000 Bruxelles
Tél : 02/221.90.70 (du lundi au jeudi, de 9h à 17h)
E-mail : mediation@clstjean.be - See more at: https://www.clstjean.be/droits-du-patient-et-mediation#sthash.qRZg7yQD.dpuf