Carrefour Santé

Plan IS2000 - complementary hospitalization insurance

Inpatient treatment

Unlimited reimbursement supplementary to the legal health insurance of the costs related to an inpatient treatment (incl. one-day clinic)

Free choice of doctor, room and hospital.

Globalization of the hospitalization bill : even in case of absence of the legal health insurance on one of the items of the bill, DKV will entirely reimburse the amount which remains at the expense of the insured person.

Rooming-in : reimbursement up to 100% of the costs of stay and accommodation of one of the parents of a hospitalized child.

Transport by ambulance : unlimited in Belgium in case of admission into and discharge from the hospital.

Transport by helicopter : in Belgium from the place of the accident to the hospitalization center.

Lifetime guarantee - DKV is not entitled to cancel unilaterally the policy.

Affiliation up to and including 69 years.

No qualifying periods except for the costs of dental treatment, including dental prostheses, dental material, crowns and implants : qualifying period of 12 months.

No medical questionnaire nor qualifying periods for new-born children if one of the parents is already insured and if the child is insured whithin the first 60 days following the month of birth according to the same insurance plan as one of its insured parents.

Pre/post

Reimbursement of the medical costs 30 days before and 90 days after the hospitalisation :

Up to 100 %, after the intervention of the legel health insurance : medical and paramedical performances.

Up to 80 %, after the intervention of the legel health insurance : allopathic and homeopathic products, bandages, medical equipment (no dental equipment).

Critical Illnesses

Reimbursement of the medical costs related to the outpatient treatment of 27 critical illnesses :

Up to 100 % per performance and after the intervention of the legal health insurance medical and paramedical performances.

Up to 80 % per performance and after the intervention of the legal health insurance allopathic and homeotpathic products, bandages and medical equipment (no dental equipment).

27 critical illnesses : cancer, leukaemia, Parkinson's disease, Hodgkin's disease, Pompe's disease, Crohn's disease, Alzheimer's disease, AIDS, diabetes, tuberculosis, multiple sclerosis, amyotrophic lateral sclerosis, cerebrospinale meningitis, poliomyelitis, progressive muscular dystrophia, encephalitis, tetanus, viral hepatitis, malaria, exanthematic typhus, typhoid and paratyphoids ailments, diphteria, cholera, mucoviscidosis, reanl dialysis.

Services

Medi-card : direct payment of the hospitalization bill to the hospital.

DKV Assistance : assistance abroad and repatriation if medically necessary. One telephone number : +32(0) 2 230 31 32.

Plan A2/Z and A2+/Z

Outpatient treatment (for persons without Belgian health care fund or expats)

Plan A2 and A2+ : reimbursement up to 80%

• visits and consultations
• medical and paramedical care : nursing, physiotherapy, kinesitherapy
• medical appliances : splints, crutches, spectacle glasses, contact lenses, lumbar corsets, orthopeadic insoles, hearing aids, hernia bandages, stockings for varicose veins, plaster casts.
• artificial limbs and medical prostheses (no dental prostheses)
• bandages
• allopathic medecine

Plan A2+ : also provides coverage for alternative medecine up to 80% :

• homeopathy
• acunpuncture
• osteopathy
• chiropractic

Combination plan IS(B)2000 and plan A2/A2+

If plan A2/A2+ is subscribed conjointly with the the hospitalisation plan IS(B)2000 : reimbursement whithin the framerwork of only one tariff plan, namely the tariff plan which offers the highest percentage of reimbursement.

Dental treatment

80% reimbursed after the intervention of the legal health insurance :

• visits and consultations
• dental treatment
• orthodontic treatment

Are also reimbursed up to 80% after the intervention of the legal health insurance

• dental prostheses and dental material
• bridges, crowns and implants

With an annual maximum of :
743,68 euros for the	2nd insurance year
1487,36 euros for the	3rd insurance year
2231,04 euros for the	4th insurance year
2974,72 euros from the	5th insurance year onwards