Information for foreign patients

Patients who do not have Belgian health insurance are still entitled to correct administrative and financial processing. For this purpose, however, we require certain documents. For more information or support, please contact our department for Admission.

Which documents do I need?

Patients without Belgian health insurance need the following documents for admission or treatment.

Dutch patients

GZA Ziekenhuizen has an agreement with the Dutch health insurance company ASR.  If you are insured with ASR, please bring the following documents:

  • proof of identity
  • insurance card from your health insurance company
  • letter of referral

If you are insured with a different health insurance company, please bring the following documents:

  • proof of identity
  • insurance card from your health insurance company
  • letter of guarantee from your health insurance company or S2 form
Patients from other EU-countries
  • proof of identity
  • insurance card from your health insurance
  • letter of guarantee from your health insurance or S2 form
EU employees and their dependants
  • proof of identity
  • letter of guarantee from the EU for your hospital admission
Students
  • proof of identity
  • European Health Insurance Card (EHIC) if you are insured in an EU member state, Iceland, Norway, Switzerland, Liechtenstein or Australia
  • another letter of guarantee if you are not insured in any of the above-mentioned countries
Belgian patients with private health insurance
  • proof of identity
  • letter of guarantee from your health insurance
People without legal residence or with a specific insurance status
  • proof of identity
  • letter of guarantee from the OCMW (Public Centre for Social Welfare), the Red Cross, Fedasil or another competent authority.

Invoicing and reimbursements

If you do not have Belgian health insurance, always contact your health insurance before treatment. Check if your insurance covers care provided abroad. If not, you will have to pay the invoice yourself.

Dutch patients

You are insured with ASR.

  • GZA Ziekenhuizen has an agreement with ASR. If you are insured with ASR, the invoice for care covered by this agreement will be sent directly to your health insurance company. Sometimes the care package will be invoiced directly in its entirety, sometimes only specific treatments.
  • The hospital costs will be settled directly with your health insurance company if the conditions included in the agreement have been met.
  • Any invoices that you receive must be paid by you.  It may be possible to apply afterwards for (a part of) the costs to be reimbursed by your health insurance company.

You are insured with a different Dutch health insurance company

  • Before treatment, request a letter of guarantee or an S2 form from your health insurance company. If you do not have this document, you will have to pay for all costs beforehand.
  • The costs will be settled directly with your health insurance company if this is mentioned explicitly in the letter of guarantee.
  • With an S2 form (planned admission) or a European Health Insurance Card (in case of emergency care), the costs will be settled directly with a Belgian health insurance fund. You will have to make an advance payment.
  • You will receive an invoice at your home address for the amount you will have to pay for yourself.  It may be possible to apply afterwards for (a part of) the costs to be reimbursed by your health insurance company.
  • If you are unable to present the requested documents, you will be asked to make an advance payment covering the costs.
Patients from other EU-countries
  • Before treatment, request an S2 form from your health insurance.
  • With an S2 form (planned admission) or a European Health Insurance Card (in case of emergency care), the costs will be settled directly with a Belgian health insurance fund. You may have to make an advance payment for the part not reimbursed by the Belgian health insurance fund.
  • You will receive an invoice at your home address for the amount you will have to pay for yourself.  It may be possible to apply afterwards for (a part of) the costs to be reimbursed by your health insurance company.
  • If you are unable to present an S2 form or you only have a letter of guarantee, you will be asked to make an advance payment covering the costs.
EU employees and their dependants

Before treatment, request a letter of guarantee from your employer. This letter of guarantee will enable the costs to be settled directly with your insurance.

If you are unable to present the requested documents, you will be asked to make an advance payment covering the costs.

Students

If you are a student from an EU member state, Iceland, Norway, Switzerland, Liechtenstein or Australia and you have a European Health Insurance Card (EHIC), the costs will be settled directly with a Belgian Health Insurance Fund. You will have to make an advance payment.

If you are not insured in any of the above-mentioned countries, you will need a letter of guarantee.  Without this letter, you will have to pay beforehand for all treatment costs.

Belgian patients with private health insurance

Request a letter of guarantee from your private health insurance before treatment. If you are unable to present this document, you will have to pay beforehand for all costs.

The costs will be settled directly with your health insurance company if this is mentioned explicitly in the letter of guarantee.

Any invoices that you may receive afterwards must be paid by you.  It may be possible to apply afterwards for (a part of) the costs to be reimbursed by your health insurance company.

People without legal residence or with a specific insurance status

If you have proof of identity and a payment obligation from a competent authority, GZA Ziekenhuizen will settle directly with this authority, e.g. the OCMW (Public Centre for Social Welfare), the Red Cross or Fedasil.