Will my myoelectric or bionic arm prosthesis be reimbursed?
There is a good chance that your arm prosthesis will be reimbursed, but it is wise to contact us in advance to arrange everything correctly.
Do you live in Belgium?
In Belgium, a myoelectric arm prosthesis is covered by the RIZIV mutual health insurance fund. Certain conditions and renewal periods apply (usually between 3 and 5 years, depending on your age and the prosthesis). At Amputee Care Center, we work with all Belgian health insurance funds and organise the administration for the application for (full) reimbursement of your myoelectric arm prosthesis or bionic arm prosthesis.
Ben je verzekerd in Nederland?
In the Netherlands, a myoelectric arm prosthesis is included in the basic package and is usually covered by basic insurance. Amputee Care Center by Spronken is a recognised supplier of prostheses in the Netherlands. We work together with certain Dutch health insurers and are happy to apply for authorisation on your behalf.
Are you insured in another EU country?
Your health insurance may sometimes reimburse the costs of an arm prosthesis in another EU country. This falls under cross-border healthcare. Steps to apply for reimbursement:
- Prescription from a doctor: Make sure you have a medical prescription from a Dutch or EU doctor (e.g. rehabilitation doctor or orthopaedic specialist).
- Request prior authorisation (preferably): Submit a prior authorisation request to your health insurer yourself. They will assess whether the prosthesis can be reimbursed in Belgium. Without prior authorisation, reimbursement may be difficult or lower.
- Submit invoice:
- We will draw up a detailed invoice for you (including type of prosthesis, parts, extra labour hours, etc.).
- Submit this invoice together with your doctor's medical prescription and the assessment document to your EU health insurer.
- Reimbursement: Your insurer will usually reimburse up to the amount that is customary in the United Kingdom or in your EU country for such a prosthesis. If the Belgian prosthesis is more expensive, you may have to pay the difference yourself.
Problems with reimbursement for bionic arm prostheses?
During second opinions at our prosthetics centre, we often hear from people who now have a myoelectric arm that they chose this option because they thought that a bionic arm prosthesis would not be reimbursed and would therefore be unaffordable. This is despite the fact that a bionic arm would have given them many more possibilities.
Fortunately, this is not true: in both Belgium and the Netherlands, there are more and more options for having a bionic arm reimbursed by your health insurance fund. This is done through the same procedures as for a myoelectric arm. However, insurers and mutual health insurance funds do check whether a bionic arm offers demonstrable added value over a standard myoelectric arm. Think of your work, education or independence in daily life.
Because the reimbursement is often better than expected, we see that many prosthesis wearers do dare to take the step towards a bionic arm. At Amputee Care Center, we guide you through this medical and administrative process, so that you don't have to worry about a thing.
Ready for the next step
Would you like to find out whether a myoelectric arm prosthesis is right for you or your child? Contact us at Amputee Care Center and schedule a free introductory consultation. Together, we will take the first step towards greater independence, self-confidence and, ultimately, the bionic prosthetic arm that perfectly suits your active lifestyle.