Reimbursements of an electronic knee

An electronic knee has many benefits for active people with an upper-limb amputation. Reimbursement or reimbursement of the electronically controlled prosthetic knee, also known as a microprocessor controlled knee (MCK), is a great benefit that upper leg prosthesis wearers can now enjoy!

The electronic prosthetic knee provides greater stability, comfort and freedom of movement. At Amputee Care Centre (ACC by Spronken), we believe that upper-leg prostheses with an electronically controlled knee can be very important for quality of life. We would be happy to help you get a no-obligation quote and apply for reimbursements for an electronic knee from your insurer. 

Why a leg prosthesis from Amputee Care Center?

At Amputee Care Center, we believe that everyone is entitled to the best possible care. We therefore not only manufacture high-tech leg prostheses, but also provide comprehensive support in the administrative application process for reimbursement or reimbursement. 

Amputee Care Centre offers:

• More than 60 years of experience: As part of Spronken Orthopaedics, we at Amputee Care Center have more than 60 years of experience in making high-tech leg prostheses. In our third-generation family business, we therefore know perfectly how best to help you.
• +135 ambitious employees: prosthetists, orthopaedic consultants and orthopaedic instrument makers support our central workshop in Genk, Belgium.
• Service points in Belgium and the Netherlands: With several branches in the Netherlands and Belgium, we guarantee fast delivery and high-quality aftercare. We cooperate with the larger rehabilitation centres and university hospitals.
• Official partner of insurers: As a recognised prosthetic partner, we work closely with mutual health organisations in Belgium and health insurers in the Netherlands, making the reimbursement process faster and easier for you. 
• Third-party payment scheme in the Netherlands and Belgium: This means that, as a patient, you only pay any copayment, while the ACC collects the main amount directly from your health insurance.
• Free gait analysis: We perform a detailed digitally controlled evaluation of your movement pattern in our own gait lab to see if an electronically controlled knee in your upper leg prosthesis is right for you.
• Customised prosthesis: Every person and every body is unique, so we believe in a personalised approach. In our prosthesis centre, every prosthesis is custom-made to perfectly fit your body and needs.
• Personalised advice: We help you compile your medical file and communicate with health insurance companies.
• Total care: From the first meeting to rehabilitation, psychological support and maintenance of your leg prosthesis, we are always there for you.
• ISO13485 certified quality: We are proud of our internationally recognised quality label. Certified quality is important when making leg prostheses because it ensures that the prostheses meet strict international standards for safety, reliability and patient care.

Schedule your no-obligation appointment today discover what we can do for you at Amputee Care Centre!

Cost electronic prosthetic knee MCK

What about the upper leg prosthesis cost with MCK electronic knee? We tell you more about the reimbursements of an MCK electronic knee for an upper leg prosthesis. Prefer personal contact? Then request a no-obligation introductory meeting to discuss your options.

Reimbursement or compensation rules are complex and depend on several factors, such as the type of prosthesis, medical necessity and the personal situation of the prosthesis wearer. It is important to note that not all costs are always fully reimbursed; a personal share or co-payment may apply. The reimbursement and reimbursement rules for a prosthesis with MCK differ in Belgium and the Netherlands.

For specific information on the costs and reimbursements of your MCK electronic prosthetic knee, it is best to make an appointment with us. At the Amputee Care Centre, you will receive a detailed quote and information on possible reimbursements based on your personal situation and applicable regulations.  

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What is an electronic knee and why choose ACC?

An electronic knee is a high-tech prosthetic leg prosthesis component that dynamically adjusts movements according to your speed, posture and terrain. The benefits are:

• Safer and smoother walking, even on uneven surfaces.
• Less energy consumption while walking.
• More confidence and freedom in your daily life.

At Amputee Care Centre (ACC), we combine our more than 60 years of experience in prosthetic care with the latest innovations to help you choose the right leg prosthesis. Digital (free) gait analysis helps you discover whether an electronic knee is the right choice. With this, we gain more insight into your movement patterns and discuss your personal needs and goals. At Amputee Care Centre, you can be sure of the right customised prosthetic care.

Want to know more about the electronic knee? Then read our article on the benefits of the new generation MCK electronic knee.

Electronic knee fully reimbursed in Belgium

In Belgium, reimbursement or reimbursement of an electronic knee is regulated through the National Institute for Sickness and Disability Insurance (NIHDI). Since 1 February 2021, the electronic knee will be fully reimbursed for a selected group of people with an upper leg amputation. This is nice, because previously this was not the case and an electronic knee is an expensive prosthesis and therefore not an option for everyone.

The ACC team helps prosthesis wearers affiliated with a Belgian mutual health organisation or insurer with the administrative application for reimbursement or reimbursement and accompanies the prosthesis wearer with the testing of the latest electronic prosthetic knee.
We are happy to help you compile your file and guide you through the entire process. 

Who is eligible for electronic knee reimbursement in Belgium?
In Belgium, the NIHDI determines your eligibility based on:

• Medical necessity: A doctor-specialist determines whether an electronic knee is essential for your mobility.
• Activity level: If you have an active lifestyle where you regularly walk or move in different areas, you are more likely to qualify.
• Safety: If you struggle with stability or fall more frequently, an electronic knee may be an appropriate solution.

How does applying for reimbursement in Belgium work?

1. Prepare medical records: Your doctor or rehabilitation specialist compiles a file with medical information and arguments for the need for an electronic knee.
2. Approval of the advisory doctor: An independent doctor from your health insurance fund will assess the application.
3. Trial period: In some cases, you may test the electronic knee first to determine whether it meets your needs.

Electronic knee leg prosthesis reimbursement in the Netherlands

In the Netherlands, electronic knee leg prosthesis reimbursement is via the basic health insurance, with the health insurer assessing the application. The ACC team helps Dutch prosthesis wearers with the administrative application for reimbursement. We also assist the prosthesis wearer with testing the latest electronic prosthetic knee.

Who is eligible for reimbursement electronic knee in the Netherlands?
Strict conditions also apply in the Netherlands. You are eligible if:

• A medical indication (MI) shows that an electronic knee is necessary for your mobility.
• The knee has a clear added value compared to a standard prosthesis.
• Your activity level and daily use suit the functionality of an electronic knee.

How does applying for reimbursement electronic knee in the Netherlands work?

1. Specialist advice: Your rehabilitation doctor will draw up a medical recommendation and may refer you to an orthopaedic instrument maker.
2. Trial period: You are given the opportunity to try out the knee and have it assessed to see whether it meets your expectations.
3. Health insurer's approval: Your insurer decides whether to reimburse you for the prosthesis based on the medical file and the trial results.

What is reimbursed by your health insurer?

• The cost of an electronic knee is usually, after approval, fully reimbursed from the basic insurance.
• You only pay your health insurer's deductible. The amount depends on the insurance you have taken out.
• Maintenance and replacement may be arranged separately through supplementary insurance. Annual maintenance or check-ups are usually free of charge at Amputee Care Center, even if the prosthesis was not purchased from us.

We have decades of experience guiding applications to Dutch health insurers. We are therefore an official partner of almost all insurers in Belgium and the Netherlands. Let us help you make the process as smooth as possible for you.

How long does the electronic knee reimbursement application take?

In both Belgium and the Netherlands, applying for reimbursement or refund can take several weeks to months, depending on the assessment and trial period, among other things. At Amputee Care Center, we do everything we can to ensure that your application is processed as quickly as possible. We also make sure that the maximum benefit is obtained from your insurance.

What happens if my application for reimbursement is rejected?

In the event of a rejection by the health insurer or health insurance fund, we will help you with appeal procedures if we believe you are entitled to the reimbursement. In Belgium, you can apply for a reassessment via your mutual health insurer. In the Netherlands, it is possible to lodge an objection with your health insurer.

How often should an electronic knee be replaced?

On average, an electronic knee has a renewal period of 5 to 7 years, provided annual maintenance is applied. We do this for you free of charge at Amputee Care Center. It is part of the warranty. When the renewal period is over, you can reapply for reimbursement for a new leg prosthesis with an electronically controlled prosthetic knee. 

Schedule your free introductory consultation at ACC!

Want to know if an electronic knee for your leg prosthesis is right for you or are you looking for a second opinion? At Amputee Care Center, you can come in for a (free) digital gait analysis to assess your personal situation. Together, we will discuss your mobility goals and guide you through every step, from application to aftercare. With our unique package of total care for amputees with an upper leg prosthesis, our goal is to dramatically improve the quality of life and see every prosthesis wearer walk out with a smile!

With ACC, you choose a healthcare partner that takes the entire process out of your hands when applying for reimbursement or reimbursement. Thanks to our official partnerships with insurers in Belgium and the Netherlands, you are assured of a fast and expert approach.

Contact us and make an appointment for a no-obligation introductory meeting or a second opinion. Your path to greater mobility and comfort starts at our prosthetic centre in Genk!