Health Fitness

DKV excludes 33 hospitals from its individual hospi insurance

Two years ago, DKV launched a new insurance, “Hospi Select”, which provides for unlimited reimbursement of hospital costs in a partner hospital. Initially, all hospitals in the country were included in the formula. But the market leader reassesses the situation every year to check whether the establishments still meet the conditions to remain “partners” of its network. This supposes “a stable evolution ofThe fee supplements compared to official Inami rates and supplements for single rooms in line with the consumer price index “, we read in the insurer’s documents. And following the last assessment 33 hospitals no longer meet the criteria We can see, for example, that the Chirec establishments have been removed from the list, unlike the Cliniques Universitaires Saint-Luc and the Cliniques de l’Europe.

Three criteria

The insurer stresses that this revision will remain without consequences for the vast majority of its customers. It will only affect people
– who entered into a DKV Hospi Select policy after the 1
er january 2018
– who are hospitalized in an establishment no longer part of the network
– who opt for reasons of personal convenience of comfort, for a single room.

If these 3 conditions are met, the patient will have to pay 20% of the room and fee supplements billed by the hospital out of his own pocket.

As a reminder, Belgian hospitals are not entitled to charge additional fees in the event of hospitalization in a double room. or when the patient stays in a single room when he has no choice (medical reasons, emergency admission, etc.)

With the main competitor, we manage the problem in a slightly different way but the underlying philosophy remains the same, as explained by Benoit Halbart, Marketing & Communication Director AG Employee Benefits & Health Care. “For the basic AG Care policies, concluded on an individual basis, if the patient chooses to be treated in one of the more expensive hospitals, we only reimburse 50% of the supplements. However, the customer has the option of redeeming this Anyone who wants their hospital costs (stay and additional fees) to be always reimbursed at 100% have the option of paying an additional premium. In general, this is of the order of 2 to 3% moreover (Editor’s note, everything depends on the age of entry). In general, it is our customers in the Brussels Region who activate this clause “. The list of hospitals concerned is available on the AG website. “It’s a way of directing our customers to establishments with more reasonable prices,” he concludes.

Two years ago, DKV launched a new insurance, “Hospi Select”, which provides for unlimited reimbursement of hospital costs in a partner hospital. Initially, all hospitals in the country were included in the formula. But the market leader reassesses the situation every year to check whether the establishments still meet the conditions to remain “partners” of its network. This supposes “a stable evolution ofThe fee supplements compared to official Inami rates and supplements for single rooms in line with the consumer price index “, we read in the insurer’s documents. And following the last assessment 33 hospitals no longer meet the criteria We can see, for example, that the Chirec establishments have been removed from the list, unlike the Cliniques Universitaires Saint-Luc and the Cliniques de l’Europe.

Three criteria

The insurer stresses that this revision will remain without consequences for the vast majority of its customers. It will only affect people
– who concluded a DKV Hospi Select policy after the 1er january 2018
– who are hospitalized in an establishment no longer part of the network
– who opt for reasons of personal convenience of comfort, for a single room.

If these 3 conditions are met, the patient will have to pay 20% of the room and fee supplements billed by the hospital out of his own pocket.

As a reminder, Belgian hospitals are not entitled to charge additional fees in the event of hospitalization in a double room. or when the patient stays in a single room when he has no choice (medical reasons, emergency admission, etc.)

With the main competitor, we manage the problem in a slightly different way but the underlying philosophy remains the same, as explained by Benoit Halbart, Marketing & Communication Director AG Employee Benefits & Health Care. “For the basic AG Care policies, concluded on an individual basis, if the patient chooses to be treated in one of the more expensive hospitals, we only reimburse 50% of the supplements. However, the customer has the option of redeeming this Anyone who wants their hospital costs (stay and additional fees) to be always reimbursed at 100% have the option of paying an additional premium. In general, this is of the order of 2 to 3% moreover (Editor’s note, everything depends on the age of entry). In general, it is our customers in the Brussels Region who activate this clause “. The list of hospitals concerned is available on the AG website. “It’s a way of directing our customers to establishments with more reasonable prices,” he concludes.

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