Koninklijk besluit tot vaststelling van de tegemoetkoming van de verplichte verzekering in de verpleegdagprijs in geval van opneming in een ziekenhuis in het buitenland, de 12 décembre 2018
Artikel 1. § 1. De verpleegdagprijs in geval van opneming in een ziekenhuis, na voorafgaande toestemming van de adviserend geneesheer of om dringende redenen, in een land dat niet met België is verbonden door een instrument van de internationale rechtsorde dat deze kwestie regelt, stemt overeen met de gemiddelde verpleegdagprijs, berekend op grond van het quotum verpleegdagen en van de verpleegdagprijs van de algemene ziekenhuizen op 1 oktober van het jaar dat voorafgaat aan dat waarvoor de verpleegdagprijs wordt bepaald.
Onder instrument van de internationale rechtsorde dient te worden verstaan :
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een verordening van de Europese Unie betreffende de coördinatie van de socialezekerheidsstelsels,
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dan wel een verordening krachtens de Overeenkomst betreffende de Europese Economische Ruimte of de Overeenkomst tussen de Europese Gemeenschap en haar lidstaten, enerzijds, en de Zwitserse Bondsstaat, anderzijds, betreffende de coördinatie van de socialezekerheidsstelsels,
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of een door België met één of meerdere staten gesloten overeenkomst betreffende de sociale zekerheid.
§ 2. De bepalingen van paragraaf 1 zijn eveneens van toepassing wanneer de bepalingen van het instrument van de internationale rechtsorde niet van toepassing zijn op de rechthebbende.
§ 3. Voor het tijdvak van 1 januari 2019 tot en met 31 december 2019 is de in § 1 bedoelde verpleegdagprijs vastgesteld op 518,08 euro.
Art. 2. Het bedrag van de tegemoetkoming van de verplichte verzekering is gelijk aan de in artikel 1, § 2 bedoelde verpleegdagprijs; het mag evenwel niet hoger liggen dan de prijs die de verpleeginrichting effectief aan de rechthebbende aanrekent. Dat bedrag wordt verminderd overeenkomstig de bepalingen van het koninklijk besluit van 5 maart 1997 tot vaststelling van het bedrag van de vermindering van de verzekeringstegemoetkoming in geval van opneming in een ziekenhuis of van verblijf in...
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