How to refer patients for hadron therapy?

Patients meeting the inclusion criteria are eligible to receive hadron therapy with cost coverage. This treatment takes place in a specialized hadron therapy centre.The procedure to refer patients for hadron therapy is explained below.

​What is hadron therapy?

Hadron therapy is a radiotherapy technique that irradiates tumours with high precision by means of protons or other charged particles (such as carbon ions). In addition, some particles, such as carbon ions, can also be used to treat tumours that are less sensitive to classic photon irradiation.

Where in Europe is hadron therapy available?

It is available in specialized hadron therapy centres.
At present, such a centre doesn’t exist in Belgium. Patients are treated abroad.

Who’s eligible for a hadron therapy treatment?

Only patients meeting the established criteria (such as specific indications) are eligible to receive a contribution in the treatment costs.
The Scientific Committee and the Agreement Council for hadron therapy drew up a list of indications and additional inclusion criteria. The Health Insurance Committee approved it.

Who can refer patients for hadron therapy?

Within the context of the compulsory health care insurance, only certified radiotherapy centres that have an agreement with us can refer patients to a specialized hadron therapy centre.

Agreement in French Agreement in Dutch 

The following aspects are settled in such an agreement :

  •  the procedure to be followed when referring patients
  • the requirements to be met by patients in order to receive a contribution
  • the arrangement to reimburse travelling costs and accommodation expenses for the patient and the person accompanying him or her (only for children and for adults if medically indicated)
  • the contribution for the referring centre for coordination of the referral
  • the practical aspects in order to pay the specialized hadron centre

What is the referral procedure?

The procedure to refer patients to a specialized hadron therapy centre is as follows :

  1. If hadron therapy is the only therapy or the most appropriate one for the patient according to the report of a multidisciplinary oncology consultation (info about MOC in French info about MOC in Dutch ), the attending physician can contact one of the radiotherapy centres (in Belgium) that can refer the patient to a specialized hadron therapy centre (abroad).
    A multidisciplinary report is also required in case of non-cancerous disorders that can be considered.
  2. If the patient meets the inclusion criteria, the radiotherapy centre sends a complete application file to us, while mentioning the hadron therapy centre that is willing to treat the patient, as well as the estimated treatment costs.
  3. This application file is submitted to the Agreement Council that will decide whether or not a contribution in the treatment costs, transportation costs and accommodation expenses will be granted.
  4. After a positive decision from the Agreement Council, the patient can be treated in a hadron therapy centre.
    The radiotherapy centre coordinates the referral.
  5. After the treatment, we pay the treatment costs straight to the hadron therapy centre. Transportation costs, if possible, and accommodation expenses are paid to the beneficiary. The referring radiotherapy centre receives an allowance for its coordination efforts.
    Outline scheme and explanations. (URL zie huidige pagina)

Outline scheme and explanations.



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Laatst aangepast op 30 april 2020