7 Lessons on the Growing Popularity of an Additional Plan for Outpatient Care Costs

To distinguish themselves on the labour market, more and more employers are offering their employees an extensive outpatient care plan in addition to the hospitalisation insurance.
Vanbreda Risk & Benefits made an analysis of the data in their portfolio of insureds with an outpatient care plan. Evelyne Lauwers, Deputy Director Health Care Consultancy, and Koen De Moor, Executive Product Manager, at Vanbreda Risk & Benefits have drawn 7 major lessons from this analysis.

Ambulante kosten

1. A hospitalisation insurance far from covers all costs

To many employees today, good hospitalisation insurance, offered by the employer, is almost taken for granted. Good hospitalisation insurance is an important financial safety net in case of major medical costs. Nevertheless a significant part of the healthcare expenditure is borne by the patient. Figures from Assuralia show that nearly a fifth (19.1%) of the total healthcare expenditure in 2018 was ultimately borne by the patient. ‘Over two thirds of these expenses (68.4%) are outpatient costs’, Koen De Moor specifies. ‘For dental care and pharmaceutical aid or medical products, the proportion to be ultimately paid by the patient is the highest.’

2. One in three employers opt for an outpatient care plan

To gain a better insight into the added value of outpatient care plans, Vanbreda Risk & Benefits carried out extensive sampling in its portfolio of insureds with an outpatient care plan. It shows that employers have already realised the need for outpatient care plans. In 2011, one in seven employers in the portfolio had taken out an outpatient care plan for their employees. In ten years time this percentage has more than doubled, to 34% in 2021, as Vanbreda concludes. ‘The wheel has been set in motion’, Evelyne Lauwers confirms. ‘In terms of type of coverage, we further see that employers increasingly opt for a full outpatient care package, which also includes reimbursement for optical and dental costs.’

3. An average of 360 euro per year for outpatient care costs

The analysis by Vanbreda Risk & Benefits also shows that the average cost submitted by an adult for expenses covered by an additional plan for outpatient care costs is 360 euro per year. For children it is approximately half of this amount. ‘Nearly a quarter of the 360 euros of outpatient care costs that is annually submitted refers to a medical consultation or performance’, says Evelyne Lauwers. ‘Another quarter refers to pharmaceutical or parapharmaceutical costs.’

4. Medical progress has a financial impact on the patient

When searching for developments to explain the increased importance of outpatient care plans, it is obvious that we need to consider the shift from hospital admissions to outpatient care. Medical treatments, procedures and examinations are more and more often offered on an outpatient basis rather than being carried out in hospital. This means that part of the medical costs that the patient used to get reimbursed through the hospitalisation insurance are no longer covered. ‘Treatments, procedures and examinations without hospital admission have a financial impact on the patient’, says Koen De Moor. ‘Medical progress reduces the costs that a standard insurance package could previously reimburse.’

5. Good health and a healthy lifestyle have an impact on outpatient care costs

The enhanced focus on prevention and well-being further explains why the proportion of outpatient care costs is on the rise. Families are becoming increasingly aware of the importance of a good health and a healthy lifestyle. As a result, they more often find their way to professional help. ‘The pandemic has merely further underlined the significance of good health’, Evelyne Lauwers states. ‘That is why people more quickly seek help from psychologists, dieticians, podiatrists or speech therapists nowadays. Logically, the demand for vaccination is likely to increase as well.’

6. Dental costs are the incentive for outpatient care plans

Last but not least, dental care more often than not plays an essential role in the decision whether or not to take out an outpatient care plan. As mentioned before, these dental costs are first on the list of costs that continue to be borne largely by the patient if no outpatient care plan is in place. A look at the costs shows that dental costs for adults represent 25.5% of the total outpatient care costs. For children this is 30%. A major part of the costs for adults (62.5%) can be attributed to dental prostheses (fixed or removable). The largest expenditure on dental care for children is with respect to orthodontics (85%). ‘Not surprising, because orthodontic procedures and dental prostheses have a high price tag’, says Koen De Moor. ‘Since 2021, various health insurance funds have been offering their members an increased reimbursement for this but even that often proves insufficient.’

7. An outpatient care plan is more than a mere expensive option

The reimbursement for dental care is typical of the evolution of the additional plans for outpatient care costs. Whilst in 2011 a full outpatient care package, including reimbursement for optical and dental costs, still accounted for about half of the existing outpatient care plans in the Vanbreda Risk & Benefits portfolio, this share has increased to more than 75% in 2021. ‘These figures illustrate that an outpatient care plan has become more than a mere expensive option’, Evelyne Lauwers concludes. ‘Thanks to this coverage, many employers manage to offer real added value to their employees.’

Foto evelyne
Evelyne Lauwers
Deputy Director Health Care Consultancy
DMK 150x150
Koen De Moor
Executive Product Manager Health Care Consultancy

Related posts

Snipit youtube video trees

Group insurance schemes


Employees are often more focused on immediate financial benefits, such as their salary, than on their future pension. It is important, however, that employers make provisions for the accrual of a supplementary pension and also clearly communicate on the importance and advantages of such a benefit. In a new episode of the video podcast Succes Verzekerd, Trees Dierickx discusses specific investment opportunities and the importance of returns, among other things. As an insurance expert in Employee Benefits, she emphasises the value of taking a long-term view of supplementary pensions for both employers and employees.

Read more
Read more about Group insurance schemes
I Stock 1201050386 HC extra

Insurers are increasingly evolving into a wellbeing partner for your employees


Being an employer, you strive to ensure that your employees are healthy and happy. Unfortunately, they sometimes encounter mental problems. At such times easily accessible care is of crucial importance to them. Fortunately, today’s insurers are no longer merely covering the cost of medical care or providing medical assistance. They are increasingly focusing on the mental wellbeing of your employees and offer a range of additional services to this end.

Read more
Read more about Insurers are increasingly evolving into a wellbeing partner for your employees
Tak 6 resize

Branch 6 and Branch 26: How To Build Up Your Business Cash Reserves?


As an independent business owner, it is important to invest your funds in a tax-efficient manner with the prospect of a nice return. It is recommended to find a clever way of handling the excess reserves rather than letting them evaporate in the corporate account. But what are good and tax-efficient alternatives for your available funds besides the standard supplementary pension schemes such as EIP and PLCI?

Read more
Read more about Branch 6 and Branch 26: How To Build Up Your Business Cash Reserves?
CTA Image

Further information?

Interested in more information or in need of advice tailored to your organisation? Please do not hesitate to contact our insurance experts at