CPAP reimbursement Belgium - RIZIV/INAMI scheme 2025

CPAP reimbursement in Belgium - understanding the RIZIV/INAMI convention

Have you been diagnosed with sleep apnea and are wondering how to get a CPAP device in Belgium? You may have heard about "RIZIV reimbursement" or "INAMI reimbursement" and want to understand what it really means. This guide explains the Belgian system in full: how it works, who qualifies, what it costs, and what your options are if you don't qualify.

What the Belgian CPAP convention actually is

The Belgian CPAP convention is often described as a "reimbursement", but this is misleading. It is not a purchase reimbursement. The system works differently:

The accredited sleep centre takes care of everything: the device, mask, tubing, filters, heated humidifier if needed, medical follow-up, maintenance and repairs. Your health fund (mutualité) pays a daily rate directly to the centre. You pay only a patient co-payment of €0.25/day, i.e. €7.50/month - or nothing at all if you have the BIM/OMNIO/increased intervention status.

Eligibility conditions for the RIZIV/INAMI convention

To benefit from the Belgian CPAP convention, you must meet three cumulative conditions:

CPAP convention costs

This amount covers everything: the CPAP or Auto-CPAP device, mask, headgear, tubing, filters, humidifier if required, maintenance, repairs, replacement in case of breakdown, and complete medical follow-up.

Step-by-step journey through the convention

1. Your GP suspects sleep apnea (snoring, chronic fatigue, daytime sleepiness, observed breathing pauses) and refers you to an accredited sleep centre.
2. Initial consultation at the centre: full medical history, clinical examination, risk factor assessment.
3. Polysomnography (PSG) in the sleep laboratory: one full night with sensors measuring brain waves, breathing, oxygen levels, heart rate. If OAHI ≥ 15/hour → diagnosis confirmed.
4. CPAP titration: efficacy test, either at home with a loaned Auto-CPAP or during a second night at the centre.
5. Application to your health fund: the centre submits the complete file. Response time: a few days to two weeks.
6. 6-month initial agreement: first coverage period. Renewals of 12 months if the 4h/night average is met.
7. Equipment handover and training: the centre gives you the device, fitted mask and all accessories, plus full training on use and maintenance.
8. Regular follow-up: the centre monitors your compliance, treatment efficacy and equipment condition.

What if you don't qualify for the convention?

The RIZIV/INAMI convention does not apply to all patients. You may wish to purchase your own CPAP device in several situations:

• OAHI < 15/hour: you don't reach the required threshold, but your doctor still recommends CPAP therapy.
• Immediate start: you don't want to wait 4 to 8 weeks for the conventional pathway.
• Freedom of choice: you want to select your own device - the latest connected model, the mask that suits you, the accessories you prefer.
• Device ownership: you want to own your CPAP, not borrow it. Take it anywhere, including on holiday.
• Second device: you're on the convention for your main CPAP but want a compact device for travel.
• Direct data access: modern connected devices give you full access to your therapy statistics without going through the centre.

VivaRespire: own your CPAP, delivered to your door

VivaRespire is a Belgian specialist shop selling CPAP devices, masks and accessories for patients who want to own their own device - outside the conventional circuit. You choose the model, place your order, and receive your device quickly at home.

RIZIV convention vs purchase: an honest comparison