vul zo snel mogelijk het ongevalsaangifteformulier in
Let hierbij op dat het getekend is en voorzien van een klever van het ziekenfonds!!
bezorg dit asap aan de GC Veerle Mulleners GSM 0497/12 97 12) en mail veerle.mulleners@gmail.com
Laattijdige aangiften (na 21 dagen) worden niet meer aanvaard door de bond
u ontvangt een bevestiging van aangifte van de bond
na genezing dient u dit formulier te laten invullen door de dokter en samen met de onkosten aan ons te bezorgen voor terugbetaling
let op : de bond komt tussen na betaling van uw ziekenfonds. Voeg altijd de verschilstaat toe. Ook betaling van de facturen dient reeds te gebeuren en ook de eigen hospitalisatie dient eventueel aangeschreven te worden.
Je krijgt van de mutualiteit tussenkomst in uw lidgeld. Download hieronder het gewenste document, vul de ontbrekende gegevens in en bezorg dit aan uw ziekenfonds.
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