Chapter 13 Social Security Contributions - Flemish Care Insurance

In Belgium, healthcare and social security are managed at the federal level. However, some special laws grant the three communities several competences, such as the “assistance to persons”. On the basis of the Decree of 30 March 1999 (on the organisation of the care insurance), the Flemish Government introduced an additional insurance for non-medical help and services – the Flemish Social Protection – which provides a financial compensation of €130 to people with care needs to cover part of their costs for non-medical care.
The Flemish Social Protection offers financial assistance to people requiring long-term care. Therefore, it differs from the health insurance, which refunds medical costs, and from any other additional insurances offered by health insurance funds (e.g. hospitalization insurance).
Starting from October 2001, the Flemish Social Protection is mandatory for anyone over the age of 25 (i.e. from the year turning 26) and living in Flanders, who is required to pay an annual fee to a healthcare fund. For people living in Brussels, membership is voluntary; those who live in Wallonia or abroad, cross-border workers and international organization’s employees are exempted from joining the Flemish Social Protection insurance (exceptions are possible).
In order to become a member of the Flemish Social Protection insurance, an individual must join one of the 6 recognised care funds in Flanders. Two options are available. First, the care fund offered by the health insurance fund55; second, the Vlaamse Zorgkas (Flemish Care Insurance Scheme).
The Flemish Social Protection insurance is financed on a lump sum basis. The annual membership contribution for 2020 is €51. People eligible for a higher health insurance compensation pay a reduced fee. Table 13.1 reports the annual contributions for the years 2015 – 2019.

Table 13.1: Contributions 2015 – 2019, €/year
Contribution/Year 2015 2016 2017 2018 2019
Member contribution 50 50 50 51 52
Member contribution if eligible for a higher compensation (e.g., pensioners, widows) 25 25 25 26 26

13.1 Modelling Assumptions

For people living in Brussels, joining the Flemish Social Protection insurance is a voluntary act. For these people, we do not know who is affiliated with this insurance scheme and who is not. Therefore, we calculate the social contribution to the Flemish Social Protection insurance only for people living in Flanders.

13.2 Module input

13.2.1 Variables

Name Description Database
drg_h_sc Region SILC
high_comp if the individual is eligible for a higher compensation (yes/no) Other

13.2.2 Parameters

Name Description Value (2020)
ssc_flem_ins_ca1 Flemish care insurance / contribution amount 1 26
ssc_flem_ins_ca2 Flemish care insurance / contribution amount 2 51

13.3 Module output

Name Description
t_ssc_flem_ins amount of the social security contributions due to the Flemish care insurance scheme

13.4 References

[] Joining the Flemish Social Protection. 2020. URL: https://www.vlaanderen.be/en/care-and-family/joining-flemish-social-protection..

[] J. Derboven, Z. Rongé, S. Van Houtven, et al. “EUROMOD COUNTRY REPORT, BELGIUM (BE) 2016 – 2019”. In: n.d. (2019).


  1. The one that provides health insurance or an additional product: Christelijke Mutualiteiten-Zorgkas Vlaanderen, Neutrale Zorgkas Vlaanderen, Zorgkas van de Socialistische Mutualiteiten, Zorgkas van de Liberale Ziekenfondsen, Zorgkas van de Onafhankelijke Ziekenfondsen↩︎