Applicants for international protection are entitled to the medical care necessary to lead a life consistent with human dignity. As long as they are receiving shelter from Fedasil, the costs of necessary medical care are, in principle, covered in accordance with the procedures established by Fedasil. However, if the person has income from employment or receives financial assistance, they may be required to contribute toward the costs, depending on their situation.

At arrival centre

The Fedasil arrival center has a medical unit and a psychosocial support unit that provide an initial health assessment as well as the necessary care during business hours. In the event of a medical emergency outside these hours, center staff arrange access to the appropriate emergency services.

At asylum reception centres

Collective reception centers and local reception initiatives collaborate with general practitioners, community health centers, hospitals, and other healthcare professionals in the region. Depending on the center, consultations are arranged on-site or with external providers. Applicants for international protection are generally referred by the center’s medical or social services department, which schedules appointments when necessary. If specialized treatment is required, the attending physician may refer the person to a specialist or a hospital.

Out of the reception centres

People who are not staying at the reception facility assigned to them generally retain their right to medical care, but the administrative procedures are often more complex.
Before receiving certain types of care, it is generally necessary to obtain authorization for coverage (“réquisitoire” or medical requisition) from the relevant medical department at Fedasil. Processing times may vary depending on the departments’ workload.
When the right to shelter ends following the final conclusion of the international protection procedure, the individual is no longer automatically covered by Fedasil’s medical care. Depending on their administrative and financial situation, however, they may apply for emergency medical assistance from the relevant CPAS.

Psychological aids

Applicants for international protection may receive psychological support when it is medically necessary. Fedasil covers the cost of psychological care in accordance with the terms of its reimbursement system. Belgium has several services specializing in the mental health of refugees, but these services often face high demand. Mental health centers also provide services to applicants for international protection, although wait times can be long and access to qualified interpreters is sometimes difficult. Fedasil and its partners may enter into agreements with specialized services to ensure appropriate care for particularly vulnerable individuals.

‍

In Wallonia, CARDA (Local Reception Center for Asylum Seekers with Mental Health Issues), managed by the Belgian Red Cross, provides shelter for people with significant mental health disorders or trauma requiring specialized support.
In Flanders, the CIBA (Center for Intensive Support for Asylum Seekers) offers intensive support to applicants for international protection experiencing psychological or psychiatric difficulties. The program generally lasts up to three months and also accommodates a limited number of unaccompanied foreign minors.

Note: You may also refer to medical aid resources offered for all migrants and homeless people in this website.

Tips for LGBTQIA+ individuals

• If you don’t feel comfortable with a doctor or psychologist, you can ask to see another healthcare professional.
• If your mental health is affected by violence, discrimination, or your migration experience, don’t hesitate to ask for psychological support. These challenges are common and can be addressed as part of your care.
• If you’re worried about discussing your sexual orientation, gender identity, or gender expression, you can ask to be referred to a professional who is knowledgeable about LGBTQIA+ issues.
• LGBTQIA+ organizations can also help you find healthcare professionals who are welcoming and informed about the realities faced by LGBTQIA+ people.