Medical care is in principle exempt from VAT in the European Union. To this end, an VAT exemption was implemented at the European level for services provided by (para)medical professionals and medical care (as well as closely related supplies of goods and services) provided by hospitals.
In its case law, the Court of Justice of the European Union has consistenly ruled that only services which have a therapeutic aim can be exempted on the basis of the aforementioned VAT exemption. Whether or not a service has a therapeutic aim must be assessed by reference to both the factual and the legal context in which the service is performed.
In the Belgian VAT legislation and administrative guidelines, the scope of the VAT exemption for medical care is currently linked to the capacity of the service provider (qualified care providers, accredited care institutions, etc.) and the type of services (services included in the nomenclature of medical services).
Source Crowe
Latest Posts in "Belgium"
- Modernisation of the Belgian VAT chain: official timeline confirmed, entry into force on 1 May 2026
- Belgium Clarifies VAT Filing, Objection, and Audit Rules in New Circular Effective January 2026
- Belgium Standardises VAT Filing Rules, Removes Sector Limits, Streamlines Digital Contestation from 2026
- ECJ and EU General Court Issue Key Rulings on ATAD CFC Rules and VAT Treatment
- Belgian Emanation Theory Challenged: EU Court Rules on VAT for Intermunicipal Entities and Associations













