Hepatitis A and B vaccines in Belgium: price, reimbursement
11 October 2026 · 20 min read
emmunity editorial teamHow we verify our information →
In Belgium one dose of hepatitis A vaccine costs 43,31 € or 45,66 € for an adult and 30,04 € for a child; one adult dose against hepatitis B costs 23,49 € or 28,17 €, and the combined vaccine Twinrix Adult 54,60 €. These are the public prices in the CBIP/BCFI Repertoire, consulted on 10 October 2026: your pharmacy confirms the amount at the counter.
The hepatitis B vaccine is free in the infant schedule, and reimbursed by INAMI/RIZIV at the pharmacy only in a list of specific situations, with prior authorisation. For hepatitis A, no pack carries a reimbursement category in the CBIP/BCFI listing. Here is what the official sources say, and what they do not say.
- Hepatitis A: two doses, at 43,31 € or 45,66 € per adult dose and 30,04 € per child dose, and no pack carries a reimbursement category in the CBIP/BCFI listing consulted on 10 October 2026.
- Hepatitis B for infants: free in the hexavalent vaccine of both Communities; the Wallonia-Brussels Federation moves to three doses (2, 4 and 12 months) on 1 November 2026, but a baby who has already started the old schedule may stay on four doses under the transition rules. For Flanders, no date was found on the pages read on 11 October 2026.
- Hepatitis B for adults: 23,49 € or 28,17 € per dose; the co-payment (6,03 € or 7,28 €) applies only with a chapter IV authorisation, and travellers and people with diabetes are not in the INAMI/RIZIV list consulted.
- Twinrix Adult: 54,60 € per dose, not reimbursed by INAMI/RIZIV according to CBIP/BCFI, with at least two doses needed before departure.
- All prices were taken from CBIP/BCFI on 10 October 2026: your pharmacy confirms the amount at the counter.
Hepatitis A: who is the vaccine recommended for, and how many doses?
Hepatitis A is in the basic vaccination schedule of neither Community: no free programme covers it. The recommendation comes from Avis 8815 of the Superior Health Council, published on 11 March 2013 and not replaced since on the Council’s website.
The Council does not target the whole population, but the following groups.
- Travellers to endemic areas.
- Homosexual and bisexual men.
- Candidates for a liver transplant.
- Patients with chronic liver disease, including patients with hepatitis B or C.
- People with haemophilia.
- People in contact with a hepatitis A patient.
- Staff and residents of institutions for people with a mental disability.
- Children and adolescents of emigrants who return to their country of origin.
- People working in the food chain.
- People in close contact with a recently adopted child from a high-prevalence country.
The schedule has two injections. According to CBIP/BCFI, the interval depends on the product: 6 to 12 months for Havrix, 6 to 18 months for Vaqta, 6 to 36 months for Avaxim. Wanda speaks of two injections at least six months apart. An interrupted schedule is completed, not restarted.
According to CBIP/BCFI, the first dose gives temporary protection of almost 100 % for one year, and immunity lasts at least 25 years after two doses of the single-antigen vaccine. Wanda writes that after the second dose protection is in principle lifelong. A past infection gives lifelong immunity: CBIP/BCFI then considers vaccination pointless.
For work, CBIP/BCFI names people exposed to waste water and faeces. vaccination-info.be names the food chain, staff in childcare, communal settings and care institutions, laboratory staff who handle stool samples, waste-water and sewage workers, refuse collectors and laundry staff.
An interrupted schedule is completed, not restarted.
Source : Superior Health Council: Avis 8815, hepatitis A (FR) ↗CBIP/BCFI: Repertoire, hepatitis A vaccine (FR) ↗vaccination-info.be: hepatitis A (FR) ↗
How much does the hepatitis A vaccine cost, and is it reimbursed?
The CBIP/BCFI Repertoire, consulted on 10 October 2026, lists the adult dose at 43,31 € (Avaxim) or 45,66 € (Havrix, Vaqta) and the child dose at 30,04 €. These are public pharmacy prices, per dose, and the schedule has two.
The vaccine goes through no free programme. You get it in three steps.
| Product | Age (CBIP/BCFI) | Public price per dose | INAMI/RIZIV category |
|---|---|---|---|
| Avaxim (Sanofi Belgium), 160 U.Elisa/0,5 ml | From 16 years | 43,31 € | None shown |
| Havrix Junior (GSK), 720 U.Elisa/0,5 ml | 1 to 15 years | 30,04 € | None shown |
| Havrix (GSK), 1440 U.Elisa/1 ml | From 16 years | 45,66 € | None shown |
| Havrix (PI-Pharma, parallel import), 1440 U.Elisa/1 ml | From 16 years | 45,66 € | None shown |
| Vaqta Junior (MSD), 25 U/0,5 ml | 1 to 17 years | 30,04 € | None shown |
| Vaqta (MSD), 50 U/1 ml | From 18 years | 45,66 € | None shown |
Public prices taken from the CBIP/BCFI Repertoire on 10 October 2026, in the public pharmacy circuit. They can change: your pharmacy confirms the amount at the counter. For two doses, the sum comes to 86,62 € with Avaxim, 91,32 € with Havrix or Vaqta and 60,08 € for a child: this is our calculation, no source consulted publishes these totals.
No pack of hepatitis A vaccine carries a reimbursement category in the CBIP/BCFI listing consulted on 10 October 2026. The "Reimbursement" paragraph of CBIP/BCFI (situation on 1 February 2026) mentions only the occupational route, through the Federal Agency for Occupational Risks (Fedris).
No official source consulted states the INAMI/RIZIV status of hepatitis A in a sentence. So we write that no INAMI/RIZIV reimbursement is listed, not that it is ruled out in every case. The Flemish Departement Zorg writes that the vaccine is not free and is bought at your own expense; CBIP/BCFI recalls that travel-medicine vaccines are not reimbursed, except the rabies vaccine.
No pack of hepatitis A vaccine carries a reimbursement category in the CBIP/BCFI listing consulted on 10 October 2026.
Source : CBIP/BCFI: Repertoire, hepatitis A vaccine (prices, FR) ↗Departement Zorg: hepatitis A (NL) ↗vaccination-info.be: who vaccinates and where (FR) ↗Vaccine prices in Belgium: the full table ↗
Hepatitis B: which doses are free for babies and young people?
According to CBIP/BCFI, hepatitis B vaccination has been part of the basic schedule since 1999. Infants receive it free of charge in a hexavalent vaccine: Hexyon in Flanders, Vaxelis in the Wallonia-Brussels Federation. Until 31 October 2026, both Communities apply the same four-dose schedule, at 8, 12 and 16 weeks and then at 15 months.
The Superior Health Council now recommends three doses (Avis 9761, published on 22 April 2026): 8 weeks, 16 weeks, then a booster at 12 months. It adds that implementation is up to the Communities.
The Wallonia-Brussels Federation applies that schedule (2, 4 and 12 months) from 1 November 2026. For Flanders, the Departement Zorg pages read on 11 October 2026 announce no change and give no date: they still show 8, 12 and 16 weeks and 15 months.
For babies who started the old schedule, the vaccination programme of the Wallonia-Brussels Federation published transition rules for professionals in September 2026. The article for parents on vaccination-info.be says that you have nothing to do yourself. Doses already given stay valid and the professional who follows your child adapts the schedule.
According to the same article, doses already given are not repeated, and appointments already planned are to be kept. If in doubt, bring your child’s vaccination booklet to the next appointment: the professional checks it and tells you when the next appointments are. The rules by number of doses are summarised in the next section.
| Flanders | Wallonia-Brussels Federation | |
|---|---|---|
| Free hexavalent vaccine | Hexyon | Vaxelis |
| Schedule on 11 October 2026 | 8, 12, 16 weeks and 15 months | 8, 12, 16 weeks and 15 months |
| New three-dose schedule | No date on the pages read on 11 October 2026 | 2, 4 and 12 months from 1 November 2026 |
| Free catch-up | Up to 18 years if the doctor orders through Vaccinnet; Hexyon under 5 | From 11 to 15 years: Engerix-B, 2 doses 6 months apart |
| Paid catch-up | Vaccine bought directly at a pharmacy: not refunded by the Flemish government | Under 11: paediatric vaccine bought at the pharmacy, at the parents’ expense |
| Where | Kind en Gezin, CLB, GP, paediatrician | ONE consultation, GP, paediatrician, school health service |
In Flanders, the Departement Zorg page gives two age ranges for free Engerix-B (11 to 18 years and 13 to 17 years): have your doctor confirm. The vaccine is free, but the consultation may be charged. In the Wallonia-Brussels Federation, from 16 years the catch-up takes three adult doses (0, 1 and 6 months) and the page consulted does not say it is free.
According to CBIP/BCFI, correctly vaccinated children and adolescents are considered protected for life: no antibody check and no booster is recommended. Also according to CBIP/BCFI, a newborn whose mother carries the HBs antigen receives one dose of paediatric vaccine and specific immunoglobulins within 12 hours of birth, then the normal schedule from 8 weeks.
Doses already given stay valid and the professional who follows your child adapts the schedule.
Source : vaccination-info.be: the infant calendar changes on 1 November 2026 (FR) ↗vaccination-info.be: vaccination calendar (FR) ↗Superior Health Council: Avis 9761, basic vaccination schedule 2025 (FR) ↗Departement Zorg: hepatitis B (NL) ↗The child vaccination schedule in Belgium ↗
Your baby started the old schedule: what are the transition rules?
The transition rules were published in September 2026 by the vaccination programme of the Wallonia-Brussels Federation, in two documents for professionals: a guidance dossier and a decision diagram for the hexavalent vaccine, the one that contains hepatitis B. The table in this section summarises rules written for professionals: the vaccinator applies them to your child.
Before planning the next dose, the vaccinator checks the child’s age, the number of doses already received and the interval between them. In these documents, the primary series means doses 1 and 2 in the three-dose schedule (2+1), or doses 1, 2 and 3 in the four-dose schedule (3+1). The booster is the last dose of either schedule.
| On 1 Nov 2026 | What follows |
|---|---|
| No hexavalent dose received (schedule not started) | Three doses in total (2+1 schedule). New calendar: doses at 2, 4 and 12 months or, for a late start, according to the minimum intervals |
| 1 dose received | Three doses in total (2+1 schedule). 2nd dose at least 8 weeks after the 1st; booster from 12 months and at least 6 months after the primary series |
| 2 doses received, at least 8 weeks apart | Three doses in total (2+1 schedule). Booster from 12 months and at least 6 months after the primary series |
| 2 doses received, less than 8 weeks apart | Four doses in total (3+1 schedule). 3rd dose at least 4 weeks after the 2nd; booster from 12 months and at least 6 months after the 3rd dose |
| 3 doses received | Four doses in total (3+1 schedule). Booster from 12 months and at least 6 months after the primary series |
| 3 doses received, child aged 12 to 15 months at the time of the change | The schedule already started is kept. Booster as soon as the child is seen in consultation or, by default, at 15 months |
The key rule of the programme’s diagram: if the first two doses were given less than 8 weeks apart, which is the case for two doses given one month apart as the dossier describes them, the four-dose schedule remains necessary, with a third dose and then a booster. The vaccinator applies this rule to your child: keep the appointments already planned.
The booster is not planned on age alone: the vaccinator sets its date from the dates of the earlier doses, because a minimum of 6 months after the primary series also applies. Rows 1 to 5 follow the diagram. The dossier describes the fourth case as two doses one month apart, writes the booster at 12 months for the four-dose schedules, and adds the last row.
The dossier, the diagram, the 2026-2027 calendar, the leaflet and the appointment card for parents are on the programme’s site for professionals. On the public site vaccination-info.be, read on 11 October 2026, a news article announces the change, and the calendar page still presents the 2025-2026 calendar as the one in force, announcing that the 2026-2027 one applies from 1 November.
This summary does not replace the advice of the professional who follows your child: to know which row applies to your child and when the next dose is due, ask at the ONE consultation or ask your doctor. For babies born before 37 weeks, the transition table has no separate row.
The key rule of the programme’s diagram: if the first two doses were given less than 8 weeks apart, which is the case for two doses given one month apart as the dossier describes them, the four-dose schedule remains necessary, with a third dose and then a booster.
Source : vaccination-info.be (professionals): guidance for the new infant calendar 2026, dossier (FR) ↗vaccination-info.be (professionals): decision diagram for the hexavalent transition 2026 (FR) ↗vaccination-info.be (professionals): vaccination calendar from 1 November 2026 (FR) ↗
How much does a hepatitis B vaccine cost in Belgium, and who is reimbursed?
For adults, the recommendation comes from Avis 8816 of the Superior Health Council (11 March 2013). As CBIP/BCFI summarises it, it targets certain patients (haemophilia, haemodialysis), certain workers, notably medical and paramedical staff, certain travellers depending on the destination, and risk groups.
Those risk groups are men who have sex with men, sex workers, drug users, people diagnosed with an STI, people with multiple sexual partners, people with chronic liver disease not caused by hepatitis B, and people with type 1 or type 2 diabetes. For diabetes, the Council’s fact sheet recommends vaccination up to the age of 60.
An unvaccinated adult receives three adult doses, at 0, 1 and 6 months (CBIP/BCFI). The Council and Wanda recommend an antibody check for adults one to three months after the full schedule; CBIP/BCFI considers it only for certain high-risk groups. Your doctor decides.
Recommended does not mean reimbursed. According to CBIP/BCFI (situation on 1 February 2026), INAMI/RIZIV reimburses these vaccines in category b for certain age bands and risk groups, under chapter IV: you need prior authorisation from your health fund’s medical adviser. Paragraph 330100, which covers Engerix-B, Engerix-B Junior and Hbvaxpro 10 and 40 µg, lists the following beneficiaries.
- People with haemophilia.
- Dialysis patients and chronic renal failure patients who are candidates for dialysis, with a certificate from a specialist attached to a dialysis centre.
- Candidates for an organ transplant.
- Patients about to receive massive transfusions during cardiac surgery or a peripheral arterial graft, with the surgeon’s certificate.
- Beneficiaries aged 13 to 18 inclusive who are not yet immunised.
- People with thalassaemia major.
- People with a profound mental disability.
- Recipients of a bone marrow or liver transplant, whatever their age.
- The partner, a family member or a housemate of a patient who carries the HBs antigen.
| Product | Public price per dose | Co-payment, ordinary rate | Co-payment, preferential rate |
|---|---|---|---|
| Engerix-B Junior (GSK), 10 µg/0,5 ml | 18,58 € | 4,35 € | 2,61 € |
| Engerix-B (GSK), 20 µg/1 ml | 28,17 € | 7,28 € | 4,34 € |
| Hbvaxpro (MSD), 10 µg/1 ml | 23,49 € | 6,03 € | 3,62 € |
| Hbvaxpro (MSD), 40 µg/1 ml | 63,58 € | 12,80 € | 8,50 € |
| Fendrix (GSK), adjuvanted, 20 µg/0,5 ml | 56,16 € | 12,80 € | 8,23 € |
Prices and co-payments taken from CBIP/BCFI on 10 October 2026, in the public pharmacy circuit; CBIP/BCFI gives INAMI/RIZIV as the source of the co-payments. Your pharmacy confirms the amount at the counter. The co-payment applies only with the medical adviser’s authorisation (12 months at most, extendable by 3 months if the schedule could not be completed), except in the chronic renal failure care pathway, where the prescriber writes "TSI" on the prescription (French text).
A healthy traveller, an adult with diabetes or an adult with several partners are not in the list of paragraph 330100. The Superior Health Council recommends the vaccine to certain travellers depending on the destination, to adults with diabetes up to the age of 60 and to people with several partners, but the INAMI/RIZIV text consulted provides no reimbursement for them: on that ground, they pay the public price.
For travellers, CBIP/BCFI also writes that travel-medicine vaccines are not reimbursed, except the rabies vaccine. No source consulted writes, however, that it is ruled out in every case.
Other paragraphs exist. Engerix-B Junior is also reimbursed when prescribed from 0 to 1 year or from 11 to 12 years inclusive (§ 330200). A reimbursement group covers patients in a chronic renal failure care pathway (§ 5310000). Reimbursement of Fendrix is reserved for patients aged 15 or over who are on dialysis or candidates for it, with 4 packs at most (§ 3740000).
Hbvaxpro 40 µg and Fendrix are strengths that CBIP/BCFI describes for severe renal failure. Our calculation for three adult doses: 84,51 € with Engerix-B or 70,47 € with Hbvaxpro 10 µg at the public price; with the authorisation, 21,84 € or 18,09 € in co-payments (13,02 € or 10,86 € at the preferential rate). No source consulted publishes these totals.
A healthy traveller, an adult with diabetes or an adult with several partners are not in the list of paragraph 330100.
Source : CBIP/BCFI: Repertoire, hepatitis B vaccine (prices, FR) ↗CBIP/BCFI: Engerix-B, reimbursement conditions (chapter IV, FR) ↗Superior Health Council: Avis 8816, hepatitis B (FR) ↗The adult vaccination schedule in Belgium ↗
How much does the Twinrix vaccine cost in Belgium, and what does it cover?
Twinrix Adult (GSK), the combined vaccine against hepatitis A and hepatitis B, costs 54,60 € per syringe in the CBIP/BCFI Repertoire consulted on 10 October 2026. The schedule has three doses, at 0, 1 and 6 months: the sum comes to 163,80 €, a total we calculate ourselves and that no source consulted publishes. Your pharmacy confirms the price at the counter.
CBIP/BCFI (situation on 1 October 2025) writes that this vaccine is not reimbursed by INAMI/RIZIV, and that it is reimbursed by the Federal Agency for Occupational Risks for certain occupational groups.
Only the adult presentation remains on the market, indicated from 16 years: the paediatric presentation has no longer been marketed since July 2025. For children, CBIP/BCFI points to the separate paediatric vaccines against hepatitis A and hepatitis B.
Before a trip, one dose of Twinrix is not enough for hepatitis A. The combined vaccine holds half the hepatitis A antigen dose of a single-antigen vaccine, and CBIP/BCFI writes that at least two doses are needed before departure. Wanda says the same: three doses, two of them before the trip. With one month between the first two, that means starting at least a month before you leave (our deduction).
One dose of Twinrix is not equivalent to one dose of single-antigen hepatitis A vaccine. No accelerated schedule is described for the combined vaccine in CBIP/BCFI or on the Wanda pages consulted. CBIP/BCFI also states that it is not suitable after contact with a hepatitis A case, because it contains too little antigen.
One dose of Twinrix is not equivalent to one dose of single-antigen hepatitis A vaccine.
Source : CBIP/BCFI: Repertoire, combined hepatitis A + B vaccine (FR) ↗Wanda: hepatitis A (FR) ↗
Before a trip: what does Wanda say, and how long before departure?
For hepatitis A, Wanda recommends vaccination, in high-risk countries, for everyone who has not had the disease; in lower-risk countries, only if hygiene conditions are poorer. Wanda names most (sub)tropical countries and some countries in Eastern Europe and around the Mediterranean, and notes that Belgian children regularly catch it on family visits to Morocco.
CBIP/BCFI writes that the first hepatitis A injection is in principle given at least two weeks before departure, but that vaccinating just before leaving remains justified. vaccination-info.be speaks of two weeks before departure, in principle. Wanda’s page for travellers gives no interval.
For hepatitis B, Wanda recommends vaccination for travel to Asia, Latin America or Africa if you stay there regularly or for a long time, if you travel without a steady partner, or if you may receive medical or dental treatment there or have other risky activities. Wanda notes that in Flanders most people born after 1987 are vaccinated.
Wanda gives no number of weeks before departure for hepatitis B, and writes that protection is generally already very good after two injections. When time is short and the risk is high, Wanda describes a rapid schedule: one dose in week 0, week 1 and week 3, then a fourth after 12 months. vaccination-info.be mentions, as an exception, days 1, 7, 21 and 360.
Wanda advises booking at least six to eight weeks before departure, four months with weakened immunity, with your family doctor or at a travel clinic. The Flemish Departement Zorg advises checking your vaccines six weeks before departure. Even at the last minute, Wanda invites you to go: some vaccines can still be given on the day of departure.
This guide does not say which vaccine to choose for your trip: your doctor or the travel clinic determines that with you.
| Vaccine | Schedule | Before departure, according to the sources |
|---|---|---|
| Hepatitis A (single-antigen) | 2 doses at least 6 months apart | 1st dose in principle at least 2 weeks ahead; still justified just before departure (CBIP/BCFI) |
| Hepatitis B | 0 and 1 month, then a 3rd dose after 4 to 6 months (Wanda) | No figure given; rapid schedule (weeks 0, 1 and 3, 4th dose after 12 months) when time is short and the risk is high (Wanda) |
| Combined A + B (Twinrix Adult) | 0, 1 and 6 months | At least 2 doses before departure; no accelerated schedule described (CBIP/BCFI, Wanda) |
This guide does not say which vaccine to choose for your trip: your doctor or the travel clinic determines that with you.
Source : Wanda: travel consultation (FR) ↗Wanda: travel clinics in Belgium (FR) ↗Wanda: hepatitis B (FR) ↗Travel vaccines when leaving from Belgium ↗Tool: which vaccines for your destination ↗
Work, health fund: who else can pay for the vaccine?
Fedris, the Federal Agency for Occupational Risks, publishes a page on the reimbursement of vaccinations. It states that Fedris can, under certain conditions, reimburse the cost of vaccinations, and names hepatitis A, hepatitis B, measles, varicella and yellow fever. The scheme also applies to trainees.
For hepatitis A and hepatitis B, the page describes a vaccination organised by the internal or external prevention service of the employer, the school or the internship site; the external service files the claim electronically, within six months of the service. For hepatitis B, the reimbursement can include the serology that is part of the schedule.
The Fedris page gives no list of the professions concerned, no amount and no percentage. CBIP/BCFI writes that some vaccines are "fully reimbursed" in at-risk professions, but that word is CBIP/BCFI’s, not Fedris’s. The Flemish Departement Zorg advises asking your occupational physician about the reimbursement.
CBIP/BCFI also states that the hepatitis B vaccine is, with the tetanus vaccine, one of the two vaccines an employer can make compulsory in certain sectors.
As for health funds (mutualities), vaccination-info.be notes that some grant an additional contribution, including for vaccines advised to travellers; the Flemish Departement Zorg writes that many refund part of the cost of certain vaccines each year. No health fund page consulted gives an amount specific to hepatitis A, hepatitis B or Twinrix: these are yearly ceilings for all vaccines together. Here are the ones we could read on 10 October 2026.
| Health fund | What its page says | Good to know |
|---|---|---|
| Solidaris Wallonie | 25 € a year for anti-infectious vaccines at the top of the page; up to 30 € a year per beneficiary in the detail | The page contradicts itself: have the amount confirmed. BVAC certificate from the pharmacy, vaccine recognised by Solidaris. |
| Mutualité Libérale (ML MUTPLUS.be) | 50 % of the price paid, maximum 30 € per calendar year | All vaccines recognised in Belgium, travel vaccines included. Nothing if the vaccine is free under a public programme. |
| Helan | Maximum 25 € a year | Only for vaccines with no legal reimbursement, in all three language versions of the page. The French version also speaks of 100 % of the co-payment: have it confirmed. |
| Partenamut | Up to 35 € a year | All vaccines registered in Belgium, travel vaccines included, no age condition. The page names hepatitis B. |
| Mutualité Chrétienne / CM, Vlaams & Neutraal Ziekenfonds | Pages not read | They could not be opened on 10 October 2026: check them directly. |
The health fund pages carry no date, and the amounts can vary by region and by plan. A vaccination-info.be page for professionals mentions a contribution of 20 to 30 €, usually once a year. Ask your pharmacy for the certificate and check your own health fund’s page.
The Fedris page gives no list of the professions concerned, no amount and no percentage.
Source : Fedris: reimbursement of vaccinations (FR) ↗Departement Zorg: vaccines for your work (NL) ↗vaccination-info.be: free vaccines and reimbursements (FR) ↗Vaccine prices in Belgium: the full table ↗
What do the official sources not say?
In the sources consulted on 10 and 11 October 2026, several common questions still have no official answer. We list them instead of filling them in.
- The INAMI/RIZIV status of hepatitis A is not stated in a sentence in any source consulted: it is inferred from the absence of a category on every pack in the CBIP/BCFI listing.
- Fedris publishes no list of professions, no amount and no percentage, and does not write that the worker pays nothing.
- The transition table for the hexavalent vaccine has no separate row for babies born before 37 weeks, and the new documents give no separate age for them. On the Flemish pages read on 11 October 2026, there is no change and no date.
- No accelerated schedule is described for the combined vaccine Twinrix in the sources consulted.
- CBIP/BCFI writes that travel-medicine vaccines are not reimbursed, except the rabies vaccine, and the list of paragraph 330100 (hepatitis B) contains no travellers. Even so, no source consulted writes "never".
- CBIP/BCFI names a vaccine called PreHevbri for adults, with no pack and no price in its listing: no price can be given.
- No official consultation tariff was found in the sources consulted; for its own travel clinic, the Institute of Tropical Medicine only gives, in an undated FAQ, an approximate total of 50 to 150 € for the vaccinations and the consultation together, part of which is reimbursed by the health fund.
- Hospital-circuit prices were not looked up.
For each of these questions, the answer will come from your doctor, your pharmacy, your health fund or your occupational prevention service.
Content verified on 10 October 2026 against the official sources listed at the bottom of this page; the passages on the 1 November 2026 change were verified on 11 October 2026.
Source : Where to find your vaccination history in Belgium ↗Tool: the Belgian vaccination calendar ↗
Frequently asked questions
How much does the hepatitis A vaccine cost in Belgium?
In the CBIP/BCFI Repertoire consulted on 10 October 2026, the adult dose costs 43,31 € (Avaxim) or 45,66 € (Havrix, Vaqta) and the child dose 30,04 €. The schedule has two doses, and no pack carries a reimbursement category in that listing. Your pharmacy confirms the amount at the counter.
How much does a hepatitis B vaccine cost in Belgium?
An adult dose costs 23,49 € (Hbvaxpro 10 µg) or 28,17 € (Engerix-B 20 µg) at the public price taken from CBIP/BCFI on 10 October 2026, and the adult schedule has three doses. With a chapter IV authorisation, you pay a co-payment of 6,03 € or 7,28 € per dose (3,62 € or 4,34 € at the preferential rate). Your pharmacy confirms the amount at the counter.
How much does the Twinrix vaccine cost in Belgium?
Twinrix Adult costs 54,60 € per dose in the CBIP/BCFI Repertoire consulted on 10 October 2026, for a three-dose schedule. According to CBIP/BCFI, it is not reimbursed by INAMI/RIZIV. Your pharmacy confirms the amount at the counter.
Is the hepatitis B vaccine reimbursed before a trip?
CBIP/BCFI writes that travel-medicine vaccines are not reimbursed, except the rabies vaccine, and the INAMI/RIZIV list consulted (chapter IV, paragraph 330100) contains no travellers: the vaccine is recommended to them depending on the destination, but on that ground they pay the public price. Even so, no source consulted writes "never". According to vaccination-info.be, some health funds grant an additional contribution, including for vaccines advised to travellers: check your own fund’s page.
Is a single dose of Twinrix enough before leaving?
No. According to CBIP/BCFI and Wanda, at least two doses of the combined vaccine are needed before departure, because it holds half the hepatitis A antigen dose of a single-antigen vaccine. No accelerated schedule is described for this vaccine in the sources consulted.
My baby started the old schedule: what changes on 1 November 2026?
In the Wallonia-Brussels Federation, the hexavalent schedule moves to three doses (2, 4 and 12 months) from 1 November 2026, and the vaccination programme has published transition rules for professionals. Those rules depend on the number of doses already given and the interval between them: if the first two doses were given less than 8 weeks apart, the four-dose schedule remains necessary. Doses already given stay valid: the professional who follows your child adapts the schedule, you have nothing to do yourself and you keep the planned appointment. For your own child, ask at the ONE consultation or ask your doctor; on the Flemish pages read on 11 October 2026, there is no change and no date.
Official sources
- CBIP/BCFI : Répertoire 12.1, vaccins (généralités, tableaux 12a et 12b) ↗
- CBIP/BCFI : Répertoire 12.1.1.6, vaccin contre l’hépatite A ↗
- CBIP/BCFI : Répertoire 12.1.1.7, vaccin contre l’hépatite B ↗
- CBIP/BCFI : Répertoire 12.1.3.8, vaccin combiné hépatite A + B ↗
- CBIP/BCFI : Engerix-B 20 µg, conditions de remboursement (chapitre IV) ↗
- CBIP/BCFI : Engerix-B Junior, conditions de remboursement ↗
- CBIP/BCFI : Hbvaxpro 10 µg, conditions de remboursement ↗
- CBIP/BCFI : Hbvaxpro 40 µg, conditions de remboursement ↗
- CBIP/BCFI : Fendrix, conditions de remboursement ↗
- Conseil Supérieur de la Santé : Avis 8815, vaccination de l’adulte contre l’hépatite A ↗
- Conseil Supérieur de la Santé : Avis 8816, vaccination de l’adulte contre l’hépatite B ↗
- Conseil Supérieur de la Santé : Avis 9761, calendrier vaccinal de base (2025) ↗
- Fedris : remboursement des vaccinations ↗
- Wanda : hépatite A ↗
- Wanda : hépatite B ↗
- Wanda : consultation de voyage ↗
- Wanda : cliniques du voyage en Belgique ↗
- Wanda : voyageur de dernière minute ↗
- Wanda for doctors : hepatitis A (EN) ↗
- Institut de Médecine Tropicale : clinic FAQ (EN) ↗
- vaccination-info.be : l’hépatite A ↗
- vaccination-info.be : l’hépatite B ↗
- vaccination-info.be : calendrier de vaccination ↗
- vaccination-info.be : le calendrier de vaccination des nourrissons change le 1er novembre 2026 ↗
- vaccination-info.be (pros) : nouveau calendrier des nourrissons, 1er novembre 2026 (actualité) ↗
- vaccination-info.be (pros) : repères pour le nouveau calendrier nourrissons 2026 (dossier) ↗
- vaccination-info.be (pros) : diagramme décisionnel pour la transition du schéma hexavalent 2026 ↗
- vaccination-info.be (pros) : calendrier de vaccination effectif à partir du 1er novembre ↗
- vaccination-info.be : gratuité et remboursements des vaccins ↗
- vaccination-info.be : par qui et où se faire vacciner ↗
- vaccination-info.be (pros) : calendrier de vaccination et recommandations du CSS ↗
- vaccination-info.be (pros) : hépatite B ↗
- vaccination-info.be (pros) : remboursement et prise en charge des vaccins ↗
- Departement Zorg : hepatitis A (NL) ↗
- Departement Zorg : hepatitis B (NL) ↗
- Departement Zorg : vaccinaties voor kinderen (NL) ↗
- Departement Zorg : vaccinaties volgens leeftijd (NL) ↗
- Departement Zorg : vaccinaties als je reist (NL) ↗
- Departement Zorg : vaccinaties voor je werk (NL) ↗
- Solidaris Wallonie : vaccins ↗
- ML MUTPLUS.be : remboursement de vaccins ↗
- Helan : vaccins (NL) ↗
- Helan : vaccins (FR) ↗
- Helan : vaccines (EN) ↗
- Partenamut : vaccination ↗