General changes

These changes do not fall directly under the public healthcare or supplementary insurance policies.

Voluntary excess

The following costs in relation to obstetric care will fall under the voluntary excess in 2017:

  • The cost of screening tests, like the combination test and the NIPT (unless medical grounds apply because of your family history);
  • Indirect costs, such as medicine and transport costs.

Statutory personal contribution

  • There will be a number of changes to the personal contribution for oral care:
    • The personal contribution for an implant prosthesis for the lower jaw will be 10%. In 2016, you paid an amount of € 125.00.
    • The personal contribution for an implant prosthesis for the upper jaw will be 8%. In 2016, you paid an amount of € 125.00.
    • In 2017, a personal contribution will be required for the repair and rebasing of a complete dental prosthesis. This will be 10%.
  • The statutory personal contribution for maternity care has changed.
    • You will pay € 4.30 per hour for maternity care at home. This was previously € 4.20.
    • You will pay € 17.00 per day for maternity care for you and your child at an institution, plus the amount by which the daily fee charged by the institution exceeds an amount of € 121.00. These amounts were € 16.50 and € 119.00 respectively initially.
  • The statutory personal contribution for seated patient transport has been increased to an amount of € 100.00. This was previously € 98.00.

Changes to the public healthcare insurance

Each year, the government determines exactly which care will be covered by public healthcare insurance. The changes to be made to the package in 2017 are outlined below.

Care

  • Where basic/specialist mental healthcare is required, the following care providers may also provide mental healthcare in their capacity as the primary practitioner:
    • A clinical neuropsychologist.
    • A specialist geriatrics doctor who works at an institution for the provision of basic/specialist mental healthcare.
    • An addiction specialist who works at an institution for the provision of basic/specialist mental healthcare.
    • A clinical specialist in geriatric medicine who works at an institution for the provision of basic/specialist mental healthcare.
    • A specialist mental healthcare nurse who works at an institution for the provision of basic/specialist mental healthcare.
    • Only for specialist mental healthcare: a healthcare psychologist who works at an institution for the provision of specialist mental healthcare.
  • For a period of 12 months, you will be entitled to the reimbursement of 37 physiotherapy treatments if you are suffering from peripheral arterial disease, Fontaine stage 2 (intermittent claudication).
  • Entitlement to plastic surgery has been broadened. You are now also entitled to:
    • A circumcision, where required on medical grounds.
    • An upper eyelid correction if you have a serious visual impairment.
    • The operative placement and replacement of a breast prosthesis in the event of agenesis/aplasia of the breast in women and a comparable situation in male-female transgenders.
  • Up to the age of 23, you will be entitled to a front tooth replacement in the event of the absence of an element that has not grown or that is missing as the result of an accident. This was up to the age of 18 in 2016. However, you will only be entitled to this treatment if the need for it was established before your 18th birthday.
  • The following applies in relation to oral care for insured parties aged 18 and older: the fitting of the permanent part of the superstructure (the click system) also forms part of the fitting of a removable complete dental prosthesis on dental implants.
  • The reimbursement for seated patient transport has been reduced to €0.28 per kilometre. This was previously €0.30.
  • You are entitled to a place in a so-called 'primary care institution’. You might need care of this nature if you are discharged from hospital after an operation and it is not possible for you to return home yet, for example. In situations like this, you will be able to spend some time in an institution for primary care.
  • In 2017, the following medicine will no longer fall under ‘Medical Specialist Healthcare’: Palbociclib, used to treat certain forms of breast cancer.
  • If you collect a new type of medicine from the dispensing chemist, you will be given enough for 30 days instead of 15.
  • An anti-snoring device (MRD) may only be measured up and fitted by a dentist or dental surgeon who is registered with the Dutch Society of Dental Sleep Medicine (Nederlandse Vereniging voor Tandheelkundige Slaapgeneeskunde (NVTS).
  • Please see your GP for any help you need to give up smoking.

Changes to the No Risk and Speciaal policies

We review our supplementary package every year to decide whether or not changes are necessary. As a result of the Anti-Bogus Scheme Act (Wet Aanpak schijnconstructies (WAS)), we have amended our supplementary insurances. The changes applicable in 2017 follow below.

No Risk

The supplementary No Risk insurance has been split up into No Risk I and No Risk II.

Under No Risk I, we reimburse the compulsory excess. The voluntary excess of €500 will no longer be reinsured with effect from 1 January. Under No Risk II, we reimburse urgent dental treatment,  repatriation and the transport of mortal remains.

Speciaal

The Speciaal supplementary insurance is discontinued with effect from 1 January 2017.