How much of the care I receive from a non-contracted care provider will be reimbursed?
Your excess will be calculated per calendar year with effect from 2022. This means that 2022 is a calendar year and 2023 is a new calendar year. Your healthcare professional will calculate whether or not you will have to pay an excess. In the Care Performance Model, treatment consists of a number of separate components: so-called performances. For example, one appointment with the healthcare professional is one separate performance. The healthcare insurer will include the performances provided in 2022 in its calculation of your excess for 2022. The care performances provided in 2023 will count towards the excess calculation for 2023.
Suppose that you have 8 appointments with a psychologist in 2022. You then have 2 appointments with a psychologist in 2023. The 8 appointments in 2022 will count towards your excess in 2022. The 2 appointments in 2023 will count towards your excess in 2023.
As a patient, you may notice changes to your excess under the new funding system if your treatment starts before 31 December 2021 and continues into 2022. For more information about your excess, see this factsheet.