Changes 2022

Changes to the public healthcare insurance

Voluntary excess

We try to make our insurance policies as simple as possible for our policyholders. That is why, as from 2022, it will no longer be possible to opt for a voluntary excess. Your voluntary excess is cancelled automatically. You do not need to take any action. The discount on the premium that you received as a result is also cancelled. However, you have to pay less yourself if you incur certain healthcare costs.

Other medical care (e.g. GP care)

In 2022, you can also contact contracted municipal health services (GGDs) for a cow milk allergy. Find the contracted GGDs.

Medical care for specific patient groups

This is generalist medical care for vulnerable groups. Two things have changed:

• The transitional arrangement has been cancelled.
• In order to receive this care, you need a referral. A medical specialist may also issue referrals in 2022.

More about the reimbursement of medical care for specific patient groups in 2022

Medical specialist care (general)

• The insurance conditions also state in which situations medical specialist care is not reimbursed. The description of one of these situations has been adjusted. In 2022, the description reads as follows:
  “Medical specialist care does not include:
  
  • treatment of a plastic surgical nature to reconstruct the breast or replace a breast prosthesis, other than following full or partial mastectomy or in the case of agenesis or aplasia of the breast in women and a comparable situation in the event of established transsexuality;”
• In order to receive medical specialist care, you need a referral. A house officer may also issue referrals in 2022.

More about the reimbursement of medical specialist care in 2022

Audiological care

In order to receive audiological care, you need a referral. A triage hearing specialist may also issue referrals in 2022.

More about the reimbursement of audiological care in 2022

Sensory disability care

Is admission to a hospital necessary for sensory disability care? In that case, you require our prior written permission if you are admitted by a non-contracted care provider. You will no longer need permission in 2022 if you go to a contracted care provider. Contracted care providers are listed at the Carefinder.

Obstetric care

You need a referral for obstetric care in a hospital. A nursing specialist and physician assistant may also issue referrals in 2022.

More about the reimbursement of obstetric care in 2022

Maternity care

The statutory personal contributions for maternity care have increased. These are the personal contributions in 2022:

• Maternity care at home: € 4.70 per hour
• Maternity care at an institution: for both the mother and child, € 19.00 per day, plus the amount by which the fee charged by the institution exceeds an amount of € 134.00 per day

More about the reimbursement of maternity care in 2022

Physiotherapy and remedial therapy, speech therapy and dietetics

In order to receive this care, you need a referral in some cases. A dentist may also issue referrals in 2022. The cases for which you need a referral are listed on our website and in the insurance conditions.

More about the reimbursement in 2022 of:

• Physiotherapy and remedial therapy
• Speech therapy
• Dietetics

Stay outside an institution

In 2022, you are entitled to a reimbursement for a stay that is medically necessary in connection with medical specialist care. This concerns a stay outside an institution and without nursing, care and/or paramedical care. Reimbursement for your stay is subject to three conditions:

• You will receive help from a voluntary carer during your stay.
• The travel time between the hospital where you receive treatment and your place of residence is more than 60 minutes.
• The travel time between the hospital where you receive treatment and your place of residence is a maximum of 60 minutes.

The reimbursement of the accommodation costs is a maximum of € 77.50 per night. You can decide for yourself where you will stay and arrange the accommodation yourself.

More about the reimbursement of stay outside an institution in 2022

Patient transport

In 2022, the maximum statutory personal contribution for patient transport will increase to € 111.00 per calendar year.

More about the reimbursement of patient transport in 2022

Mental healthcare (GGZ)

On 1 January 2022, some changes will be made to mental healthcare. The Care Performance Model will be introduced. This may also have consequences for you, for instance, your excess.

More about the changes to mental healthcare in 2022

Giving up smoking

In 2022, you are once again entitled to follow a programme to give up smoking. The conditions the care provider must meet have changed. You will find these new conditions on our website and in the insurance conditions.

More about the reimbursement of giving up smoking in 2022

Combined lifestyle intervention

• You require a referral for this type of care. A medical specialist may also issue referrals in 2022.
• In 2022, a maximum reimbursement will apply if you go to a non-contracted care provider. You will be reimbursed for the costs in accordance with the list of rates for non-contracted care .
• The requirements your care provider must meet have changed.

More about the reimbursement of Combined lifestyle intervention in 2022