Changes in your HollandZorg health insurance for 2024
Changes to the basic health insurance
Coverage for the 20-week ultrasound will stop. From now on, reimbursement will be made from the regional ultrasound centres via the national budget. If you are pregnant, you can still have a free 20-week ultrasound. The difference is that you will be reimbursed from another fund.
Auto transplantation in children
If your child under the age of 18 needs auto transplantation of teeth and/or molars - during which they will be surgically moved to a place in the mouth where a tooth or molar is missing - you must ask us for written authorisation in advance.
First-line in-patient stay
You no longer have to ask us for written authorisation for a first-line in-patient stay of more than 3 months. This concerns a (short-term) stay in a care institution when you are temporarily unable to live independently at home for medical reasons.
Esketamine nasal spray
If you are prescribed esketamine nasal spray, you no longer have to ask us for authorisation.
The allowance you receive for the care of service dogs (signal, ADL and guide dogs) will increase to a maximum of € 1,200 per year.
Integrated care and support for overweight and obese minors
A new type of coverage is that for the care and support for overweight and obese minors. This reimbursement includes the Combined lifestyle intervention for children and the Central carer. The Combined lifestyle intervention for children is a tailor-made care programme, focused on a healthy diet, more exercise and, if necessary, psychological help. The Central carer is the point of contact for the child and its family, and ensures they get the right ype of care at the right time by the right care professional. Read more about it in our policy conditions.
In 2024, you have a right to maternity care for up to 6 weeks after giving birth. This used to be up to 10 days after giving birth. The total amount of hours and the way they are spread out over those 6 weeks will be determined by your maternity care provider. This allows your maternity care hours to be used more flexibly.
In most cases, you no longer have to ask us for written authorisation for full (non-implant based) dentures. Authorisation is only required if your dentures are replaced within five years of being fitted. You no longer have to ask us for written authorisation to fill or repair your dentures either.
People who have had severe COVID-19 and have not yet fully recovered can enjoy additional paramedical care under certain conditions. This concerns, for example, physiotherapy, occupational therapy or dietary advice. This care will be reimbursed from the public healthcare insurance until 1 January 2025.
Preventive foot care
In addition to pedicures or podotherapists, registered podiatrists are now also permitted to provide preventive foot care.
Rates for non-contracted care
The maximum rates can be found in our rate lists. They are subject to change on a yearly basis.
If, based on a fall risk assessment, you have a high risk of falling, you are now entitled to a training programme to prevent falls. You will be reimbursed for a maximum of 1 training programme per 12 months. An appropriately certified physiotherapist or remedial therapist may provide this type of training.
Statutory personal contributions
The statutory personal contributions are indexed once a year. This means that the statutory personal contribution amount you have to pay is adjusted to inflation. This usually applies to maternity care, obstetric care, patient transport (including maximum reimbursement per overnight stay) and for some medical aids. The amount of the statutory personal contribution is given in the policy conditions.
Sensory disability care
If your child under the age of 18 receives sensory disability care and has a new requirement for treatment as a result of a predictable treatment need because your child is growing up, a second or subsequent referral is not necessary. One example of a predictable treatment need is learning to deal with a new school situation.
Changes to supplementary and dental insurance policies
You no longer have to ask us for written authorisation for dental implants.
The reimbursement for an ear correction, carried out by a non-contracted care provider, has been increased to a maximum of € 1,500 for the complete treatment of both ears together.
Pedicure treatment for reduced sensation in the feet not caused by diabetes mellitus
The reimbursement for pedicure treatments for reduced sensation in the feet (peripheral neuropathy), which is not caused by diabetes mellitus, were previously reimbursed under the Plus and Top supplementary insurance policies. From now on, this reimbursement will be covered under preventative foot care (basic health insurance).
Travel costs for patient visits
If you are in a hospital at least 40 km away from your home address and a family member comes to visit you, we will reimburse (part of) the travel costs under the Top supplementary insurance. This reimbursement will increase from € 0.30 to € 0.37 per km, subject to a maximum of € 300 per calendar year.
The reimbursement for sterilisation by a non-contracted care provider under the Top supplementary insurance has changed. This change ensures that you are appropriately reimbursed if you are sterilised. The maximum reimbursement for sterilisation of men (persons with male sexual characteristics) is € 300 for non-contracted care; the maximum reimbursement for sterilisation of women (persons with female sexual characteristics) is € 1,000 for non-contracted care. The reimbursement for contracted care is still 100%.
Processing of payments
We have clarified how we process your payments. More information about this can be found in Article 2.6 of the policy conditions.
National quality standards and guidelines
We have clarified that your care must meet national standards for providing that care, if any. Deviations from this are permitted if this is medically necessary and has been substantiated by your care provider.