Healthcare mediation

Help in the case of excessively long waiting lists

As soon as you have to rely on healthcare, you want it to be available within an acceptable time frame and distance. This is why we do our utmost to contract as much healthcare as possible in your area. This will differ, depending on the type of care: your GP's surgery will often be close by, but for other types of healthcare you may have to travel a bit.

 

We analyse the availability of sufficient healthcare for our insured in the long and short term. This market analysis forms part of our healthcare purchase policy. Depending on the outcome, we will apply a policy in order to be able to continue to guarantee the availability of sufficient healthcare. Our contracted care is covered on a nationwide basis.

 

The contracts with care provides also stipulate that the care provider provides healthcare 'promptly'. In order to determine that 'promptness' of healthcare, the care providers, patient organisations and health insurers have set certain standards. When a care provider fails to meet the standard, he will refer the insured and reports this to the health insurer.

 

We apply the following standards for the types of healthcare referred to below:

General Practitioner (GP):

  • The maximum waiting time for seeing a GP is 3 working days for consumers; 80% of consumers have to be able to see their GPs within 2 working days.
  • In emergencies, GP surgeries and out-of-hours surgeries must be available by telephone within 30 seconds, without any thresholds.
  • For normal appointments, GP surgeries and out-of-hours surgeries must be available by telephone within 2 minutes, without any thresholds.

Dispensing chemist:

  • The waiting time to see a dispensing chemist is no more than 1 working day for consumers.

Paramedical care:

  • The waiting time for paramedical care is no more than 1 week for consumers.

Hospital/specialist:

  • The maximum waiting time for hospitals/specialists is 4 weeks for consumers; 80% of consumers have to be able to visit a hospital/specialist within 3 weeks.
  • The maximum waiting time for a diagnosis or indication is 4 weeks for consumers; 80% of consumers have to be able to have this dealt with within 3 weeks.
  • The maximum waiting time for outpatients treatment is 6 weeks for consumers; 80% of consumers have to be able to visit an outpatients clinic.

  • The maximum waiting time for clinical treatment is 7 weeks for consumers; 80% of consumers should be seen within 5 weeks.

  • Acute hospital care should be available within 45 minutes.

Crisis admission GGz (mental health care)

  • In the event of a crisis admission by virtue of the Psychiatric Hospitals (Compulsory Admissions) Act (Bopz Act), the first admission must take place as close to the requesting party's residence as possible.

Applying for healthcare mediation

At HollandZorg, you can simply apply for healthcare mediation online. Please complete the healthcare mediation application form. One of our members of staff will contact you within two working days to discuss your options.

 

Apply for healthcare mediation

What to expect from healthcare mediation

  • at your request, we actively mediate if you are faced with an excessively long waiting list at your hospital;
  • we mediate for day treatment, outpatient assistance and hospitalisation;
  • we will contact you within two working days.

Offer healthcare mediation not compulsory

It is possible another hospital outside your region can see you earlier. You are not obliged to accept this offer. Ultimately, you decide if you want to make use of our healthcare mediation.

More information

If you have any questions regarding the healthcare mediation, please contact our Care Service. You can reach us on (0570) 687 112. Our expert staff will be pleased to answer your queries.