Flexpolis Reimbursements

 

You have taken out HollandZorg Flexpolis through your employer. What care is covered under the public healthcare insurance and by the No Risk I and No Risk II supplementary insurances? What part is payable by you when you need care? We’ll explain.

 

Necessary care under the public healthcare insurance

Your public healthcare insurance provides cover for the most necessary care, such as hospital admissions, emergency care and the general practitioner (GP). HollandZorg public healthcare insurance is a combination policy, the care you use is usually reimbursed non-monetary. Read more about the combination policy.

At the bottom of this page, you will find a short overview of common healthcare treatments, showing what is covered under the public healthcare insurance. Please consult the terms and conditions for a complete overview of reimbursements.

 

 

Reimbursement overview

 

Supplementary insurances cover excess and more

No Risk I from 2021

Reimbursement Explanation

Reimbursement of compulsory excess of € 385

 

You do not pay any excess.

 

No Risk II from 2021

Reimbursement Explanation

Emergency dental care in the Netherlands up to €200 per year

You will be reimbursed for care that cannot be postponed. This is care needed to relieve severe pain and if you cannot chew properly. Check the list of treatments for urgent oral care.
 

Reimbursement of statutory personal contribution for medicines of €250

You do not pay a statutory personal contribution for medicines.

Repatriation (transport home) within Europe when medically necessary

You are entitled to transport and the organisation of such transport:

  • from the country you are temporarily staying in to the Netherlands or your country of origin;
  • from the Netherlands to your country of origin.
There has to be a medical necessity for the transport. Transport of family members and other travel companions does not fall under this
 

Repatriation (transport home) within Europe in the event of death

You are entitled to transport of your mortal remains from the place of death in the Netherlands or the country you are temporarily staying in to your country of origin. You are also entitled to reimbursement for the costs of organising such transport.
 

Please consult the terms and conditions for a complete overview of reimbursements

 

 

You pay a personal contribution in some cases

Under the public healthcare insurance, you will pay a personal contribution for some medical expenses. In the event of maternity care and hearing aids, for example. The government determines to which care the personal contribution applies and how high that contribution is. Check each healthcare treatment to find out whether a personal contribution applies. Under your No Risk II supplementary insurance, you do not pay a personal contribution for the use of medicines.



 

Visits to a contracted general practitioner or doctor
HollandZorg has concluded contracts with care providers throughout the country. This means that we have made agreements about the quality of care and the associated costs. If you use a physician or care provider with whom we do not have a contract, you may have to pay part of the cost yourself. Therefore, use the care finder to inquire in advance which GP or doctor near you we have contracted.

 

 


Short overview of healthcare treatments reimbursed under the public healthcare insurance:

For a complete overview, please consult the reimbursements page, showing what will be reimbursed per healthcare treatment.

 

Description Public healthcare insurance Statutory personal contribution

 

General care

General practitioner care yes no
Hospital care general yes no

 

Outside the Netherlands

Note: visit the website or call for more information.

 

 

Limited

 

 

sometimes

Urgent care during a temporary stay outside the Netherlands, medically required repatriation.

Always use the emergency centre.
urgent care and medically required repatriation: limited             -

 

Physiotherapy and remedial therapy

   
Disorders determined by the government until the age 18 yes no
Other disorders < 18 years of age a maximum of 9/18 treatments no

Disorders determined by the government over the age of 18

from the 21st treatment no

 

Medicines

Contraceptives

yes, up to the age of 21 -

 

Dental care

  -

Dental care in special cases

(No Risk II reimburses emergency dental care in the Netherlands up to €200 per year)

yes

 

yes

 

Birth care

   
Home birth yes no
Hospital birth with medical grounds yes no
Hospital birth without medical grounds yes yes
Maternity care at the hospital with medical grounds yes no
Maternity care at home, or at the hospital/birth centre without medical grounds yes yes
Obstetric care before and after childbirth yes no
Maternity package no -

 

Mental care

   
Basic GGZ yes no
Specialised GGZ care yes no