You are entitled to conditional care and services designated by ministerial regulation (article 2.2 of the Healthcare Insurance Regulations (Regeling zorgverzekering)), subject to the applicable conditions, insofar as the care and services in question are responsible in nature.
Conditional care is included on the list of Conditional Care. This list can be viewed and downloaded here (PDF). We can also send it to you if you wish.
If expensive and orphan drugs or other types of care are allowed conditionally during the term of the public health insurance, the right to that care is subject to the conditions laid down in the relevant ministerial regulation.
Reimbursement for conditional careCondtional care is often part of a different type of care. You can find the reimbursement in the article on those types of care.
Statutory personal contribution
There is no statutory personal contribution for conditional care.
Policy excessIf you are aged 18 or older, the costs count towards the compulsory and, if applicable voluntary excess. This does not apply if the care forms part of the care referred to in articles 5 and 6 of the specific provisions of the public healthcare insurance.
Also view the Reimbursements 2021.
The information on this page is a brief outline of the reimbursement. You can only derive rights from our insurance conditions (PDF).