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Contraceptives

Reimbursement HollandZorg healthcare insurance 2020

  1. What are contraceptives?
  2. When will you qualify for reimbursement?
  3. You will require a prescription for contraceptives
  4. Reimbursement for contraceptives in 2020
  5. Statutory personal contribution
  6. Policy excess
  7. Who may provide this type of care?

Please note: the information provided on this page is a summary of the reimbursement applicable. You will only be able to derive rights from our HollandZorg Conditions of Insurance (pdf).

1. What are contraceptives?

Contraceptives are medicines that prevent pregnancy.

2. When will you qualify for reimbursement?

Under public healthcare insurance, you will qualify for the reimbursement of the contraceptives specified by the government:

  • if you are younger than 21, or
  • if the contraceptives are necessary to treat certain complaints. The exact conditions are set out in Appendix 2 of the Healthcare Insurance Regulations (Regeling zorgverzekering).

Please note: condoms do not fall under the contraceptives specified by the government.

 

Have you found that you do not qualify for reimbursement under the public healthcare insurance? If you are 21 or older, you are entitled to reimbursement of contraceptives on the basis of the supplementary insurance.

 

The following contraceptives qualify for reimbursement:

  • the contraceptive pill;
  • the ‘contraceptive injection’;
  • the spiral;
  • the hormonal contraceptive plaster;
  • the hormonal ring;
  • Implanon;
  • femcap;
  • silicon cap.

3. A prescription is required for contraceptives

You will be required to have a prescription from a general practitioner or a medical specialist for contraceptives.

4. Reimbursement for contraceptives in 2020

Under the HollandZorg public healthcare insurance and our supplementary insurance, you will qualify for reimbursement for contraceptives:

 

Public Healthcare Insurance                    Reimbursement 
HollandZorg public healthcare insurance 100% up to 21 years of age,minus the statutory personal contribution, if you qualify for reimbursement (see the conditions under 2)

 

Supplemantary Insurance Reimbursement 
Extra maximum of €100,- per calendar year*
Start maximum of €100,- per calendar year*
Plus 100%*
Top 100%*

 

*) The reimbursement applies for the contraceptives and the statutory personal contribution taken together.

 

Per prescription, we will reimburse you for the contraceptive pill for a period of up to a maximum of 12 months.
We will not reimburse you for the cost of inserting devices.

5. Statutory personal contribution

In 2020, a statutory personal contribution applies.

 

Under the supplementary insurances you are entitled to reimbursement of the statutory personal contribution for contraceptives.

6. Policy excess

Are you 18 or older? The costs incurred for contraceptives will count towards your compulsory policy excess and any voluntary policy excess.

 

If you approach a contracted dispensing chemist or a contracted dispensing general practitioner, the cost of contraceptives will not fall under your compulsory policy excess.

7. Who may provide this type of care?

If you have a prescription, you will be able to obtain contraceptives from a dispensing chemist or a dispensing general practitioner. Use our Care Guide to find a (contracted) dispensing chemist or dispensing general practitioner near you.

 

For more information, call customer services on +31(0)570 687 123. Our expert employees will be pleased to help you.

 

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