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Ergotherapy

Reimbursement ergotherapy 2019

  1. What is ergotherapy?
  2. A referral is required for a non-contracted care provider
  3. Reimbursement for ergotherapy in 2019
  4. Maximum reimbursement for a non-contracted care provider
  5. No 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 the HollandZorg Conditions of Insurance (pdf).

1. What is ergotherapy?

Occupational therapy includes care such as the care that occupational therapists generally provide. The object of ergotherapy is to promote or restore self-care and independence. Ergotherapy will be provided by an ergotherapist.

2. Referral required for a non-contracted care provider

You need a referral from a general practitioner, medical specialist, a geriatrics specialist, youth doctor, doctor for the mentally disabled or company doctor. This does not apply to care provided by a contracted care provider who has successfully completed the Direct Access course. You must enclose a copy of the referral when submitting the invoice.

3. Reimbursement for ergotherapy in 2019

Under HollandZorg public healthcare insurance, you will qualify for the reimbursement of the costs of ergotherapy.

 

Public Healthcare Insurance                                       Reimbursement 2019
HollandZorg public healthcare insurance a maximum of 10 treatment hours per calendar year

 

Supplementary Insurance Reimbursement 2019
Start none
Extra none
Plus none
Top none

4. Maximum rates for non-contracted care providers

Have you decided to receive ergotherapy from a care provider with whom we have not made any agreements? If so, the rates set out in the Rate List for Non-Contracted Care will apply. If the rates charged by the non-contracted care provider are higher than our maximum rates, the difference will be for your account.

5. No statutory personal contribution

You will not be subject to a statutory personal contribution for ergotherapy.

6. Policy excess

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

7. Who may provide this type of care?

The following care providers are permitted to provide this type of care:

  • occupational therapy in the event of Parkinson's disease: an occupational therapist who is affiliated with the national ParkinsonNet network. Affiliation with the ParkinsonNet is not compulsory if the provision of care started before 1 January 2019;
  • other occupational therapy: an occupational therapist.

Use our Care Guide to find a contracted care provider near you. For more information, contact customer services on +31(0)570 687 123. Our expert employees will be pleased to help you.

 

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