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. The care includes conditional occupational therapy as referred to in the article on Conditional care.
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, company doctor, nursing specialist, physician assistant or a coordinating practitioner in the context of medical care for specific patient groups (GZSP). This does not apply to care provided by a contracted care provider who has successfully completed the Direct Access course.
If a referral is required, you must enclose a copy of the referral when submitting the invoice.
Reimbursement for ergotherapyUnder HollandZorg public healthcare insurance, you will qualify for the reimbursement of the costs of ergotherapy.
|Public Healthcare Insurance||Reimbursement|
|a maximum of 10 treatment hours per calendar year|
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.
No statutory personal contribution
You will not be subject to a statutory personal contribution for ergotherapy.
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.
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).