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Eyelid correction

Reimbursement health insurance 2019

  1. What is eyelid correction?
  2. When do you qualify for reimbursement?
  3. Referral required for eyelid correction
  4. Reimbursement eyelid correction in 2019
  5. No statutory personal contribution
  6. Excess
  7. Who can you go to?
  8. Apply for consent

Note: the information on this page is a brief outline of the reimbursement. You can only derive rights from our Insurance conditions (pdf).

1. What is eyelid correction?

Eyelid correction means that the excess of skin is removed from slack or paralysed upper eyelids.

2. When do you qualify for reimbursement?

You are entitled to reimbursement of an eyelid correction if:

  • your vision is significantly affected as a result of paralysis or weakening of the upper eyelids;
  • if the condition is caused by a congenital defect; or
  • if the condition is caused by a chronic disorder present at birth.

3. Referral required for eyelid correction

You need a referral from a general practitioner or medical specialist for an eyelid correction.

4. Reimbursement eyelid correction in 2019

By virtue of the public healthcare insurance, you are entitled to reimbursement of an eyelid correction.

 

Public Healthcare Insurance                    Reimbursement 2019                                                   
HollandZorg public healthcare insurance 100% if your situation is stated under '2. When do you qualify for reimbursement?'

 

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

5. No statutory personal contribution

An eyelid correction is not subject to a statutory personal contribution.

6. Excess

If you are 18 or older, the costs for reimbursements by virtue of the supplementary insurance count towards your excess.

7. Who can you go to?

Hospitals, medical specialists and eye clinics can carry out eyelid corrections. Have you decided to go to 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.

For more information, please call our Care Advice Line on +31(0)570 687 123. Our expert staff will be pleased to answer your questions.

8. Apply for consent

You need our written prior consent for reimbursement of an eyelid correction before you get the care. When applying for the reimbursement, you must enclose a copy of the referral from your general practitioner or a medical specialist.

 

Send your request for consent to:

HollandZorg
Medical Advisor
Antwoordnummer 30
7400 VB Deventer

No stamp required.

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