• Home
  • dutch healthcare insurance

Giving up smoking programme

Reimbursement HollandZorg healthcare insurance 2019

  1. What does a ‘giving up smoking' programme entail?
  2. Reimbursement 'giving up smoking' in 2019
  3. Maximum rates non-contracted care
  4. No statutory personal contribution
  5. Policy excess
  6. 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 does a ‘giving up smoking' programme entail?

A 'giving up smoking' programme is intended for people who want to give up smoking. Medicines may form part of the 'giving up smoking' programme.

 

Guidance for giving up smoking may also form part of general practitioner care, medical specialist care, obstetric care or psychological care.

2. Reimbursement under public healthcare insurance in 2019

Under the HollandZorg public healthcare insurance, you qualify for the reimbursement of costs for one 'giving up smoking' programme per calendar year. Medicines that will help you giving up smoking will only be reimbursed if they are part of a 'giving up smoking' programme.

 

Under the supplementary insurances Plus and Top you are entitled to reimbursement of an Allen Carr course or a laser treatment at Prostop once per three calendar years.

 

Per 1 January 2016 is with prescripting smoking cessation medication's mention of the letters SMR on a recipe enough. General practitioners do not need to provide an additional form.

 

Public Healthcare Insurance                            Reimbursement 2019  
HollandZorg public healthcare insurance one 'giving up smoking' programme per calendar year

 

Supplementary Insurance              Reimbursement 2019          
Start none
Extra none
Plus a maximum of € 100,- per calendar year

Top

a maximum of € 200,- per calendar year

3. Maximum rates non-contracted care

Are you going to a health care provider with whom we have made no agreements? In that case we reimburse the rates of the price list for non-contracted care. Are the rates of the non-contracted care provider higher than our maximum rates, then the difference is for your own account.

4. No statutory personal contribution

You will not pay any statutory personal contribution for the ‘giving up smoking’ programme under the public healthcare insurance.

5. Policy excess

The Stop Smoking programmes designated by us are listed in the overview 'Designated Care Not Subject to Compulsory Excess'. The costs therefore do not count towards the compulsory excess. The costs do count towards the voluntary excess, if applicable.

 

Counselling for giving up smoking as part of general practitioner care, medical specialist care, obstetric care, integrated care or basic mental healthcare is subject to the provisions relating to the excess for those types of care.

6. Who may provide this type of care?

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

  • a general practitioner who provides the Stop Smoking Programme;
  • a care provider registered in the Stop Smoking Quality Register;
  • a care provider for giving up smoking, contracted by us.

Care providers designated in the articles for those types of care are authorised to provide counselling for giving up smoking as part of general practitioner care, medical specialist care, obstetric care or basic mental healthcare.

 

For reimbursement under the supplementary insurance the treatment must be given by a provider of the Allen Carr course or by Prostop.

 

Please note: we did not contract any hospitals for Giving up Smoking programmes. If you receive hospital treatment from a lung specialist in order to give up smoking, medication will not be reimbursed.

 

Neither have we contracted any mental healthcare institutions for Giving up Smoking programmes. A psychologist or a psychiatrist may give you advice about giving up smoking and prescribe medication but this medication too will not be reimbursed.

 

If you have any questions or would like more information, contact customer services on +31(0)570 687 123. We will be happy to answer your questions.

< Back to the reimbursement overview for healthcare insurance