Giving up smoking programme
You don't qualify for reimbursement for a 'giving up smoking' programme if you receive guidance for giving up smoking as a part of integrated care.
Reimbursement under public healthcare insurance
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|
|HollandZorg public healthcare insurance||one 'giving up smoking' programme per calendar year|
|Plus||a maximum of € 100,- per 3 calendar years|
|Top||a maximum of € 200,- per 3 calendar years|
|No Risk I||none|
|No Risk II||none|
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.
No statutory personal contribution
You will not pay any statutory personal contribution for the ‘giving up smoking’ programme under the public healthcare insurance.
The Stop Smoking programmes designated by us are listed in the overview 'Designated Care Not Subject to Compulsory Excess' (PDF). The costs therefore do not count towards the compulsory excess. The costs do count towards the voluntary excess, if applicable.
Who may provide this type of care?
The following care providers are permitted to provide this type of care:
- a general practitioner;
- a care provider who
- is registered in the Stop Smoking Quality Register;
- offers the programme (the intervention) with which he/ she is registered in the Stop Smoking Quality Register. The intervention offered must comply with the 2019 Tobacco Addiction Care Standard. You can consult the register at www.kwaliteitsregisterstopmetroken.nl;
- a care provider for giving up smoking, contracted by us.
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.
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).