In-patient care

In-patient care will involve an admission for an uninterrupted period of no more than 1095 days (three years). An interruption of admission for a maximum of 30 days will not count towards the uninterrupted period of 1095 days. Weekend and holiday leave will count towards the calculation of the 1095 days.

Reimbursement

The care does not include:

  • stays you require in connection with a psychiatric disorder or impairment if you are younger than 18;
  • stays in connection with the temporary takeover of care to release a family caregiver (respite care);
  • first-line in-patient stay.

You will be eligible for a reimbursement if admission is medically necessary in connection with:

Referral required

For in-patient care, you will be required to have a referral from a general practitioner, a medical specialist, a dentist or an obstetrician. A referral will not be required in the event of an urgent situation.

Maximum rates non-contracted provider

If you are planning on seeing a care provider with whom we have not concluded an agreement, the rates of the rate list for non-contracted care apply. If the rates of the non-contracted care provider are higher than our maximum rates, the difference will be for your expense.

Reimbursement in-patient care

Under HollandZorg public healthcare insurance, you qualify for in-patient care:

Public Healthcare Insurance  Reimbursement       
HollandZorg public healthcare insurance  100%

No statutory personal contribution

You will not be subject to a statutory personal contribution for in-patient care.

Policy excess

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

Who may provide this type of care?

Depending on the care you need, you will be able to approach the following care providers for in-patient care:

  • hospitals;
  • rehabilitation centres;
  • a psychiatric hospital;
  • respiratory centres;
  • centres for genetic advice;
  • an institution for geriatric rehabilitation care;
  • an institution for sensory disability care.

Use our Care Guide to find a care provider near you. 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.

Permission required

You will require our prior permission where an admission for the following is concerned:

When applying for care you will need to send us a copy of a report from the attending physician with the medical diagnosis/diagnoses, a description of the current problem and the medical need for in-patient stay. You must enclose (a copy of) the treatment plan with your request Please send requests for permission to:

HollandZorg
Medical Advisor
Antwoordnummer 30
7400 VB Deventer

No stamp is necessary.

Reimbursements 2021

Also view the Reimbursements 2021.

Note

The information on this page is a brief outline of the reimbursement. You can only derive rights from our insurance conditions (PDF).

More information

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.