Medical care for specific groups of patients

Reimbursement health insurance in 2020

  1. What is medical care for specific groups of patients?
  2. Reimbursement medical care for specific groups of patients in 2020
  3. No statutory personal contribution
  4. Excess
  5. Who should you approach?

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 medical care for specific groups of patients?

You are entitled to medical care for specific groups of patients. This concerns vulnerable groups such as elderly people who suffer from multiple issues, those with progressive, degenerative, neurological disorders (such as Parkinson's disease, Huntington's disease, Korsakoff syndrome and multiple sclerosis), people with non-congenital brain damage and people with a mental impairment aged eighteen and older. This care focuses on improving functional autonomy, preventing the restrictions from worsening and learning to live with the (continuing) restrictions.

 

You are not eligible for this type of care if you have a Wlz indication or if you qualify for one.

2. Reimbursement 

The costs of medical care for specific groups of patients is fully reimbursed under the public healthcare insurance.The following are excluded from medical care for specific groups of patients:

  • medical care for specific groups of patients provided by other occupational groups, such as behavioural scientists and paramedics.

3. No statutory personal contribution

There is no statutory personal contribution for medical care for specific groups of patients.

4. Excess

The costs of medical care for specific groups of patients do not count towards the compulsory and, if applicable, voluntary excess.

5. Who should you approach?

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

  • a specialist geriatrics doctor
  • a doctor for the mentally disabled.
  • You need a referral from a general practitioner.

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