Reimbursement health insurance 2021
- What are orthopaedics shoes?
- Prescription required for orthopaedics shoes
- On loan or owner?
- Reimbursement orthopaedics shoes in 2021
- Maximum rates non-contracted provider
- Statutory personal contribution
- Who can you go to?
- Apply for consent
An orthopaedic shoe is a customised shoe or inner shoe. An orthopaedic shoe corrects foot disorders or shortened legs. Adapted ready-made shoes also fall under orthopaedic shoes.
Orthopaedic shoes fall under medical aids.
For orthopaedic shoes, you need a prescription from a medical specialist.
You will be the owner of the orthopaedic shoes.
By virtue of the public healthcare insurance, you are entitled to a reimbursement for orthopaedic shoes.
|Public Healthcare Insurance||Reimbursement|
|HollandZorg public healthcare insurance||100% for contracted care, minus the statutory personal contribution.|
If the medical aids are available from a contracted care provider in time, but you prefer to go to a non-contracted care provider, we will apply a maximum reimbursement. The non-contracted provider has to comply with the conditions set out in the Medical Aids Regulations (pdf).
A medical aid or dressing that we normally sell to you is reimbursed up to a maximum of 75% of the costs we would incur if you would have received the care from a contracted care provider. In that case, we also reimburse a maximum of 75% of any repair costs in connection with the medical aid.
Insured persons under the age of 16 pay a statutory personal contribution of €63,50 per pair. Are you 16 or older? Then you pay a statutory personal contribution of €127,- per pair.
There is no statutory personal contribution for orthopaedic inner shoes and orthopaedic adjustments to ready-to-wear shoes.
Are you 18 or older? The costs of orthopaedic shoes count towards the compulsory and, if applicable, voluntary excess.
Orthopaedic shoes are available from a contracted provider of medical aids. You do not need our prior consent if you go to a contracted provider. Our Care Guide helps you find a contracted provider near you.
If you go to an non-contracted provider, it must be S.E.M.H.-recognised. A request for consent must be made in writing in advance.
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.
Do you want to use a provider with whom we have not concluded an agreement? In that case, you need our prior consent. Send your prescription to:
7400 VB Deventer
No stamp required.
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