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Orthopaedic shoes

Reimbursement health insurance 2019

  1. What are orthopaedics shoes?
  2. Prescription required for orthopaedics shoes
  3. On loan or owner?
  4. Reimbursement orthopaedics shoes in 2019
  5. Maximum rates non-contracted provider
  6. Statutory personal contribution
  7. Excess
  8. Who can you go to?
  9. Apply for consent

Note: the information on this page is a brief outline of the reimbursement. You can only derive rights from our insurance conditions (pdf) and the Medical Aids Regulations (pdf).

1. What are orthopaedics shoes?

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.

2. Prescription required for orthopaedics shoes

For orthopaedic shoes, you need a prescription from a medical specialist.

3. On loan or owner

You will be the owner of the orthopaedic shoes.

4. Reimbursement orthopaedics shoes in 2019

By virtue of the public healthcare insurance, you are entitled to a reimbursement for orthopaedic shoes.

 

Public Healthcare Insurance Reimbursement 2019
HollandZorg public healthcare insurance 100% for contracted care, minus the statutory personal contribution.

 

Supplementary Insurance  Reimbursement 2019  
Start none
Extra none
Plus none
Top none

5. Maximum rates non-contracted provider

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.

6. Statutory personal contribution

Insured persons under the age of 16 pay a statutory personal contribution of €65,50 per pair. Are you 16 or older? Then you pay a statutory personal contribution of €131,- per pair.

There is no statutory personal contribution for orthopaedic inner shoes and orthopaedic adjustments to ready-to-wear shoes.

7. Excess

Are you 18 or older? The costs of orthopaedic shoes count towards the compulsory and, if applicable, voluntary excess.

8. Who can you go to?

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.

9. Apply for consent

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:

HollandZorg
Medical Advisor
Antwoordnummer 30
7400 VB Deventer

No stamp required.

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