- dutch healthcare insurance
Reimbursement health insurance 2019
- What is personal alarm equipment?
- When do you qualify for personal alarm equipment?
- Reimbursement by virtue of the public healthcare insurance in 2019
- Maximum rates non-contracted provider
- Reimbursement by virtue of the supplementary insurances in 2019
- Personal contribution
- No excess
- Who can you go to?
- Apply for personal alarm equipment
Personal alarm equipment is a portable, wireless emergency switch that you can use to activate a telephone dialler. This dialler contacts a control room that is manned 24/7. A relief worker will come to your assistance if necessary. You can also appoint someone close to as contact person.
Personal alarm equipment falls under medical aids.
You are entitled to personal alarm equipment by virtue of the public health insurance (medical aids) if you have a physical impairment and there is an increased risk situation. This means that due to your impairment, you are at a bigger risk of falling and being unable to get up independently after a fall.
In addition, you have to meet the following conditions:
- in the case of an emergency, you need immediate medical or technical assistance from someone else;
- you have to depend on yourself for prolonged periods of time;
- you are unable to independently operate the telephone in emergency situations.
If you fail to meet the aforementioned conditions, you may qualify for an allowance for personal alarm equipment via supplementary insurance. Monitoring equipment to prevent cot death does not fall under personal alarm equipment.
When you meet the conditions and you have a prescription from a physician, you will be fully reimbursed in 2018 for the hire and connection costs for personal alarm equipment. The equipment must be provided by a contracted provider. The personal alarm equipment is given on loan. The guideline is a minimum useful life of 120 months (10 years).
You will not be reimbursed for service and/or subscription costs for being connected to a 24-hour control room. More information is given in our Medical Aid Regulations (pdf).
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 Regulation (pdf).
The costs of a medical aid that we would normally give on loan are reimbursed per calendar year. We will reimburse a maximum of 75% of the costs we would incur for providing that care on loan in that calendar year. We set off the number of days you are entitled to those medical aids against the number of days you actually have the medical aid at your disposal in that calendar year.
By virtue of various supplementary insurances, you are entitled to reimbursement for an alarm system for a central alarm service and the corresponding connection costs. This type of care may be provided by a supplier of medical aids.
*) The reimbursement forms part of a group of different types of care, which are subject to a single reimbursement. The maximum reimbursement applies to the following elements jointly:
- Night home care for the dying
- Medical examination for driving licence
- Therapeutic swimming
- Personal alarm
- Care for Women
There is no statutory personal contribution for hire and connection costs for personal alarm equipment if there is a medical indication. You will pay service and/or subscription costs for being connected to a 24-hour control room.
Do you qualify for reimbursement under the supplementary insurance? We reimburse the costs of a central alarm service, subject to a maximum amount per year. In the event that the costs exceed the maximum amount reimbursed by us for the various elements, you must pay the difference.
There is no excess for personal alarm equipment.
If you require personal alarm equipment, you can approach one of the providers contracted by us. This provider will establish whether you require personal alarm equipment on medical grounds and - if so - will contact you about delivering and installing it. If you require the central alarm service, you can approach a provider of medical aids.
Use our online Care Finder to find a (contracted) supplier near you. You can also call our Care Advice Line: +31 (0)570 68 74 70. Our expert staff will be pleased to answer your queries.
The personal alarm equipment is available from HollandZorg. Send your prescription to:
7400 VB Deventer
After having received your request, we will assess whether or not there are medical grounds for personal alarm equipment. There are two options:
- There are medical grounds. You will receive an allocation letter. This means you are entitled to personal alarm equipment by virtue of the public healthcare insurance. We will instruct the provider to deliver the equipment.
- There are no medical grounds. You will receive a rejection letter. Depending on your supplementary insurance, you may qualify for a contribution to the costs.
For personal alarm equipment, you can also go to one of the providers contracted by us. They will make the request on your behalf.
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