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Rehabilitation care

Reimbursement rehabilitation care 2019

  1. What is rehabilitation care?
  2. When will you qualify for reimbursement?
  3. Referral required
  4. Reimbursement rehabilitation care in 2019
  5. Maximum rates for non-contracted care
  6. No statutory personal contribution
  7. Policy excess
  8. Who may provide this type of care?

Please note: the information provided on this page is a summary of the reimbursement applicable. You will only be able to derive rights from the HollandZorg Conditions of Insurance (pdf).

1. What is rehabilitation care?

Rehabilitation is another word for efforts to achieve recovery after an accident, serious illness or medical procedure. A team of various experts will provide this care. They will do this under the guidance of a medical specialist.

 

Note: different reimbursement regulations apply for geriatric rehabilitation care.

2. When will you qualify for reimbursement?

You will qualify for a reimbursement for rehabilitation care if you need the care to avoid, reduce or overcome a handicap. The handicap must be a result of disorders or restrictions in the locomotor apparatus or a disorder of the central nerve system that leads to restrictions in communication, intellect or behaviour.

3. Referral required

You will require a referral from a medical practitioner, a medical specialist, a youth doctor, a sports doctor, a doctor for the mentally disabled or a specialist in geriatric medicine.

4. Reimbursement under public healthcare insurance in 2019

Under HollandZorg public healthcare insurance, you will qualify for reimbursement for rehabilitation care.

 

Public Healthcare Insurance                     Reimbursement 2019
HollandZorg public healthcare insurance 100% in the case of contracted care

 

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

5. Maximum rates for non-contracted care

If you decide to use a care provider with which we have not made any agreements for rehabilitation care, we will apply a maximum reimbursement. In this situation, the rates in the Rates List for Non-contracted Care will apply. Are the rates charged by the non-contracted healthcare provider higher than our maximum rates? The difference will be payable by you.

6. No statutory personal contribution

You will not be subject to a statutory personal contribution for rehabilitation care.

7. Policy excess

Are you older than 18? The costs incurred for rehabilitation care will count towards your compulsory policy excess and any voluntary policy excess.

8. Who may provide this type of care?

Hospitals and rehabilitation centres may provide this type of care. The care must be provided under the final responsibility of a rehabilitation specialist (ultimately responsible). Use our Care Guide to find a hospital or rehabilitation care near you.

 

In the event of rehabilitation care provided by a non-contracted care provider, you need our written authorisation before receiving the care. 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 proposed treatment plan (care activities).

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.
 

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