Note: different reimbursement regulations apply for geriatric rehabilitation care.
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.
You will require a referral from a medical practitioner, a medical specialist, a youth doctor, a sports doctor, a doctor for the mentally disabled, a specialist in geriatric medicine, a clinical technologist or an occupational physician.
Reimbursement under public healthcare insuranceUnder HollandZorg public healthcare insurance, you will qualify for reimbursement for rehabilitation care.
|Public Healthcare Insurance||Reimbursement
|HollandZorg public healthcare insurance||100% in the case of contracted care|
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.
No statutory personal contribution
You will not be subject to a statutory personal contribution for rehabilitation care.
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).
Also view the Reimbursements 2022.
The information on this page is a brief outline of the reimbursement. You can only derive rights from our insurance conditions.