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Spectacles and contact lenses

Reimbursement health insurance 2019

  1. What are spectacles and contact lenses?
  2. When do you qualify for reimbursement?
  3. Reimbursement spectacles and lenses 2019
  4. No statutory personal contribution
  5. No excess
  6. Who can you go to?

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

1. What are spectacles and contact lenses?

Spectacles and contact lenses at the appropriate strength are visual aids. You use them to improve your vision.

Do you suffer from a particular eye condition, or is the insured younger than 18? Then read our Medical Aids Regulations (pdf) for more information about optical aids.

2. When do you qualify for reimbursement?

You qualify for reimbursement of contact lenses or spectacle lenses at the appropriate strength when an eye test proves you need them. When you submit a claim, the invoice must clearly state the strength of the spectacle lenses or contact lenses.

3. Reimbursement spectacles and lenses 2019

Contact lenses or spectacle lenses at the appropriate strength do not fall under the public healthcare insurance if the insured does not suffer from a particular eye condition. We do offer a reimbursement on the basis of the supplementary Plus and Top insurances:

 

Public Healthcare Insurance Reimbursement 2019
HollandZorg public healthcare insurance none

 

Supplementary Insurance                        Reimbursement 2019
Start none
Extra none
Plus

1 pair of spectacles per 2 calendar years from Specsavers or
Spectacles or lenses:

a maximum of € 75 per two calendar years.

Top

1 pair of spectacles per 2 calendar years from Specsavers or
Spectacles or lenses:

a maximum of € 150 per two calendar years**.

 

In order to secure extra savings, we have reached agreements with contracted ophthalmic opticians. This means additional savings for you, on top of the reimbursement given by HollandZorg.
 

* This reimbursement applies to glasses from the €79 frame series at Specsavers. It concerns:
 

  • a single pair of standard prescription glasses from the frame series of €79, including standard single lenses and a scratch-resistant, anti-reflective coating or;
  • a pair of standard varifocal prescription glasses from the frame series of €79, with standard varifocal lenses.

** If you have a Top supplementary insurance and want to use the maximum reimbursement of €150 per 2 calendar years at Specsavers, you can opt for a frame up to the Specsavers €169 frame series. This is a single pair of glasses with standard single glasses and a scratch-resistant, anti-reflective coating; a varifocal pair of glasses will be fitted with standard varifocal lenses.

4. No statutory personal contribution

Spectacles or contact lenses by virtue of the supplementary insurance are not subject to a statutory personal contribution.

5. No excess

The costs for care reimbursed by virtue of the supplementary insurance do not count towards your excess.

6. Who can you go to?

Spectacle lenses or contact lenses may be obtained from ophthalmic opticians with a qualified optometrist/contact lens specialist.

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.

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