A referral is required for integrated care
You need a referral from a general practitioner or medical specialist for integrated care.
Reimbursement for integrated care
Your public health care insurance entitles you to the reimbursement of costs in connection with integrated care.
|Public Healthcare Insurance||Reimbursement|
|HollandZorg public healthcare insurance||100% for a contracted care group|
No statutory personal contribution
There is no statutory personal contribution for integrated care.
No policy excess
The costs are not counted for the compulsory excess. The compulsory excess does include the costs of any (laboratory) testing in a hospital or independent laboratory at the request of a general practitioner.
Where can you go?
The following care providers are permitted to provide this type of care:
- a contracted care group;
- a care provider who is appointed by us for providing general practitioner care, preventive foot care and dietetics, each for the relevant part of the clinical pathway.
Use our care guide to find a contracted care group in your neighbourhood. Or call the Care Advise Line +31(0)570 687 123. Our expertly trained staff will be pleased to help you on your way.
The information on this page is a brief outline of the reimbursements only. No rights can be derived from this page. You can only derive rights from our insurance conditions.
Your health insurance
In MyHollandZorg you will find all information about your health insurance policy.
Reimbursements, conditions and regulations 2022
Maximum rates for a non-contracted care provider
If, for care included in the public healthcare insurance, you choose a healthcare provider with whom we have not made any agreements, the rates in the Rate list for non-contracted care will apply. Do the rates charged by the non-contracted healthcare provider exceed our maximum rates? In that case, the difference will be payable by you. This will apply for reimbursement both under the public healthcare insurance, and the supplementary insurance.
Where to go for healthcare
Use our care guide to find a (contracted) care provider near you. For more information, contact customer services on +31(0)570 687 123. Our expert employees will be happy to help you.