Under your public health insurance and supplementary insurance, you qualify for reimbursement for lens implantations in some cases.
For certain medical indications, you may receive reimbursement under the public health insurance for lens implantations. Examples include cataract surgery or contact lens intolerance. The medical indication must be demonstrated by the referral from the GP or medical specialist. You need our prior consent for reimbursement under the public healthcare insurance.
If a multi-focal or toric lens must be fitted and this is not reimbursed under the public health insurance, there is a possibility the (additional) costs are reimbursed under the supplementary insurance.
By virtue of the supplementary Top insurance, you are entitled to reimbursement of lens implants. This reimbursement also contains additional costs of lens implants that are covered under the public health insurance, but which are not fully reimbursed by the public health insurance.
|Public Healthcare Insurance||Reimbursement|
|HollandZorg public healthcare insurance||100% (in case of a medical indication, and with a contracted care provider)|
|Top||a maximum of € 500 for the total treatment of both eyes for the entire insured period|
|No Risk I||none|
|No Risk II||none|
Lens implants are not subject to a statutory personal contribution.
We reimburse lens implants subject to a maximum amount per calendar year. If the costs of the lens implants are higher than the maximum reimbursement, the difference will be for your account.
If you are 18 years or older, the costs for reimbursement by virtue of the public healthcare insurance count towards your statutory and voluntary excess.
The costs for reimbursements by virtue of the supplementary insurance do not count towards your excess.
Who can you go to?
If you need lens implants, you can go to a hospital or eye clinic. Our Care Guide helps you find a care provider near you.
If you are planning on seeing a care provider with whom we have not concluded an agreement for audiological care, the rates of the rate list for non-contracted care apply. If the rates of the non-contracted care provider are higher than our maximum rates, the difference will be for your expense.
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.
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.