Orthopaedic shoes fall under medical aids.
Prescription required for orthopaedics shoes
For orthopaedic shoes, you need a prescription from a medical specialist.
On loan or owner
You will be the owner of the orthopaedic shoes.
Reimbursement orthopaedics shoesBy virtue of the public healthcare insurance, you are entitled to a reimbursement for orthopaedic shoes.
|Public Healthcare Insurance||Reimbursement|
|HollandZorg public healthcare insurance
||100% for contracted care, minus the statutory personal contribution.
Maximum rates non-contracted provider
If the medical aids are available from a contracted care provider in time, but you prefer to go to a non-contracted care provider, we will apply a maximum reimbursement. The non-contracted provider has to comply with the conditions set out in the Medical Aids Regulations.
A medical aid or dressing that we normally sell to you is reimbursed up to a maximum of 75% of the costs we would incur if you would have received the care from a contracted care provider. In that case, we also reimburse a maximum of 75% of any repair costs in connection with the medical aid.
Statutory personal contribution
Insured persons under the age of 16 pay a statutory personal contribution of €63,50 per pair. Are you 16 or older? Then you pay a statutory personal contribution of €127,- per pair.
There is no statutory personal contribution for orthopaedic inner shoes and orthopaedic adjustments to ready-to-wear shoes.
Are you 18 or older? The costs of orthopaedic shoes count towards the compulsory and, if applicable, voluntary excess.
Who can you go to?
Orthopaedic shoes are available from a contracted provider of medical aids. You do not need our prior consent if you go to a contracted provider. Our Care Guide helps you find a contracted provider near you.
If you go to an non-contracted provider, it must be S.E.M.H.-recognised. A request for consent must be made in writing in advance.
Apply for consent
Do you want to use a provider with whom we have not concluded an agreement? In that case, you need our prior consent. Send your prescription to:
7400 VB Deventer
No stamp required.
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.