Rehabilitation care

Rehabilitation is another word for efforts to achieve recovery after an accident, serious illness or medical procedure. A team of various experts will provide this care. They will do this under the guidance of a medical specialist.

Reimbursements

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.

Referral required

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 insurance

Under 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.

Policy excess

Are you older than 18? The costs incurred for rehabilitation care will count towards your compulsory policy excess.

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).

Please note

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.