Breast prothesis

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 (PDF).

A medical aid that we 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.

No statutory personal contribution

A breast prosthesis is not subject to a statutory personal contribution.

Excess

The costs of a breast prosthesis count towards the compulsory and, if applicable voluntary excess.

Who can you go to?

If you need a breast prosthesis, you can go to a contracted provider of medical aids. A non-contracted provider has to be an S.E.M.H-recognised provider of medical aids. Our Care Guide helps you find a (contracted) provider near you. You do not need our prior consent when visiting a contracted provider.

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 and offer to:

HollandZorg
Medisch adviseur
Antwoordnummer 30
7400 VB Deventer

No stamp required.