When do you qualify for reimbursement?
You qualify for reimbursement under the public healthcare insurance if you meet the following conditions:
- You must have been diagnosed with morbid obesity, i.e. a BMI of more than 40 kilos/m2 or a BMI between 35 and 40 kilos/m2 with serious comorbidity (e.g. diabetes, untreatable hypertension, high cholesterol levels);
- It has to be a last resort (this means that you have made several documented attempts to lose weight under the expert supervision of a dietician);
- The process is aimed at a change of lifestyle and includes cognitive behaviour therapy.
Your doctor determines if you meet the conditions and if you qualify for bariatric surgery.
Referral required for bariatric surgery
You need a referral from a general practitioner or medical specialist for bariatric surgery.
Reimbursement bariatric surgery
Under the public healthcare insurance, you are entitled to a reimbursement of the costs of bariatric surgery if you meet the conditions.
| Public healthcare insurance
||100% in the case of contracted healtcare, only if you meet the conditions|
Statutory personal contribution
Bariatric surgery is not subject to a statutory personal contribution.
The costs of bariatric surgery count towards your compulsory and, if applicable voluntary excess.
Who can you go to?Bariatric surgery is performed by a bariatric surgeon at a hospital. Our Care Finder helps you find a hospital near you.
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.