Ergotherapy
Reimbursements
The object of ergotherapy is to promote or restore self-care and independence. Ergotherapy will be provided by an ergotherapist. The care includes conditional occupational therapy as referred to in the article on Conditional care.
Referral required for a non-contracted care provider
You need a referral from a general practitioner, medical specialist, a geriatrics specialist, youth doctor, doctor for the mentally disabled, company doctor, nursing specialist, physician assistant or a coordinating practitioner in the context of medical care for specific patient groups (GZSP). This does not apply to care provided by a contracted care provider who has successfully completed the Direct Access course.
If a referral is required, you must enclose a copy of the referral when submitting the invoice.
Reimbursement for ergotherapy
Under HollandZorg public healthcare insurance, you will qualify for the reimbursement of the costs of ergotherapy.| Public Healthcare Insurance | Reimbursement |
| a maximum of 10 treatment hours per calendar year |
Maximum rates for non-contracted care providers
Have you decided to receive ergotherapy from a care provider with whom we have not made any agreements? If so, the rates set out in the Rate List for Non-Contracted Care will apply. If the rates charged by the non-contracted care provider are higher than our maximum rates, the difference will be for your account.
No statutory personal contribution
You will not be subject to a statutory personal contribution for ergotherapy.
Policy excess
Are you 18 or older? The costs incurred for ergotherapy will count towards your compulsory policy excess.
Who may provide this type of care?
The following care providers are permitted to provide this type of care:
- occupational therapy in the event of Parkinson's disease: an occupational therapist who is affiliated with the national ParkinsonNet network. Affiliation with the ParkinsonNet is not compulsory if the provision of care started before 1 January 2019;
- other occupational therapy: an occupational therapist.
Please note:
The information on this page is a brief outline of the reimbursements. No rights can be derived from this page. You can only derive rights from our insurance conditions.
Your health insurance
In My HollandZorg you will find all information about your health insurance policy.
Maximum rates for a non-contracted care provider
Have you chosen a healthcare provider with whom we have no contract? Then, we will reimburse according to our maximum rates. If the rate invoiced by the non-contracted care provider is higher than our maximum rates, you will have to pay the difference yourself. You will be able to find contracted care providers with our Care finder.
Reimbursements, conditions and regulations 2023
