Stop smoking programme
Reimbursement
Guidance for giving up smoking may also form part of general practitioner care, medical specialist care, obstetric care or psychological care.
You don't qualify for reimbursement for a 'giving up smoking' programme if you receive guidance for giving up smoking as a part of integrated care.
Reimbursement under public healthcare insurance
Under the HollandZorg public healthcare insurance, you qualify for the reimbursement of costs for one 'giving up smoking' programme per calendar year. Medicines that will help you giving up smoking will only be reimbursed if they are part of a 'giving up smoking' programme.
Per 1 January 2016 is with prescripting smoking cessation medication's mention of the letters SMR on a recipe enough. General practitioners do not need to provide an additional form.
| Public Healthcare Insurance | Reimbursement |
| HollandZorg public healthcare insurance | one 'giving up smoking' programme per calendar year |
| Supplementary Insurance | Reimbursement |
| Start | none |
| Extra | none |
| Plus | none |
| Top | none |
| No Risk I | none |
| No Risk II | none |
Maximum rates non-contracted care
Are you going to a health care provider with whom we have made no agreements? In that case we reimburse the rates of the price list for non-contracted care. Are the rates of the non-contracted care provider higher than our maximum rates, then the difference is for your own account.
No statutory personal contribution
You will not pay any statutory personal contribution for the ‘giving up smoking’ programme under the public healthcare insurance.
Policy excess
The Stop Smoking programmes designated by us are listed in the overview 'Designated Care Not Subject to Compulsory Excess' (PDF). The costs therefore do not count towards the compulsory excess.
Who may provide this type of care?
The following care providers are permitted to provide this type of care:
- a general practitioner who provides the Stop Smoking Programme;
- a care provider who:
- is registered in the Stop Smoking Quality Register;
- delivers the intervention offered in accordance with the Stop Smoking care module and which complies with the guideline ‘Treatment of Tobacco Addiction and Stop Smoking Support’;
- a care provider for giving up smoking, contracted by us.
Please note: we did not contract any hospitals for Giving up Smoking programmes. If you receive hospital treatment from a lung specialist in order to give up smoking, medication will not be reimbursed.
Neither have we contracted any mental healthcare institutions for Giving up Smoking programmes. A psychologist or a psychiatrist may give you advice about giving up smoking and prescribe medication but this medication too will not be reimbursed.
If you have any questions or would like more information, contact customer services on +31(0)570 687 123. We will be happy to answer your questions.
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.
