Home nursing and care
Reimbursement
The care consists of nursing (care provision) and care, as well as indicating, coordinating, signalling, coaching and preventing.
The care does not include:
- nursing and care during your stay at a hospital or other institution;
- maternity care.
Care plan required
You or your legal representative must have signed a care plan. The same does not apply in the event of adjustments made in the care plan.The care plan must at least state the type, scope, frequency and intended duration of the required home nursing and care, the performances and include a motivation. The care plan must also involve the contribution of your social network. If the care plan changes, you must have permission from us again before you receive the new care.
A district nurse, paediatric nurse and nursing specialist are permitted to define the indication for your care and draw up a care plan. The indication must have been made in accordance with the Standards for indicating and organising nursing and care in the personal environment, drawn up by the Netherlands Association for
Nurses & Carers (V&VN).
Reimbursement home nursing and care
By virtue of the public healthcare insurance, you are entitled to home nursing and care.
| Public Healthcare Insurance | Reimbursement |
| HollandZorg public healthcare insurance |
100% in the case of contracted care |
Personal contribution
There is no statutory personal contribution for home nursing and care.
No excess
The costs of home nursing and care do not count towards the compulsory excess.
Maximum rates non-contracted care
We apply a maximum reimbursement for home nursing and care provided by a non-contracted care provider. In that case, the reimbursement is limited to the rates in accordance with the rates list for non-contracted care. If the rates of the non-contracted care provider are higher than our listed maximum rates, the difference will be at your expense.
Who can you go to?
The following care providers are permitted to provide the indicated care:
- a nursing specialist;
- a district nurse;
- a nurse with a nursing diploma at intermediate vocational education level;
- an IG carer or level-3 carer with a diploma at intermediate vocational education level 3.
Receiving the care is subject to our written consent in the following cases:
- For reimbursement for nursing without in-patient care provided by a non-contracted care provider. You must use the application form for non-contracted district care for this application.
- For reimbursement for nursing without in-patient care provided abroad. You must enclose a copy of the care plan with your request. You also need to send an offer for the care, setting out what kind of care it concerns, the costs involved and the period it applies to.
Contracted care providers are listed at our care guide. You may also call our Care Advice Line: +31(0) 570 687 123.
Personal budget
Instead of the right to care, you may qualify for a personal budget. In that case, you will receive funds to purchase the care and nursing yourself. The right to a personal budget is subject to special conditions. They are defined in the Healthcare Insurance Personal Budget Regulations.
If the costs you incur for nursing and care are higher than the reimbursement in the form of a personal budget, the difference between the costs and the personal budget will be payable by you.
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.
