Note: different reimbursement regulations apply for geriatric rehabilitation care.
When will you qualify for reimbursement?
You will qualify for a reimbursement for rehabilitation care if you need the care to avoid, reduce or overcome a handicap. The handicap must be a result of disorders or restrictions in the locomotor apparatus or a disorder of the central nerve system that leads to restrictions in communication, intellect or behaviour.
You will require a referral from a medical practitioner, a medical specialist, a youth doctor, a sports doctor, a doctor for the mentally disabled, a specialist in geriatric medicine, a clinical technologist or an occupational physician.
Reimbursement under public healthcare insuranceUnder HollandZorg public healthcare insurance, you will qualify for reimbursement for rehabilitation care.
|Public Healthcare Insurance||Reimbursement
|HollandZorg public healthcare insurance||100% in the case of contracted care|
Maximum rates for non-contracted care
If you decide to use a care provider with which we have not made any agreements for rehabilitation care, we will apply a maximum reimbursement. In this situation, the rates in the Rates List for Non-contracted Care will apply. Are the rates charged by the non-contracted healthcare provider higher than our maximum rates? The difference will be payable by you.
No statutory personal contribution
You will not be subject to a statutory personal contribution for rehabilitation care.
Are you older than 18? The costs incurred for rehabilitation care will count towards your compulsory policy excess.
Who may provide this type of care?
Hospitals and rehabilitation centres may provide this type of care. The care must be provided under the final responsibility of a rehabilitation specialist (ultimately responsible). Use our Care Guide to find a hospital or rehabilitation care near you.
In the event of rehabilitation care provided by a non-contracted care provider, you need our written authorisation before receiving the care. When applying for care you will need to send us a copy of a report from the attending physician with the medical diagnosis/diagnoses, a description of the current problem and the proposed treatment plan (care activities).
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.