Sensory disability care
The care consists of:
- setting a diagnosis;
- care aimed at learning to live with the impairment from a psychological viewpoint;
- care that removes or compensates the impairment, thereby increasing your self-reliance.
The care also includes 'secondary' treatment of the people close to you. They will be learning certain skills, so they can help you. This is also covered by your health insurance.
When do you qualify for reimbursement?
This is subject to:
- visual acuity of < 0.3 in the best eye;
- range of vision < 30 degrees; or
- visual acuity between 0.3 and 0.5 in the best eye in combination with related, serious impairments in the daily functioning.
You are entitled to care if:
- you suffer from a threshold loss in the audiogram of at least 35 dB, obtained by averaging the hearing loss at frequencies of 1000, 2000 and 4000 Hz, or
- you suffer from a threshold loss in excess of 25 dB when measuring in accordance with the Fletcher index, the average loss at frequencies of 500, 1000 and 2000 Hz.
Speech and linguistic difficulties
You qualify for this type of care if you no more than 22 years old. You need to suffer from serious difficulty in acquiring your native language due to neurobiological and/or neuropsychological factors. Other (psychiatric, physiological, neurological) issues need to be subordinate to the language development disorder.
An admission for sensory disability care is subject to our written consent prior to the admission commencing. You must enclose a (copy of the) treatment plan with your application.
Referral required for sensory disability care
You need a first referral from a medical specialist or a clinical physical audiologist. You need a second or subsequent referral from a medical specialist, clinical physical audiologist, youth doctor or general practitioner. A second or subsequent referral is not required if you have a visual impairment and the following conditions are met:
- you previously received sensory disability care for your visual impairment;
- there has been a change in your medical or personal situation, as a result of which you have a new requirement for treatment;
- the healthcare provider who provides the sensory disability care establishes that your treatment requirement is noncomplex, which can be dealt with in a short programme, the so-called care programme 11.
Reimbursement sensory disability care
By virtue of the public healthcare insurance, you are entitled to sensory disability care.
|Public Healthcare Insurance||Reimbursement|
|HollandZorg public healthcare insurance
||100% in the case of contracted care|
No personal contribution
There is no statutory personal contribution for sensory disability care.
If you are aged 18 or older, the costs count towards compulsory and, if applicable, voluntary excess.
Who can provide the care?
Centres for sensory disability care can provide this type of care.
Maximum rates non-contracted care
We apply a maximum reimbursement for sensory disability 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. We can also send it to you if you wish. If the rates of the non-contracted care provider are higher than our listed maximum rates, the difference will be at your expense.
Admission for sensory disability care by a non-contracted care provider is subject to our written authorisation, prior to you being admitted. You must enclose a (copy of the) treatment plan with your application.
Send a request for permission to:
7400 VB Deventer
No stamp required.
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.