Chain approach for overweight and obese children

The chain approach, or combined lifestyle intervention for children, a tailor-made care programme, focused on a healthy diet, more exercise and, if necessary, psychological help. The tailor-made care programme consists of individual sessions and has a treatment phase and a maintenance phase. The care programme lasts 24 consecutive months (2 years).

If the insured is younger than 18, they are entitled to:

  • a broad anamnesis by the central care provider (the point of contact for the child and its family)
  • support and coordination of the right care and support at the right time by the right professional for the child and family by the central care provider. In that case, combined lifestyle intervention (GLI) for children must form part of the action plan. The action plan must demonstrate that the insured party is dependent on GLI for children
  • combined lifestyle intervention (GLI) for children. The insured party must have at least a moderately increased weight-related health risk (GGR) according to the indication criteria from the NHG Guidelines for Obesity and the Addendum for children to the Obesity Care Standard.

The insured is entitled to the care programmes on the List of designated care programmes of GLI for children. This list may change in the interim. 

Reimbursements

Reimbursement for general practitioner care

Under HollandZorg basic health insurance, you will qualify for the reimbursement of the costs of general practitioner care:

Basic Health Insurance Reimbursement  
 HollandZorg basic health insurance 100% 

Statutory personal contribution

You will not be subject to a statutory personal contribution for general practitioner care.

Excess

The costs of general practitioner care will not count towards your policy excess.

Who may provide this type of care?

You may approach general practitioners for general practitioner care. Use our Care finder to find a care provider near you.

 

 

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