Ergotherapy

Ergotherapy, also called occupational therapy aims to promote or restore self-care and independence. Ergotherapy will be provided by an ergotherapist or occupational therapist. The care includes conditional occupational therapy as referred to in our Conditional care list (in Dutch).

Reimbursements

Reimbursement for ergotherapy

Under HollandZorg basic health insurance, you will qualify for the reimbursement of the costs of ergotherapy.

Basic Health Insurance Reimbursement

HollandZorg basic health insurance

 max. 10 treatment hours per calendar year

Referral required for a non-contracted care provider

You need a referral from a general practitioner, medical specialist, paediatrician, psychiatrist, company doctor, dentist, geriatrician, nurse specialist, physician's assistant or a so-called 'regiebehandelaar' in the context of medical care for specific patient groups (GZSP). This does not apply to care provided by a contracted care provider who has successfully completed the 'Direct Access' course. If a referral is required, you must enclose a copy of the referral when submitting the invoice.

Statutory personal contribution

You will not be subject to a statutory personal contribution for ergotherapy.

Excess

Are you 18 or older? The costs incurred for ergotherapy will count towards your compulsory policy excess.

Who may provide this type of care?

The following care providers are permitted to provide this type of care:

  • occupational therapy in the event of Parkinson's disease: an occupational therapist who is affiliated with the national ParkinsonNet network. Affiliation with the ParkinsonNet is not compulsory if the provision of care started before 1 January 2019
  • other occupational therapy: an occupational therapist

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