Lens implants
Reimbursement of lens implants
Under your public health insurance and supplementary insurance, you qualify for reimbursement for lens implantations in some cases.
For certain medical indications, you may receive reimbursement under the basic health insurance for lens implantations. Examples include cataract surgery or contact lens intolerance. The medical indication must be demonstrated by the referral from the GP or medical specialist. You need our prior consent for reimbursement under the basic healthcare insurance.
If a multi-focal or toric lens must be fitted and this is not reimbursed under the basic health insurance, there is a possibility the (additional) costs are reimbursed under the supplementary insurance.
By virtue of the supplementary Top insurance, you are entitled to reimbursement of lens implants. This reimbursement also contains additional costs of lens implants that are covered under the basic health insurance, but which are not fully reimbursed by the basic health insurance.
| Basic Health Insurance | Reimbursement |
| HollandZorg basic health insurance | 100% (in case of a medical indication, and with a contracted care provider) |
| Supplementary insurance | Reimbursement |
| Start |
none |
| Extra |
none |
| Plus | none |
| Top | max. € 500 for the total treatment of both eyes for the entire insured period |
| No Risk I | none |
| No Risk II | none |
Personal contribution
Lens implants are not subject to a statutory personal contribution.
We reimburse lens implants subject to a maximum amount per calendar year. If the costs of the lens implants are higher than the maximum reimbursement, the difference will be for your account.
No excess
If you are 18 years or older, the costs for reimbursement by virtue of the public healthcare insurance count towards your statutory and voluntary excess.
The costs for reimbursements by virtue of the supplementary insurance do not count towards your excess.
Who can you go to?
If you need lens implants, you can go to a hospital or eye clinic. Our Care Guide helps you find a care provider near you.
If you are planning on seeing a care provider with whom we have not concluded an agreement for audiological care, the rates of the rate list for non-contracted care apply. If the rates of the non-contracted care provider are higher than our maximum rates, the difference will be for your expense.
For more information, please call our Care Advice Line on +31(0)570 687 123. Our expert staff will be pleased to answer your questions.
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
