Transplant care

A transplant is the (partial) replacement of a patient's organ that is functioning poorly or not at all.

Reimbursements

Under the HollandZorg health insurance, you quality for the reimbursement of the costs of transplant care.

Basic Health Insurance Reimbursement
HollandZorg basic insurance 100%

 

Transplant care consists of all of the care necessary in relation to a transplant. Care will be provided to the giver (donor) and receiver of the transplant material.

Who qualifies for reimbursement?

Under the public healthcare insurance, you are entitled for reimbursement for transplant care if the care consists of:

  • Transplants of tissue and organs, if the transplant is carried out in an EU or EEA country. If the transplant is carried out in a country other than an EU or EEA country, the donor must reside in that country and be your spouse, registered partner or a blood relation of the first, second or third degree.
  • Specialist medical care in relation to selection of the donor.
  • Specialist medical care in relation to the operative removal of the transplant material from the donor.
  • Treatment of the transplant material if the donor has died.
  • Care during the hospital admission of the donor for selection or an operation. Care will be provided for up to a maximum of 13 weeks after the end of admission. Care for liver donors will be up to a maximum of six months after the end of admission.
  • Transport of the donor in the Netherlands that is connected to the selection of, admission to and discharge from a hospital and for care up to a period of 13 weeks (or six months) after admission has ended. This does not apply if the donor has health insurance. In that instance, the transport is at the expense of the donor's health insurance.
  • Transport from and to the Netherlands if the donor lives abroad. In this situation, the transplant must be of a kidney, liver or bone marrow for an insured party in the Netherlands. The transport must take place in the lowest class of public transport, or by car if this is medically necessary. This does not apply if the donor has health insurance. In that instance, the transport is at the expense of the donor's health insurance.
  • Other costs that a donor will be required to incur if he lives abroad. For example, travel expenses for a screening in the country where the donor lives.

    • Are you a donor? The receiver of the transplant material will cover the costs of transplant care that you receive. These costs will be reimbursed under the public healthcare insurance of the receiver.

    If the period referred to under heading 2, part 5, has expired, the cost of your care in relation to the transplant will be covered by your public healthcare insurance. These costs will not count towards your compulsory policy excess or any voluntary policy excess.

    Statutory personal contribution

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

    Excess

    Are you 18 or older? The costs incurred for transplant care will count towards your compulsory policy excess. Please read our terms and conditions for the exceptions.

    Referral needed?

    You will require a referral from a medical specialist or a clinical technologist for transplant care. You will not require a referral where an urgent situation is the case. For example, if the transplant cannot be postponed.

    Who may provide this type of care?

    You may receive transplant care from a transplantation centre.

    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