Chain approach for overweight and obese children
The insured party is entitled to care and support in the case of obesity if the insured party is younger than 18 and there is at least a moderately increased weight-related health risk (GGR) in accordance with the indication criteria in the Obesity guideline and obesity in adults and children. The care and support in the case of obesity consist of:
- a comprehensive case history by the central care provider (the permanent point of contact for the child and family).
- guidance 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, a combined lifestyle intervention (GLI) for children should be part of the action plan of the central healthcare provider. The action plan must provide substantiated evidence that the insured party is dependent on a GLI for children.
- a combined lifestyle intervention (GLI) for children.
The GLI for children is a tailor-made care programme, focused on a healthy diet, more exercise and, if necessary, psychological help to support behavioural change. The care programme consists of individual sessions and has a treatment phase and a maintenance phase. The care programme lasts 24 consecutive months (2 years).
The insured party 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 chain approach for overweight and obese children
Under HollandZorg basic health insurance, you will qualify for the reimbursement of the costs of chain approach for overweight and obese children
| Basic Health Insurance | Reimbursement |
|---|---|
| HollandZorg basic health insurance | 100% |
What do I need to keep in mind?
The following care providers are permitted to provide this type of care:
Comprehensive case history and guidance and coordination by the central care provider:
- a paediatric nurse registered with the endorsement of ‘Central Healthcare Provider’ in the Quality Register V&V Nurses
- a paediatric lifestyle coach registered as Central Healthcare Provider in the register of the Netherlands Professional Association of Lifestyle Coaches (BLCN)
- a youth and family professional registered as Central Healthcare Provider in the register of the Dutch Association of Social Workers (BPSW)
- a paediatric advisor registered as Central Healthcare Provider in the register of the Dutch Association of Social Workers (BPSW)
- a care group contracted by us
GLI for children:
- a dietitian who is registered in the Paramedics’ Quality Register with the designation ‘children’s lifestyle coach’
- a youth and family professional who is registered as a children’s lifestyle coach in the register of the Professional Association for Social Work (BPSW)
- a paediatric nurse registered with the qualification ‘children’s lifestyle coach’ in the Quality Register for Nursing and Care Nurses
- a paediatric physiotherapist who is registered with the designation ‘children’s lifestyle coach’ in the Individual Physiotherapy Register (IRF) of the Physiotherapy Quality Centre and/or the Physiotherapy Quality Mark Individual Register (KFIR) of the Physiotherapy Quality Mark Foundation (SKF)
- a paediatric lifestyle coach who is registered in the register of the Professional Association of Lifestyle Coaches in the Netherlands (BLCN)
- a paediatric exercise therapist who is registered with the designation ‘paediatric lifestyle coach’ in the Paramedics’ Quality Register
- a care group contracted by us.
Is a referral needed?
Yes, from a general practitioner, youth healthcare doctor or paediatric nurse.
Is there a statutory personal contribution?
No
Are the costs deducted from the compulsory excess?
No
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 2027.
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 for 2027. 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.