In case a dutch health insurer refuses to pay ...
21/04/18 16:15 Filed under: Healthcare


The amount of the reimbursements depends on the policy you have taken out. With a reimbursement policy ('restitutiepolis'), you will be reimbursed the rate that the health insurer has set for the treatment.
For a 'naturapolis' you usually pay less premium and the reimbursements are lower. The Health Insurance Act (see Article 13 Healthcare Insurance Act) states that health insurers do not always have to reimburse the entire amount. In practice, this means that the insured, who goes to a non-contracted provider (eg the Staten Clinic), has to pay part of the treatment himself. The health insurer therefore only partially reimburses. The legal text states that a small fee is mandatory.
Background information:
1) Article 13 Healthcare Insurance Act