FEES AND REIMBURSEMENT
Payments
and
reimbursement
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PAYMENTS AND REIMBURSEMENT
FEES AND REIMBURSEMENT
As a mental health care provider, we are required to verify the accuracy of your information, including your ID, health insurance, and BSN number. It is therefore very important that you bring your ID to the first appointment and show it to the secretarial staff. Your information will then be added to the patient database.
In most cases, treatment at GGZ voor elkaar is fully reimbursed under the basic health insurance plan. You do not need supplementary insurance or special policy conditions for this. The only thing you need is a valid referral from your GP. Treatment is reimbursed if your symptoms meet the DSM-5 criteria. Both the GP and the practitioner check whether there is a DSM-5 diagnosis (diagnostic manual for mental disorders). During registration, your doctor will assess whether your care request qualifies for reimbursement by your health insurer. You will be clearly informed about this.
The duration of treatment may vary depending on the type of health insurance you have. In mental health care, your health insurance plays an important role in determining the options and limitations of your treatment. Some insurance plans cover a broader range of treatments and longer treatment trajectories, while others may offer more limited coverage.
It is therefore important to review your policy terms and discuss them with your practitioner to get a clear overview of the coverage and any limitations. Your practitioner can help you understand how your insurance affects your treatment, and together you can create a plan that matches your insurance package and treatment needs.
For more information about covered medical costs, you can contact your health insurer.
Not all treatments are reimbursed
Not all treatments in medical mental health care can be reimbursed under the basic health insurance package:
- treatments that do not meet current scientific and professional standards
- treatments for which you do not have a referral from your GP
- treatments for other issues, such as:
- problems at work
- stress-related complaints and burnout
- relationship problems
- problems adjusting to a new situation, such as divorce, grief, and job loss.
In addition, there are treatments for disorders that are not reimbursed under the basic health insurance package because they fall under a different domain. For example, learning disorders. Dyslexia treatment for children may be reimbursed by municipalities under the Youth Act. For adults, this treatment is at their own expense.
Financially, this means the following
The treatment rates at GGZ voor elkaar are set nationally by the Nederlandse Zorgautoriteit (NZa). You can find them on the ‘Tarieven verzekeraars” website. Depending on your health insurance policy, the costs of treatment at GGZ voor elkaar may vary. The main difference lies in whether or not your health insurer has a contract with our organization.
Insurers contracted with GGZ voor elkaar
Below you will find a list of health insurers with which our organization has concluded a contract. If your insurer is on this list, this means that all costs related to treatment will be reimbursed by your insurer. (Please note! Keep in mind the deductible)
Insurers not contracted with GGZ voor elkaar
Does your health insurer not have a contract with our organization? If so, you will regularly receive an invoice. After you submit this to your insurer, you may receive partial reimbursement from your insurer. Depending on the amount you receive from your insurer, you are required to pay the remaining amount yourself. The amount depends on the insurer, its policy, and the type of treatment. (Please note! Keep in mind the deductible) For more information about the costs of treatment in mental health care, please contact your health insurer.
Treatment fees
Treatment rates for mental health care are determined nationally by the Nederlandse Zorgautoriteit (NZa).
Deductible
For treatment in mental health care, the insurer may charge a patient contribution, the so-called deductible. The deductible ranges from €385 to €885 per year. The amount depends on your insurance policy. Have you not yet paid your deductible this year? It may happen that the insurer deducts this amount from the reimbursement for your treatment at GGZ voor elkaar. In that case, you will receive a lower reimbursement from your health insurer and you are required to transfer the deducted amount to the account of our organization.
If you have any questions or comments, please contact your health insurer
REIMBURSEMENT GGZ
Some reimbursement policies cover 100% and others do not. For more information, we advise you to contact your health insurer.
If you are insured with one of the health insurers shown in the photo of contracted health insurers, you have full coverage. Are you not completely sure whether your care is reimbursed 100%? If so, please contact your health insurer for more information. Especially when it concerns non-contracted care. If in doubt, we advise you to do this to avoid misunderstandings.
Contracted care
Achmea
De Friesland
FBTO
Interpolis
De christelijke
zoragverzekeraar
ZieZo
Zilveren Kruis
Is an insurer not listed? Then check your policy to see which insurer it falls under.
CZ
CZ
CZdirect
IZZ(door CZ)
Just
Nationale-Nederlanden
OHRA
EUcare
Aevitae
Care4Life
Zorg en Zekerheid
AZVZ
Zorg en Zekerheid
ZEM
A.S.R.
a.s.r
Ik kies zelf van a.s.r.
DSW
DSW
in Twente
Stad Holland
Menzis
Anderzorg
Hema
Menzis
VinkVink
VGZ
IZA
IZZ(door VGZ)
UMC
Univé
VGZ
VGZbewuzt
Zekur
Collectivity
United Consumers
ONVZ
ONVZ
VvAA
Non-contracted care – submit invoice
For non-contracted care, you will receive an invoice from us and submit it yourself to your health insurer. Please make sure the contact and address details you have provided to us are up to date.
First, you will receive an invoice from us showing the full amount for a specific treatment period. You then send it to your insurance company. You will then receive a partial reimbursement. The reimbursement may range from 50% to 95% and depends on your policy. The amount you receive from the health insurer will be transferred to the account of GGZ voor elkaar.
You can transfer the amount owed to GGZ voor elkaar in one payment, or first transfer the amount you received from the insurer and then pay the remaining balance to GGZ voor elkaar. The amount of the remaining balance depends on the reimbursement percentage. After signing the documents, you will receive further explanation about this.