Reimbursements
Basic insurance
Medical Care
General practioner care
this also includes: assistance to stop
smoking and foot care in case of diabetes
mellitus (annual foot checkup and advice
and diabetic foot treatment sessions from
care profile 2 upwards)
full reimbursement
Specialist medical care
this also includes: care provided by
thrombosis service, second opinion,
haemodialysis at a dialysis centre, chronic
intermittent artificial respiration and the
necessary equipment, "Stop smoking"
programme
full reimbursement, subject to medical
necessity.
No reimbursement for treatments:
- against snoring
- aimed at sterilisation (man/woman)
- sterilisation reversal (man/woman)
- circumcision
Rehabilition
this includes: oncological rehabilitation,
quick scan and geriatic rehabilitation
full reimbursement
Heridity tests
full reimbursement
IVF and fertility-stimulating
treatments
- 3 attempts up to age 43 (incl. ICSI and
medicines)
- other fertility treatments if medically indicated
(incl. medicines)
- sperm freezing
- ovum/embryo freezing, particularly in relation
to oncological treatment
Audiological care
examination of hearing capacity, hearing
aid advice
full reimbursement
- correction of mutilations, congenital and other
malformations, subject to specific medical
indication
- eyelid/abdominal wall corrections, subject tot
specific indication and following permission (see
terms and conditions)
- primary sexual characteristics, subject to
medical indication
Plastic/reconstructive surgery
Not insured:
- liposuction of the stomach
- placement or replacement of breast
prostheses, other than following full or partial
breast amputation
- upper eyelid correction without medical
indication
Transplantation of tissue/organs
full reimbursement if within EU-EER member
state (incl. donor expenses)
Second opinion
full reimbursement for care under basic
insurance provided by medical specialist
Jong
Reimbursements
Chain care
(care programmes) for diabetes mellitus
type 2, COPD and cardiovasculair risk
management
Basic insurance
Jong
full reimbursement
Psychological care
General basic mental health care from full reimbursement
age 18
(not insured: disorders relating to work,
(first-line-metal health care)
relationships or adjustment)
Specialist mental health care from age
full reimbursement
18
(second-line mental health care)
Psychiatric hospitalisation from age
18
full reimbursement
Paramedical care
Physiotherapy and remedial therapy
physiotherapy for adults and children,
oedema therapy, Cesar/Mensendieck
remedial therapy and pelvic floor therapy
up to age 18: full reimbursement if chronic, if
acute 1 - 18 sessions per diagnosis.
From age 18: reimbursement from 21st session
max. € 250 pp per year
in case of treatment of chronic disorders.
First 9 sessions of pelvic floor therapy relating
to urinary incontinence
Speech therapy
full reimbursement
Ergotherapy
10 treatments hours pp per year
Dietary advice
medically focused information on diet and eating
habits: 3 hours per year
Oral health care
Dental care
up to age 18: full reimbursement for named
treatments (limitative list, see terms and
conditions)
full reimbursement for dental care (incl. any
implants and technical costs) and orthodontic
Dental care and orthodontic treatment
treatment in case of specific medical indication.
in special cases
In some cases an individual contribution will
apply
Prothetic devices from age 18
- 75% of the cost of a full set of removable
dentures (incl. technical costs)
- fully removable dental prosthesis on implants
(incl. technical costs) in case of severely
shrunken toothless jaw. A individual contribution
of € 125 per upper or lower jaw will apply
Pharmaceutical care
Medicines
full reimbursement in accordance with Health
Care Insurance Regulations and IAK
Pharmaceutical Care Regulations (an individual
contribution applies to some medicines, and in
some cases prior permission is required)
from age 18:
max. € 250 pp per year
(if insured)
Reimbursements
Basic insurance
Contraceptives
such as contraceptive pill, contraceptive
implant, diaphragm, ring or pessary
full reimbursement up to age 21 (an individual
contribution applies to some pills/devices)
from age 21 reimbursement only in case of
anaemia
Dietary preparations
full reimbursement in accordance with Health
Care Insurance Regulations and IAK
Pharmaceutical Care Regulations (subject to
specific medical indication)
Jong
full reimbursement from age 21
Medical aids
Medical aids
full reimbursement in accordance with Health
Care Insurance Regulations and IAK Medical
Aids Regulations (an individual contribution
and/or maximum reimbursement applies tot
some medical aids
Individual contribution ot medical
aids
max. € 150 pp per year for the individual
contribution under Zvw
Glasses, including frames/contact
lenses
max. € 50 pp per year
Stay in an institution
Hospital-based nursing
full reimbursement
Nursing and care
Home-based nursing andd care
(can be in the form of a personal budget)
full reimbursement
Care for people with a sensory handicap
Multidisciplinary care relating to a
visual, auditory of communicative
handicap
full reimbursement
Childbirth and maternity care
Childbirth
at home or in maternity hotel: full
reimbursement
- outpatient/short-stay delivery (without
medical necessity): € 202 per day for mother
and child together (€ 235 minus
€ 33 individual contribution to maternity care in
hospital)
- outpatient/short-stay delivery (with medical
necessity): full reimbursement
Prenatal screening
counseling, examination, test (subject to
medical indication)
Maternity care
- at home or in maternity care hotel: max. 10
days (indiv. Contribution of
€ 4.15 per hour apllies)
applications for maternity care at home via IAK
Customer Service Health Care
- in hospital (without medical indication): max.
10 days (indiv. contribution of € 33 per day
applies to mother and child together
- in hospital (with medical indication): full
reimbursement
Reimbursements
Basic insurance
Jong
Patient transport
Transport by ambulance
full reimbursement
Seated patient transport
full reimbursement for taxi and lowest class of
public transport; private vehicle
€ 0.31 per km: in case of indication relating to
haemodialysis, oncological treatment,
wheelchair use, limited vision or chronic
condition: indiv. Contribution of € 97 pp per
year;
> 200 km permission required
Care mediation
Care and waiting list mediation
meidation in case of unacceptably long waiting
time via Health Care Advice department and
help with looking for a new GP or dentist
following a house move
Abroad
Emergency assistance
full reimbursement based on Dutch or prevailing
market rates (permission via SOS International max. 200% Dutch rate
required)
Assistance during stay abroad
This includes: repatriation of the
sick/injured form abroad
via SOS International alarm centre
Alternative care
Alternative therapy and special
remedies
these include the following:
acupuncture ande other traditional Eastern
remedies, anthroposophy, homeopathy,
natural remedies, psychosocial care and
certain forms of alternative movementrelated therapy
max. € 200,- pp per year,
max. € 75,- per day
Homeopathic and anthroposophic
remedies
(counted together with reimbursement for
alternative treatment)
max. € 200,- pp per year, on doctor's
prescription, supplied bij pharmacy
Skin therapy
Skin therapy, camouflage, facial
epilation, peeling in case of acne,
lymphdrainage, oedema therapy
(subject to referral by GP or medical
specialist)
max. € 150,- pp per year,
must be performed by a designated skin
therapist of beautician
Preventive care
Preventive courses
preventive care budget
€ 200 pp per year
Vaccinations/medication in
connection with foreign travel
(not business-related)
preventive care budget
€ 200 pp per year
Sports medical advice/ treatment
preventive care budget
€ 200 pp per year
Stopping smoking programme
via GP, medical specialist or clinical psychologist
aimed at behavoural change and including
support medication
Reimbursements
Basic insurance
Jong
Other
treatment at various anti-stuttering centres or
by specialist speech therapist (see terms and
conditions)
Anti-stuttering therapy
€ 350,Premium per month € 19,-
Dental care
€ 950,Premium per month € 19,-
reimbursement up to max. € 350 pp per year
for:
- C (consultations/second opinion) / M (oral
Reimbursement of costs of dental care
hygiene) / V (fillings) /
for insured persons aged 18 and
H (extractions) - codes:
upwards
100% of statutory rate;
- other treatments:
80% of statutory rate
reimbursement up to max. € 950 pp per
year for:
- C (consultations/second opinion) / M (oral
hygiene) / V (fillings) /
H (extractions) - codes:
100% of statutory rate;
- other treatments:
80% of statutory rate
Ziekenhuis Ontzorg Pakket
Nursing in a hospital
extra costs of nursing in a class higher than
standard
Compensation in cases where a higher
€ 70,- per day of nursing
class is not present or available
Extra facilities, service and comfort
max. € 200,- per day of nursing
Nursing at/admission to convalescent
max. € 100,- per day up to max. 28 days
home
Transportation by taxi relating to
admission to/discharge from hospital
max. 4 journeys per admission
Home help in case of hospital
admission
max. 10 hours per admission
Childcare in case of hospital
admission of parent
€ 20,- per child under age 13 per working day
from 4th day of admission, max. 60 working
days
Premieoverzicht
Inclusief verplicht eigen risico van € 375,- per kalenderjaar
Vrijwillig eigen risico
€0
€ 100
€ 200
€ 300
Korting op premie
€0
€3
€6
€9
€ 12
IAK Goede keuze
€ 91,15
€ 88,15
€ 85,15
€ 82,15
€ 79,15
IAK Ruime keuze
€ 97,15
€ 94,15
€ 91,15
€ 88,15
€ 85,15
€ 82,15
IAK eigen keuze
€ 102,55 € 99,15
€ 96,55
€ 93,55
€ 90,55
€ 87,55
No rights (including rights to reimbursement) may be derived form this survey of
reimbursements. Always consult the insurance terms and conditions for precise,
up-to-date details of the reimbursements, or contact Customer Service.
€ 400
€ 500
€ 15
€ 76,15