IAK Supplementary Health Care Insurances - IAK Verzekeringen

3 Pharmaceutical care
3.1
Contraceptives
Reimbursement of the costs of contraceptives that may be provided under the Regeling Zorgverzekering (Health Care
Insurance Regulations), such as the contraceptive pill, a contraceptive implant, IUD, ring or pessary, prescribed by a
general practitioner or medical specialist and supplied by a pharmacy or dispensing general practitioner to insured
persons aged 21 and above, for the first prescription for a new contraceptive pill/device, up to a maximum of the
amount laid down in the Regeling Zorgverzekering and the GVS (Medicines Reimbursement System).
The cost of the placement and removal of a contraceptive device such as an IUD will be reimbursed under the health
care insurance irrespective of your age. If you are under 21 years of age, you are entitled under the health care
insurance to the reimbursement of contraceptives such as the contraceptive pill, a contraceptive implant, IUD, ring or
pessary.
a. Medication to help you stop smoking
Reimbursement of the cost of medication (nicotine replacement products and prescription-only remedies) used in
support of behavioural therapy in the context of a ‘stop smoking’ programme, up to a maximum of € 115.00 for the
entire term of the insurance.
4 Physiotherapy and remedial therapy
Reimbursement of the costs of care such as is usually provided by physiotherapists and remedial therapists from a
child physiotherapist, manual therapist or Cesar/Mensendieck remedial therapist, oedema therapist, psychosomatic
therapist or pelvic floor physiotherapist, exclusively if and insofar as there is no entitlement (or no longer any
entitlement) to such reimbursement under the IAK Health Care Insurance or one or more of the supplementary
insurances described in these policy conditions. Reimbursement will take place up to a maximum of € 250 per insured
person per policy year.
In the case of treatment of chronic conditions as defined in Appendix 1 of the Besluit zorgverzekering (Health Care
Insurance Decree), the invoice must be accompanied by a certificate from the attending practitioner showing the
indication. It must be evident from the indication that the treatment is medically indicated. Oedema therapy may also
be provided by a skin therapist.
You can find a list of care providers contracted by the health care insurer on our website. Alternatively, you can call us
and ask for a list. For more information, see article 2.4 of ‘General conditions’ in these insurance terms and conditions.
The costs of the following will not be reimbursed: antenatal exercises and maternity exercises, sports massage,
occupational therapy and individual or group treatment or types of fitness training intended to improve the level of
fitness.
5 Skin therapy
5.1
5.2
Skin therapy
Reimbursement of the costs of the following, up to a maximum of € 150.00 per insured person per policy year:
• camouflage lessons and the cost of purchasing the aids needed for these lessons;
• facial epilation by laser or other means;
• peeling in the case of severe acne;
• lymph drainage.
Entitlement to reimbursement of these costs is subject to the care being provided by a skin therapist or beauty
specialist.
Psoriasis day-care treatment
Reimbursement of the costs of psoriasis day-care treatment aimed at preventing and combating the chronic skin
condition psoriasis in a day-care treatment centre with which the health care insurer has entered into a contract, up to
a maximum of € 150.00 per insured person per policy year.
6 Medical aids
6.1
Reimbursement of the individual contributions that the insured person owes over and above the maximum
reimbursement payable under the applicable Regeling Zorgverzekering, subject to a maximum of € 150.00 per insured
person per policy year. A maximum may apply to the reimbursement of the individual contributions. Said maximum
will be set at the discretion of the health care insurer. The health care insurer may make the reimbursement of the
costs of purchasing or renting medical aids subject to its prior consent, at the discretion of the health care insurer
and/or in conformance with the Reglement Huplmiddelen (Medical Aids Regulation). See www.iak.nl/zorg, 'IAK
Vergoedingsregeling hulpmiddelen' for the reimbursement rates.
Together for a perfectly insured future 17