IAK Supplementary Health Care Insurances - IAK Verzekeringen

20
Cover
III Compact
Extent of the cover
Reimbursement will be provided for the following costs of care or services insofar as there is no entitlement (or no
longer any entitlement) to such reimbursement under the IAK Zorgverzekering based on the Zvw (Health Care
Insurance Act) or pursuant to one or more of the supplementary insurances described in these policy conditions that
have been entered into supplementary to the IAK Zorgverzekering (main insurance).
10 Alternative and special medicine
1.1
1.2
1.3
1.4
Reimbursement of the costs of alternative treatments and consultations that fall under the following categories:
a. acupuncture and other traditional Eastern medicines;
b. anthroposophy;
c. homeopathy;
d. natural remedies;
e. psychosocial care.
• The forms of care named under a to d (above) must be provided by a doctor listed in the register referred to in
the Wet BIG (Individual Health Care Professions Act) or a care provider contracted by the health care insurer;
• The care named under e (above) must be provided by a care provider contracted by the health care insurer.
You can find a list of contracted care providers 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.
Reimbursement of the costs of treatments and consultations provided by:
• a podotherapist who is a member of the NVvP (Dutch Association of Podotherapists), with the exception of the
costs of the aids made for treatment, including arch supports, unless these are insured under a different category;
• a haptotherapist who is a member of the VVH (Association of Haptotherapists);
• a craniosacral therapist whose name appears on the RCN (Dutch Craniosacral Therapy Register).
Reimbursement of the costs of the treatments and consultations named under 1.1 and 1.2 above are subject to a total
maximum of € 250.00 per insured person per policy year.
A maximum of € 75.00 per insured person per day will be reimbursed for the costs of consultations and/or treatments
provided by the above-named physicians and/or therapists, subject to said consultations and/or treatments being
standard within this occupational group.
Reimbursement of the costs of medicines classified as homeopathic and/or anthroposophical medicines on the basis of
the Geneesmiddelenwet (Medicines Act) and that are prescribed by a physician, medical specialist, dental surgeon,
dentist or obstetrician and supplied by a pharmacy or dispensing general practitioner. Reimbursement will be granted
up to a maximum of € 125.00 per insured person per policy year.
11 Abroad
2.1
2.2
2.3
Urgent care during holiday or temporary stay
Reimbursement of the costs of essential emergency medical care relating to an unforeseen illness that has arisen
during the first 12 months of a stay in a foreign country on holiday, on a work-related trip or for study purposes, up to
a maximum of 200% of the costs that would have been reimbursed for equivalent treatment in the Netherlands.
Entitlement to reimbursement exists exclusively subject to the maximum reimbursement payable under the policy and
provided that there is an entitlement to care under the IAK Health Care Insurance. In such cases, the reimbursement
granted will be of a supplementary nature.
Urgent care/Alarm centre
In the event of acute hospitalisation abroad, immediate contact must be made with the health care insurer or with the
alarm centre of the Dutch emergency organisation SOS International. SOS International is available day and night,
also at weekends, on +31 (0)20 651 51 51.
Repatriation
Reimbursement of the costs of repatriation of patients or injured persons by ambulance and/or airplane, including the
costs charged for accompaniment in cases where this is medically necessary. Intended repatriation must be reported
in advance to the health care insurer or the SOS International alarm centre so that the degree of medical necessity
can be assessed.