IAK Supplementary Health Care Insurances - IAK Verzekeringen

24
Cover
IV Compleet
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).
19 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 € 550.00 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 € 250.00 per insured person per policy year.
20 Childbirth and maternity care
2.1
2.2
2.3
2.4
Individual contributions relating to maternity care
Reimbursement of the statutory individual contributions for obstetric help and maternity care according to Regeling
Zorgverzekering (Health Care Insurance Regulations) charged by the hospital or maternity centre.
The supplementary reimbursement will be granted for the same number of hours or days as the number of hours or
days of entitlement to maternity care under the IAK Health Care Insurance.
Maternity package
Supply of a maternity package put together by the health care insurer in consultation with obstetricians. To qualify for
a maternity package, the maternity care must be requested from the IAK Customer Service Zorg- en
Inkomensverzekeringen at least 5 months before the expected delivery date, by calling: +31 (0)40 261 18 88.
Multiple births
A one-off reimbursement of € 200.00 will be granted in respect of the second child (and, where relevant, subsequent
children) in the case of multiple births included under the policy.
Maternity care in case of adoption
Reimbursement of the costs of necessary support, counselling and instructions associated with the care of and
relationship with an adopted child of less than 3 months of age and how to fit said care into the daily routine. Such
care must be provided by a maternity nurse affiliated to a maternity centre. The reimbursement will be restricted to