IAK Supplementary Health Care Insurances - IAK Verzekeringen

2.5
the number of care hours indicated by the maternity centre, up to a maximum of 12 hours spread over a maximum of
4 consecutive days.
Lactation care
Reimbursement of the costs of help and advice on breastfeeding provided by a lactation consultant who is a member
of the NVL (Dutch Association of Lactation Consultants), up to a maximum of € 115.00 per delivery.
21 Abroad
3.1
3.2
3.3
3.4
Urgent care during holiday or temporary stay
Reimbursement of the costs of 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, 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.
Transport
Reimbursement of the costs of medically necessary patient transport to the nearest hospital by ambulance or taxi.
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.
22 Pharmaceutical care
4.1
4.2
Contraceptives
Reimbursement of the costs of contraceptives that may be provided under the Regeling zorgverzekering, 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.
Individual contribution
Reimbursement of the individual contribution owed pursuant to the GVS set up by the government. The GVS falls
under the Regeling Zorgverzekering.
4.3 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.
23 Physiotherapy and remedial therapy
Reimbursement of the costs of care such as is usually provided by physiotherapists and remedial therapists from a
child physiotherapist, standard 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 is subject to a maximum of € 750.00
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.
Samen voor een perfect verzekerde toekomst 25