IAK Supplementary Health Care Insurances - IAK Verzekeringen

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28 14.2 14.3 For a list of patient societies, go to www.npcf.nl. Under the heading ‘organisatie’ you will find a link ‘onze leden’. Sports medicine advice Treatment sessions, consultations and physical examinations provided by a sports medicine doctor working for a sports medicine organisation affiliated to the FSMI (Federation of Sports Medicine Organisations). Vaccinations in connection with foreign travel Reimbursement of essential vaccinations, consultations and/or preventive medication in connection with travel to foreign countries against: hepatitis A/B, DTP, yellow fever, typhoid, cholera, meningococcal or other meningitis, rabies or malaria, subject to these being provided/administered by a general practitioner or a doctor who is recognised by the LCR (National Coordination Centre for Advice to Travellers) and qualified to vaccinate against yellow fever. See www.lcr.nl for a list of addresses. Vaccinations and/or medication in connection with business trips or business-related visits to other countries do not qualify for reimbursement. 14.4 Incontinence support Advice on daily living and a medical assessment for women suffering from involuntary loss of urine. Having completed a digital questionnaire in a diagnostic expert system, you will receive a medical assessment online, with recommendations. You can find the digital questionnaire on www.incontinentiezorgservice.nl. Reimbursement: Reimbursement of the preventive care named in this article is subject to a total maximum of € 150.00 per insured person per policy year. 33 Psychological care Reimbursement of the costs of a maximum of four sessions per calendar year over and above the first-line psychology care sessions covered under the IAK Health Care Insurance, up to a maximum of € 60.00 per session, subject to the care being provided by a first-line psychologist who is a member of the NIP (Dutch Institute of Psychologists) or a health care psychologist. The term 'first-line psychology' refers to the diagnostic and short-term, general treatment of non-complex psychological disorders / illnesses. For insured persons younger than 18 this care may also be provided by a child psychologist, youth psychologist or general educationalist. The care location may be the psychiatric department of a general hospital, a GGZ institution or an independent practice. 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. 34 Second opinion Reimbursement of the costs of consulting another specialist (second opinion), if the attending medical specialist has proposed major medical treatment, exclusively if and insofar as there is no entitlement to such reimbursement under the IAK Health Care Insurance. 35 Anti-stuttering therapy Reimbursement of the costs of anti-stuttering therapy according to the Del Ferro, BOMA or Hausdörfer method, up to a maximum of € 500.00 per insured person for the entire term of the insurance.
36 Dental care 18.1 18.2 For insured persons up to the age of 18 Reimbursement of the costs of treatments by a dentist or a centre for specialist dentistry recognised by the authorities, whereby the reimbursement for bridges, bridge parts and crowns is subject to a maximum of € 500.00 per insured person per year. Within that overall maximum, the health care insurer may set a maximum amount for the reimbursement of each procedure / course of treatment. For further information, see our website or contact IAK Customer Service Zorg- en Inkomensverzekeringen. Orthodontic treatment (tooth-jaw alignment) for insured person up to 18 years old Reimbursement of the costs of orthodontic treatment (tooth-jaw alignment) by an orthodontist or dentist. If the orthodontic treatment has not been completed by the 18th birthday, the costs of continued treatment will also be reimbursed. The health care insurer may set a maximum amount for the reimbursement of each procedure / course of treatment. For further information, see our website or contact IAK Customer Service Zorg- en Inkomensverzekeringen. 37 Seated patient transport Reimbursement of: • the costs of seated patient transport (taxi, private vehicle or lowest class of public transport) if and insofar as there is no entitlement (or there is no longer entitlement) on the basis of the medical indications as mentioned in the IAK Health Care Insurance and the Decree and the Regeling Zorgverzekering that form part thereof, all at the discretion of the health care insurer and subject to the prior written permission of the health care insurer (in the event of transport by private vehicle, a certain amount will be reimbursed per kilometre, as laid down in the Regeling Zorgverzekering); • the statutory individual contribution as mentioned in the Regeling Zorgverzekering that forms part of the IAK Health Care Insurance, per insured person per calendar year for seated patient transport (taxi or private vehicle). Reimbursement will apply to medically necessary patient transport within the Netherlands, to and from a hospital or the address of the medical specialist's practice or to and from facilities that fall fully or partially under the AWBZ (Exceptional Medical Expenses Act). Transport to and from an AWBZ establishment for a care session lasting part of a day qualifies for reimbursement under the AWBZ. Samen voor een perfect verzekerde toekomst 29
Page 1: IAK Supplementary Health Care Insur
Page 4 and 5: 4 I General section 5 1 Definitions
Page 6 and 7: 6 1.19 1.20 1.21 1.22 1.23 1.24 1.2
Page 8 and 9: 8 1.65 1.66 Youth psychologist: a p
Page 10 and 11: 10 Below are the types of care for
Page 12 and 13: 12 Charge for payment via paper pay
Page 14 and 15: 14 6.5 6.6 The policyholder may giv
Page 16 and 17: 16 Cover II Jong Extent of the cove
Page 18 and 19: 18 6.2 Glasses / contact lenses Rei
Page 20 and 21: 20 Cover III Compact Extent of the
Page 22 and 23: 22 15 Medical aids 6.1 6.2 Individu
Page 24 and 25: 24 Cover IV Compleet Extent of the
Page 26 and 27: 26 You can find a list of care prov
Page 30 and 31: 30 Cover V Extra Compleet Extent of
Page 32 and 33: 32 5 Pharmaceutical care 5.1 5.2 Co
Page 34 and 35: 34 can be called in where the insur
Page 36 and 37: 36 20 Second opinion Reimbursement
Page 38 and 39: 38 2.5 in advance to the health car
Page 40 and 41: 40 9.3 lenses that are replaced mon
Page 42 and 43: 42 Reimbursement will apply to medi
Page 44 and 45: 44 General VIII Supplementary insur
Page 46: 46 ZV-VW-AV ENG (01-2012)

IAK Supplementary Health Care Insurances - IAK Verzekeringen

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