IAK Supplementary Health Care Insurances - IAK Verzekeringen

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5 Pharmaceutical care
5.1
5.2
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 Health Care Insurance Regulations.
5.3 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.
6 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.
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.
7 Group therapy
7.1
7.2
Group therapy for cancer patients
Reimbursement of the costs of after-care for patients with cancer who, immediately following treatment by the
attending medical specialist, want to regain physical and mental strength in a hospital, integral cancer centre,
establishment certified by the Stichting Herstel en Balans (Recovery and Balance Institution) to provide Recovery and
Balance group revalidation courses or an establishment affiliated to the IPSO (Institute of Psychosocial Oncology
Establishments), up to a maximum of € 500.00 per insured person per policy year and subject to referral by the
medical specialist.
Group therapy for rheumatism patients
Reimbursement of the costs of group therapy for members of the rheumatism patients association under the direction
of a physiotherapist, up to a maximum of € 150.00 per insured person per policy year.
8 Skin therapy
8.1
8.2
Skin therapy
Reimbursement of the costs of the following, subject to a maximum of € 1,500.00 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 serious 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