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IAK Supplementary Health Care Insurances - IAK Verzekeringen

IAK Supplementary Health Care Insurances - IAK Verzekeringen

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20 Second opinion<br />

Reimbursement of the costs of consulting another specialist (second opinion), if the attending medical specialist has<br />

proposed major medical treatment, exclusively if and insofar as there is no entitlement to such reimbursement under<br />

the <strong>IAK</strong> <strong>Health</strong> <strong>Care</strong> Insurance.<br />

21 Anti-stuttering therapy<br />

Reimbursement of the costs of anti-stuttering therapy according to the Del Ferro, BOMA or Hausdörfer method, up to a<br />

maximum of € 750.00 per insured person for the entire term of the insurance.<br />

22 Dental care<br />

22.1<br />

22.2<br />

22.3<br />

For insured persons up to the age of 18<br />

Reimbursement of the costs of treatments by a dentist or a centre for specialist dentistry recognised by the authorities,<br />

whereby the reimbursement for bridges, bridge parts and crowns is subject to a maximum of € 750.00 per insured<br />

person per year. Within that overall maximum, the health care insurer may set a maximum amount for the<br />

reimbursement of each procedure / course of treatment. For further information, see our website or contact <strong>IAK</strong><br />

Customer Service Zorg- en Inkomensverzekeringen.<br />

Orthodontic treatment (teeth alignment) for insured person up to 18 years old<br />

Reimbursement of the costs of orthodontic treatment (tooth-jaw alignment) by an orthodontist or dentist. If the<br />

orthodontic treatment has not been completed by the 18th birthday, the costs of continued treatment will also be<br />

reimbursed. The health care insurer may set a maximum amount for the reimbursement of each procedure / course of<br />

treatment. For further information, see our website or contact <strong>IAK</strong> Customer Service Zorg- en Inkomensverzekeringen.<br />

Orthodontic treatment (teeth alignment) for insured persons aged 18 or over<br />

For insured persons aged 18 years and older, the reimbursement is a maximum of € 1000.00 per insured person for<br />

the entire term of the insurance. The health care insurer may set a maximum amount for the reimbursement of each<br />

procedure / course of treatment. For further information, see our website or contact <strong>IAK</strong> Customer Service Zorg- en<br />

Inkomensverzekeringen.<br />

23 Therapeutic camps<br />

Reimbursement of the costs of attendance by an insured person under 18 years of age at a therapeutic camp for<br />

asthmatic children or a therapeutic camp run by the Diabetes Youth Club for children with diabetes in the Netherlands,<br />

up to a maximum of € 250.00 per insured person per policy year. Entitlement to reimbursement is subject to prior<br />

consent from the health care insurer. The request for consent must be accompanied by a medical certificate drawn up<br />

by the general practitioner or medical specialist.<br />

24 Seated patient transport<br />

Reimbursement of:<br />

• the costs of seated patient transport (taxi, private vehicle or lowest class of public transport) if and insofar as<br />

there is no entitlement (or there is no longer entitlement) on the basis of the medical indications as mentioned in<br />

the <strong>IAK</strong> <strong>Health</strong> <strong>Care</strong> Insurance, the Decree and the Regeling Zorgverzekering that form part thereof, all at the<br />

discretion of the health care insurer and subject to the prior written permission of the health care insurer; in the<br />

event of transport by private vehicle, the costs will be reimbursed at the rate per kilometre laid down in the<br />

Regeling Zorgverzekering increased by € 0.10 per kilometre;<br />

• the statutory individual contribution as mentioned in the Regeling Zorgverzekering that forms part of the <strong>IAK</strong><br />

<strong>Health</strong> <strong>Care</strong> Insurance, per insured person per calendar year for seated patient transport (taxi, private vehicle or<br />

public transport).<br />

Reimbursement will apply to medically necessary patient transport within the Netherlands, to and from a hospital or<br />

the address of the medical specialist's practice or to and from facilities that fall fully or partially under the AWBZ<br />

(Exceptional Medical Expenses Act). Transport to and from an AWBZ establishment for a care session lasting part of a<br />

day qualifies for reimbursement under the AWBZ.

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