IAK Supplementary Health Care Insurances - IAK Verzekeringen

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2.5
in advance to the health care insurer or the SOS International alarm centre so that the degree of medical necessity
can be assessed.
Non-urgent care abroad
Reimbursement of the costs of medical care when staying abroad temporarily, exclusively if and insofar as the health
care insurer would reimburse the costs under the IAK Health Care Insurance or under these supplementary policy
conditions if they had been incurred in the Netherlands, up to a maximum of 200% of the Wmg (Health Care Market
Regulation Act) rate applicable in the Netherlands, or, if this is not available, the current or standard rate for the
medical care in question within the Dutch health care system. The temporary stay in the named countries must not
exceed a maximum of 12 consecutive months. The costs of transport from and to the foreign country and transport
within the foreign country itself are not included.
Entitlement to reimbursement is subject to:
• prior consent from the health care insurer, at which point further conditions can be laid down;
• reimbursement not already having taken place under the IAK Health Care Insurance or one or more
supplementary insurances named in these policy conditions.
27 Dietary advice
You are entitled to medically-oriented advice on diet and eating habits of the sort usually provided by dieticians, up to
a maxim of 4 treatment hours per calendar year.
Entitlement to reimbursement is subject to the treatment being:
• prescribed by a general practitioner, company doctor or medical or other specialist;
• given by a dietician.
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.
4 Pharmaceutical care
4.1 Individual contribution
Reimbursement of the individual contribution owed pursuant to the GVS (Medicines Reimbursement System) set up by
the government. The GVS falls under the Health Care Insurance Regulations.
4.2 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.
5 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 €1,500.00
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.
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.