IAK Supplementary Health Care Insurances - IAK Verzekeringen

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40 9.3 lenses that are replaced monthly/quarterly/annually, this reimbursement will be granted every three years, regardless of the number of lenses. The costs of sunglasses and tinted spectacles/lenses are not included. Other medical aids Reimbursement of the costs of renting BiPAP machines, CPM machines, Lympha Presses or UVB home treatment devices, on prescription from a doctor or medical specialist and subject to prior consent from the health care insurer. 9.4 Simple mobility aids Long-term loan or reimbursement of the costs of purchasing a 4-foot walking stick, walking frame, rollator or crutches. Long-term loan must be via care providers contracted by the health care insurer. See our website or call us for a list of contracted care providers. 10 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. 11 Membership of patients associations / patient interest groups Reimbursement of the costs of membership of a patients association / patient interest group affiliated to the NPCF (Dutch Patients and Consumers Federation) or the CG-Raad (Dutch Council for the Chronically Ill and Disabled). Reimbursement will be granted upon submission of a copy of the proof of membership and proof of payment, up to a maximum of € 75.00 per insured person per policy year. 12 Informal care 12.1 Substitute care Reimbursement of the costs of the care an informal caregiver normally provides being taken over temporarily in order to give the informal caregiver a break. Substitute care can be provided where the insured person is either in receipt of informal care or is an informal caregiver. The substitute informal care is provided by ‘Handen-in-Huis’, the Dutch organization set up especially to coordinate substitute informal care, which can be contacted by calling +31 (0)30 659 09 70. Handen-in-Huis also takes care of the application for reimbursement. Reimbursement is subject to a maximum of 9 days per insured person per policy year. 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. a. Informal care broker An informal care broker provides the informal caregiver with temporary professional support by taking over a range of administrative tasks in the area of care, welfare, finances, etc. The support provided by the informal care broker helps the informal caregiver feel better able to combine care with work and private life for longer. The informal care broker can be called in where the insured person is either in receipt of informal care or is an informal caregiver. The informal care broker determines how many hours of support are required. Reimbursement is subject to a maximum of € 500.00 per policy year. The services an informal caregiver provides are eligible for reimbursement once only. Reimbursement of the costs of the services provided cannot be claimed by both the informal caregiver and the person in receipt of informal care. 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. 13 Overnight stay following oncological treatment Reimbursement of the costs of an overnight stay in a guesthouse associated with the hospital following outpatient radiotherapy or cytostatic treatment, up to a maximum of € 35.00 per night per insured person.
14 Pedicure for diabetics and patients with rheumatism Reimbursement of the costs of foot care for an insured person who has diabetes or rheumatism. The health care insurer may require a doctor's certificate. 15 Preventive examinations Reimbursement of the costs of: • cervical cancer test (smear), carried out by a general practitioner; • breast cancer examination; • cholesterol examination, once per insured person per policy year. • electrocardiogram (E.C.G.): • cardiovascular examination; • prostate cancer examination. The cost of preventive scans will not be reimbursed. 16 Preventive vaccinations and medicines Reimbursement of essential vaccinations, consultations and/or preventive medication in connection with travel to foreign countries, up to a maximum of € 100.00 per insured person per year, 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 medicines needed for work-related travel or work-related stays abroad do not qualify for reimbursement. 17 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, 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 (mental health care) 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. 18 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. 19 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, 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, the costs will be reimbursed at the rate per kilometre laid down in the Regeling Zorgverzekering increased by € 0.10 per kilometre; • 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, private vehicle or public transport). Samen voor een perfect verzekerde toekomst 41
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 28 and 29: 28 14.2 14.3 For a list of patient
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 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)

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