IAK Supplementary Health Care Insurances - IAK Verzekeringen

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General
VIII Supplementary insurance
Hospital Plus (ZiekenhuisPlus)
Entitlement to reimbursement of costs under above supplementary insurance shall be subject said supplementary
insurance being recorded on the policy schedule and if and insofar as there is no entitlement under the IAK Health
Care Insurance pursuant to the Zvw (Health Care Insurance Act) or under any other supplementary health care
insurance. This supplementary insurance is governed by the IAK Supplementary Health Care Insurance General
Conditions.
22 Cover
1.1 Nursing/hospitalisation
Nursing/hospitalisation of the insured person in a hospital in the Netherlands (or abroad, provided that said hospital is
recognised by the overseas competent authorities), that exceeds the standard or lowest rate or category (facility), in
cases where for medical reasons nursing, investigation and/or treatment can only be provided in a hospital and
uninterrupted treatment by a medical specialist or dental surgeon is essential. In this context, nursing/hospitalisation
shall be understood to mean a stay of 24 hours or longer.
Reimbursements:
1. Reimbursement will be granted in respect of the costs of nursing in a hospital that exceed the standard or lowest
rate or category available, subject to a maximum of the standard rate charged in the Netherlands, this being
determined at the discretion of the health care insurer.
2. In cases where nursing is provided at the standard or lowest rate or category available, or where the hospital in
question does not have different rates or categories, the health care insurer will reimburse € 70.00 per nursing
day.
3. If nursing takes place in a specially designed location or department within a hospital where the insured person
has access to extra facilities, services and comforts that are not standardly provided by said hospital or institution,
(or not provided under the standard or lowest or only available category), then the costs charged by the hospital
will be reimbursed up to a maximum of € 200.00 per nursing day.
No reimbursement will be made of the costs of a stay in the rehabilitation or psychiatric department of a hospital or
psychiatric hospital.
a. Convalescent homes
Reimbursement of the costs of a stay in a convalescent home that provides somatic care selected by the health care
insurer. Call us or visit our website for a list of the selected convalescent homes. Reimbursement is subject to a
maximum of € 100.00 per day up to a maximum of 28 days per insured person per policy year. You are required to
acquire prior written permission from the health care insurer. Reimbursement is subject to there being no entitlement
(or no longer any entitlement) to reimbursement under another supplementary or other health care insurance.
b. Transportation to and from the hospital by taxi
Reimbursement of the costs of transportation by taxi on the first and last day of a hospital stay in the Netherlands. If
the insured person is accompanied in the taxi by a second person, that person’s trip to and from the hospital will also
be reimbursed. A maximum of 4 taxi journeys per hospital stay will be reimbursed.
23 Obligations of the insured person
The insured person must demonstrate his/her entitlement to reimbursement of the costs named in this supplementary
insurance by submitting an original, stamped invoice, from which the health care insurer can deduce which
reimbursement should be made.