Benfit
As of 1 January 2021, part of the benefits included in Benfit will change. We make these changes to better match the coverage of Benfit with the wishes of our insureds. As a result, we were able to lower the premium for this plan.
What will change for you?
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The maximum reimbursement limits for acne treatment will be lowered. The coverage will also apply to the treatment of cured acne scars.
What does this mean for you?
Benfit, covers acne treatments up to €200 instead of €500 per calendar year for insureds up to the age of 21.
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The coverage of alternative medicine will change. Alternative movement-related care (chiropractic, osteopathy, and manual therapy E.S.) will be covered under alternative medicine and movement-related care (in 2020, this was covered under posture, movement, and sport). A reimbursement limit will apply.
The following applies to all supplementary plans:
- we will no longer reimburse (laboratory) tests
- we will reimburse a maximum amount per day instead of per treatment
What does this mean for you?
Benfit will reimburse €40 per day, up to a maximum of €350 per calendar year.
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Benfit will no longer cover exercise programmes.
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Benfit will no longer cover MammaPrint and Oncotype DX.
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From 1 January 2021, Benfit will reimburse consultations with a breastfeeding specialist up to a maximum amount per calendar year, instead of a maximum number of sessions.
What does this mean for you?
Benfit will reimburse up to a maximum of €200 instead of 2 sessions per calendar year.
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Benfit will cover glasses, contact lenses and laser eye treatment.
What does this mean for you?
Benfit covers a maximum of €75 per 2 consecutive calendar years.
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The reimbursement limits will change per 1 January 2021.
The Oedema and scar therapy coverage will be combined with the Physiotherapy and remedial therapy coverage. As a result, the maximum number of treatments also apply to oedema or scar therapy from a skin therapist.
What does this mean for you?
Benfit covers 16 treatments instead of 12, of which up to 9 manual therapy sessions will be reimbursed.
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From 1 January 2021, the maximum coverage will be reduced All supplementary plans will only allow you to use a maximum amount of the medicine coverage to cover statutory personal contributions.
What does this mean for you?
Benfit will also reimburse registered over-the-counter medication and proton-pump inhibitors. Benfit will cover a maximum of €150 instead of €200 per calendar year.
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Benfit will offer no more reimbursement for the statutory personal contribution for medical appliances. This also applies to the statutory personal contribution for a wig.
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Benfit no longer provides cover for elbow crutches.
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Benfit will no longer cover orthodontics for children up to the age of 18.
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Benfit will no longer cover care by a menopause consultant.
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Benfit will no longer reimburse preventive health-related courses and programmes to quit smoking.
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Benfit will no longer cover sports-medical examinations.
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Benfit will no longer reimburse psoriasis day treatments.
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Benfit will no longer reimburse travel costs for visiting ill people.
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Benfit will no longer offer reimbursement for arch supports, podiatry and chiropody. Benfit will also no longer cover specialist foot care for people with diabetes and rheumatoid arthritis.
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Benfit will no longer reimburse therapeutic camps for young people.
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Benfit will no longer reimburse seated medical transportation.
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From 1 January, for all supplementary insurance policies, previous reimbursements received from one ONVZ brand will count towards the maximum reimbursement limits if you switch to another ONVZ brand.
What does this mean for you?
If you had a supplementary insurance with ONVZ, PNOzorg or VvAA and switch to another supplementary pland under one of those brands in 2021, reimbursement received in 2020 will count towards the maximum reimbursement of multi-year coverages.
Back to all changes in your health insurance for 2021
