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?
Topfit will reimburse €400 per calendar year for insureds up to the age of 21, instead of providing a 100% coverage for insureds in that age group.
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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?
Topfit will reimburse €65 per day, up to a maximum of €1,000 per calendar year. For Topfit, the coverage of treatments and registered alternative medicines will both count towards the maximum coverage limit per calendar year.
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Topfit will cover exercise programmes for up to €500 per calendar year, instead of offering full coverage.
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Topfit will reimburse a maximum of €300 instead of €350 per 2 consecutive calendar years.
What does this mean for you?
If you have Topfit in 2020 and 2021 and used €100 of the maximum reimbursement in 2020, you will have €200 left to spend in 2021, instead of €250.
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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?
Topfit covers 50 treatments per calendar year, of which up to 9 manual therapy sessions, instead of providing full coverage.
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Since 2020, general remedial educationalists are listed in the register of the Wet BIG (Dutch Individual Health-Care Professions Act). Therefore, a general remedial educationalist no longer needs to be listed in the registers of NVO / SKJ to be eligible for reimbursement.
What does this mean for you?
If you plan on consulting a general remedial educationalist, you do not need to check whether he or she is registered with NVO or SKJ. A BIG registration is sufficient.
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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?
Topfit will cover a maximum of €1,500 instead of €4,540 per calendar year, of which €250 may be used to cover personal contributions.
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The cover for personal contributions for medical appliances and the cover for the personal contribution for wigs have been merged. This means the total reimbursement limits have been lowered.
What does this mean for you?
Topfit covers a maximum of €500 per calendar year for all personal contributions for medical aids combined. This also applies to the personal contribution for wigs.
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Topfit will reimburse a maximum of 2 additional IVF attempts on top of the 3 attempts covered by the basic insurance.
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Topfit will no longer reimburse the costs of childcare in case of hospital admission of a parent.
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Topfit will no longer reimburse the costs of membership of a patients’ association or advocacy group.
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Topfit will cover orthodontics for a maximum of 3 consecutive treatment years. Topfit covers a maximum of €1,000 in the first 12 months after the treatment starts, up to €1,000 in the subsequent 12 months and up to €1,000 in the 12 months after that, instead of providing full reimbursement.
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Topfit will reimburse the costs of menopause consultations up to a maximum of €350 per calendar year, instead of providing 100% coverage.
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Our prior permission is no longer required for reimbursement of surgery to correct the position of the ears.
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Per 1 January, the coverage for Preventive health-related courses and Quitting smoking will be combined. For Topfit, the coverage limit for this care will be reduced.
What does this mean for you?
Topfit will reimburse the costs of preventive health-related courses:
• 75% for first aid courses
• 100% for other courses
Combined up to €250 per calendar year. -
Topfit covers preventive (medical, sports medical and pharmacogenetic) examinations. The maximum reimbursement limits have been changed.
Care from a sports doctor will not be reimbursed separately anymore (the benefit Posture, movemebt and sport will be part of other reimbursements with effect from 1 January 2021).
What does this mean for you?
Topfit covers:
• sports medical examination (50%)
• preventive medical examination (50%)
• pharmacogenetic testing (100%)Together up to a maximum of €350 per calendar year.
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Topfit will no longer reimburse travel costs for visiting ill people.
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From 1 January 2021, the benefits arch supports supplied by an orthopaedic technician, podiatry and chiropody have been combined into a single benefit: Foot care.
What does this mean for you?
Topfit will cover up to €500 per calendar year, instead of providing full reimbursement.
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Topfit will only reimburse the statutory personal contribution that applies if your basic health-care plan covers the transport.
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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
