Changes in Health Basic and Health Premium 2023
Overview of the changes in Health Basic and Health Premium in 2023.
What will change for you?
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Do you need compression stockings? In 2022 you needed a prescription from your doctor. From 1 January 2023, that prescription may also be issued by your skin therapist.
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From 1 January 2023, children under the age of 16 who wear orthopaedic and allergen-free shoes are no longer entitled to reimbursement of a second pair. For children, these shoes may be replaced every 6 months, which means a second pair is rarely needed. If your child does need a second pair, you may always submit a request for reimbursement.
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The basic health-care plan covers a bed orthosis. Our terms and conditions previously mentioned only the dynamic bed orthosis. However, a static bed orthosis orthosis is also covered. We have changed our terms and conditions to reflect this. For any bed orthosis, you need our prior permission for reimbursement.
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If your child needs dietary preparations for cow's milk allergy, you will need permission for reimbursement from us in 2023 in the following cases:
- your child is 2 years or older
- your child is between 1 and 2 years old and needs more than 500 ml per day
- your child is between 0 and 1 years old and needs more than 1,000 ml per day
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From 1 January 2023, Health Basic will no longer reimburse vitamin D products, even if they are prescribed by your doctor. You can get them without a prescription at a supermarket, drugstore or pharmacy.
Health Premium will still cover up to €500 for (medicines containing) vitamin D, if they were issued by a pharmacy or dispensing practice.
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Do you have Health Premium? To plastic surgery for gender incongruence, quality requirements apply. In order to properly guarantee quality, we have included these quality requirements as a condition for the reimbursement of this type of care.
Plastic surgery can be part of transgender care. After the first conversations with your general practitioner, you may encounter many different health-care providers. We believe it is important that the healthcare providers involved are affiliated with recognised gender teams and are part of specialised networks.
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In addition to medical transportation by ambulance, Health Premium also reimburses the costs of public transportation, taxi or car. We have always called this 'Other medical transportation'. From 1 January 2023 we will simply call it medical transportation. The coverage will not change.
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Invoices must be submitted for reimbursement within 3 years from when you receive treatment. From 1 January 2023, 3 years will start when you receive the invoice from the healthcare provider.
However, we advise you to submit your invoices as soon as possible. If you have advanced any costs, we will reimburse them quickly.
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You cannot transfer the right to reimbursement of health-care costs to someone else without our permission (assignment of benefits), nor can you use it to give someone else certainty that you are going to pay that other person's bill (right of pledge). This was already prohibited, but for 2023 we have clarified this in our General rules.
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We have changed our response time for handling complaints. In 2023, we will respond to your complaint within 10 working days. If we are unable to solve the issue, you can submit your complaint to the SKGZ. The response times of the SKGZ have also been adjusted. You will find them in our General rule 63.
