Changes Health Basic and Health Premium 2024
Overview of the changes in Health Basic and Health Premium in 2024.
Wat will change for you?
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Do you use medicines? From 1 January 2024, we will introduce a preference policy for medicines. This means that ONVZ will designate one specific medicine within a group of similar medicines that we will reimburse. And that we will no longer reimburse other comparable (brand-name) medicines, unless your doctor deems it medically necessary for you.
In the list of 'preferred medicines', which will soon be available on our website, you can read which medicines are concerned. No excess applies to these preferred medicines. However, your excess does apply to the pharmacy's accompanying services, such as the prescription or a counselling interview. -
Comprehensive sleep study (polysomnography) or care in complex chronic lung disease (CCL)
Do you have a referral for a comprehensive sleep study (polysomnography) or care for complex chronic lung disease (CCL)? And would you like to go to an institution for these examinations that is not listed on our 'Overview of consent-free institutions for CCL and polysomnography'? Then you will need our prior authorisation to do so from 1 January 2024. Without permission, we will not reimburse this care.
Medical-specialist rehabilitation
Zorginstituut Nederland has made the conditions for reimbursement of medical-specialist rehabilitation by a rehabilitation team in a hospital or rehabilitation centre more strict. From 1 January 2024, your rehabilitation care must meet these conditions.
Prior permission for medical specialist care in some independent treatment centers
With ONVZ, you have optimum freedom of choice, with full reimbursement for all hospitals and contracted independent treatment centers (zbc's). We also reimburse non-contracted zbc's, but not always in full. Sometimes you get the bill yourself and have to declare it to us.
To give you clarity in advance about the care and our reimbursement, you will need prior permission from us for some zbc's from January 1, 2024. Without this permission, we will not reimburse care at these zbc's. A provisional overview of Zbc's to which this applies can be found on our website.
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20-week ultrasound
If you are pregnant and want a 20-week ultrasound, this ultrasound will be reimbursed by the government instead of the basic health-care plan. You will still not have to pay for the ultrasound yourself. In practice, you will not notice this change.
Maternity care
Do you need maternity care? From 1 January 2024, the maternity care organisation can spread the indicated hours of maternity care over a maximum of 6 weeks, instead of 10 days, from delivery.
