Maximum reimbursements ONVZ Vrije Keuze 2024
With ONVZ, you are assured of a first-class health-care plan. The ONVZ Vrije Keuze health-care plan lets you choose what health-care provider to go to and at what hospital to get your treatment. For certain types of health care, ONVZ Vrije Keuze caps the reimbursement if you go to a health-care provider that does not have a contract with ONVZ. If you would like to find out what this means for you, keep reading.
Maximum reimbursements 2025 and 2026
On this page you can find the maximum reimbursements for 2024. Would you like to see the maximum reimbursements for 2025 and 2026? Please go to the overview of maximum reimbursements for ONVZ Vrije Keuze.
Maximum reimbursements
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Most physiotherapy for children is covered by the basic health-care plan. So is some physiotherapy for adults. The supplementary health-care plan also covers physiotherapy if the basic health-care plan does not (yet) provide coverage. If you need physiotherapy that is reimbursed under your supplementary health-care plan, and you go to a non-contracted physiotherapist, bear in mind that maximum reimbursements apply.
Compare your physiotherapist’s prices to our maximum reimbursements. If these prices are higher than our maximum reimbursements, your health-care provider will generally charge you the difference. This does not apply if your basic health-care plan covers physiotherapy, nor when you receive Cesar or Mensendieck remedial therapy.
- Maximum reimbursements for physiotherapy under supplementary health-care plans under 2024 ONVZ Vrije Keuze
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If you decide to go to a non-contracted health-care provider, bear in mind that maximum reimbursements apply. Compare the prices of your mental health practitioner to our maximum reimbursements. If these prices are higher than our maximum reimbursements, your health-care provider will generally charge you the difference.
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If you decide to go to a non-contracted pharmacy, bear in mind that maximum reimbursements apply to both the medicines and to the services provided by the pharmacy. Compare the prices to our maximum reimbursements. If these prices are higher than our maximum reimbursements, your pharmacy will generally charge you the difference.
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If you choose a non-contracted supplier, bear in mind that maximum reimbursements apply. Compare the prices of your supplier of medical appliances to our maximum reimbursements. If these prices are higher than our maximum reimbursements, your health-care provider will generally charge you the difference.
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Maximum reimbursements apply to treatments provided by non-contracted healthcare providers. The maximum reimbursements also apply to so-called add-on medicines. These are expensive medicines that the healthcare provider charges separately from the specialist medical treatment (dbc). The maximum reimbursement for such a medicine is 80% of our average contracted price.
Would you like to know the maximum reimbursement for a particular add-on medicine? Please contact us.
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If you go to a non-contracted health-care provider, bear in mind that maximum reimbursements apply. Compare the prices of your home-care organisation to our maximum reimbursements. If these prices are higher than our maximum reimbursements, your health-care provider will generally charge you the difference.
Good to know
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If you would like to find out whether your health-care provider has a contract with ONVZ, use the Zorgzoeker online search tool. The Zorgzoeker is always up to date.
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If you visit a health-care provider who does not have a contract with ONVZ, the following types of health care will be subject to a maximum reimbursement. This reimbursement is based on a percentage of a predetermined rate. In most cases, this will be the average contracted rate. For ONVZ Vrije Keuze, the percentage is capped at 85%.
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If you would prefer us to cover the above types of health care in full, choose one of our contracted health-care providers using the Zorgzoeker online search tool. You can also contact our ZorgConsulent advisers. They will be happy to find a health-care provider you can go to.
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If you go to a health-care provider with whom we do not have a contract, you may need to pay part of the costs yourself. If these costs are so high that you are restricted in your choice of health-care provider, you can invoke the ‘hardship clause’. The hardship clause is a scheme under which you can request a higher reimbursement from us if your financial situation is such that you cannot afford the treatment.
To invoke the hardship clause, submit a request using the upload form. In your request, state that it relates to the hardship clause and explain why you need a higher reimbursement.
The hardship clause cannot be invoked for health care covered under a supplementary health-care plan.
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We can imagine that you might still have questions after reading this information. Our Service Centre staff are there for you to help. See our contact page for details of how to contact the Service Centre and their opening hours. We’d be happy to help.
