Orthopaedic shoes
Orthopaedic shoes fall under medical aids.
Reimbursements
With basic health insurance, you are entitled to the reimbursement for orthopaedic shoes.
| Insurance | Reimbursement |
| HollandZorg basic health insurance |
100% for contracted care, minus the statutory personal contribution |
Prescription needed?
For orthopaedic shoes, you need a prescription from a medical specialist.
On loan or owner
You will be the owner of the orthopaedic shoes.
Maximum rates non-contracted provider
If the medical aids are available from a contracted care provider when you need them, but you prefer to go to a non-contracted care provider instead, we will apply a maximum reimbursement. The non-contracted provider has to comply with the conditions set out in the Medical aids regulations (in Dutch).
A medical aid or dressing that we normally sell to you is reimbursed up to a maximum of 75% of the costs we would incur if you would have received the care from a contracted care provider. In that case, we also reimburse a maximum of 75% of any repair costs in connection with the medical aid.
Statutory personal contribution
Insured persons under the age of 16 pay a statutory personal contribution of € 65 per pair. Are you 16 or older? Then you pay a statutory personal contribution of €130 per pair.
There is no statutory personal contribution for orthopaedic inner shoes and orthopaedic adjustments to ready-to-wear shoes.
Excess
Are you 18 or older? The costs of orthopaedic shoes count towards the compulsory and, if applicable, voluntary excess.
Who can you go to?
Orthopaedic shoes are available from a contracted provider of medical aids. You do not need our prior consent if you go to a contracted provider. Our Care finder helps you find a contracted provider near you.
If you go to an non-contracted provider, it must be S.E.M.H.-recognised. A request for consent must be made in writing in advance.
Apply for consent
Do you want to use a non-contracted provider? You will need our prior written consent. Send your prescription to:
HollandZorg
Medical Advisor
Antwoordnummer 30
7400 VB Deventer
No stamp required.
Please note:
The information on this page is a brief outline of the reimbursements. No rights can be derived from this page. You can only derive rights from our insurance conditions 2024.
Your health insurance
In My HollandZorg you will find all information about your health insurance policy.
Maximum rates for a non-contracted care provider
Have you chosen a healthcare provider with whom we have no contract? Then, we will reimburse according to our maximum rates for 2024. If the rate invoiced by the non-contracted care provider is higher than our maximum rates, you will have to pay the difference yourself. You will be able to find contracted care providers with our Care finder.
Reimbursements, conditions and regulations 2023
