Integrated care
Reimbursement
A referral is required for integrated care
You need a referral from a general practitioner or medical specialist for integrated care.
Reimbursement for integrated care
Your basic health insurance entitles you to the reimbursement of costs in connection with integrated care.
| Basic insurance | Reimbursement |
| HollandZorg basic health insurance | 100% for contracted care |
Statutory personal contribution
There is no statutory personal contribution for integrated care.
Compulsory excess
The costs are not counted for the compulsory excess. The compulsory excess does include the costs of any (laboratory) testing in a hospital or independent laboratory at the request of a general practitioner.
Who can provide this type of care?
The following care providers are permitted to provide this type of care:
- a contracted care group.
- a care provider who is appointed by us for providing general practitioner care, preventive foot care and dietetics, each for the relevant part of the clinical pathway.
Use our Care finder to find a contracted care group in your area.
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 2025.
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 2025. 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 2024
