Zorgprestatie model (Healthcare Performance Model)
From January 1, 2022, healthcare within the GGZ will be funded through the Healthcare Performance Model (ZPM), which means that the insurers will reimburse the diagnostic and/or treatment sessions taken on a monthly basis. The rates for this have been determined by the Dutch Healthcare Authority (NZA), GGZ Tool – Tarievenzoeker (nza.nl) (Fill in: at Setting: “Ambulant – kwaliteitsstatuut II” and at Beroepscategorie: ”Gezondheidszorgpsycholoog”). Keep in mind that your own risk/deductible will be addressed first.
Referral
If you start treatment with me, working as an independent BIG-registered psychologist, this will in principle be reimbursed from your basic insurance. To receive reimbursement, you need a referral letter from your general practitioner, medical specialist or company doctor. How much you get reimbursed depends on:
- your insurance policy
- whether or not your practitioner has a contract with your health insurer.
Contracts
Psychology Practice Delft has contracts with the following health insurers:
- Achmea (Zilveren Kruis, Interpolis, FBTO, Avéro, Agis, Centraal beheer, Pro life, OZF, De Friesland), One Underwriting Health B.V.
- CZ (Ohra, Delta Loyd, Nationale Nederlanden, CZdirect).
- DSW (DSW, Stad Holland, inTwente)
- ASR (Aevitea, Ditzo, de Amersfoortse)
- ONVZ (PNOzorg, VvAA)
- Zorg en Zekerheid (AZVZ)
- ENO (Salland, Zorgdirect)
- IptiQ (IPtiQ Life, Promovendum, Besured, National Academic, Aon, EUCARE (aevitea)
- Menzis (Anderzorg, Hema, PMA).
- Collectives: AON, StudentenGoedVerzekerd, PZP.
The practice has no contract with:
- VGZ (Aevitae, Bewuzt, IZA, IZZ, Unive, ZEKUR, UMC, United Consumers).
If you are insured with an insurer with whom I do not have a contract, you have to pay the bill yourself after the treatment. You can then submit the invoice for declaration to your health insurer, who reimburses you on average 60-70% of sometimes 95-100%, depending on the policy you have. Because health insurers use different percentages, I recommend that you contact your health insurer beforehand. The rates mentioned above apply in this case.
If you are insured with an international insurer like OOM or Insured To Study, I normally submit the invoice directly to them.
Self-pay rate
If there is no diagnosis or you do not want to get a diagnoses, you can still get treatment. The treatment is not reimbursed by your insurance, the sessions are at your own expense. The rate is 2 euros per minute. Both for direct and indirect time. A consultation of 45 minutes +15 minutes indirect time costs 120 euros, a consultation of 60 minutes +15 minutes indirect time costs 150 euros, etc. An advantage is that you do not have to use your own risk/deductible. There is also no need for a referral from the GP. It often happens that employers are willing to reimburse (part of) the treatment.
Can’t make it to an appointment?
If you are unable to attend, please cancel the appointment free of charge, by telephone, by text message or by email, at least 24 hours in advance. In the event of late cancellation or late cancellation, part of the costs, namely EUR 50, may be charged. These costs cannot be submitted to your health insurer.