1. Specialist mental healthcare at Focus GGZ

Focus GGZ offers specialist mental health care. This is in comparison with medical care: if you have a serious knee injury, you will be referred  to a specialist in that field, an orthopedist by, for example, your general practitioner. The same applies to mental health care. If you have psychological complaints that have reached a certain level, you will be referred to a specialist in mental health care. This means that you will need a referral letter from your general practitioner in order to receive  reimbursement by your health insurance for our treatments. We must receive this before the intake. If you do not have a referral letter, the intake cannot take place.

Do you have milder complaints and desire to talk to a professional, or not wish to see your general practitioner first? Then we also offer the option to pay for the treatment yourself. Read more about that at the bottom of this page.

2. Calculating the costs of care at Focus GGZ

With the arrival of the Care Performance Model, the funding of mental health care becomes clear and transparent. The costs of your treatment are determined by the duration of your consultation, the profession of the professional with whom you have that consultation and whether it is a diagnostic or treatment consultation. In addition, your therapist may find it necessary for your treatment to consult with an external colleague. Then we charge inter-colleague consultation.

The rates also include all time spent on administration and consultation outside the sessions. If you have a treatment consultation of 45 minutes, then an average of 10 to 15 minutes extra time will be added for, among other things, consultation and reporting. The difference between a diagnostic consultation and a treatment consultation lies in the additional consultation between the performing therapist and the supervising therapist and the administrative actions associated with an intake. During a diagnostic consultation, more extensive reports must be written, tests must be elaborated, letters to the general practitioner must be written and there must be consultation within the team at several moments. In order to cover the costs of all these extra actions, the rate for a diagnostic consultation is higher than that for a treatment consultation.

3. Reimbursement and payment of care at Focus GGZ

The maximum rates for mental healthcare in the Netherlands are determined by the Dutch Healthcare Authority (NZa). Focus GGZ uses the nationally determined rate. If we have a contract with your health insurer or if you have a restitution policy, your treatment will be fully reimbursed.

If we do not have a contract with your health insurer and you do not have a restitution policy, your treatment will be largely reimbursed. This means that you have to pay a personal contribution. This is the difference between the reimbursement by your health insurer and the invoice amount. In order to meet these clients’ own contribution, we offer a compensation of 15% of the total invoice amount.

4. The billing process

Are you insured with one of the insurers with which we have a contract?

Then you don’t have to do anything. We will send the invoice directly to your health insurer and they will reimburse the full amount to us.

This is the case for:

• A.S.R. (De Amersfoortse, Ditzo)
• DSW (StadHolland, In Twente)
• Eucare (Aevitae)

Are you not insured with one of the insurers with which we have a contract?

Then you will receive an invoice by email on the first of every month for the sessions you have had in the previous month. You submit this invoice to your health insurer; they will pay you the reimbursed amount.

You can easily transfer the amount you owe us by using the iDeal link in the email.

This is the case for:

• Menzis (Anderzorg, Hema)
• CZ (Nationale Nederlanden, Ohra, Just, CZ direct)
• Achmea (De Friesland, FBTO, Interpolis, Zilveren Kruis, ZieZo, ProLife, AON)
• Eno (Salland, ZorgDirect)

Please note – this applies to all labels from VGZ and ONVZ

It may be the case that we do not have a contract with your health insurer, but we do have an agreement that we may send in the invoice directly to the health insurer on your behalf. This is the case with all labels from VGZ and ONVZ.

If you are insured with them and you do not have a refund policy, you will also receive the compensation of 15% on the total invoice amount. What the insurer pays us is usually less than that, so you will receive a separate invoice from us for the difference. This is your own contribution.

This is applies to:

• VGZ (UMC, IZA, Univé, Zekur, Bewust, IZZ, Promovendum, National Acadamics, Besured)
• ONVZ (PNOzorg, VvAA, jaaah.)

5. Deductible excess (Eigen risico)

Mental healthcare falls under the deductible excess. If you have not yet used your deductible excess in full, your health insurer will deduct this from the reimbursement. The deductible excess, possibly increased voluntarily, is always at your own expense. Even if you renounce further treatment after intake.

Your intake and treatment will be settled by your health insurer against your outstanding deductible excess. The health insurer will specify this deduction on the statement overview under the deductible excess. The deductible excess on health insurance is determined each year by the government. This is the mandatory minimum amount that is charged by your health insurer for all care used in a calendar year, for 2023 that is  € 385,-. If you have voluntarily increased the compulsory deductible, the deductible is a maximum of € 885,-.

You always have to pay your deductible excess annually if you receive care in the Netherlands and it is completely separate from the care we provide. So whether you go on an intake or treatment with us or elsewhere, you will always pay this amount.

Overview of all health insurers:

Overview of maximum reimbursement per insurer:

• Anderzorg
• CZ
• De Friesland
• FBTO
• Interpolis
• Jaaah
• Menzis

• Nationale Nederlander
• ONVZ
• Pro Life
• VGZ
• VvAA
• Zilveren Kruis