Reimbursement

Reimbursement for specialist mental healthcare

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.

Costs

The costs of your treatment are determined by the number of minutes spent on your file. This applies to direct minutes (minutes spent on face to face and telephone contact, but also contact via video calling) and indirect minutes (minutes spent on reporting, consultation and contact with, for example, your general practitioner). Rates are linked to the number of minutes. These rates are determined nationally by the Dutch Healthcare Authority. We have no influence on this. Click here for the document in which all fixed rates for 2020 are stated.

Your financial contribution 

Mental health care is always (partly) reimbursed by your health insurance and is included in the basic package, so you will be reimbursed for most of your treatment in any case. The amount of the reimbursement can differ per health insurance. Some health insurerances reimburse 100% of the rate set by the Dutch Healthcare Authority, and others, for example, only 60%. If we do not have a contract with your health insurer and you do not have a full refund policy (i.e. the insurer pays out up to 100% of the NZA rate), your treatment will only be partially reimbursed. In that case, Focus GGZ will bear part of these non-reimbursed costs. However we do request that you  make a single contribution towards the costs of € 200. This only applies if you actually start treatment after the intake. You will receive the invoice by e-mail after the intake, at the start of the treatment. The contribution to the costs is separate from the Health Insurance deductible. (Eigen risico)
Health insurers with whom we have a contract and for which the personal contribution does not apply are:
  • De Amersfoortse
  • Ditzo
  • Promovendum
  • National Academic
  • Besured
  • DSW
  • Stad Holland
  • In Twente

Claiming the costs incurred for your treatment

You will always receive an invoice for the healthcare you received when your file is closed. This can be after the intake, if it turns out that we do not have a suitable offer to help you with,  if you want care elsewhere, or if the treatment has been completed.
Agreement with your health insurer:
When we have an agreement with your health insurer, you do not have to do anything: we will declare the costs directly to your health insurer. You will receive a payment specification after completion. In some cases, even though we do not have a contract, we may still declare directly to the health insurer.  Also in that case, you don’t have to do anything.
We do not have a contract with these health insurers and are not allowed to declare directly:
  • Menzis
  • CZ
  • Delta lloyd
  • OHRA
  • Anderzorg
  • Aevitea

No agreement with your health insurer:

If we do not have an agreement with your health insurer, we will receive a lower rate than stated on the invoice. Because we want to keep our care accessible to everyone, we will absorb the larger part of the difference. You will receive our invoice for your treatment by email. You then submit this to your health insurer yourself. They will let you know which amount they are going to transfer to you. This will be the amount that you transfer to us. As soon as you have transferred that amount to us, and sent us the payment specification by email, you will receive a credit note for the difference. To do this, follow the next steps.
Payment of invoice:
  • As soon as you have received reimbursement from your health insurer, you use this amount to pay our bill
  • To demonstrate that the amount you paid to us corresponds to what you received from the health insurer, please send us the payment specification from your health insurer to: vergoeding@focusggz.nl
  • After we have received and verified it, you will receive a credit note (remission) from us for the remaining amount
Health insurance deductible
The amount of the statutory health insurance deductible, which the insured has agreed with the health insurer, is always at his own expense. Even if you refrain from further treatment after the intake.
The health insurer can specify these costs as part of your statutory deductible.
Your intake and treatment will be settled by your health insurer against your outstanding deductible.
The statutory deductible on the health insurance is determined by the government every year. This is the mandatory minimum amount charged by your health insurer for all care used in a calendar year. For 2020 that amount is € 385.You must therefore always pay your deductible if you receive care in the Netherlands and it is completely separate from the care we provide. So whether you go for treatment with us or somewhere else or receive another form of care, you will always be held responsible for this amount.
This means the following:
  •  If your health insurer has transferred amount X, but you still have to pay € 385 euro excess yourself. Then you have to transfer the amount X + € 385, – to us.
  •  Only transferring amount X to us is then not sufficient.
  •  We can only send the credit note when the amount paid out by your health insurer + the deductible has been transferred to us.

Pay yourself

Sometimes you can feel stuck in certain areas of your life and you feel the need to talk about this with a professional. However, if your complaints are too mild to diagnose a DSM disorder, this psychological help will not be reimbursed by the health insurer. Nevertheless, you can simply contact us for a process that is appropriate to your request for help. The costs of the sessions are then for your own account.
Rate: € 95 per hour
(Healthcare is exempt from VAT)
Even if you have more serious complaints, but do not want your health insurer or general practitioner to be informed about your treatment, you can opt for a process that you pay for yourself.

Cancellation rate

In the unlikely event that the appointment of the intake cannot take place, we ask you to cancel the appointment at least 24 hours (business day) in advance or on Friday before 12:30 if it concerns an appointment on Monday, this is free of charge. If you cancel within 24 hours, a non-refundable rate of € 90 will be charged. For other appointments, such as an individual session and / or a telephone / skype session, a non-refundable rate of € 50 will be charged. The same conditions apply for this.