Changes to your basic healthcare insurance

These changes apply to the Zorg Gemak Policy

• Reimbursement for exercise interventions to prevent falls

  With effect from 2024, exercise interventions to prevent the risk of falling will be reimbursed under your basic insurance. The reimbursement covers a 12-month period and is available if you run a high risk of experiencing a falling incident and have underlying or additional physical or psychological issues.
• Chain approach for overweight or obese children

  In 2024, care for overweight or obese children will be reimbursed under your basic insurance. This care comprises guidance and coordination by a central care provider, with an action plan based on a Combined Lifestyle Intervention. This is known as a chain approach. Reimbursement under the basic health insurance is only possible if your local authorities meet certain conditions. The chain approach is only expected to be available in a few municipalities in 2024.
• Maternity care now available over a longer period

  Up until now, maternity care was always provided within the first 10 days after delivery. From 2024, you will have more flexibility in using your entitlement to maternity care. In consultation with the maternity care organisation, you can obtain maternity care over a period of 6 weeks after delivery.
• Applying for care directly from the maternity care organisation

  From 2024, all you need to do is call the maternity care organisation to apply for maternity care. If the organisation is unable to find a maternity care provider for you, you can call Zorg en Zekerheid.
• Reimbursement for 20-week ultrasound covered by population screening

  The 20-week ultrasound will no longer be funded by basic health insurance, but via the government programme for population screening. This means that the 20-week ultrasound will continue to be available to you.
• Maternity care information and instructions in digital form

  From 2024, you will be able to schedule more video call appointments with your maternity care provider. In those cases, the video call will replace a home visit by the care provider. The reimbursement applies to a maximum of 6 hours. In 2023, the maximum was 1 hour.
• No excess for IUD implantation by midwife

  You will no longer have to pay your excess if your IUD is implanted by a midwife.
• Change to non-contracted Mental Healthcare

  If you receive an invoice for non-contracted Mental Healthcare in 2024, and if we granted advance permission for that treatment, we will reimburse 80% of our average contracted rate instead of 80% of the maximum rate set by the Dutch Healthcare Authority (NZa). In most cases, this means that you will be required to pay more yourself when you use non-contracted Mental Healthcare services. If you go to a contracted care provider, you qualify for 100% reimbursement of the costs. For a list of contracted care providers, consult the

  (Zorgzoeker).

• Improved application process for patient transport

  From 2024, you can apply for patient transport using

  . In the case of an emergency or if you are unable to fill in the web form, you can call Zorg en Zekerheid. This change will help us process your application more quickly and give you a quicker answer whether you are eligible for patient transport.

• Permission from Zorg en Zekerheid required for Geriatric Rehabiliation (GRZ)

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