The cost of your treatment is covered by your health insurance under the basic insurance package. You are always responsible for paying your deductible.
OrthoDirect does not have a contract with CZ and Menzis. Before the consultation, you will be informed of the total cost of the Diagnosis Treatment Combination (DBC) and the portion that will be reimbursed by CZ or Menzis (often 70–80%).
After your treatment, you will receive an invoice by email. You pay this invoice to OrthoDirect and then submit it yourself to CZ or Menzis. You are always responsible for your deductible, and in most cases, also a personal contribution (usually 20–30%). If surgery is necessary, the goodwill scheme may apply. In the majority of cases, you will not have to pay the personal contribution under this arrangement.
The rates charged by OrthoDirect for CZ and Menzis policyholders, as well as for other insurers with whom we have a contract/payment agreement, can be found in the attached list. Please also check with your insurer to see what will be reimbursed to you under your specific policy.
Our passer-by rates apply to health insurers with whom we have not concluded a contract. Download passer-by rates.
The Dutch healthcare authority has mapped out the route from a care provider to an invoice. In an animation film and on an information card, the Dutch healthcare authority explains how claims work in hospitals: what do doctors register? And how does that eventually become an account? Watch the animation film of the Dutch healthcare authority.
You will find a lot of information on the Zorgnota website.
Referral
Since 1 January 2012, it is mandatory to hand over referral data to the health insurer. Health insurers are setting increasingly strict requirements for reimbursement of specialist medical care. Without a referral letter, the costs for a consultation or treatment with a medical specialist will not be reimbursed. It is therefore important that your general practitioner/company doctor/medical specialist prepares a referral letter for the first consultation and sends it to us. This can be done via ZorgDomein.
The referral letter consists of:
- Patient name
- Referrer Name
- Dating (the date of the referral letter must be before or on the day of your first consultation)
- Indication
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