POLYCLINIC BILLING
For more information about the DBC billing system for medical specialists in the Netherlands, please watch the following video:
If you wish to discuss a bill payment from a Polyclinic Specialist visit please contact the finance admininistration team on 070 306 5116 / 070 306 5118 or email ppwinfo@ezorg.nl
- We require that you register with us online before visiting a specialist at our Polyclinic (Polikliniek Prins Willem (PPW))
- Please email us at ihchinfo@ezorg.nl if any of your details change in the future.
- Our specialist services are generally covered by insurance companies but please be aware that your reimbursement may not be 100%. Please check with your insurance company before booking an appointment, in order to determine your exact level of coverage.
- We use the KPN Zorg Messenger correspondence service to send you your invoices in accordance with the GDPR rules.
- If you reside outside of the Netherlands you will be required to pay for your specialist consultation on the day of your appointment.
Specialist consultation fees
All invoices issued by the Polikliniek Prins Willem (IHCH Polyclinic) comply with the Dutch billing system. In The Netherlands, professional fees for specialist care are most likely based on a different system than the one in your home country.
All polyclinic fees are based on DBC (diagnosis-treatment combination) codes that other healthcare facilities in the Netherlands also use. During your initial visit, the specialist makes a preliminary diagnosis which is connected to a specific DBC. Your treatment and follow up visits during a period of up to four months, fall under that specific DBC. DBC codes follow the rules and regulations set up by the NZa (Dutch Health Authority). Therefore, in many cases you / your insurance company will only receive the bill 3-4 months after your first appointment with the specialist. To find out more about the DBC system click here.
Dutch Insurance Cover
Referral letter
If you are insured with a Dutch insurance, and wish to see a specialist, we strongly advise that you speak to your GP and request a referral. Without a GP referral, your insurance will likely not cover the costs of the specialist consultation fees.
If you do not have a referral letter, you may still make an appointment with a specialist at our polyclinic but it is likely that your insurance company will not reimburse you.
Insurance coverage and billing
In 2022 the IHCH will (temporarily) cover the non-reimbursed part of your invoice for you! (provided you have a referral letter from your GP family doctor). Please note that the IHCH is offering this in the context of catch-up care after COVID and it is temporary.
Depending on your insurance policy (whether restitutie or natura), only a certain percentage of the cost of a medical specialist appointment will be paid by your insurance (providing you have a referral from your GP Family doctor). Therefore you would normally have to pay your own contribution in addition to what the insurance covers. In 2022, the IHCH will cover your personal contribution! Note that this is different to your deductible excess or eigen risico. You will still need to pay your deductible.
Direct billing agreements
We have a direct billing agreement with ONVZ insurance, meaning that we will send the invoice for your treatment directly to them if you are insured with them. If you are insured with any other insurance company, they still have the obligation to reimburse you for the Polyclinic invoices, but they can limit the amount they reimburse to a maximum that they set themselves. The reimbursement will be higher for Restitutie policies (free choice of your doctor) than for Natura policies (where the insurance can direct you to selected doctors). On the websites of the insurance companies you can find the maximum amounts that they reimburse for non-contracted parties.
For this reason we advise all of our patients to choose for a Restitutie Policy rather than a Natura Policy with their insurance provider.
Upon completion of treatment, all of our patients (with the exception of patients insured by ONVZ) will receive their invoice from us via email through the secure KPN Zorg Messenger. Please note, that it can take up to four months after your initial visit for you to receive your invoice. See above specialist consultation fees for more details.
Eigen risico – your yearly deductible
Be aware that Dutch insurance companies impose a mandatory eigen risico or ‘own risk’. This excess amount is regulated by the Dutch Government and it applies every year to all persons with Dutch Insurance. Your eigen risico is usually deducted from any reimbursements you may receive from your insurance company. Items such as prescription medication and laboratory investigations also form part of the eigen risico.
Foreign / International Insurance Cover
Please present a valid copy of your insurance card before your first appointment with us.
Direct billing agreements
To help simplify the billing process for you, we have negotiated direct billing agreements with:
- Cigna Benelux (formerly Vanbreda)
- Cigna Global (Shell employees only)
- MSH (International Criminal Court employees and ARAMCO)
- Allianz (NATO and Iran Tribunal employees only)
- European Health Insurance Card (EHIC) holders
- AON student insurance (“Complete Policy” only)
Your insurance company should provide you with an overview of any bills they have paid to us on your behalf. Please settle any co-payments with us as soon as possible if you are not reimbursed in full by your insurance company.
Guarantee of Payment (GOP)
We currently accept a Guarantee of Payment (GOP) from the following insurance providers:
- SOS International
- SOS Tricare
- Healix
- Tourist Support Holland (TSH)
- AP Companies
- Celta Assistance
- United Healthcare Insurance
- VHD
It is important that we receive the GOP with all relevant details via email before an appointment is booked.
Please also contact us via email at ihchinfo@ezorg.nl if you have a GOP from a company not listed above.
Other international insurances
If your insurance company is not listed above, we will send the bill directly to you once your treatment has been completed. Please settle your invoice directly with us upon receipt. Once you have paid us, you can submit the invoice to your insurance for reimbursement.
Residing outside of The Netherlands
Please be aware that if you are living outside of The Netherlands, you will be required to pay for your specialist consultation on the day of your appointment.
GDPR and your Privacy
In accordance with the GDPR (General Data Protection Regulation) all IHCH correspondence, including invoices, are sent by email through a secure portal provided by KPN Zorg Messenger.
You have to first sign up and create an account with KPN Zorg Messenger as instructed in the first email you receive from us before you can view the content.
Cancellations
Please familiarize yourself with our cancellations policy. We adhere to a strict 24-hour No-show / Late cancellation policy. Therefore, please be aware that unless we receive at least 24 hours notice by emailing us prior to the cancellation of an appointment with one of our medical professionals, you will receive an invoice and be charged a No-show / Late cancellation fee.