Practice Details

[Praktijk Flores is currently being established, more information will follow soon]

After the intake, treatment can usually begin immediately, depending on your preference and availability.

Praktijk Flores currently has a contracts with the following health insurers:

• ASR (ASR, Ditzo) 
• Caresq (Aevitae, EUCare)
• Menzis (Anderzorg, Menzis)
• Zilveren Kruis (De Friesland, FBTO, Zilveren Kruis)
• Zorg en Zekerheid (inc AZVZ)

There is currently no contract with the other insurers yet. 

Contracted care

What does it mean for you if Praktijk Flores has a contract with your health insurer?

• The care that falls within the terms of your policy will be reimbursed by your health insurer.
• The invoice is submitted directly to your health insurer.
• Reimbursement takes place through the basic health insurance; additional insurance is not required.
• You will always first pay the statutory deductible ("eigen risico").
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Non-contracted care

What does it mean for you if Praktijk Flores doesn't have a contract with your health insurer?

• You will receive an invoice (usually monthly).
• You are responsible for paying Praktijk Flores yourself, but you can then submit it to your health insurer.
• If you submit the invoice to your health insurer for reimbursement, you will receive partial reimbursement.
• Reimbursement is provided through your basic health insurance. Supplemental insurance is usually not necessary, and you always pay the statutory deductible first.

Always check with your health insurer about the terms and conditions for non-contracted care and what percentage of the costs are reimbursed. This usually varies between 50-75% of the costs, depending on your policy. This reimbursement is provided through your basic health insurance.

What do you need to be eligible for reimbursement?

• A referral from your general practitioner (or medical specialist or treatment coordinator from a mental health care provider) for General Basic Mental Health Care
• Valid health insurance
• Identification at the start of treatment
• Sometimes an insurer has additional requirements or you need permission before reimbursement is possible. Please check with your health insurer beforehand.

Hinderpaalcriterium (Obstacle criterion)

• The obstacke criterion is a section (Article 13) of the Health Insurance Act, and health insurers must comply with it.
• This criterion stipulates that the reimbursement offered by health insurers for non-contracted care may not be so low that it prevents recipients from using these providers (an obstacle).
• Read more about the barrier criterion: https://www.zorgwijzer.nl/faq/hinderpaalcriterium

Unreimbursed Care

Sometimes a specific diagnosis is not covered by the insurance. This is usually only the case if no other diagnosis can be made. Some diagnoses and complaints that are not covered include:

• Adjustment disorder
• Specific phobias
• Relationship problems and partner therapy
• Normal grief reactions
• Work problems and burnout
• Sexual dysfunction (there are exceptions)
• Sleep-wake disorders

If another diagnosis can be made in addition to these complaints, the treatment may be covered. This will always be discussed with you in advance.

Rates

With non-contracted care, I apply the rates set by the Dutch Healthcare Authority (NZa). These rates vary and depend on the duration and type of consultation. Below are the most common consultation rates:

Need to cancel an appointment?

• Please do so as soon as possible, but at least 24 hours in advance, by sending me a message via the client portal, phone or voicemail (085-0609964).
• If you cancel within 24 hours or if you fail to show up for your appointment, the appointment will be charged as a "no-show." This applies regardless of the reason for not being able to attend.
• Please note that these costs are not covered by your health insurance.
• The fee for a no-show is €125.

Your data will be treated confidentially, in accordance with the GDPR (General Data Protection Regulation).

You can read more about this in the Privacystatement.

Praktijk Flores has a current quality charter, as required for BIG-registered healthcare psychologists. You can view this here.

Do you have a complaint or are you dissatisfied with something? I hope you feel free to discuss this with me first, so we can work together to find a solution.

If that doesn't work, you can contact the LVVP complaints procedure. Click here for more information.