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Rates, payment and reimbursement

The Dutch Healthcare Authority (Nederlandse Zorgautoriteit) establishes annual rates for mental healthcare services. You can find information on the current rates set by the Dutch Healthcare Authority on this page.


Rates

Where can I locate the current rates established by the Dutch Healthcare Authority for mental healthcare services?

You can find the current rates established by the Dutch Healthcare Authority for mental healthcare services on their website: https://zorgprestatiemodel.nza.nl/. Please note that this site is available in Dutch only. Upon visiting the site, please navigate to the relevant page to access the list of current rates.

  1. Select 'Tarievenzoeker'
  2. Select 'Individuele consulten'
  3. Select setting: 'Ambulant kwaliteitsstatuut sectie II'
  4. Select profession (beroep): 'Arts - specialist arikel 14'
  5. Select consultation type (consult type): 'diagnostiek' or 'behandeling'
  6. Select duration (tijdsduur): (e.g. from 45 min)

Press Search 'zoeken' and the table will show the applicable rate(s).

In addition to rates for 'consulten', there are rates for a small number of other activities such as peer consultation ('intercollegiaal overleg') for the benefit of the treatment.

Am I subject to any fees for missing an appointment?

Should you cancel or modify your appointment with at least 24 hours' notice, no charges will be incurred.

However, if you cancel with less than 24 hours' notice, you will be invoiced for the missed appointment at a rate equivalent to 40% of the scheduled appointment's cost. Please note that health insurers do not cover missed appointment fees.

Whats is included in the rates set by the Dutch Healthcare Authority?

The rates charged for consultations in mental healthcare are based on the idea that the practitioner spends face-to-face time with the patient, with the implicit assumption that additional time is required to document the consultation in the patient file. Nevertheless, it is important to note that for consultations, it is the duration of the face-to-face time between the practitioner and the patient that determines the rate that will be charged.

Can you provide an estimate of the cost of my treatment beforehand?

As each individual's needs vary and costs are calculated on the basis of time spent, please keep in mind that your unique care requirements will ultimately decide the final price. Please refer to the '2023 Commonly Used Product Codes and Rates' section below for more information.

Payment

When will I receive an invoice?

At Praktijk Lastage, you will receive a detailed invoice by email every quarter and/or at the conclusion of your treatment. We prefer that you pay the invoice by transferring the amount using the payment link provided on the invoice.

When do I need to pay my invoice?

The payment term for our invoices is 30 days, which allows sufficient time for your health insurance to reimburse the cost of our services to you. In most cases, you will receive reimbursement from your insurer before payment is due to Praktijk Lastage.

What are the consequences of late invoice payment?

Payment Term:

When you receive the invoice, you have 30 days to make the payment. This enables you to submit your claim to your health insurer and receive the reimbursement before you pay the invoice to Praktijk Lastage.

First Payment Reminder:

Should you fail to pay the invoice within the specified term, you will receive a first payment reminder. You then have an additional 2 weeks to settle the invoice. No extra charges are associated with this first reminder.

Second Payment Reminder:

If the payment is still outstanding after the first payment reminder, you will receive a second reminder. This reminder emphasizes the importance of timely payment. You are again given another 2 weeks to make the payment, with no additional costs.

No Payment after the Second Reminder:

If you still have not paid the healthcare invoice after the second payment reminder, a debt collection process will be initiated through a collection agency. Extra costs associated with this process will be charged to you.

Reimbursement

How much of the invoice will be reimbursed by my health insurance?

You can submit invoices from Praktijk Lastage to your health insurer, which will determine the reimbursement based on your policy. Be sure to review your policy's coverage for uncontracted specialist mental healthcare and any applicable conditions. A list of reimbursements for uncontracted specialist mental healthcare under various insurance policies can be found at contractvrijepsychiater.nl.

My invoice is not fully reimbursed by my insurer - what now?

You are responsible for paying the full invoice amount, even if your health insurance does not fully reimburse you. If you encounter difficulties with payment, please contact us promptly so we can work together to find a solution.

Please note that fees for missed appointments are not covered by any health insurance provider.

The health insurer indicates that something is wrong with the invoice. What now?

If there is any missing information on your invoice, please contact Praktijk Lastage as soon as possible. We will adjust the invoice accordingly and provide you with a new version to submit for reimbursement. While it is unfortunate that these types of issues may occur, they can typically be resolved quickly and easily with our assistance.

Am I Eligible for 'Zorgtoeslag'?

'Zorgtoeslag' is a government subsidy that helps make health insurance more affordable. If you have Dutch health insurance and your income falls within the eligibility limits, you may qualify for this financial support.

Important: You can apply for healthcare allowance retroactively, up to September 1 for the previous year. The sooner you apply, the sooner you’ll receive the allowance.

Never pay to apply for healthcare allowance! Apply for free through the official website of the Dutch Tax Authority’s Benefits Office.

High Healthcare Costs and Tax Deduction

If you pay a personal contribution for your healthcare, these costs may be deductible from your income tax under certain conditions.

  • Threshold Amount: There is a threshold for deducting healthcare costs. Only the expenses exceeding this threshold are deductible. The threshold depends on your income and whether you have a tax partner.
  • Eligible Costs: Only specific healthcare expenses that are not reimbursed and do not fall under the deductible (eigen risico) are eligible. However, you can include all eligible medical expenses, including those of your tax partner and children under 27, in this calculation.
  • Low Income: Even if you have a low income and pay little or no tax after deducting healthcare costs, it may still be beneficial to file a tax return. You might qualify for compensation.

While filing a tax return is necessary to deduct healthcare costs, it can be a financially wise decision.

Mental Healthcare Reimbursements and the Hindrance Criterion (hinderpaalcriterium)

Starting in 2025, the 'restitution policy' will no longer be available. This means you will pay a personal contribution if you choose a healthcare provider without a contract with your insurer.

The personal contribution arises because the insurer's reimbursement is lower than the provider's rate. This can prevent some patients from accessing care from non-contracted providers due to the inability to afford the additional costs.

What Can You Do?
Under the hindrance criterion (hinderpaalcriterium), low reimbursements should not limit your freedom to choose a healthcare provider. If the personal contribution is too high and prevents you from receiving necessary care, you can request a higher reimbursement from your insurer.

Contact your insurer for an explanation of the hindrance criterion and how to invoke it. This may help you access the care you need.

Frequently used product codes and rates