Fees

With a referral from your GP, your visit to Parkwegkliniek Sommer will be reimbursed by your health insurer. Whether we have a contract with your health insurer does not matter for the reimbursement.

Fees

This is how reimbursement works at Parkway Clinic Sommer:

  1. You have received a referral from your GP to Parkway Clinic Sommer.
  2. Once we receive the referral, you can contact us to make an appointment with the relevant specialist.
  3. During your visit to Parkwegkliniek Sommer, a DBC pathway will be opened. Hospitals and clinics work with DBC pathways (diagnosis-treatment combinations). The duration of a DBC trajectory is fixed per diagnosis.
  4. When a DBC trajectory is closed, the DBC will be declared. A DBC trajectory runs for 3 to 4 months on average. After this we can declare.

Claiming can be done in two ways. This depends on the agreements with your health insurer.

Option 1: We send the claim directly to the health insurer. The health insurer reimburses the costs to Parkwegkliniek Sommer and settles any excess with you.

Option 2: You will receive the invoice and submit it to your health insurer yourself. This is done as follows.

Submission of an invoice:

Step 1: Declare the invoice to your health insurer.

Step 2: You will receive reimbursement from your health insurer to your bank account.

Step 3: Transfer the amount paid out + any excess to Parkwegkliniek Sommer.

Step 4: Send the health insurer's specification to declaraties@parkwegkliniek.nl.

(PLEASE NOTE: Excess is not the same as Own Contribution. You do not have to pay the Excess Contribution!)

Health insurance deductible

The deductible is a threshold amount that insured persons aged 18 and over must pay when incurring healthcare costs covered by the basic health insurance. The amount of the legally required excess is set annually by the government. In 2024, it will be 385 euros per insured person.

What is covered by the deductible?

  • Specialist care: consultations, checks, examinations, interventions and treatments carried out by a specialist, such as a dermatologist, gynaecologist, urologist or plastic surgeon.
  • Medicines: drugs prescribed by the specialist.
  • Laboratory tests (on prescription), such as a blood test

Reimbursement in case of sterilisation

The sterilisation costs €550 and you pay during your visit. You can then declare the cost to your health insurer yourself. Check with your health insurer in advance whether you are eligible for reimbursement. If you are eligible for reimbursement, you will need a referral letter from your GP.

Health insurers

Your health insurer may mistakenly tell you that no reimbursement will be made because we do not have a contract with the health insurer. However, this is not true; you will ALWAYS be entitled to reimbursement provided you have a referral letter from a GP or specialist. This is regulated by law. (Excluding cosmetic surgery and sterilisation)

Rates

You will find the rates we charge here. We cannot accept liability for any errors in the published list.

FAQ

If you receive an invoice from the clinic, submit this invoice to your health insurer. The health insurer will process this invoice and send you (the patient) a payment specification. This specification shows the reimbursed amount, the amount deducted from the deductible and the remaining amount (own contribution).

No, you submit the invoice to your health insurer first. Only after receiving the reimbursement and payment specification will you transfer the reimbursement and any excess to the clinic.

You transfer the reimbursed amount and any excess to the clinic. You do not have to pay the co-payment; this is borne by the clinic.

Sample calculation with excess: You will receive an invoice for: €100.- The insurance company will reimburse: €50.- The deductible is: €20.- The own contribution is: €30.- You will then transfer €70.- to the clinic (€50.- reimbursement + €20.- deductible).

Sample calculation without excess: You will receive an invoice for: €100,- The insurance company will reimburse: €70,- The deductible is: €0,- The personal contribution is: €30,- You will then transfer €70 to the clinic (€70 reimbursement).

You do not have to pay the co-payment of €30 in either case.

The rates and amount of reimbursement are determined by the NZA (Dutch Healthcare Authority) and health insurers.

No, the amount of the reimbursement always remains the same. If your deductible has not yet been used up, part of the invoice will be offset against the deductible. If the deductible has already been used up, the health insurer will pay the reimbursed amount in full.

We have payment agreements or contracts with a number of health insurers. With these health insurers, we submit invoices directly. Without the intervention of the patient. As a patient, you will receive an overview of the invoiced amounts and the reimbursement. Unfortunately, this is not possible with the other health insurers and you must submit the invoice yourself.

Our aim is to conclude contracts with more and more health insurers. It is expected that in the future, we will sign contracts with more and more health insurers, allowing us to settle bills directly.

Because we do not have a contract with a health insurer, we are reimbursed 60 to 70% of the amount submitted. These are the health insurer's rules. Parkwegkliniek Sommer chooses not to recover the remaining amount (30 to 40%) from the patient. The health insurer calls this amount the own contribution. The own contribution is waived by Parkwegkliniek Sommer and therefore you do not have to pay it yourself.

Due to privacy laws, Parkwegkliniek Sommer is not allowed to contact health insurers regarding a submitted invoice.