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.
From 1 January, Parkwegkliniek Sommer is taking an important step forward in service and convenience for our patients. From then on, we have contracts with different health insurers. This is not only a confirmation of the quality and reliability of our care, but above all a great benefit for you as a patient.
What does this mean for you?
How it works
Excess
The excess is the amount that you (aged 18 or over) pay yourself for care covered by the basic insurance.
Please note: excess is not the same as a personal contribution. No personal contribution applies to treatments at Parkwegkliniek Sommer.
What is covered by the deductible?
Reimbursement in case of sterilisation
Sterilisation costs €550. You pay this amount during your visit to the clinic.
You can claim these costs yourself from your health insurer. Whether you are eligible for reimbursement varies depending on your insurer. Please check with your health insurer in advance. A referral letter from your GP is required for reimbursement.
Important information about health insurers
If your health insurer states that treatment will not be reimbursed because Parkwegkliniek Sommer does not have a contract, this is incorrect.
From 1 January, we have contracts with different health insurers. Health insurers with whom we do not (yet) have contracts will always reimburse for specialist medical care at Parkwegkliniek Sommer. With a valid referral letter, you are entitled to reimbursement according to the terms of your policy.
You will find the rates we charge here. We cannot accept liability for any errors in the published list.
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.