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ONVZ Health Basic and Health Premium 2024 coverage summary

Coverage Health Basic Health Premium

Aid for third party No coverage Maximum of €12,500 per accident


claims for injury

Antenatal screening 100% 100%

Breast cancer: additional tests MammaPrint and Oncotype DX MammaPrint and Oncotype DX

Breast prostheses No coverage 100%

Contraceptive devices No coverage 100%

CPAP machine No coverage 100%

Dental health care after an €5,000 €5,000


accident Maximum of 1 accident per calendar year Maximum of 1 accident per calendar year

Dental surgery 100% 100%


A maximum of 1 year applies to admissions A maximum of 1 year applies to admissions

Dressings 100% 100%

Emergency medical assistance 100%, up to the statutory or prevailing market rate in the country 100%, up to the statutory or prevailing market rate in the country where the treatment takes place
abroad where the treatment takes place

Fertility treatments No coverage 100% up to the age of 43

General basic mental health No coverage In specific cases


care (GGZ)
A maximum of 8 consultations per calendar year, with a maximum of €120 per consultation

General dental health care No coverage Up to a maximum of €300 per calendar year

General practitioner (general 100% 100%


medical care)

Hearing aids and tinnitus No coverage Hearing aid, tinnitus masker: up to €600 per ear Replacement ear domes/moulds: 100%
maskers

Homeopathic or No coverage Maximum of €65 per consultation or treatment + tests + registered medicines, up to a combined
anthroposophic doctor maximum of €750 per calendar year

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Coverage Health Basic Health Premium

Hospice (overnight costs) No coverage Overnight costs for a maximum of 3 months

Hospital admission 100%, maximum admission of 1 year 100%, maximum admission of 1 year

In vitro fertilisation (IVF) No coverage Up to the age of 43, 3 attempts

Infusion pump for medications 100% 100%

Lenses for glasses and No coverage 100%


contact lenses with a medical
indication

Maternity care and maternity No coverage • Up to 6 weeks of maternity care


package • Maternity package

Medical appliances for diabetes 100% 100%

Medical appliances for pain No coverage 100%


management (TENS)

Medical appliances for No coverage 100%


problems with movement

Medical appliances for 100% 100%


respiratory conditions

Medical appliances for speech No coverage 100%


disorders

100%
Medical appliances for 100%
thrombosis

Medical appliances for urinary 100% 100%


and bowel incontinence

Medical appliances to help with 100% 100%


feeding

Medical specialist 100% 100%

Medical transportation No coverage • Taxi transportation 100%


• With private transportation: €0.27 per km

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Coverage Health Basic Health Premium

Medical transportation by 100%, up to 200 kilometres 100%, up to 200 kilometres


ambulance

Medically necessary No coverage • Influenza vaccination, once per calendar year


vaccinations (e.g. for travel) and • Other medically necessary vaccinations (e.g. for travel) up to a combined maximum of €250 per
influenza vaccination calendar year

Medicines Most medicines according to our preferential policy Most medicines according to our preferential policy +
Extra coverage, up to a combined maximum of €500 per calendar year, for:
• statutory personal contributions
• contraceptives
• over-the-counter medication

MRA No coverage 100%

Organ transplants and donation 100% 100%

Orthodontics up to the age of 18 No coverage Up to a maximum of €500 per calendar year

Orthopaedic footwear and No coverage 100%


orthotics for footwear

Orthoses 100% 100%

Other therapies No coverage Up to a maximum of €2,000 per calendar year

Oxygen therapy equipment 100% 100%

Plastic surgery No coverage 100%, in specific cases

Pregnancy and childbirth 100% 100%

Preventive medical No coverage 75% up to a maximum of €250 per calendar year


investigations

Prostheses 100% 100%

Quitting smoking No coverage • Programme aimed at quitting smoking including nicotine replacement/medicines once per calendar year
• Laser therapy, Allen Carr training or De Opluchting training, up to a maximum of €250 per calendar year

Repatriation No coverage • Repatriation in the event of serious ailment or injury


• Repatriation of physical remains Through Zorgassistance emergency centre

Repatriation in the event of Repatriation of physical remains to your country of nationality through the Zorgassistance Repatriation of physical remains to your country of nationality through the Zorgassistance emergency
death in the Netherlands emergency centre centre

Second opinion 100%, for specialist medical care 100%, for specialist medical care

Short-term loan of medical No coverage 100%


appliances for problems with
movement
ONVZ Health Basic and Health Premium 2024 coverage summary 3
Coverage Health Basic Health Premium

Specialist medical nursing care 100%, up to 14 days 100%, up to 14 days


at home

Specialist medical 100%, on approval 100%, on approval


rehabilitation

Specialist mental health care 100%, in specific cases A maximum of 1 year applies to admissions 100%, in specific cases A maximum of 1 year applies to admissions
(GGZ)

Stay in a guest house No coverage 100%

Sterilisation No coverage • Up to €1200 for female sterilisation


• Up to €400 for male sterilisation
Once during the entire term of the health-care plan

Stockings and other medical 100% 100%


appliances for vascular
problems

Pregnancy and childbirth 100% 100%

Syringes and injection pens to 100% 100%


self-administer medicine

Thrombosis service 100% 100%

Wig No coverage Maximum of €1,000

Explanation
This is a summary of the coverage provided by our Health Basic and Health Premium health-care plans. The coverage listed is per insured person and a maximum per calendar year, unless
otherwise indicated. Occasionally, additional terms and conditions will apply. The terms and conditions set out in the General rules and regulations and Coverage determine the exact coverage
provided. No rights can be derived from this summary. You will find the General rules and regulations and coverage at www.onvz.nl. You can also request a copy by calling us on +31 (0)30 639 62 22.

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