Costs
The cost of treatment at Poradnia depends on several factors: personal situation of the client, insurance policy coverage, psychological diagnosis, and severity of the problem in question. Below is a list of common scenarios for funding therapy at Poradnia:
For therapy reimbursed within Dutch healthcare system, there are four treatment packages (trajectories) available at Poradnia:
- Short: max. 300 minutes (3 to 5 sessions*)
- Medium: max. 500 minutes (6 to 8 sessions)
- Intensive: max. 750 minutes (9 to 12 sessions)
- InsureToStudy (MasterPlan+ policy):
max. 800 minutes or ~12 sessions - OOM Student Insurance:
max 750 minutes or ~12 sessions - Chronic: max. 750 minutes (max. 12 sessions)
- Incomplete**: max. 120 minutes (1 to 2 sessions)
Dutch health insurance (OHRA, CZ, Achmea, PNO, etc.)
Clients who wish to be reimbursed for their treatment need the referral letter from their General Practitioner, with the information provided in this referral form (mandatory information is marked with asterisk*). It is responsibility of a client to check the extent of his/her insurance policy with their insurer. For information purposes, you can download this useful document, showing rates of reimbursement of most Dutch health insurance companies.
Poradnia has not entered contracts with Dutch health insurers, due to inflated administration burden imposed by insurance companies, and privacy concerns related to it.
International insurance (Cigna, Bupa, Allianz, etc.)
Treatments provided by Poradnia are usually accepted by most other international insurers, however it is important to check the coverage of the policy first.
Dutch foreign student insurance (InsureToStudy, OOM, Aon, Sucsez)
InsureToStudy (MasterPlan+ policy) insurance holders are reimbursed mostly up to €1.520 per year. For more information, contact your insurer directly.
OOM insurance holders are reimbursed mostly up to €1.400 per year. If you are not sure about your insurance policy coverage, contact OOM directly.
Aon Student Insurance holders are reimbursed up to 9 therapeutic sessions, which correspond with Medium package offered by Poradnia. For more information, check the conditions your insurance policy or contact Aon directly.
German krankenkassen
Reimbursement offered by krankenkassen depends on individual insurance policy, and usually covers psychological treatment outside of Germany. Clients receive the bill directly at the end of the treatment and declare it with their insurance provider.
At the moment private consultations are not available.
Care performance model (Zorgprestatiemodel)
From 01-01-2022, a new funding system for the whole mental health care system in the Netherlands is introduced in the form of so-called care performance model (zorgprestatiemodel).
How does the care performance model work?
The name says it all: the foundation of the care performance model consists of performance. These performances are recognizable for everyone and they reflect the actually provided care. The rates are based on who performs the treatment and the place where the treatment takes place. The care performance model is transparent: the performances are clear and well-arranged and are an actual representation of the care you have received. The prices are in line with the care you have received. Factors such as the profession of the person performing the treatment, the duration of each consultation, the place where the care is provided, all weigh in when determining the price for the care provided.
For practitioners, the new model means less administration. They no longer have to register minutes spent on providing therapy, administrative tasks and so on. The rules and checks are simpler. And there is faster insight into the costs for both the patient and the practitioner.
You no longer have to wait until the end of the therapy to calculate the final cost, because the performance is no longer linked to so-called trajectory, but to duration of care per day. This means that declarations (i.e. invoices which you can send to your insurer for reimbursement) can also be made much faster.
What does this change mean for you?
You will have a better overview of exactly when and by whom you were treated and for how long. The invoices will be issued each month, with clear breakdown of time and activities spent on your therapy (e.g. diagnosis, therapeutic direct contact, collegial consultation, and so on). Your file will contain recognisable information that you can easily check. You also get the bill faster. This way you know sooner what costs have been incurred and whether you have to pay a deductible.
From 1 January 2022, the bill will also contain the type of care demand (zorgvraagtypering) – a short description of the kind of problems a patient experiences, its severity, and what care is needed to properly address it.
You will receive bills from your practitioner on the basis of care performance, and you will therefore be reimbursed by these measure by your health insurer. You can find these care performances in the digital environment of your health insurer by logging into your health insurance account.
If your deductible (eigen risico) applies, this is also done on the basis of care performance. The new care performance model will come into effect on 1 January 2022. This requires many adjustments to computer systems, both by your practitioner and by the health insurers. That is why it is not yet possible to declare the accounts as of 1 January 2022. It is expected that declarations will be possible by 1 April 2022 at the latest.
What care performances will be indicated on your bill?
Four different care performances are possible:
- Diagnostic consultation: during the diagnostic stage, your therapist will investigate what are your difficulties, in order to establish a psychological diagnosis;
- Treatment consultation: during the treatment you will talk to your therapist with the aim of resolving or making your problem manageable;
- Peer (collegial) consultation: if your therapist considers it necessary for your treatment to consult with an external colleague;
- Travel time: if the therapist has to come to you to provide therapy or diagnosis;
- Group consultations: if you participate in a group therapy.
The rate for these services depends on the profession of your therapist and the duration of the consultation. Group size also plays a role in group therapy. There are separate rates for independent healthcare providers, such as Poradnia NL. The rates are therefore different (and often lower) than the rates for mental health care provided by and within an institution or a clinic. The rates are set nationally by the Dutch Healthcare Authority.
What happens to your deductible?
Up to and including 31 December 2021, you paid the deductible once per treatment process of a maximum of 365 days, regardless of the start date of the treatment process.
This is going to change. From 1 January 2022, the deductible for mental health care per calendar year will be used.
For more information about the care performance model and the rates, see: www.zorgperformancemodel.nl/nieuws/definitie-waarden-zorgperformancemodel-known/
Copyright: Landelijke Vereniging van Vrijgevestigde Psychologen & Psychotherapeuten (www.lvvp.info).
Tariffs for insured care
Poradnia NL charges 100% of the maximum costs of psychological treatment as laid out by the Dutch Healthcare Authority (NZa). Below are rates for diagnostic and therapeutic performances (according to ZPM) for year 2022:
Diagnostic consultations:
- from 15 minutes € 61,31
- from 30 minutes € 101,78
- from 45 minutes € 142,31
- from 60 minutes € 163,37
- from 75 minutes € 199,03
- from 90 minutes € 244,07
- from 120 minutes € 351,55
Therapeutic consultations:
- from 15 minutes € 49,89
- from 30 minutes € 85,16
- from 45 minutes € 120,99
- from 60 minutes € 143,71
- from 75 minutes € 176,88
- from 90 minutes € 216,11
- from 120 minutes € 317,73
From 2022 Poradnia NL issues monthly bills for treatment covered by Dutch insurance schemes.
An invoice for is issued at the beginning of each month, and it must be paid for within 14 days.
The client then submits the invoice to insurance company for reimbursement. Responsibility for payment and obtaining reimbursement lies solely with the client.
Own contribution (eigen risico)
Standard fee for missed appointment is € 80,00.
The appointment is considered non attended if cancellation takes place less than 24 hours before previously agreed scheduled session.
General Payment Conditions
Poradnia does not issue monthly or per-session bills for treatment covered by Dutch insurance schemes. An invoice for the entire treatment is issued at the end of the therapy. The client then submits the invoice to insurance company for reimbursement (here is the list of reimbursement rates of most insurance companies).
ATTENTION: Responsibility for timely payment and obtaining reimbursement lies solely with the client.
Payment conditions for services provided by Poradnia are in line with the standard payment conditions as laid out by the Netherlands Institute of Psychologists. These are as follows:
These general terms and conditions are applicable to all consulting, assessment and treatment agreements, agreed upon orally and/or in writing between the psychologist and the client.
All fees, costs and other remuneration of the services provided by Poradnia, and agreed orally and/or in writing between the psychologist and the client must be paid either by card or in cash after each session, or – in case of payment after completing entire treatment – within the time indicated on the final invoice.
If the customer has not paid the amount due within the period indicated in point 2., or if the payment has not been received within ten days after the indicated payment period, the client is considered in arrears without any further written or oral notice. The client is then due on the outstanding amount to the psychologist + statutory interests.
In the case described in point 3., the psychologist is immediately entitled to collect the claim or to nominate third parties (e.g. bailiff) to collect the amount due. All judicial and extra-judicial costs associated with the collection of fees due shall be borne by the client.
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