Extra benefits Stichting SBZ

Extra benefits
Stichting SBZ
Contracted care 2013
Extra benefits because you covered by group insurance
If you have a Beter Af Plus Policy you and your family members receive extra
benefits. Your employer Stichting SBZ has arraged that for you.
The conditions, entitlements and allowances of the Beter Af Plus Policy are
with these extra benefits together called the Beter Af Stichting SBZ Policy.
Description of treatment
Reimbursement
MEDICINES (drugs)
Medicines under the basic health insurance
reimbursement of statutory personal contribution
(the upper limit price GVS)
MOUTH AND TEETH
Orthodontics (braces) from 18 years
by dentist/orthodontist
no repairs or replacement in the event of damage and loss
as a result of personal fault/negligence
90% up to € 1,650.- per person per year
PREGNANCY / BABY / CHILD
Maternity care
at home or at a birthing centre
in addition to the reimbursement from the supplementary
insurance 100% reimbursement of statutory personal
contribution at € 4.- per hour
Number of hours are determined by Landelijke
Indicatieprotocol Kraamzorg
(National Indication Protocol Maternity)
No rights may be derived from the benefits schedule. The policy conditions provide a more detailed description of the conditions and entitlements.
Always read these first before visiting a care provider. The policy conditions can be downloaded on our website or you can contact us for a copy.
Visit www.zilverenkruis.nl for a list of contracted care, the amount of remuneration for non-contracted providers, Achmea Reglement Hulpmiddelen (Medical Aids Regulations),
Achmea Reglement Farmaceutische Zorg (Pharmaceutical Care Regulations), the associations of alternative healers who meet the criteria of Achmea, the policy conditions,
brochures, forms and other information about our insurance. You can also ask us for the information.
Zilveren Kruis Achmea care insurances are underwritten by Zilveren Kruis Achmea Zorgverzekeringen N.V. (Chamber of Commerce no. 30208637).
Zilveren Kruis Achmea supplementary insurances are underwritten by Achmea Zorgverzekeringen N.V. (Chamber of Commerce no. 28080300).
Beter Af Vitaal Package
Description of treatment
Reimbursement
ADL aids
(General Daily Functions)
75% up to € 100.- per person per year at Vegro and Harting-Bank/Ligtvoet for
ADL aids, that are not reimbursed under the Beter Af Policy
Flu vaccination up to the age of 60
(People from 60 and older are entitled to
flu vaccination under the AWBZ)
100%
health Check
preventive health test (Body Mass Index
(BMI), blood pressure, cholesterol, blood
glucose test and lung function)
once per person per year 100% only by a care provider contracted by us
Convalescent care home
not for psychosomatic care
only via our contracted providers 100% up to 28 days per person per year and
following our consent
Hearing aid
(statutory personal contribution)
€ 300.- per hearing aid
Hospice
(not personal contribution AWBZ)
€ 50.- per day up to € 1,500.-
Dentures (prosthetic devices) fully
reimbursement statutory personal contri-bution and personal payment Beter Af
Policy up to € 250.- per person per year
Orthopedic shoes
statutory contribution savings
Chiropody for insured that suffered a
cerebrovascular accident (CVA)
€ 23.- per treatment up to € 138.- per person per year
Personal alarm (on social grounds)
Call the medical aids line (071) 751 00 77
100% reimbursement of the subscription costs of the alarm system by Eurocross
Assistance or € 35.- per person per year for subscription costs via other providers
Well being services:
75% up to € 115.- per person per year
fall prevention (by a home care provider)
exercise programs (by an home care
provider or Pim Mulier)
memory training (by a home care provider)
Grief counseling
25% discount on the costs of intake, consultations and training courses at
Leefstijl Training & Coaching (LTC) in Dalfsen
Domestic help following hospitalisation
not psychiatric hospital
6 hours per person per year
NIPED PreventionCompass
comprehensive overall examination based
on a questionnaire and light physical
examination for preventive and prompt
diagnosis
1x per person per year a preventive examination by NIPED
Nutrition advice
(via dietician or weight consultant)
not for dietary advice and group treatments
Patient transport
using public transport, own car, a hire car
or a taxi
Care organiser
(also for insured informal caregiver):
helps to arrange the right care, for yourself
or others, for long-term illness, disability
and old age
telephone no. (071) 751 00 98
Visit www.preventiekompas.nl
€ 120.- per person per year
100% reimbursement of the statutory personal contribution and compulsory
access for medically required patient transport of € 95.- per person per year
under the Beter Af Policy and supplementary insurance
6 hours per person per year
90427E-1301

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