Dutch Healthcare system

The Dutch Healthcare System consists in a system as laid down in the Dutch Health Insurance Act (Zorgverzekeringswet) that consists of three echelons:

  • GP-care and POH-GGZ (De huisartszorg en POH-GGZ)
  • Generalistic Basic Mental Healthcare (De Generalistische Basis GGZ )(GB GGZ)
  • Specialised Mental Healthcare (De Gespecialiseerde GGZ) (GGGZ)

These three echelons are supposed to form a vaccum in which the right care commences at the right place. Complaints without DSM-qualification at the GP’s and POH- GGZ (‘practice assistent for mental healthcare’). Light and moderate, non-complex disorders within the Generalistic Basic Mental Healthcare. And more complex and riskier disorders within the Specialised Mental Healthcare.

More information about the Dutch Healthcare System you can find at the website of the Dutch Government.

 

Which care is reimbursed for clients?

First, there is mental healthcare that is covered by the Health Insurance Act law (Zorgverzekeringswet). Since January 1 2014 the former two types of mental healthcare (first line and second line) are divided in three echelons: GP and POH-GGZ, Generalistic Basic mental health care (GB GGZ) and Specialised mental healthcare (G GGZ).  Care given by a GP and POH-GGZ is reimbursed by the basic healthcare insurance. Care given in GB GGZ en G GGZ is reimbursed by your basic healthinsurance if there is a DSM-disorder, plus a reference from the GP ánd the psychologist is on the list of ‘head practitioners’ (hoofdbehandelaars), as appointed by the minister. On this list are, among others, psychologists and psychotherapists with a registration under the Individual Health Care Professions Act (BIG), Child- and Youth Psychologists NIP and Remedial Educationalist (NVO). Also, the type of treatment you get determines if this care will be reimbursed. Before you start seeing a client, emphasize that this client informs about reimbursement at their healthcare insurance company if the type of care you give will be reimbursed.

The NZa (Dutch Healthcare Authority) has drawn up rules which professionals in the mental healthcare should stick to,  such as maximum tariffs, rules about what should be on an invoice and which information psychologists have to send to the health insurance companies. You find the rules of the NZa here on our website (only available in Dutch). 

When your psychological problems do not meet the criteria of DSM-disorders, the care is not covered by the Health Insurance Act law. There is a second category of psychological problems which is not covered by the Health Insurance Act law, but it ís covered by the Law Healthcare Market (Wet Marktordening Gezondheidszorg (Wmg)). These is care given in case of relationship problems, adjustment disorders and learning problems. This is what the NZA calls an OVP (free translated: other product). Because these problems are covered within the Law Healthcare Market, the NZa has made maximum tariffs and what you report on the invoice, as mentioned above. In this case the maximum tariff you can ask per consult is € 94,44. You see this tariff in the ‘tariefbeschikking of the NZa’ (page 2).

A third type of care given in case of psychological problems, is care like coaching or mindfulness (self contained). This is not seen as mental health care, but more as a form of mental support. In this case psychologists have to charge 21% VAT (value added tax), and a psychologist is free to charge any tariff and in what to mention on the invoice. 

Before you start seeing a psychologist, we advise you to ask your GP, a psychologist or your healthcare insurance company if the type of care you want or need will be reimbursed.

If you have more questions you can contact us by email: info@psynip.nl.