Paramedical care

Physiotherapy and exercise therapy Cesar and Mensendieck

Physiotherapy and exercise therapy are aimed at healing, reducing pain, or maintaining the best possible physical condition. For physiotherapy and exercise therapy, you need a referral from a general practitioner or specialist.

For children up to the age of 17, the first nine treatments per calendar year are reimbursed. If this is not sufficient, the referring physician can submit a follow-up request for another nine treatments in the same year. The total per year is therefore a maximum of 18 treatments.

For insured persons aged 18 or older, physiotherapy is reimbursed for conditions included in the exhaustive list. The first 20 treatments are not eligible for reimbursement. You can find the list in the Entitlements Health Insurance Regulations BES, article 1.4.2 paragraph 4. A maximum period has been set for a number of conditions. Your treating physician can provide you with more information about this.

For reimbursement of physiotherapy and exercise therapy, your care provider must request prior consent from ZJCN.

Speech therapy

Insured persons are entitled to speech therapy with the medical aim of restoring or improving speech function or speech ability. This requires a referral from a general practitioner, specialist or dentist. Speech therapy for non-medical purposes (e.g. dyslexia, public speaking or singing lessons) is not eligible for reimbursement.

Prior consent from ZJCN is required for reimbursement of speech therapy.

Occupational therapy

Occupational therapy promotes or restores the self-care and self-sufficiency by teaching people to perform daily activities better. The occupational therapist provides advice, instruction, training or treatment at their treatment room or at your home. A referral from a general practitioner, specialist or nursing home physician is required for occupational therapy. You are then entitled to a maximum of ten treatment hours per year.

Dietary advice

Information and advice on nutrition and eating habits for medical purposes are provided by a dietitian. This requires a prescription from a physician or dentist. You are then entitled to a maximum of three treatment hours per year.

Podiatry

Podiatry and podiatric insoles are intended to reduce or eliminate foot complaints. This requires a prescription from a general practitioner or medical specialist.

Medical pedicures

A medical pedicurist provides specialist care for the feet and treats skin and nail conditions. Only insured persons with diabetes are entitled to medical pedicure treatments. Your care provider must request prior consent from ZJCN.

Quit smoking programme

Insured persons can participate in a quit smoking programme prescribed by a general practitioner or specialist. This concerns medical and, if necessary, pharmaceutical assistance that is included in the Quality Register Quit Smoking. A quit smoking programme can be followed a maximum of once per calendar year. This requires prior consent from ZJCN.

Combined lifestyle intervention

For insured persons aged 18 or older, care provided as part of a combined lifestyle intervention (CLI) prescribed by a general practitioner or specialist can be reimbursed. CLI is a two-year programme that focuses on healthier eating (lower energy intake), more exercise, and psychological support for behavioural change. A CLI programme can be followed for a maximum of once every 24 months. If the programme is not followed in its entirety then, only part of the costs is reimbursed.

Prior consent from ZJCN is required for reimbursement of participation in a CLI programme.