Medical specialist care

Medical specialist care is care provided by a medical specialist, a psychiatrist, a hospital, an audiological centre, a dialysis centre, a respiration centre or a thrombosis service. For this care, a referral is needed from a general practitioner or a specialist. An obstetrician may also refer you to a gynaecologist. Medical specialist care also includes:

Transplants

A transplant is the replacement of a poorly or non-functioning organ or tissue. The healthcare insurance reimburses various forms of transplants. These transplants are only performed with generally accepted medical indications.

Cosmetic surgery

Plastic surgery modifies the exterior from a functional or aesthetic point of view. This a medical specialist in is only included in the healthcare insurance if it concerns medically required corrections.

Second opinion

A second opinion means that you allow an independent second physician to assess your health situation. You are entitled to a second opinion by a qualified healthcare provider in the region if you suffer from a life-threatening condition, if you have doubts about the method of treatment and for an operation that has irreversible consequences. For a second opinion, your care provider must request permission from the ZVK.

Light therapy

Light therapy is a medical treatment that uses visible or invisible light. Medically necessary UVB light therapy is a reimbursed with skin conditions or babies with jaundice.

Audiological centre

You can go to an audiological centre for hearing and language examinations. For example, you can receive advice from a multidisciplinary team regarding hearing aids. Upon referral from a ENT specialist, you are entitled to a maximum of 6 weeks of audiological assistance in an audiological centre. For audiological assistance for longer than 6 weeks, your referring care provider must request permission from the ZVK.

Assistance heredity issues

The healthcare insurance reimburses certain tests for genetic issues, heredity issues and any related psychosocial counselling.

Haemodialysis

Haemodialysis, also known as dialysis, is a treatment for kidney patients, where a machine takes over the function of the kidney. On medical indication, you have a right to haemodialysis, examination, treatment and pharmaceutical assistance, inclusief epo. If dialysis does not take place in a dialysis centre, the healthcare insurance reimburses the expense of accompanying the patient as well as the people who assist with the dialysis.

With home dialysis, the immediate expenses of the dialysis are reimbursed. Any expenses for modifying the residence and restoring it to its original state could be reimbursed as well.

Chronic intermittent respiration

Chronic intermittent respiration entails that a patient depends on artificial support of for breathing. The healthcare insurance reimburses regular stays in a centre for mechanical respiration. The use of artificial respiration equipment at home or at a location set up for this, including assistance, is also reimbursed. For chronic intermittent respiration, the care provider must request prior permission from the ZVK.

Thrombosis service

Thrombosis is when a blood vessel is closed off by a blood clot, so that the blood can no longer flow properly. Assistance by a thrombosis service with a prescription from a physician is reimbursed. The assistance also includes the use of equipment to measure coagulation time of your blood and advice on the use of medicines.