Costs and your health insurance
What reimbursement applies to your treatment?
The Grange provides treatment for addiction and underlying issues.
What does treatment cost?
What are the costs for treatment at The Grange, and what is covered by your health insurance? As an accredited mental healthcare provider, the costs of our treatments are generally covered by your insurance’s basic benefit package. Depending on your insurance plan, there may be a co-payment, and billing may vary. Here, we’ll explain how it works.What
Costs and Coverage of Addiction Treatment
The Grange offers inpatient care / clinical care. The costs of addiction treatment are covered by the basic health insurance plan in the Netherlands if you have a referral from your general practitioner (GP) or another referring party, have a pure reimbursement policy, or if we have a contract with your health insurer.
Compulsory Deductible
When using care covered by the basic health insurance package, you will be required to pay a deductible. The compulsory deductible in 2024 is €385 per calendar year, and this may be higher depending on any additional voluntary deductible you have selected. If your health insurer deducts the amount due for your deductible from our invoice, you will receive a bill from us for the deductible amount.
Personal Contribution
If we do not have a contract with your health insurer, or if you have a naturapolis or combination insurance, it is possible that your health insurance will not cover the entire cost of treatment. In this situation, a percentage of the treatment will be charged as a personal contribution, and you will be informed of this amount before your treatment begins.
Deposit
The Grange requires a deposit of €350 for clinical clients. This deposit will be withheld in the event of damage or medical costs that fall outside the scope of care provided by The Grange. Clients will receive the deposit back (minus any costs incurred during treatment) regardless of whether the treatment is fully completed.
Everyone deserves a chance at full recovery, which is why The Grange encourages clients to complete the entire treatment process. The likelihood of long-term recovery is higher when the treatment is followed through in its entirety.
Are There Additional Costs?
What additional costs should you consider? In principle, the costs of treatment will be reimbursed by your health insurance. If you choose treatment abroad, however, the cost of a plane ticket will be your responsibility. Please note, limiting contract terms and/or policy conditions may apply to treatment abroad.
“I am grateful that the conversations have led to a strong connection within my family.”
“As a family, we learned to be open with each other about our thoughts, feelings, and emotions.”Frequently Asked Questions
Below, we answer frequently asked questions about the costs and coverage of our treatments.
Is your question not listed here? Feel free to contact us to ask your question to one of our colleagues.
What is the compulsory deductible?
Every adult with health insurance has a compulsory deductible. This is a fixed amount per calendar year that you must pay yourself when you use care from the basic benefit package. Our treatments fall under this category. For 2024, the compulsory deductible is set at €385. If you have already reached your deductible for this calendar year, you will not need to pay any more. If your treatment spans two calendar years, you may have to pay your deductible twice.
What is a personal contribution?
In some situations, your health insurer does not reimburse 100% of the treatment costs. This depends on your policy, whether the care is contracted or not, and the amount for which the insurer grants authorization (see the question below for more information about authorization). The difference between the treatment costs and the reimbursement from the health insurer is referred to as the personal contribution.
What is an authorization?
When you wish to receive treatment from us but we do not have a contract with your health insurer, you may need to request prior authorization from the insurer. With this authorization, your treatment costs will be reimbursed. In insurance terms, this is referred to as “an authorization.” The authorization request is prepared after the intake and the formulation of the treatment plan and consists of detailed information about your treatment (referral letter, treatment plan, quotation, etc.), so that the insurer can assess your care request. Our colleagues will submit this authorization request on your behalf and assist you with the application, provided you give us permission to do so. Health insurers often aim to respond within 10 working days, but in practice, this may take longer.
What is the Healthcare Performance Model?
As of January 1, 2022, the Healthcare Performance Model has been implemented in the Netherlands for all institutions operating within mental healthcare. This new billing method has created a uniform approach to how treatment is charged, and your invoice clearly indicates who treated you during your care and for how long. You will find a complete overview of this information on your bill.
If you have any questions about your invoice, feel free to contact us. We’d be happy to assist you.
How will I receive the invoice for my treatment?
The invoice for your treatment will either be processed directly through your health insurance or will be sent to you. This depends on the process followed by the health insurer. Our financial administration colleagues will keep you informed about this.
Invoice through the Health Insurer
At The Grange, the invoice is sent directly to your health insurer, and they pay us directly. In this case, you do not need to take any further action. The only exception is when your insurer deducts the compulsory deductible from the payment; in that case, you will receive an invoice from us for the amount of the deductible.
Invoice through You
With some health insurers, the invoice and reimbursement process goes through you. You will receive the invoice from us, which you then need to submit to your health insurer. The insurer will pay the treatment amount to you, after which you transfer the amount to us. If the health insurer partially reimburses the invoice amount because the deductible is less than the owed amount, you will need to pay us the full invoice amount plus the amount of the withheld deductible.
Do you have a question?
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