Financial explanation of invoice from Infomedics

ADHDcentraal aims to come to contract agreements with all Dutch health insurance companies, in order to optimize accessibility of its care and minimize costs for its patients. 

Some health care insurance companies did not yet offer a suitable contract. As a result, it is not possible to settle the costs of your treatment directly with these health insurers. Below we explain how the financial settlement of treatment costs is organized. We recommend that you read the content carefully to avoid delays in the reimbursement of your healthcare costs.

In 2022, the system of costs and payment within mental health (GGZ) has changed dramatically. Due to the introduction of a new system, your first invoice may come later than you expected. This is due to delays in development of new software required for the administrative processes. 

If your treatment continues after October 2022, from now on you will receive a monthly invoice. In the case your treatment already was completed, you may still receive a final invoice for consultations that cannot yet be processed at this stage. 

Read more about the billing system here (in Dutch).

 

Below are the steps to be followed for financial processing. For smooth processing, it is important that you carry out step 3 on time.

  1. If your e-mail address or home address has changed after your registration, please inform us immediately. Within a week, Infomedics – the company that performs all services related to invoicing – will send you an invoice by e-mail with the full amount of the treatment.
    Do not pay this invoice, but send this full invoice directly to your health insurer where you were insured in the period stated on the invoice (digitally or by post). For example: if the consultations on the invoice took place in 2022, the invoice should be submitted to the health insurer where you were insured in 2022.
  2. Save a copy of the invoice for yourself or note the payment details on the giro slip.
  3. From your health insurer, you will receive a memo or claim statement, showing how much you will be reimbursed by them.
    Send a copy or scan of this overview as soon as possible by e-mail to: vergoedingen@adhdcentraal.nl.
  4. Based on the overview you sent us, we will determine what you actually have to pay. We will send you this final settlement by e-mail or, on request, by post.
    You have to pay the final amount calculated by us to Infomedics yourself. If you are unable to pay the invoice before the payment date stated on the invoice, please call Infomedics 036-2031900 to request an extension of payment to avoid extra costs. We also pass on the final bill to Infomedics so that they know how much you will pay to them.

You remain responsible for paying the invoice, so please pay attention!

 

On what is the amount at point 4 based?

Your health insurer may not reimburse the full amount. This may be the case for two reasons:

1.Own risk
Firstly, there is the statutory excess. This is € 385 (or a maximum of € 885 if you have opted for this voluntarily). As long as this has not been used up, your health insurer will set off the costs of your treatment at ADHDcentraal against your outstanding deductible. This does not only apply to ADHDcentraal, but to all specialist mental healthcare treatments. In most cases the insurer will settle the costs on account of any outstanding deductible excess directly with you.

2. Personal contribution
We do not have a contract with your health insurer. As a result, your health insurer may not reimburse an extra amount in addition to the deductible. But good news: of this part that they do not reimburse, we cover a significant part.

But you also pay a part yourself: that is the personal contribution. If you started treatment with us after the diagnosics day, the personal contribution is €250. If you were referred back to the GP by us after the diagnostics day, for example because the ADHD diagnosis was not made, a reduced personal contribution of € 100 applies.

The personal contribution will be charged with the first invoice.

If you have any questions about this, please email vergoedingen@adhdcentraal.nl or call 088 3131 231