Reimbursement

Please note:

CITB does not have contracts with CZ, Zilveren Kruis and VGZ. If you are insured with one of these insurers, you will therefore have to pay part of the treatment costs yourself. Invoices are processed through Infomedics.

Tip: Before registering, contact the waiting list mediation service of your health insurer. If you cannot receive care from a contracted provider within the applicable waiting-time standards, your health insurer can help you find suitable care within a reasonable period.

Basic health insurance and reimbursement

Mental health care is covered under the basic health insurance (not supplementary insurance).

Everyone aged 18 and over has a mandatory deductible of €385 per calendar year. Your health insurer will deduct this amount from the reimbursement of your healthcare costs.

Costs above the deductible are reimbursed according to the conditions of your basic health insurance and, where applicable, the contract between the healthcare provider and the health insurer.

No contract with your health insurer

If there is no contract between CITB and your health insurer:

• your treatment will be partially reimbursed;
• the exact reimbursement percentage depends on your policy and its terms and conditions;
• you pay the invoice to Infomedics;
• you submit the invoice to your health insurer yourself;
• your health insurer pays the reimbursement to you, not to CITB.

Any part of the treatment costs that is not reimbursed by your health insurer is your own responsibility.

Please note: health insurers may, for example, state that they reimburse 75% of the costs. This percentage may be calculated based on the tariff used by the insurer rather than the full NZa tariff. As a result, the final reimbursement may be lower than you might expect based on the stated percentage.

NZa tariffs

The NZa (Dutch Healthcare Authority) sets annual tariffs for mental health care. CITB uses these tariffs. You can find the current tariffs here.

Waiting times and waiting list mediation

At CITB, we aim to ensure that you can start an intake and treatment as soon as possible.

Within Dutch mental health care, national waiting-time standards apply: a maximum of 4 weeks before the first appointment and a maximum of 10 weeks before treatment starts.

If you have to wait longer than this at a contracted healthcare provider, you can request waiting list mediation from your health insurer. Your insurer can then help you find a suitable healthcare provider where you can receive care sooner. In certain situations, a non-contracted healthcare provider may also be considered.

Always keep proof of your request for waiting list mediation, such as an email or confirmation form.

CITB does not have contracts with some health insurers. This means that you will usually have to pay the invoice first. The amount reimbursed depends on your insurance policy and the arrangements that apply to your specific situation.

Practical information

The Dutch health insurance system and the differences between insurance policies can be complex. We recommend contacting your health insurer in advance to ask:

• what percentage is reimbursed for non-contracted mental health care;
• which tariff the reimbursement is based on;
• how your deductible is applied;
• what amount you will ultimately have to pay yourself.

For independent information about Dutch health insurance, you can also consult Zorgwijzer.