The healthcare services reimbursed by compulsory health insurance include both the preventive and the curative care which is necessary to keep you healthy and restore your health when necessary. This care is divided into various healthcare categories, of which the most important are:
- standard medical care, including consultations with doctors and medical specialists;
- physiotherapy;
- nursing and home-care services;
- dentistry;
- childbirth;
- supply of medicines: drug compounding, proprietary medicines and generic medicines, etc.;
- prostheses, bandages and implants;
- hospital care.
Only healthcare services featuring on the list referred to as the ‘nomenclature in healthcare services’* are eligible for total or partial reimbursement from healthcare insurance. This list gives not only the cost price for these services, but also specific implementation rules, any conditions regarding reimbursement, skills required by the care providers, etc.
A similar list exists for proprietary medicines or medicines which are eligible for reimbursement. You can find extensive information on this by accessing the the application ‘Proprietary medicines’ on the NIHDI website.
There are also similar lists of prostheses, implants and other products (e.g. colostomy and incontinence equipment) which are eligible for reimbursement.
More info?
Contact your health insurance fund*.
* cf. Glossary