Reimbursements - Achmea

Avero Achmea

Central Management

Silver Cross

FBTO

Interpolis

The Friesland

InShared

Products
Braille typewriters

Loan/ownership
Property

Prescriber
A prescription from a treating physician or regional institution is required for initial provision or if the medical indication changes.
During the intake, the insured person's question is identified and described in a function-oriented manner as described in the process description for aids care.
Prior approval (authorization) from the insurer is required for the provision of visual communication aids.
Worldwide Vision submits the application to the insurer
The aid will be delivered once the application has been approved by the insurer.

Procedure
After your health insurer has assessed your application, if approved, authorization will be issued so that delivery can proceed.

User term
5 years

Warranty
2 years

Deductible
Reimbursement from your basic health insurance policy is subject to your deductible. If you've opted for a voluntary deductible, your health insurer will first deduct the costs from your mandatory deductible and then from your voluntary deductible. Once you've met your deductible, this care will be covered by your insurance up to the maximum amount for which you are insured. The deductible applies to insured individuals aged 18 and over.

Replacement
In the event of replacement (in principle no sooner than 5 years), no new medical indication is required if it is already included in the Worldwide Vision insured file or if an approval statement is known to the health insurer.
It must be clearly stated in the Insured Person's file why a replacement is necessary.

Problems/complaints can be reported directly to Worldwide Vision on telephone number 013 528 56 66. Available on working days from 8:30 am to 5:00 pm.

Products
Daisy player and Orion Webbox

Prescriber
The indication must be established by the treating physician, speech therapist, optometrist, orthoptist, healthcare professional from an institution specialized in the rehabilitation of the blind and partially sighted, or healthcare professional from a multidisciplinary institute specialized in the treatment of dyslexia.

Medical indications:
The indication to be eligible for a Daisy player, Daisy software or an Orion Webbox exists if:
- a visual impairment;
- dyslexia where treatment of the dyslexia has not been successful;
- a motor disability that prevents the insured from handling a book or magazine.

- The insured is visually impaired and unable to read a book or magazine with a simple optical aid
like reading glasses.
- The insured is motorically disabled and unable to handle a book or magazine.
- The insured is dyslexic and is treated by a multidisciplinary team, but this treatment is not successful
proven. A generally known dyslexia statement is therefore not sufficient.

You must have a medical indication (prescription) from your treating physician. The physician must also indicate on the prescription any restrictions and the desired provision. The following guidelines apply:
- You must clearly describe your visual impairment. This must be done by providing a detailed description of the visual impairment and, if applicable, your residual vision. A residual vision of 0.4 or less is acceptable.
- In case of motor limitations, it must be clearly indicated what the functional problems are with regard to hand and arm function.

Details
Insured individuals with visual impairments (e.g., hemianopia, visual field restriction) are not automatically eligible for reimbursement for a Daisy player/software. These applications will be assessed by the health insurer's paramedical advisor and must therefore be submitted to the health insurer, as are applications for individuals with motor disabilities and dyslexia.

In case of dyslexia, a statement from a clinical psychologist or educational psychologist must be submitted with the application, containing at least the following information:
1. Dyslexia is present, possibly with additional information about the degree of impairment (technical and reading comprehension, spelling, strategic writing, structuring, languages, information processing, etc.)
2. The child has been treated in healthcare (i.e. outside of education), in accordance with the treatment guidelines of the CVZ report "Is dyslexia covered by healthcare?"
3. Treatment has been discontinued or has been unsuccessful; no further progress is expected (=declaration of cessation of treatment).
4. The Daisy player is recommended as a sensible and effective aid and is intended for use in the home situation.

In cases where it is clear that the Daisy player is primarily requested for educational purposes – and not primarily for another purpose, such as reading books at home that fit the insured's interests – the application must be rejected on the grounds that the provision of a Daisy player as a learning tool falls within the domain of the REA Act.

Loan/ownership
Daisy player is provided in ownership .
Orion Webbox is provided on loan.

Deductible
Reimbursement from your basic health insurance policy is subject to your deductible. If you've opted for a voluntary deductible, your health insurer will first deduct the costs from your mandatory deductible and then from your voluntary deductible. Once you've met your deductible, this care will be covered by your insurance up to the maximum amount for which you are insured. The deductible applies to insured individuals aged 18 and over.

Application
The application can be sent directly to Worldwide Vision.

Note: Costs for replacing batteries and/or charging equipment are not reimbursed.

User term
5 years

Warranty
2 years

Replacement
In the event of replacement (in principle no sooner than 5 years), no new medical indication is required if it is already included in the Worldwide Vision insured file or if an approval statement is known to the health insurer.
It must be clearly stated in the Insured Person's file why a replacement is necessary.
This focuses on usable Daisy functionality, not on potential new technical developments. The latter is not grounds for reimbursement for the replacement and is the Insured's responsibility.
Problems/complaints can be reported directly to Worldwide Vision on telephone number 013 528 56 66. Available on working days from 8:30 am to 5:00 pm.

Products
Go-box

Prescriber
The indication must be made by a treating physician or healthcare professional from an institution specialized in the rehabilitation of blind and partially sighted people.

Medical indications:
The insured must have a medical indication (prescription) from the attending physician. The attending physician must also indicate on the prescription any restrictions and the desired provision.
The following guidelines apply:
It must be clearly described in what form the Insured is visually impaired.
This is done by providing a detailed description of the visual impairment and, if applicable, the residual vision. A residual vision of 0.4 or less is acceptable. This must be sent to Worldwide Vision.
We assess the application based on the insurer's protocol.

Loan/ownership
Loan.

Deductible
No deductible applies.

Application
The application can be sent directly to Worldwide Vision.

User term
5 years

Warranty
2 years

Replacement
In the event of replacement (in principle no sooner than 5 years), no new medical indication is required if it is already included in the Worldwide Vision insured file or if an approval statement is known to the health insurer.
It must be clearly stated in the Insured Person's file why a replacement is necessary.
This focuses on usable functionality, not potential new technical developments. The latter is not grounds for reimbursement for the replacement and is the Insured's responsibility.
Problems/complaints can be reported directly to Worldwide Vision on telephone number 013 528 56 66. Available on working days from 8:30 am to 5:00 pm.

Products
I-Cane Mobilo cane with tactile arrow and navigation

Loan/ownership
Property

Prescriber
- Treating (eye) physician.
- Recognized institute for the blind and partially sighted (Visio, Bartimeus).

Documentation
An authorization must be requested in advance from Achmea. To do so, please submit a motivation letter from the prescriber (treating physician or regional institution for the blind and partially sighted) and a functional justification.
to Worldwide Vision, we will then submit the application to the health insurer on your behalf and if an authorization (approval) is received, the I-Cane can be delivered.
· There must be a justification for the usefulness and necessity of the need regarding orientation and mobility and the
regaining and/or maintaining the insured's independence in society.

Procedure
· The I Cane can only be used if it is a replacement aid for the
current aids to compensate for limitations in walking around obstacles or in orientation.
· An insured person is reasonably dependent on an I Cane if it makes a substantial contribution to the
mobility or orientation in society of an insured person who is blind or so visually impaired that
he is dependent on this. In addition, it must be demonstrated that a blind cane and/or guide dog are available.
is not the most adequate aid for the insured.
· The future I Cane user must be an experienced cane walker.

User term
5 years

Warranty
2 years

Replacement
Replacement/repair is only possible upon request, with supporting documentation and a quote. This can be carried out after approval by Achmea.

Application
Authorization required

Particulars
The insured is responsible for providing the correct Apple Smartphone version and a corresponding telephone
subscription with data traffic option.
Costs for normal use, such as caps, etc., are borne by the insured.

Products
Memo recorders

Loan/ownership
Property

Prescriber
The indication must be made by the treating physician, optometrist, orthoptist or healthcare professional from an institution specialized in the rehabilitation of blind and partially sighted people.

Documentation
A memo recorder functions like a (pocket) diary or notebook and is used for taking notes or recording data. For the visually impaired, the memo recorder is an alternative to recording spoken words in writing or taking notes.
The indication to be eligible for a memo recorder exists if:
- a visual impairment and
- insufficient mastery of Braille.

Procedure
The reimbursement request, including the indication and explanation, can be sent directly to Worldwide Vision. We will assess the request based on your insurer's protocols and, if approved, will proceed with the delivery.

Deductible
Reimbursement from your basic health insurance policy is subject to your deductible. If you've opted for a voluntary deductible, your health insurer will first offset the costs against your mandatory deductible and then against your voluntary deductible. Once you've met your deductible, this care will be covered by your insurance up to the maximum amount for which you are insured. The deductible applies to insured individuals aged 18 and over.

User term
5 years

Warranty
2 years

Products
Touch canes

Loan/ownership
Property

Prescriber
The indication for the initial provision of a blind cane must be established by the treating physician, optometrist, orthoptist or healthcare professional at an institution specialising in the rehabilitation of blind and partially sighted people.

Eligibility for a blind cane is indicated if the insured person has a visual impairment and relies on this aid for mobility.

Documentation
The medical report must clearly describe the insured person's visual impairment. This must include a detailed description of the visual impairment and a medical explanation for the need for the aid.

Procedure
Submit your application to Worldwide Vision. Worldwide Vision will assess your application based on your insurer's guidelines.
For special lightweight canes, an additional motivation with medical necessity must be provided.

Deductible
Reimbursement from your basic health insurance policy is subject to your deductible. If you've opted for a voluntary deductible, your health insurer will first offset the costs against your mandatory deductible and then against your voluntary deductible. Once you've met your deductible, this care will be covered by your insurance up to the maximum amount for which you are insured. The deductible applies to insured individuals aged 18 and over.

User term
3 years

Replacement
A prescription is no longer required for a replacement cane after the three-year period if Worldwide Vision has the medical information on file. For repeat prescriptions within the average three-year period, authorization must be requested from the insurer, along with a quote and a written explanation of why replacement is necessary within the average three-year period. Problems/complaints can be submitted directly to Worldwide Vision by calling +31 13 528 56 66. Available weekdays from 8:30 AM to 5:00 PM.

Application
Send request directly to Worldwide Vision

Costs
Costs for additional pole points will be borne by the insured.

Products
Reading devices

Loan/ownership
Property

Prescriber
A prescription from a treating physician or regional institution is required for initial provision or if the medical indication changes.
During the intake, the insured person's question is identified and described in a function-oriented manner as described in the process description for aids care.
Prior approval (authorization) from the insurer is required for the provision of visual communication aids.
Worldwide Vision submits the application to the insurer
The aid will be delivered once the application has been approved by the insurer.

Procedure
After your health insurer has assessed your application, if approved, authorization will be issued so that delivery can proceed.

User term
5 years

Warranty
2 years

Deductible
Reimbursement from your basic health insurance policy is subject to your deductible. If you've opted for a voluntary deductible, your health insurer will first deduct the costs from your mandatory deductible and then from your voluntary deductible. Once you've met your deductible, this care will be covered by your insurance up to the maximum amount for which you are insured. The deductible applies to insured individuals aged 18 and over.

Replacement
In the event of replacement (in principle no sooner than 5 years), no new medical indication is required if it is already included in the Worldwide Vision insured file or if an approval statement is known to the health insurer.
It must be clearly stated in the Insured Person's file why a replacement is necessary.

Problems/complaints can be reported directly to Worldwide Vision on telephone number 013 528 56 66. Available on working days from 8:30 am to 5:00 pm.