Oom provisional residence coverage 2017 PDF

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Coverage Summary OOM Voorlopig Verblijf Nederland Insurance Health Insurance Corresponding policy conditions: VVN2012 What does the OOM Voorlopig Verblijf Nederland Health Insurance reimburse? All compensations apply per insured person per insured period. We will only reimburse the costs listed below if they are medically necessary. The maximum that we reimburse is the amount that is approved by the official institutions in the country of origin where the medical treatment occurs. In the Netherlands, that institution is the NZa. Cost price means that we fully reimburse the costs.

OOM Voorlopig Verblijf Nederland Health Insurance Maximum insured amount for all reimbursements combined

€ 500,000

General practitioner

Cost price

Medication and bandages

Cost price

Specialist treatment and tests

Cost price

Laboratory tests

Cost price

Hospitalisation

Cost price If the hospital has several nursing classes, we will reimburse the costs of the nursing class that is comparable to a multiple occupancy room in a Dutch hospital.

Ambulance transport

Cost price

Seated medical transport

• Public Transport: lowest class • Taxi: cost price • Own transport: € 0.20 per kilometre

Medical aids after an accident

• Crutches and wheelchair up to a maximum of € 100, rent or buy • Prosthetics up to a maximum of € 750

Physical therapy, exercise therapy,

Maximum of 9 treatments for all these therapies combined

manual therapy and chiropractic Speech therapy

Maximum of 12 treatments

Rehabilitative day care

Cost price

Accommodation costs

If you as a patient need accommodation in the proximity of a hospital (outside your place of residence) due to medical reasons, we will reimburse the accommodation costs to a maximum of € 100 per day and up to a maximum of € 2,000 per case of illness.

Vaccinations and immunoglobulins against rabies and tetanus

Cost price We will only reimburse these costs if you have been exposed to the risk of infection.

Dental treatment

Maximum of € 350 We will only reimburse these costs if they are incurred as the result of an accident.

Psychotherapy

5 sessions up to a maximum of € 500 The treatment must be given by a competent psychiatrist, psychologist or practising psychotherapist.

Coverage Summary OOM Voorlopig Verblijf Nederland Insurance

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Treatment by a plastic surgeon

Cost price We will only reimburse these costs in the event of: • disfigurement caused by an accident; • serious defects immediately present and detected at birth.

Transplantation (bone marrow,

Cost price

bone, cornea, skin tissue, kidney,

We will only reimburse these costs if they are incurred as the result of an

heart, liver (orthotopic), lung, heart/

accident.

lung and kidney/pancreas) Dialysis

Cost price

Dental coverage With the dental coverage (called “OOM Tandarts Cover”) you are insured to the maximum amount of € 350. The dental coverage reimburses: • medically required dentistry, such as diagnostic, preventative and teeth cleaning; • treatments such as root canal, crowns and bridges; • the first and second preventative examination of each year; • fillings and anaesthesia. There is no deductible for the dental coverage.

SOS-costs Repatriation/evacuation

Maximum of € 30,000

Search/rescue

Maximum of € 10,000

Transport of mortal remains to country of origin

Maximum of € 10,000

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Third Party Insurance for private individuals Schengen Visitor / Voorlopig Verblijf Nederland Corresponding policy conditions: AVP_VIS2012 The Third Party Insurance for private individuals Schengen Visitor / Voorlopig Verblijf Nederland can be additionally co-insured. There is coverage if this is stated on the policy sheet. Liability for damage to people and property

Maximum of € 1,250,000 per event.

Surety

Maximum of € 125,000

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The trade name OOM Verzekeringen is used by OOM Holding N.V. (KvK The Hague 27194193), OOM Global Care N.V. (AFM 12000623, KvK The Hague 27111654), OOM Schadeverzekering N.V. (AFM 12000624, KvK The Hague 27155593) and “O.O.M.” Onderlinge Molestverzekering-

O-VVN2012-EN-190615

Maatschappij U.A. (KvK The Hague 27117235). These companies are registered in The Hague and share operational offices in Rijswijk.

OOM Verzekeringen PO Box 3036 2280 GA Rijswijk The Netherlands

T F E I

+31 (0)70 353 21 00 +31 (0)70 360 18 73 [email protected] www.oomverzekeringen.nl...