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Costs and reimbursement

How reimbursement works

With a referral, diagnostics and treatment at ADHD Medisch Centrum can be reimbursed under basic health insurance. You pay your deductible (eigen risico) yourself and, if your insurer has no contract with us, a one-off €250.

Three amounts to remember

Compulsory deductible (eigen risico) 2026
€385Set by law. If you have already used some or all of it this year, you only pay what is still outstanding.
One-off contribution
€250Only if your health insurer does not have a contract with us, including when there is a payment agreement. Paid once for the entire care pathway.
Reimbursement without a contract
± 60%What many policies reimburse. We waive most of the part that is not reimbursed, subject to conditions.

What a care pathway costs

On average ± €6,000 in care costs. You do not pay this yourself. There is no fixed rate for a complete ADHD care pathway: each appointment is registered and charged separately. The amounts below are averages.
Diagnostics Treatment

Diagnostics

on average ± €2,000

  • Information from your childhood

    Preferably from a parent or someone else close to you, supplemented where possible with old school reports.

  • Interview and medical intake

    Conversations about your symptoms, including how they relate to your medical and psychiatric history.

  • Multidisciplinary consultation

    Practitioners from different disciplines assess the outcome together.

  • Advice consultation

    You hear the outcome and our advice on the next steps.

Treatment

on average ± €4,000

  • Psychoeducation

    Understanding what ADHD is and what it means for you.

  • Getting settled on medication

    With checks on the effect, side effects, blood pressure, heart rate and weight.

  • Cognitive behavioural therapy (CBT)

    Covering planning, structure, procrastination and emotion regulation.

  • E-health

    Digital modules to complement the sessions.

Example calculation without a contract

From ± €6,000 in healthcare costs to €250 plus your deductible.

Based on a care pathway costing an average of €6,000, a reimbursement of 60% and a deductible that has not yet been used at all. This example is for illustration only.

Total healthcare costs at NZa rates
± €6,000
Reimbursement from your health insurer (± 60%)
± €3,600
Part not reimbursed
± €2,400
Of which you pay: one-off personal contribution
€250
Of which we waive under the goodwill scheme (coulanceregeling)
± €2,150
Deductible settled
the outstanding part
You pay
€250 + your outstanding deductible

How the rates are set

The rates for specialised mental health care are set nationally by the Dutch Healthcare Authority, NZa (in Dutch) (opens in a new window). So we do not set them ourselves and cannot deviate from them. Within the care performance model (zorgprestatiemodel), the rate depends on four things.
  • Type of appointment

    Different rates apply to diagnostics and treatment.
  • Length of the contact

    The planned duration is the starting point and is adjusted to the actual time if necessary.
  • Healthcare provider involved

    A consultation with a psychiatrist has a different rate from one with a nurse specialist or psychologist.
  • Setting

    Our care falls under specialised mental health care (GGZ).

With or without a contract

You can come to us with or without a contract. For reimbursement, you always need a valid referral from your GP or another authorised referrer. How much is reimbursed depends on your health insurer, your policy and the agreements we have with your insurer.

Contracted care

Your insurer has a contract with us

Reimbursement
In line with the agreements between us and your health insurer.
Part not reimbursed
Not applicable.
One-off contribution
None.
Deductible (eigen risico)
The part that is still outstanding.
Claims
We settle the costs directly with your health insurer.

Non-contracted care

Your insurer does not have a contract with us

Reimbursement
Non-contracted specialised mental health care is also reimbursed from the basic package. Many policies reimburse around 60% of the applicable rate on average.
Part not reimbursed
We waive most of it under our goodwill scheme (coulanceregeling), if you meet the conditions.
One-off contribution
€250, once for the entire care pathway.
Deductible (eigen risico)
The part that is still outstanding.
Claims
You submit the invoice yourself, or we submit the claim directly. That depends on the payment arrangements with your insurer.

Not sure whether there is a contract?

Whether we have a contract with your health insurer varies by insurer and can change from year to year. Check with your insurer, or call us on 020 303 34 65 and choose the option for rates and reimbursement (tarieven en vergoeding) in the phone menu. Ideally, do this before your care pathway starts. Some policies require prior authorisation before treatment may start or continue; no authorisation is needed for diagnostics. Check your policy conditions for this.
Call 020 303 34 65

Good to know

  • Medicines

    Through the pharmacy

    You collect medicines from your pharmacy. These costs fall outside our care pathway and usually count towards your deductible. Depending on the medicine, a statutory personal contribution of up to €250 per year may apply.
  • Missed appointment

    €100 per missed appointment

    If you do not cancel an appointment, or cancel it less than 24 hours in advance, we charge €100. Your health insurer does not reimburse this. We can make an exception in the event of demonstrable illness, serious family circumstances or force majeure.
  • Questions about your invoice

    We are happy to help

    Call us on 020 303 34 65 and choose the option for rates and reimbursement (tarieven en vergoeding) in the phone menu. Send reimbursement statements to facturen@adhdmc.nl.

Questions about costs

Can't find your question?

Call us on 020 303 34 65 and choose the option for rates and reimbursement (tarieven en vergoeding) in the phone menu, or email info@adhdmc.nl. You can reach us Monday to Saturday, 9:00 to 17:00.

Costs and reimbursement

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Still have a question?

Call us on 020 303 34 65 or email info@adhdmc.nl. You can reach us by phone Monday to Saturday, 9:00 – 17:00.