Costs and reimbursements
What you pay yourself
You pay your deductible (eigen risico) yourself and, if your health insurer has no contract with us, a one-off €250. These are two different things. Below you can read how they work.
Two different things
For everyone
Deductible (eigen risico)
The part of your care costs that you pay yourself each year. In 2026, the compulsory deductible is €385. It also applies if your insurer has a contract with us, and we cannot waive it.Only without a contract
Personal contribution
A one-off €250 for the entire care pathway, also if we submit claims directly to your health insurer (payment agreement). We then waive most of the part that your insurer does not reimburse: the goodwill scheme (coulanceregeling).
The deductible in five rules
Everyone aged 18 and over has a compulsory deductible
The government sets the amount each year. In 2026 it is €385. If you have also chosen a voluntary deductible, you can see this on your policy or in your health insurer's app.Already used this year? Then you only pay the remainder
If you have already used part or all of your deductible this year, only the part that is still outstanding is charged.The deductible applies per calendar year
A care pathway takes four to six months on average. If it continues into a new year, the deductible applies again to the care in that year.You never pay it twice
If your health insurer deducts the deductible from the reimbursement, you pay that amount to us. You do not also pay it again to your insurer.We cannot waive the deductible
This is not permitted by law. It is also separate from the goodwill scheme.
Why a personal contribution?
Without a contract, many policies reimburse about 60% of the rate. Normally you would have to pay the difference yourself. We waive most of that unreimbursed part through our goodwill scheme (coulanceregeling).
To make this possible, we ask for a one-off personal contribution of €250 for the entire care pathway. It is not a monthly contribution, and you do not pay it per appointment.
Conditions of the goodwill scheme
- submit invoices to your health insurer on time;
- always send us the complete reimbursement statement;
- pay received reimbursements, your deductible and the personal contribution on to us on time;
- cooperate with prior authorisation, if your health insurer asks for it.
If the conditions are not met
Medicines
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. You pay this at the pharmacy, not to us.
Questions about what you pay yourself
- No. In that case you only pay your deductible, insofar as it has not yet been used. Please note: a payment agreement, under which we submit claims directly to your health insurer, is not a contract. In that case, too, you pay the one-off personal contribution.
- No. The deductible is separate from the personal contribution and from the goodwill scheme. We cannot waive the deductible either; this is not permitted by law.
- The deductible applies per calendar year. The deductible therefore applies again to care that takes place in the new year. Within one year, you never pay it twice.
- No. This is not permitted by law.
- You can see this in your health insurer's app or on its website.
- 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. Preferably do this before your care pathway starts.
Sources
Costs and reimbursements
Read more
- Calculate your costsWhat does ADHD care at ADHD Medisch Centrum cost? Calculate what you pay yourself, and read what a care pathway costs, how the rates are set and what the difference is with and without a contract.
- Claims and invoicesHow claims work at ADHD Medisch Centrum: submitting the claim yourself or directly through us, the reimbursement statement and why the amount on your invoice looks high.
- Claims guideAre you submitting the invoice from ADHD Medisch Centrum to your health insurer yourself? Choose your insurer and follow the steps: submit the claim, wait for the reimbursement, email the statement and pay.
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.