All costs at our clinic are according to Government set-tariffs by the Netherlands Healthcare Authority (Nederlandse Zorgautoriteit - NZA). These costs are not based on a set hourly rate but are instead based on fees set by the Dutch Government. These fees are based on diagnosis with different fees depending on overall amount of minutes spent on treatment (e.g. short treatment between 250 and 799 minutes; more intensive treatment between 800 and 1799 minutes etc.).
Both direct and indirect minutes related to all psychiatric and psychological care are included in the total time. Direct minutes refer to time spent directly with a healthcare professional. Indirect minutes refer to the amount of time the healthcare professional spent on necessary tasks related to the treatment, such as keeping notes up-to-date, report and letter writing to third parties, care coordination, multi-disciplinary discussion of treatment etc.
Therapy sessions tend to be 45 of direct time and 15 minutes of indirect time. The final fee is a set fee that is related to a range of minutes based on both direct and indirect time taken for treatment. There is no per-session rate, nor can the total fee be broken down into a per session rate, as the fee is based on the bracket within which the total amount of minutes spent on the treatment falls (i.e. if total amount of minutes spent on treatment is 1500, this will fall in the bracket of 800-1799 minutes, with one set fee of €2.524,26 if you were treated for depression).
You will be billed for treatment received by Kühler & Trooster either at the end of treatment or after one year of treatment, whichever comes first. This bill will be sent to you by Fa-med, to which payment has to be made directly by you. It is up to you to file this bill with your insurance company to claim reimbursement. In order to get reimbursed by your insurance company a referral letter (SGGZ) from your GP is necessary.
Since Kühler & Trooster has no contracts with health insurance companies, we advise you to contact your health insurance company to check your coverage for our treatment by asking the coverage for specialized mental health care by a non-contracted recognised B.I.G. registered mental health care professional (or in Dutch: 'gespecialiseerde GGZ door niet-gecontracteerde, erkende BIG geregistreerde tweedelijns zorgverlener'). Depending on your insurance and the level of your own risk (minimum own risk by law is €385 in 2016), most insurance companies will reimburse 75 to 100%. For more information about the rates we charge, please check the link to NZA-rates:
In case of any questions, please feel free to contact us.