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On October 14, Dutch broadcaster RTV Noord published an article about the issue between the Martini Hospital and the health insurers a.s.r. and Zilveren Kruis. The issue concerns patients on a waiting list for treatment and insured with these health insurers that can no longer be helped this year due to financial problems and the lack of agreement between the parties. Bastiaan Wallage from the Law Centre for Health and Life, as an expert in health law, shared his insights and clarified the complex legal aspects of the issue.
You can go to a non-contracted healthcare provider, but then you have to be willing to pay part of the cost yourself. But in this case, at the Martini Hospital, the budget ceiling has been reached. Then you won't get very far with legislation as a patient insured with a.s.r. or Zilveren Kruis. Bastiaan Wallage in RTV Noord

He emphasizes that the patient's type of health insurance is crucial, with a restitution policy offering more freedom than a natura policy. Wallage points to the information obligation of health insurers and emphasizes that lack of clarity often leads to confusion among policyholders. Although the right to free physician choice is enshrined in law, he indicates that in situations where the budget ceiling has been reached, patients have limited legal options. He suggests that filing a complaint with the Dutch Healthcare Authority (NZa) may be more effective than going to court in this particular case. 

Mr. dr. B. (Bastiaan) Wallage

Faculteit der Rechtsgeleerdheid

Gezondheidsrecht