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Download the supplement (208 p.) - KCE

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5<br />

<strong>KCE</strong> reports vol.40 APPENDICES Physio<strong>the</strong>rapy 41<br />

5.11.3. (AMBULATORY) physio<strong>the</strong>rapy care : Health insurance coverage FOR SELECTED conditions<br />

Fictional cases : 1) 80-year old female, physio<strong>the</strong>rapy following hip pros<strong>the</strong>sis, treatment at home 2) 40-year old, o<strong>the</strong>rwise healthy male, suffering from back pain,<br />

treatment at <strong>the</strong> physio<strong>the</strong>rapist (PT) practice 3) 8-yr old child, cerebral palsy, treatment at <strong>the</strong> PT practice<br />

5.11.4. Compulsory health insurance<br />

Case Coverage and restrictions* Cost to insurance Cost to <strong>the</strong> patient Comment<br />

1 9 sessions 100% basic fee and travel allowance for <strong>the</strong><br />

10 th session and fur<strong>the</strong>r<br />

2<br />

3<br />

First nine sessions<br />

Not covered - 100% 90-95% of patients have a<br />

voluntary insurance<br />

18 sessions 100%<br />

* Are <strong>the</strong>re any conditions or restrictions on duration of treatment, number and time of sessions, treatment modalities.<br />

5.11.5. Voluntary health insurance*<br />

Case Coverage and restrictions Cost to insurance Cost to <strong>the</strong> patient Comment<br />

1 18 sessions 0<br />

2<br />

3<br />

* take as an example a common scheme<br />

About 9 sessions (dependent on <strong>the</strong> kind of<br />

health care insurance)<br />

Tenth session and fur<strong>the</strong>r<br />

0

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