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Health insurance companies use the term ‘outpatient care’ regularly. But what exactly is outpatient care? Below you can read what outpatient care is, about the difference between outpatient care and a day admission, and when you get reimbursed for outpatient expenses.
Outpatient care refers to medical expenses that do not require hospitalisation. Examples include medication, the purchase of glasses or lenses or a visit to a physiotherapist.
For minor procedures such as treatment of varicose veins, wisdom teeth extraction or keyhole surgery, you are often admitted to hospital for a few hours or a day. Is an overnight stay in hospital not required? In that case, we refer to it as day admission.
Day admission is not the same as outpatient care (which you can also get in hospital). You will normally be reimbursed for most expenses of day hospitalisation if you have hospitalisation insurance.
Outpatient treatment expenses in hospital are only reimbursed through your hospitalisation insurance if there is a connection with a recent hospital admission. Suppose your child falls and is taken to the hospital emergency department to treat the wound. Your child can return home after receiving treatment and does not need to be hospitalised. The cost of care and any transport via ambulance will then fall under the heading 'outpatient care' as there is no hospital admission.
Some types of care may well be covered by your hospitalisation insurance, if they are linked to a hospital admission. These treatments are called pre-admission care and aftercare: the care you receive before and after a hospital admission. Medical expenses can be reimbursed as pre-admission care and after care if:
Have a question about our Hospitalia policy plans, cover or price? Not sure whether a cost will be reimbursed through your hospitalisation insurance? We are happy to help you. contact one of our customer advisers through one of several channels. We will look at your questions together.