Reimbursement UMC 2026

Pedicure treatments are covered by basic health insurance if medically necessary care is required to prevent foot ulcers. This may apply to people with diabetes and to those with a diagnosed increased risk of foot ulcers. To determine whether you are eligible for reimbursement under the basic health insurance scheme, you must first make an appointment with a podiatrist. Your GP can refer you for this.

The podiatrist will assess whether you are eligible for reimbursement. In doing so, the podiatrist will follow the national guidelines and the agreements with your health insurer.

The podiatrist also updates your personal treatment plan every year. This treatment plan sets out the care you will receive from the podiatrist that year and the treatments carried out by the medical pedicurist.

Only medically necessary treatments required to prevent foot ulcers are covered by basic health insurance. You do not pay any excess for this care.

Occupational therapy is covered by basic health insurance up to 10 hours per calendar year. The statutory excess applies to care covered by basic health insurance, and this also applies to occupational therapy. The excess for 2026 has been set at a minimum of €385. We have contracts with all health insurers in the Netherlands, which means that reimbursement is handled directly in accordance with your health insurer’s policy terms and conditions.

Do you have supplementary insurance? If so, you may be entitled to reimbursement for more than 10 hours of occupational therapy under your supplementary insurance. Would you like to know exactly what your health insurer covers? Please refer to the table below.

For more information on the reimbursements for lifestyle coaching, please this page view.