Common use of Expenses for treatments Clause in Contracts

Expenses for treatments. All expenses must be reasonable and necessary in our opinion in relation to the expected outcome. The insurance covers your actual expenses after contributions from the public health insurance system are deducted. This means that in cases where public health insurance covers a portion of the cost, we will offset that portion and pay your share (self-payment). If you are a member of Sygeforsikringen ”danmark”, then we will receive and offset your possible subsidy for the treatment. In cases where we refer to a private clinic or private hospital for treatment, the payment will usually take place directly between the treatment centre and us. We do not cover expenses that the public sector has already fully or partially covered or that the public sector has offered to cover, but where the date of examination or treatment did not suit you, for whatever reason.

Expenses for treatments. All expenses must be reasonable and necessary in our opinion in relation to the expected outcome. The insurance covers your actual expenses after contributions from the public health insurance system are deducted. This means that in cases where public health insurance covers a portion of the cost, we will offset that portion and pay your share (self-payment). If you are a member of Sygeforsikringen ”“danmark”, then we will receive and offset your possible subsidy for the treatment. In cases where we refer to a private clinic or private hospital for treatment, the payment will usually take place directly between the treatment centre and us. We do not cover expenses that the public sector has already fully or partially covered or that the public sector has offered to cover, but where the date of examination or treatment did not suit you, for whatever reason.