Common use of Physiotherapist and chiropractor Clause in Contracts

Physiotherapist and chiropractor. The insurance covers reasonable and necessary treat- ment by a physiotherapist or chiropractor in Denmark after referral by the healthcare team. It is a prerequisite for cover that there is a medically documented need to receive treatment and that the treatment ensures pro- gression/improvement of the condition. Treatments of a preventive and maintenance nature are not covered. Based on a medical assessment, the healthcare team will provide a referral to the relevant treatment. To ensure that you always receive the correct treatment, the health- care team will continuously assess how many treatments you need and whether you are receiving the correct treatment. You must always have a valid referral for physiotherapy, and the physiotherapist or the chiropractor must have an arrangement with the public healthcare insurance (service provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year. For chiropractic treatment, the amount corresponding to the patient’s share is covered according to the rate applicable for general chiropractic. Team training at a physiotherapist is covered if it is part of a covered course of treatment and is approved by us. Team training is covered corresponding to the patient’s share for team training, which is index-adjusted annually. Treatment in Dansk Sundhedssikring’s network The insurance covers the necessary number of treat- ments per disease/injury based on a professional as- sessment. You will be offered a quick appointment at a quality-assured therapist and we will settle directly with the therapist. Treatment outside Dansk Sundhedssikring’s network The insurance covers the necessary number of treat- ments by a physiotherapist or chiropractor you have chosen yourself for up to 6 months per disease region (knee, shoulder, hip, neck, back, etc.). The treatments are allocated in portions. As part of our assessment, we may request a medical assessment or a written justification for continued treat- ment from the physiotherapist or chiropractor. You should settle with the therapist yourself. Once your course of treatment is complete, send us a copy of all the original bills. Bills must be submitted no later than 3 months after the final treatment in order to qualify for a refund. In cases where you have started treatment with a therapist outside of our network, we can decide that continued treatment must be with a therapist designated by us. This could apply, for example, if you want to change therapists or if we consider that the treatment is not having the desired effect. GLA:D training for hip and knee osteoarthritis If you are diagnosed with hip or knee osteoarthritis, we may choose based on a professional evaluation to cover a GP-referred GLA:D training plan. You must have a valid GP referral and use a healthcare provider that has an arrangement with the health insurance (provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year. The length of the course of treatment depends on a professional assessment, and we can decide that the treatment should take place in our network or with a therapist appointed by us. A maximum of one GLA:D treatment plan may be covered during the insurance period per area of illness (knee or hip). We consider the treatment plan to have been completed if you choose to discontinue treatment ahead of time. In cases where GLA:D training cannot cover for your problem, coverage for regular physical therapy will apply. The above provisions also apply if you are covered by Option B, “Physiotherapy without referral from doctor”. GLA:D Back If you are diagnosed with long-term (more than 3 months) or persistent back pain that affects your health and your everyday life, we may choose based on a professional evaluation to cover a GP-referred GLA:D training plan. You must have a valid GP referral and use a healthcare provider that has an arrangement with the health insurance (provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year.

Physiotherapist and chiropractor. The insurance covers reasonable and necessary treat- ment by a physiotherapist or chiropractor in Denmark after referral by the healthcare team. It is a prerequisite for cover that there is a medically documented need to receive treatment and that the treatment ensures pro- gression/improvement of the condition. Treatments of a preventive and maintenance nature are not covered. Based on a medical assessment, the healthcare team will provide a referral to the relevant treatment. To ensure that you always receive the correct treatment, the health- care team will continuously assess how many treatments you need and whether you are receiving the correct treatment. You must always have a valid referral for physiotherapy, and the physiotherapist or the chiropractor must have an arrangement with the public healthcare insurance (service provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year. For chiropractic treatment, the amount corresponding to the patient’s share is covered according to the rate applicable for general chiropractic. Team training at a physiotherapist is covered if it is part of a covered course of treatment and is approved by us. Team training is covered corresponding to the patient’s share for team training, which is index-adjusted annually. Treatment in Dansk Sundhedssikring’s network The insurance covers the necessary number of treat- ments per disease/injury based on a professional as- sessment. You will be offered a quick appointment at a quality-assured therapist and we will settle directly with the therapist. Treatment outside Dansk Sundhedssikring’s network The insurance covers the necessary number of treat- ments by a physiotherapist or chiropractor you have chosen yourself for up to 6 months per disease region (knee, shoulder, hip, neck, back, etc.). The treatments are allocated in portions. As part of our assessment, we may request a medical assessment or a written justification for continued treat- ment from the physiotherapist or chiropractor. You should settle with the therapist yourself. Once your course of treatment is complete, send us a copy of all the original bills. Bills must be submitted no later than 3 months after the final treatment in order to qualify for a refund. In cases where you have started treatment with a therapist outside of our network, we can decide that continued treatment must be with a therapist designated by us. This could apply, for example, if you want to change therapists or if we consider that the treatment is not having the desired effect. GLA:D Neuromuscular training (NEMEX-TJR) for osteoarthritis in the hip and or knee osteoarthritis If you are diagnosed with osteoarthritis of the hip or knee osteoarthritisduring the insurance period, we may choose to cover a course of neuromuscular training (NEMEX-TJR) referred by a doctor based on a professional evaluation medical assessment. The duration of the course will depend on a medical assessment, and we can choose that the treatment should take place in our network or at a therapist designated by us. A maximum of one course of neuromuscular training (NEMEX-TJR) can be covered during the insurance period per disease region (knee or hip). We consider the process to be completed if you choose to discontinue the treatment prematurely. In cases where we cannot cover neuromuscular training for your problem, cover for ordinary physiotherapy will apply. The provisions above also apply if you are covered by option B, ”Physiotherapy without referral from a GP-referred GLA:D training plandoctor”. Physiotherapy for pregnancy discomfort If you experience discomfort in connection with pregnancy at week 13 or later, up to 6 physiotherapy treatments with a doctor’s referral can be covered. You must have a valid GP doctor’s referral for physiotherapy and use a healthcare provider that therapist who has an arrangement agreement with the public health insurance system (service provider number). If you choose a therapist without an agreementa service provider number, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general for ordinary physiotherapy, which is index-adjusted twice a year. The length of the course of treatment depends on a professional assessment, and we can decide that the treatment should take place in our network or with a therapist appointed by us. A maximum of one GLA:D treatment plan may be covered during the insurance period per area of illness (knee or hip). We consider the treatment plan to have been completed if you choose to discontinue treatment ahead of time. In cases where GLA:D training cannot cover for your problem, coverage for regular physical therapy will apply. The provisions above provisions also apply if you are covered by Option option B, “”Physiotherapy without referral from a doctor”. GLA:D Back If you are diagnosed with long-term (more than 3 months) or persistent back pain that affects your health and your everyday life, we may choose based on a professional evaluation to cover a GP-referred GLA:D training plan. You must have a valid GP referral and use a healthcare provider that has an arrangement with the health insurance (provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year.

Physiotherapist and chiropractor. The insurance covers reasonable and necessary treat- ment treatment by a physiotherapist or chiropractor in Denmark after referral by the healthcare team. It is a prerequisite for cover that there is a medically documented need to receive treatment and that the treatment ensures pro- gressionprogression/improvement of the condition. Treatments of a preventive and maintenance nature are not covered. Based on a medical assessment, the healthcare team will provide a referral to the relevant treatment. To ensure that you always receive the correct treatment, the health- care healthcare team will continuously assess how many treatments you need and whether you are receiving the correct treatment. You must always have a valid referral for physiotherapy, and the physiotherapist or the chiropractor must have an arrangement with the public healthcare insurance (service provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year. For chiropractic treatment, the amount corresponding to the patient’s share is covered according to the rate applicable for general chiropractic. Team training at a physiotherapist is covered if it is part of a covered course of treatment and is approved by us. Team training is covered corresponding to the patient’s share for team training, which is index-adjusted annually. Treatment in Dansk Sundhedssikring’s network The insurance covers the necessary number of treat- ments treatments per disease/injury based on a professional as- sessmentassessment. You will be offered a quick appointment at a quality-assured therapist and we will settle directly with the therapist. Treatment outside Dansk Sundhedssikring’s network The insurance covers the necessary number of treat- ments treatments by a physiotherapist or chiropractor you have chosen yourself for up to 6 months per disease region (knee, shoulder, hip, neck, back, etc.). The treatments are allocated in portions. As part of our assessment, we may request a medical assessment or a written justification for continued treat- ment from the physiotherapist or chiropractor. You should settle with the therapist yourself. Once your course of treatment is complete, send us a copy of all the original bills. Bills must be submitted no later than 3 months after the final treatment in order to qualify for a refund. In cases where you have started treatment with a therapist outside of our network, we can decide that continued treatment must be with a therapist designated by us. This could apply, for example, if you want to change therapists or if we consider that the treatment is not having the desired effect. GLA:D training for hip and knee osteoarthritis If you are diagnosed with hip or knee osteoarthritis, we may choose based on a professional evaluation to cover a GP-referred GLA:D training plan. You must have a valid GP referral and use a healthcare provider that has an arrangement with the health insurance (provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year. The length of the course of treatment depends on a professional assessment, and we can decide that the treatment should take place in our network or with a therapist appointed by us. A maximum of one GLA:D treatment plan may be covered during the insurance period per area of illness (knee or hip). We consider the treatment plan to have been completed if you choose to discontinue treatment ahead of time. In cases where GLA:D training cannot cover for your problem, coverage for regular physical therapy will apply. The above provisions also apply if you are covered by Option B, “Physiotherapy without referral from doctor”. GLA:D Back If you are diagnosed with long-term (more than 3 months) or persistent back pain that affects your health and your everyday life, we may choose based on a professional evaluation to cover a GP-referred GLA:D training plan. You must have a valid GP referral and use a healthcare provider that has an arrangement with the health insurance (provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year.

Physiotherapist and chiropractor. The insurance covers reasonable and necessary treat- ment treatment by a physiotherapist or chiropractor in Denmark after referral by the healthcare team. It is a prerequisite for cover that there is a medically documented need to receive treatment and that the treatment ensures pro- gressionprogression/improvement of the condition. Treatments of a preventive and maintenance nature are not covered. Based on a medical assessment, the healthcare team will provide a referral to the relevant treatment. To ensure that you always receive the correct treatment, the health- care healthcare team will continuously assess how many treatments you need and whether you are receiving the correct treatment. You must always have a valid referral for physiotherapy, and the physiotherapist or the chiropractor must have an arrangement with the public healthcare insurance (service provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year. For chiropractic treatment, the amount corresponding to the patient’s share is covered according to the rate applicable for general chiropractic. Team training at a physiotherapist is covered if it is part of a covered course of treatment and is approved by us. Team training is covered corresponding to the patient’s share for team training, which is index-adjusted annually. Treatment in Dansk Sundhedssikring’s network The insurance covers the necessary number of treat- ments treatments per disease/injury based on a professional as- sessmentassessment. You will be offered a quick appointment at a quality-assured therapist and we will settle directly with the therapist. Treatment outside Dansk Sundhedssikring’s network The insurance covers the necessary number of treat- ments treatments by a physiotherapist or chiropractor you have chosen yourself for up to 6 months per disease region (knee, shoulder, hip, neck, back, etc.). The treatments are allocated in portions. If more treatments are needed, contact the healthcare team, who will evaluate and allocate additional treatments. As part of our assessment, we may request a medical assessment or a written justification for continued treat- ment treatment from the physiotherapist or chiropractor. You should settle with the therapist yourself. Once your course of treatment is complete, send us a copy of all the original bills. Bills must be submitted no later than 3 months after the final treatment in order to qualify for a refund. In cases where you have started treatment with a therapist outside of our network, we can decide that continued treatment must be with a therapist designated by us. This could apply, for example, if you want to change therapists or if we consider that the treatment is not having the desired effect. GLA:D training for hip and knee osteoarthritis If you are diagnosed with hip or knee osteoarthritis, we may choose based on a professional evaluation to cover a GP-referred GLA:D training planplan referred by a doctor. You must have a valid GP doctor’s referral and use a healthcare provider that has an arrangement with the public health insurance (provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year. The length of the course of treatment depends on a professional assessment, and we can decide that the treatment should take place in our network or with a therapist appointed by us. A maximum of one GLA:D treatment plan may be covered during the insurance period per area of illness (knee or hip). We consider the treatment plan to have been completed if you choose to discontinue treatment ahead of time. In cases where GLA:D training cannot cover for your problem, coverage for regular physical therapy will apply. The above provisions also apply if you are covered by Option B, “Physiotherapy without referral from a doctor”. GLA:D Back If you are diagnosed with long-term (more than 3 months) or persistent back pain that affects your health and your everyday life, we may choose based on a professional evaluation to cover a GP-referred GLA:D training planplan referred by a doctor. You must have a valid GP doctor’s referral and use a healthcare provider that has an arrangement with the public health insurance (provider number). If you choose a therapist without an agreement, the insurance covers the amount corresponding to the patient’s share at the rate applicable to general physiotherapy, which is index-adjusted twice a year. The length of the course of treatment depends on a professional assessment, and we can decide that the treatment should take place in our network or with a therapist appointed by us. A maximum of one GLA:D Back treatment plan may be covered during the insurance period. We consider the treatment plan to have been completed if you choose to discontinue treatment ahead of time. In cases where GLA:D training cannot cover your problem, coverage for regular physical therapy will apply. The above provisions also apply if you are covered by Option B, “Physiotherapy without referral from a doctor”.