Zorgverzekeraars Nederland took place on the broadcast of 17 January 2022 about the sleep apnea equipment from Philips. You can read the response here.
We understand the use of the Dreamstation apnea device. But we also want healthcare professionals and the Health and Youth Care Inspectorate (IGJ) to have an advantage that the Dreamstation is safe to use. We therefore recommend that policyholders continue to use the equipment. Failure to use the apnea equipment poses health risks.
With regard to the entitlement to pneum equipment: if a guideline stipulates that an insured is included in the documents for the use of equipment, the insured will be assisted with a suitable instrument. Health insurers have concluded with suppliers who have signed. The insured chooses the most suitable device in consultation with you. As long as that and satisfies, assured that device. If the security needs a different device due to a different course of illness, that will also be paid for.
Because certainties and the IGJ have determined that the use of the Dreamstation is safe, health insurers see no reason to accept this policy. This includes a patient who prefers to purchase another brand of equipment will have to do so at their own expense. We strongly recommend that the insured do this in consultation. He or she can provide appropriate care for the insured person.
In response to:
‘As a health insurer you have a duty to provide good, safe but also timely care. You have to help people in a vulnerable situation as quickly as possible. Health insurers must be proactive about this and look for a solution. If it doesn’t work through Philips, it has to be done in a different way.’
We take our duty of care very seriously. The IGJ, the Dutch Association of Physicians for Pulmonary Diseases and Tuberculosis (NVALT) and the four home respiration centers have indicated that they can continue to use the devices paid for by health insurers. We therefore comply with our duty of care.
The Dutch Healthcare Authority (NZa) does not comply with this and has indicated the date that the healthcare insurers fulfill their duty of care with this approach.