{"id":10110,"date":"2026-04-02T10:20:10","date_gmt":"2026-04-02T10:20:10","guid":{"rendered":"https:\/\/kliniekhetbolwerk.nl\/is-eyelid-correction-covered-by-your-health-insurance\/"},"modified":"2026-06-29T09:18:00","modified_gmt":"2026-06-29T09:18:00","slug":"is-eyelid-correction-covered-by-your-health-insurance","status":"publish","type":"post","link":"https:\/\/kliniekhetbolwerk.nl\/en\/is-eyelid-correction-covered-by-your-health-insurance\/","title":{"rendered":"Is eyelid correction covered by your health insurance?"},"content":{"rendered":"\t\t
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As a plastic surgeon, I regularly see patients dealing with a heavy, drooping upper eyelid. Sometimes this is purely aesthetic, but in many cases it concerns a genuine medical complaint: the field of vision becomes restricted, and daily activities become more difficult. In those cases, reimbursement from the basic insurance may be possible. <\/p>

I compared the 2026 policy terms of the ten largest health insurers in the Netherlands, together accounting for more than 98 percent of all insured persons, and summarised the key insights.<\/p>

Medical necessity is decisive<\/h2>

All ten insurers apply the same principle: an upper eyelid correction is only reimbursed if there is a demonstrable functional impairment. Purely cosmetic procedures are not covered under the basic insurance by any insurer. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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What do insurers consider a functional impairment? A significant obstruction of the field of vision due to excess skin or slackening of the upper eyelid, a congenital or chronic abnormality with functional consequences, or objectively demonstrable loss of function substantiated by a specialist. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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What is the MRD1 value?<\/h3>

An important benchmark used in practice is the MRD1 value, Margin Reflex Distance 1. A value of 2 mm or less, or an eyelid that covers at least 50 percent of the pupil, is generally considered grounds for a medical indication. Only Zilveren Kruis explicitly mentions this threshold value in its policy terms; the other insurers apply it in practice but leave the assessment to the medical advisor. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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What do you need to qualify?<\/h2>

The process follows the same steps with all insurers:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Step-by-step authorisation request<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/clipPath><\/defs><\/path><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tReferral by the GP to an ophthalmologist or plastic surgeon<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/clipPath><\/defs><\/path><\/g><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tObjective assessment by the specialist: clinical examination, photos and, if applicable, a visual field measurement (perimetry)<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/clipPath><\/defs><\/path><\/g><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tAn authorisation request submitted by the treating specialist to the insurer<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/path><\/clipPath><\/defs><\/path><\/g><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tAssessment by the insurer's medical advisor, who makes the final decision<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Is the request approved? Then the procedure is reimbursed from the basic insurance, but the treatment does count towards the mandatory deductible (eigen risico). Treatment at a non-contracted care provider may result in a lower reimbursement. <\/p>

    And the lower eyelid correction?<\/h2>

    A different line applies to lower eyelid correction. With all ten insurers this is excluded as standard, because it is almost always considered cosmetic. Only in very exceptional cases, with demonstrable medical complaints that cannot be resolved through conservative treatment, is there a theoretical possibility of reimbursement after a strict individual assessment. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Overview of reimbursement conditions per health insurer<\/h2>

    2026 policy terms \u00b7 Source: insurers’ own policy conditions<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    \n\t\t\t\t\tVergoedingsoverzicht<\/title><style>\/* \u2500\u2500 RESET & BASE \u2500\u2500 *\/\n *, *::before, *::after { box-sizing: border-box; margin: 0; padding: 0; }\n\n .vt-wrap {\n font-family: inherit;\n font-size: 14px;\n line-height: 1.4;\n color: #4a4a44;\n }\n\n \/* \u2500\u2500 PILL BADGES \u2500\u2500 *\/\n .pill {\n display: inline-block;\n padding: 3px 10px;\n border-radius: 20px;\n font-size: 0.72rem;\n font-weight: 600;\n white-space: nowrap;\n }\n .pill-yes { background: #e8f5e9; color: #2e7d32; }\n .pill-no { background: #fde8e8; color: #c0392b; }\n .pill-rare { background: #fff3cd; color: #7d5a00; }\n .pill-part { background: #e3edf8; color: #1a5276; }\n\n \/* \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n DESKTOP TABLE (\u2265 768px)\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 *\/\n .vt-desktop { display: block; }\n .vt-mobile { display: none; }\n\n .vt-scroll {\n overflow-x: auto;\n -webkit-overflow-scrolling: touch;\n border-radius: 10px;\n border: 1px solid #d8d4c8;\n box-shadow: 0 2px 12px rgba(0,0,0,.06);\n }\n\n .vt-table {\n border-collapse: collapse;\n width: 100%;\n min-width: 860px;\n font-size: 0.76rem;\n }\n\n \/* header row *\/\n .vt-table thead tr {\n background: #1B5237;\n color: #f89e14;\n }\n .vt-table thead th {\n padding: 10px 12px;\n text-align: left;\n font-weight: 600;\n font-size: 0.69rem;\n letter-spacing: .06em;\n white-space: nowrap;\n border-right: 1px solid rgba(255,255,255,.12);\n }\n .vt-table thead th:first-child {\n min-width: 180px;\n background: #163f2c;\n position: sticky;\n left: 0;\n z-index: 2;\n }\n .vt-table thead th:last-child { border-right: none; }\n\n \/* body cells *\/\n .vt-table tbody td {\n padding: 9px 12px;\n border-bottom: 1px solid #e8e4db;\n border-right: 1px solid #ede9e0;\n vertical-align: middle;\n }\n .vt-table tbody td:last-child { border-right: none; }\n .vt-table tbody tr:last-child td { border-bottom: none; }\n\n \/* sticky label column *\/\n .vt-table tbody td:first-child {\n font-weight: 500;\n color: #1a1a18;\n background: #f4f1eb;\n position: sticky;\n left: 0;\n z-index: 1;\n border-right: 2px solid #d8d4c8;\n font-size: 0.74rem;\n }\n\n \/* zebra + hover *\/\n .vt-table tbody tr:nth-child(even) td:not(:first-child) { background: #faf9f6; }\n .vt-table tbody tr:hover td { background: #f0ede4 !important; }\n\n \/* \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n MOBILE CARDS (< 768px)\n \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 *\/\n @media (max-width: 767px) {\n .vt-desktop { display: none; }\n .vt-mobile { display: block; }\n\n \/* insurer selector tabs *\/\n .vt-tabs {\n display: flex;\n flex-wrap: wrap;\n gap: 6px;\n margin-bottom: 16px;\n }\n .vt-tab {\n padding: 6px 12px;\n border-radius: 20px;\n border: 1.5px solid #1B5237;\n background: #fff;\n color: #1B5237;\n font-size: 0.72rem;\n font-weight: 600;\n cursor: pointer;\n transition: background .15s, color .15s;\n white-space: nowrap;\n }\n .vt-tab.active {\n background: #1B5237;\n color: #f89e14;\n }\n\n \/* card *\/\n .vt-card {\n border-radius: 10px;\n border: 1px solid #d8d4c8;\n overflow: hidden;\n box-shadow: 0 2px 10px rgba(0,0,0,.07);\n }\n .vt-card-header {\n background: #1B5237;\n color: #f89e14;\n padding: 14px 16px;\n font-weight: 700;\n font-size: 1rem;\n letter-spacing: .03em;\n }\n .vt-card-sub {\n font-size: 0.72rem;\n font-weight: 400;\n color: rgba(248,158,20,.75);\n margin-top: 2px;\n }\n\n \/* rows *\/\n .vt-row {\n display: flex;\n justify-content: space-between;\n align-items: center;\n padding: 11px 16px;\n border-bottom: 1px solid #e8e4db;\n gap: 12px;\n }\n .vt-row:last-child { border-bottom: none; }\n .vt-row:nth-child(even) { background: #faf9f6; }\n\n .vt-label {\n font-size: 0.78rem;\n font-weight: 500;\n color: #1a1a18;\n flex: 1;\n }\n .vt-value {\n text-align: right;\n flex-shrink: 0;\n }\n .vt-value-plain {\n font-size: 0.82rem;\n font-weight: 600;\n color: #1B5237;\n }\n }\n<\/style><\/head><body><div class=\"vt-wrap\"><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 DESKTOP TABLE \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><div class=\"vt-desktop\"><div class=\"vt-scroll\"><table class=\"vt-table\"><thead><tr><th>Criterium<\/th><th>Achmea \/<br\/>Zilveren Kruis<\/th><th>VGZ<\/th><th>CZ<\/th><th>Menzis<\/th><th>DSW<\/th><th>a.s.r.<\/th><th>Zorg en<br\/>Zekerheid<\/th><th>ONVZ<\/th><th>Salland<\/th><th>EUCARE<\/th><\/tr><\/thead><tbody><tr><td>Marktaandeel 2025<\/td><td>30,0%<\/td><td>22,3%<\/td><td>21,5%<\/td><td>10,7%<\/td><td>4,4%<\/td><td>3,9%<\/td><td>2,8%<\/td><td>2,3%<\/td><td>1,1%<\/td><td>0,9%<\/td><\/tr><tr><td>Cosmetische ingreep vergoed?<\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><\/tr><tr><td>Bovenooglidcorrectie (med. indicatie)?<\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><td><span class=\"pill pill-yes\">Mogelijk<\/span><\/td><\/tr><tr><td>Onderooglidcorrectie vergoed?<\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><td><span class=\"pill pill-rare\">Uitzonderlijk<\/span><\/td><\/tr><tr><td>Vereiste: functionele beperking<\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><\/tr><tr><td>MRD1-waarde expliciet in polis<\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-part\">Indirect<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-part\">Indirect<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><td><span class=\"pill pill-part\">Indirect<\/span><\/td><td><span class=\"pill pill-no\">Nee<\/span><\/td><\/tr><tr><td>Verwijzing huisarts vereist<\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><\/tr><tr><td>Voorafgaande machtiging vereist<\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><\/tr><tr><td>Ten koste van eigen risico<\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><\/tr><tr><td>Lagere vergoeding buiten contract<\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td><span class=\"pill pill-yes\">Ja<\/span><\/td><td style=\"color:#aaa;\">\u2014<\/td><td style=\"color:#aaa;\">\u2014<\/td><td style=\"color:#aaa;\">\u2014<\/td><td style=\"color:#aaa;\">\u2014<\/td><td style=\"color:#aaa;\">\u2014<\/td><\/tr><\/tbody><\/table><\/div><\/div><!-- \/vt-desktop --><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 MOBILE CARDS \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><div class=\"vt-mobile\"><!-- Tabs --><div class=\"vt-tabs\" id=\"vtTabs\"><button class=\"vt-tab active\" data-insurer=\"0\">Achmea<\/button><button class=\"vt-tab\" data-insurer=\"1\">VGZ<\/button><button class=\"vt-tab\" data-insurer=\"2\">CZ<\/button><button class=\"vt-tab\" data-insurer=\"3\">Menzis<\/button><button class=\"vt-tab\" data-insurer=\"4\">DSW<\/button><button class=\"vt-tab\" data-insurer=\"5\">a.s.r.<\/button><button class=\"vt-tab\" data-insurer=\"6\">Zorg & Zekerheid<\/button><button class=\"vt-tab\" data-insurer=\"7\">ONVZ<\/button><button class=\"vt-tab\" data-insurer=\"8\">Salland<\/button><button class=\"vt-tab\" data-insurer=\"9\">EUCARE<\/button><\/div><!-- Card (filled by JS) --><div class=\"vt-card\" id=\"vtCard\"><\/div><\/div><!-- \/vt-mobile --><\/div><!-- \/vt-wrap --><script>(function () {\n var insurers = [\n {\n name: \"Achmea \/ Zilveren Kruis\",\n market: \"30,0%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span class=\"pill pill-yes\">Ja<\/span>']\n ]\n },\n {\n name: \"VGZ\",\n market: \"22,3%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-part\">Indirect<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span class=\"pill pill-yes\">Ja<\/span>']\n ]\n },\n {\n name: \"CZ\",\n market: \"21,5%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span class=\"pill pill-yes\">Ja<\/span>']\n ]\n },\n {\n name: \"Menzis\",\n market: \"10,7%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-part\">Indirect<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span class=\"pill pill-yes\">Ja<\/span>']\n ]\n },\n {\n name: \"DSW\",\n market: \"4,4%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span class=\"pill pill-yes\">Ja<\/span>']\n ]\n },\n {\n name: \"a.s.r.\",\n market: \"3,9%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span style=\"color:#aaa;\">\u2014<\/span>']\n ]\n },\n {\n name: \"Zorg en Zekerheid\",\n market: \"2,8%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span style=\"color:#aaa;\">\u2014<\/span>']\n ]\n },\n {\n name: \"ONVZ\",\n market: \"2,3%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span style=\"color:#aaa;\">\u2014<\/span>']\n ]\n },\n {\n name: \"Salland\",\n market: \"1,1%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-part\">Indirect<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span style=\"color:#aaa;\">\u2014<\/span>']\n ]\n },\n {\n name: \"EUCARE\",\n market: \"0,9%\",\n rows: [\n [\"Cosmetische ingreep vergoed?\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Bovenooglidcorrectie (med. indicatie)?\", '<span class=\"pill pill-yes\">Mogelijk<\/span>'],\n [\"Onderooglidcorrectie vergoed?\", '<span class=\"pill pill-rare\">Uitzonderlijk<\/span>'],\n [\"Vereiste: functionele beperking\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"MRD1-waarde expliciet in polis\", '<span class=\"pill pill-no\">Nee<\/span>'],\n [\"Verwijzing huisarts vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Voorafgaande machtiging vereist\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Ten koste van eigen risico\", '<span class=\"pill pill-yes\">Ja<\/span>'],\n [\"Lagere vergoeding buiten contract\", '<span style=\"color:#aaa;\">\u2014<\/span>']\n ]\n }\n ];\n\n function renderCard(idx) {\n var ins = insurers[idx];\n var html = '<div class=\"vt-card-header\">'\n + ins.name\n + '<div class=\"vt-card-sub\">Marktaandeel 2025: ' + ins.market + '<\/div>'\n + '<\/div>';\n ins.rows.forEach(function(r) {\n html += '<div class=\"vt-row\">'\n + '<span class=\"vt-label\">' + r[0] + '<\/span>'\n + '<span class=\"vt-value\">' + r[1] + '<\/span>'\n + '<\/div>';\n });\n document.getElementById('vtCard').innerHTML = html;\n }\n\n var tabs = document.querySelectorAll('.vt-tab');\n tabs.forEach(function(tab) {\n tab.addEventListener('click', function() {\n tabs.forEach(function(t){ t.classList.remove('active'); });\n tab.classList.add('active');\n renderCard(parseInt(tab.getAttribute('data-insurer')));\n });\n });\n\n \/\/ init\n renderCard(0);\n})();\n<\/script><\/body><\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40cd0ba elementor-widget elementor-widget-text-editor\" data-id=\"40cd0ba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>MRD1 = Margin Reflex Distance 1 (\u2264 2 mm or pupil \u2265 50% covered as an indicative threshold value). All insurers apply an individual, case-by-case assessment. Source: 2025 policy terms. <\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f1dffb elementor-widget elementor-widget-text-editor\" data-id=\"9f1dffb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Small differences, one big principle<\/h2><p>The differences between insurers lie not in the principle, but in the details, such as the strictness of the wording, the exact evidence requirements and the reimbursement for non-contracted care providers. In practice, some insurers apply internal guidelines with concrete measurement values that are not always literally stated in the policy terms. <\/p><h2>What does this mean for you as a patient?<\/h2><p>If you suffer from drooping eyelids that obstruct your vision, have this assessed by a specialist. Good documentation with photos, a visual field measurement and a clear medical report is decisive for the outcome of an authorisation request. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>As a plastic surgeon, I regularly see patients dealing with a heavy, drooping upper eyelid. Sometimes this is purely aesthetic, but in many cases it concerns a genuine medical complaint: the field of vision becomes restricted, and daily activities become more difficult. In those cases, reimbursement from the basic insurance may be possible. I compared […]<\/p>\n","protected":false},"author":6,"featured_media":5054,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[92],"tags":[],"class_list":["post-10110","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eyelid-surgery"],"acf":[],"_links":{"self":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10110","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/comments?post=10110"}],"version-history":[{"count":1,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10110\/revisions"}],"predecessor-version":[{"id":10111,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10110\/revisions\/10111"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media\/5054"}],"wp:attachment":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media?parent=10110"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/categories?post=10110"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/tags?post=10110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}