zem.nl

Diagnosis-Treatment Package (DTP)


DTPs are used to claim hospital care. The DTP in the invoice will tell us:

  • what type of care you have received;
  • when you first received the care;
  • for how long you received the care.

The amounts that the hospital can claim from us are agreed per DTP.

A DTP has a duration of not more than 120 days

If you receive follow-up treatment after this 120-day period, a new follow-up DTP will begin. The claim date for the follow-up DTP is the day following the closing date of the first DTP. If that date is in the next calendar year, your excess will apply to the follow-up treatment. Ask your treatment provider if they plan to start a follow-up DTP and if so, from what date.

Claim date

The claim date is the day of your first contact with the hospital. Note that this is not necessarily the day on which the treatment took place. The claim date is decisive for determining the year in which your excess applies. Your compulsory excess can be charged up to and including 31 December of the subsequent year.

Example

If you receive hospital treatment in March 2022, the costs involved will count towards your excess for 2022. However, if your first contact with the hospital for that treatment was in 2021, the costs will come under your excess for 2021.