Insurances
Insurances
To the Netherlands
To the Netherlands
Schengen Visitor
Provisional Residence in the Netherlands
Studying in the Netherlands
Collective insurances Netherlands
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Going Abroad
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Collective insurance abroad
About Insurance
About Insurance
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Terms and conditions
Overview of healthcare costs reimbursements
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Selfservice
Selfservice
Selfservice
Declare costs
My OOM
Service & Contact
Service & Contact
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About OOM
About OOM
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Who are we?
Who are we?
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Foreign insurance
To the Netherlands
OOM Provisional Residence in the Netherlands Insurance
Conditions and forms
Conditions and forms
On this page
Terms and conditions
Declaration and damage report forms
Miscellaneous
OOM Provisional Residence in the Netherlands Insurance
Terms and conditions
Gen. terms and conditions for OOM Provisional Residence in the Netherlands Insurance (pdf)
Spec. terms and conditons for third party insurance (pdf)
Declaration and damage report forms
Claim form medical expenses (pdf)
. Prevent delays and only send in
completely filled out forms
.
Claim form third party insurance (pdf)
Notification of an accident (pdf)
Miscellaneous
Complaints procedures (pdf)
Know your rights (pdf)
Mandate for a recurrent direct debit (pdf)
Cancellation and withdrawal (pdf)
On this page
Terms and conditions
Declaration and damage report forms
Miscellaneous
Prevent delays
We can only process your claim if:
you have filled in all the information requested;
you have signed the form;
you have send the original invoice, including the date of treatment, the date of birth of the insured, and the total amount;
the invoice is drafted or translated in a western language;
you have included a copy of the prescription in case of a pharmacy invoice.