Quick examination and treatment

Quick examination and treatment

PFA Health Insurance gives you access to quick examination and treatment at hospitals, clinics and by specialists. Normally, examination and treatment are initiated within 5 - 10 weekdays.

How to use PFA Health Insurance

   
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1. Contact your doctor

You must always start by contacting your own doctor, who will assess your need for treatment and provide a referral for treatment if needed. This ensures that you will get the appropriate pre-examination and/or receive the proper treatment.

A doctor’s referral is not required if you need psychological counselling in connection with stress symptoms or treatment by a chiropractor, acupuncturist or reflexologist.

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2. Log in to My PFA or call the PFA Health Centre at (+45) 70 12 50 00

Examination and treatment must be approved by PFA before initiated. After visiting your doctor, you must have your examination and/or treatment approved either through My PFA or by calling us. Usually, you will receive immediate approval. If you request approval for physiotherapy through My PFA, you can book an appointment for treatment immediately.

You will receive a letter with the approval on My PFA. However, this does not apply to psychological counselling, where the psychologist will call you to arrange an appointment.

Log on to My PFA

   
  

Forsikring

3. Get started with examination and treatment

We will, as a rule, direct you to a treatment facility within PFA’s quality-assured network.

In connection with treatment by a physiotherapist, chiropractor, acupuncturist, reflexologist and dietician, you can select a practitioner or therapist of your own choice.

Normally, PFA will settle the payment directly with the treatment facility so that you do not need to pay upfront and claim the payment back later.

What is covered?

What is covered?

PFA Health Insurance covers (not exhaustive):
- Expenses for pre-examinations, treatments and re-examinations at hospitals, clinics or by specialists
- Psychologist (needs-based)
- Treatment by psychiatrists (up to 12 consultations)
- Chiropractor and physiotherapist (needs-based)
- Acupuncturist and reflexologist (up to 12 treatments in total)
- Treatment of abuse of alcohol, medicine and other intoxicants (up to DKK 132,000)
- Treatment for gambling addiction
- Rehabilitation therapy (up to 24 months)
- Recuperation stay (up to 3 months)
- Medicine (up to 24 months)
- Dietician (up to 12 consultations in case of BMI above 30 or below 18)
- Temporary home care services (up to 3 months)
- Transportation
- Second opinion

PFA Health Insurance does not cover (not exhaustive):
- Chronic illnesses that have arisen before you were covered by PFA Health Insurance
- Cosmetic surgeries
- Glasses, contact lenses, hearing aids or dental treatment
- Treatment against childlessness and any consequences of pregnancy and birth
- Emergency treatments (for instance from emergency service and casualty
- Treatment needs that occurred before you became covered by PFA Health Insurance

Log on to My PFA and see which terms apply to you.        

 
Quick help in connection with stress symptoms

You have access to quick help if you experience stress symptoms. The faster you get help, the greater the possibility of preventing stress symptoms from turning into a serious health problem. Therefore, you do not need a doctor's referral. You simply contact PFA and then we will refer you to a business psychologist specialised in stress.

Read more about Health Insurance at pfa.dk and at My PFA in your terms and conditions of pension in the section “Special terms and conditions of pension for PFA Health Insurance”, where the detailed terms and conditions of your PFA Health Insurance are described.

Coloplast in house-clinics

See, which treatments you have access to at the Coloplast in house-clinics
The clinic in Humlebæk:
  • Physiotherapy, including physiotherapeutic massage (30 minutes per treatment)
  • Osteopathy (30 minutes per treatment)
  • Chiropractic treatment (20 minutes per treatment)
The clinic in Mørdrup:
  • Physiotherapy, including physiotherapeutic massage (30 minutes per treatment)
  • Osteopathy (30 minutes per treatment)



How to be granted treatment at the in house-clinic

You start by calling PFA Health Centre at (+45) 70 12 50 00 or logging into My PFA to have your treatment approved at the in house-clinic. Usually, you will get immediate approval. The approval will then be uploaded to My PFA under Messages.

If you choose treatment via the in house-clinic, you will receive a confirmation email from Nordic Netcare. The email contains a link that you can use if you want to change or cancel your appointment. You can then use the same link to book new appointments for treatment at the in house-clinic.

There is no requirement for a doctor’s referral, and treatment is needs-based. This way, you can receive treatment if there is a health-professional need, and the treatment is assessed to be able to cure the illness or significantly and permanently improve your condition. 

Treatment for chronic conditions

If you have a chronic illness in the musculoskeletal system, you can receive treatment from a physiotherapist, osteopath or chiropractor if it is assessed that the treatment can lead to considerable improvement. 
Chronic illnesses in the musculoskeletal system refer to osteoarthritis in the knee, shoulder, hip or back, confirmed by an X-ray or MR scan, as well as other chronic illnesses in the musculoskeletal system diagnosed by a specialist.

You can receive up to 12 treatments per insurance event and not more than 12 treatments per calendar year from a physiotherapist, osteopath or chiropractor combined.

 

Register your partner and children above age 24

PFA Health Insurance for your partner

Your spouse or cohabiting partner can also take out PFA Health Insurance at an advantageous cost. The annual price is DKK 2.500 (until 30 September 2029).
Your partner’s Health Insurance must be paid annually through Betalingsservice. Please note that any pre-existing illnesses and illnesses which have occurred as a consequence of a pre-existing illness cannot be covered until 6 months after the establishment of your partner’s Health Insurance.

Registration

Click here and fill out the registration form (PDF)

Hereafter you have to send the completed registration form to PFA by uploading it at pfa.dk here.
 

PFA Health Insurance for children above age 24

You have the option of taking out PFA Health Insurance for your children between the age of 24 and 28. The annual price is DKK 2.350 (until 31 December 2028) and payment must be made through Betalingsservice. If the insurance plan is taken out not later than 3 months after your child has attained 24 years of age, any pre-existing illnesses and illnesses that have arisen as a consequence thereof will be covered by the insurance. If the insurance is taken out later, the said illnesses will not be covered for the first 6 months.

Registration

Click here and fill out the registration form (PDF)

Hereafter you have to send the completed registration form to PFA by uploading it at pfa.dk here.

Online support from a doctor, physiotherapist, psychologist, family therapist and coach

Sometimes you may have a concern or an issue that you would like a professional help you handle, prevent and possibly treat. As part of PFA Health Insurance, you have access to Online Health Support via video call or phone call with a doctor, physiotherapist, psychologist, family therapist and coach. This way you can have any concern or issue clarified quickly – whether you are at home, at work or on holiday. 

 

Online Doctor
You have access to medical advice and treatment from a general practitioner. This service is also available to children under the age of 24 and any spouse/domestic partner.

 

Online Physiotherapist
You can get counselling and treatment for musculoskeletal pain from an online physiotherapist, e.g., for back pain, lower back pain or tennis elbow. Based on a medical assessment, you can get up to 6 consultations and this is also available to your children under the age of 24.  

 

Online Psychologist
 You have access to counselling and treatment from an online psychologist for exam anxiety, sleep problems, stress symptoms, sadness and anxiety attacks. Based on a medical assessment, you can get up to 6 consultations and this is also available to your children between 12 and 24 years of age.  

 

Online Family Therapist
 As a parent, you must have custody to get advice and guidance from an online family therapist to address challenges and concerns related to your children’s well-being and development, such as well-being at school, relationships, the digital balance at home and events in the family such as serious illness in the immediate family or divorce. Based on a medical assessment, you can get up to 4 consultations, and you can get a maximum of 1 course of consultations per year and a maximum of 6 courses of consultations while you have your health insurance. Please note that there can be cases where you should call us at (+45) 70 12 50 00 to see how we can help you. Read more at the link below.  

 

Online Coach
 With Online Coach, you can get advice and guidance on how to deal with life challenges and changes before they turn into distress and stress. For example, you can get counselling in connection with education, your first job and your career and life balance. Based on a medical assessment, you can get up to four consultations, and you can get a maximum of one course of consultations per year and a maximum of six courses of consultations while you have your health insurance. Your children between 15 and 24 years of age also have access to Online Coach.  

 

Read more and book an appointment here


 
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