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

1. Contact your doctor

You always need to start by contacting your own doctor, who must assess your need for treatment and give you a referral or recommendation.

*for instance, you need a recommendation if your doctor assesses that you need to see a reflexologist or acupuncturist as you cannot get a traditional doctor's referral for these types of treatment.

2. Call PFA's Health Centre at
(+45) 70 24 50 01

Usually, you will receive immediate approval. Examination and treatment must be approved by PFA before it is initiated. Additionally, you will receive a letter with the approval either by post or in your e-Boks. However, this does not apply if you need to see a psychologist. In that case, the psychologist will contact you to set a time for the consultation.
  

3. Get started with examination and treatment

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

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)
- 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 occurred before you became covered by PFA Health Insurance
- Cosmetic surgery
- Glasses, contact lenses, hearing aids or dental treatment
- Infertility treatment
- Emergency treatments (for instance in relation to situations that require doctors from the emergency service and casualty ward)
- Treatment needs that occurred before you became covered by PFA Health Insurance
                

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.

Your children have the same cover as you do
Your children below the age of 24 are automatically covered by your Health Insurance. This means that they have the same advantageous treatment and examination options that you do.

PFA Health Insurance for your partner

A large number of PFA’s customers has the possibility to take out a Health Insurance for their spouse or cohabiting partner. Your partner’s/spouse’s Health Insurance must be paid annually through Betalingsservice.  

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
 You can 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 and family events, e.g., serious illness in the immediate family or divorce. 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.  

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