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 2 - 10 weekdays.

How to use PFA Health Insurance

1. Contact your doctor
  

You always need to start by contacting your own doctor, to have your need for treatment assessed and to get a referral or recommendation. This ensures that you will get the correct pre-examination and/or receive the correct treatment. A doctor’s referral is not required if you need treatment by a chiropractor, reflexologist, acupuncturist or psychologist in connection with stress symptoms. 

2. Call Orsted's hotline in PFA's Health Centre at (+45) 70 80 82 42

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 usually direct you to a treatment facility within PFA’s quality-assured network. In connection with treatment by a physiotherapist, chiropractor, acupuncturist, reflexologist, dietician and psychologist, 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.

PFA Health Insurance - What is covered?

What is covered?

PFA Health Insurance covers the following:
• Treatment, surgery, pre-examinations and re-examinations at hospitals, clinics or by specialists
• Physiotherapy and chiropractic
• Acupuncture and reflexology
• Osteopathy
• Psychologist and psychiatrist
• Quick stress treatment by a psychologist without a doctor's referral
• Emergency counselling (open 24/7)
• Insomnia treatment
• Dietician in case of a BMI below 18 or above 30, which can be supplemented with psychological counselling
• Treatment for compulsive gambling as well as abuse of alcohol, medicine and other intoxicants
• Medical aftercare
• Rehabilitation therapy
• Recuperation
• Temporary home care services
• Transportation of patients in Denmark
• Second opinion by another specialist of both physical and mental disorders.

You can use the examination and treatment options, etc. right from the day when you become covered by the health insurance plan; however, the need for treatment must have occurred during the insurance period.

PFA Health Insurance does not cover (not exhaustive):
• Cosmetic surgeries
• Glasses, contact lenses, hearing aids or dental treatment 
• Treatment against childlessness
• Emergency treatment (for instance in relation to situations that require doctors from the emergency service and casualty ward)
• A need for treatment which arose before you were 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 any stress symptoms. The faster you get treatment, the greater the possibility of limiting their consequences. 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.

You can also call a psychological hotline from which you can get advice about stress from 8:00 to 20:00. The hotline can help you move on with good advice and clarify whether a course of treatment is needed. A conversation typically lasts 15-30 minutes. Please call Ørsted’s stress hotline at (+45) 70 80 82 42 if you have any stress symptoms and you need help and guidance.

Your children have the same cover as you do
Your children between the age of 0 and 24 are automatically covered by your health insurance. They have the same advantages of examinations and treatment that you have.
PFA Health Insurance for your partner

Your spouse or cohabiting partner can also take out PFA Health Insurance at an advantageous cost. Your partner’s Health Insurance must be paid annually through Betalingsservice.

You can download the registration form at the link below or have it forwarded by contacting PFA at (+45) 70 80 82 42.

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.

Tax-split Health Insurance

PFA Health Insurance is split into two insurance plans:

  • PFA Health Insurance, work, which covers treatment etc. if a work-related need for treatment of an illness arises
  • PFA Health Insurance, non-work, which covers treatment etc. if a non-work-related need for treatment of an illness arises.

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