How do I use my insurance cover?
You can use your insurance cover by logging in to My PFA or you can call us at (+45) 70 12 50 00 to submit a claim
What kind of cover do I have?
On My PFA, you can see your cover.
Should I see my own doctor first?
It is always a good idea to involve your own doctor. Your own doctor knows you better and can better assess if you should be referred to an examination or which treatment you need.
Do I need a referral from my own doctor?
Your doctor cannot give you referrals to all types of examinations and treatments, however, it is always a good idea to involve your own doctor. Your own doctor knows you better and knows which treatment you need.
If your doctor has already given you a referral and you are unsure what you have been referred to, you can view your referral at www.sundhed.dk by logging in with your MitID. PFA does not have access to your electronic referrals.
Should I submit anything to you?
If you have a referral, you can submit it via My PFA when you create a claim. You are also welcome to contact us to find out if it is necessary.
Where can I receive examination/treatment?
If an examination or treatment by a specialist is approved, PFA Pension has a quality-controlled network. You will receive the relevant contact details. You then contact the private hospital or clinic yourself. This means that you should not initiate examinations and treatments without prior accept from PFA Pension.
What kind of help can I get?
On My PFA, you can see which insurance cover you have. You can read more about the insurance cover here.
If you have registered for voluntary health insurance, please note that any pre-existing illnesses and illnesses that have arisen as a consequence hereof will not be covered until six months after the date of registration.
Where can I find my approval?
You can find your approval under Messages on My PFA.
Can I choose my own therapist?
Yes, you can generally choose your own therapist; however, PFA reserves the right to refer you to specific therapists for certain treatments. If you want to ensure that the full cost is covered by the health insurance, it is a requirement that the therapist has an agreement with the Danish National Health Service. For online treatment, you will automatically be assigned a therapist by our provider.
Has my claim gone through?
When your claim has gone through, you will receive a confirmation on My PFA.
What does PFA Precentive Care cover?
PFA Preventive Care makes it easy to intervene before a minor disorder turns into a serious problem. Just select a preventive treatment and book online.
PFA Preventive Care gives you access to a number of treatments if you are experiencing any work-related pain or problems in your back, shoulders, neck, arms or legs. A referral from your doctor is not needed.
However, the insurance does not cover injuries sustained during leisure time – for instance from fitness or sports activities.
Read more about PFA Preventive Care
How do I find out whether I have PFA Preventive Care?
On My PFA, you can see whether you are covered by PFA Preventive Care.
How do I use PFA Preventive Care?
With PFA Preventive Care, you can receive reflexology, physiotherapy, massage and treatment by a chiropractor.
You can book a treatment on My PFA or by calling Falck Healthcare at (+45) 70 10 20 42.
What kind of cover do I have?
My occupational capacity has been reduced. What should I do?
If your occupational capacity is reduced to a degree qualifying for cover, you may receive a monthly payout depending on the pension plan you have.
At the earliest, the payouts will start 3 months after you reported sick. For some pension plans, the payouts start after 6 or 12 months.
Your payout options depend on your pension plan. Log in to My PFA and see what applies to you.
You can also submit your claim and read more about the claims process online.
How do I change my occupational capacity insurance?
If you want to change your occupational capacity insurance, please call us at (+45) 70 12 50 00.
How is my occupational capacity insurance paid out?
PFA Occupational capacity provides a monthly payout, which is made on the first day of the month. The amount is paid out before tax and is subject to individual income tax.
The payout from the insurance cover may affect/be affected by the size of public benefits.
How long can I receive payout?
Payout in the event of reduced occupational capacity will continue for as long as the conditions are met. Based on the information received, we will assess your occupational capacity.
We will award payout for the period during which there is documentation that your occupational capacity is reduced.
How can I have my disability lump sum paid out?
Some pension plans include a disability lump sum (a lump sum in the event of a permanent reduction in the occupational capacity).
If your occupational capacity has been reduced by a minimum of two thirds for more than one year and the condition is permanent, you can have your disability lump sum paid out. The amount depends on your type of pension plan. There may also be a requirement for loss of income.
You can check whether you have a disability lump sum on My PFA.
You can also submit your claim and read more about the claims process here
How long is the processing time?
The processing time is approximately 6-8 weeks from the date we have received all the necessary information.
When will I receive the first payout?
The payout is expected to be available on your NemKonto approximately two weeks after your case has been settled.
My occupational capacity insurance payouts are stopping. What should I do now?
We have assessed that your occupational capacity is reduced, and you have received payout from your occupational capacity insurance throughout a period. If your occupational capacity is still reduced to a degree qualifying for cover, you can apply to have your payout resumed.
You can apply to have your occupational capacity insurance payout resumed by logging in to My PFA and selecting “Write a new message”.
If your occupational capacity is no longer reduced and you are no longer entitled to payout from the insurance, payments must be made to the plan in order to maintain the insurance cover.
How do I change my PFA Occupational Capacity?
If you want to change your PFA Occupational Capacity, please call us at (+45) 70 12 50 00.
I am still ill and want to apply to have my payout resumed
We have assessed that your occupational capacity is reduced, and you have received payout from your occupational capacity insurance throughout a period.
If, after the expiry of the awarded period, your occupational capacity is still reduced by at least half or two thirds, you can apply to have your payout resumed.
You can apply to have your occupational capacity insurance payout resumed by logging in to My PFA and clicking “Write a new message”.
How will the payout be calculated?
Payout from occupational capacity insurance varies depending on the insurance cover you have. Your insurance may provide cover in the form of a fixed agreed amount, or it may top up your previous salary (up to the agreed maximum cover).
The payout from the insurance may affect/be affected by the size of public benefits.
If you have any questions regarding the specific calculation, please contact us at (+45) 70 12 50 00 or write to us via My PFA.
Will my own pension contribution be deducted from the payout?
The rules for payout from occupational capacity insurance vary depending on the insurance cover you have. The payout from the insurance may affect/be affected by the size of public benefits.
If you have any questions regarding the specific calculation, please contact us at (+45) 70 12 50 00 or write to us via My PFA.
Will public benefits be offset against the payout?
Payout from occupational capacity insurance varies depending on the insurance cover you have. Your insurance may provide cover in the form of a fixed agreed amount, or it may top up your previous salary (up to the agreed maximum cover). The payout from the insurance may affect/be affected by the size of public benefits.
If you have any questions regarding the specific calculation, please contact us at (+45) 70 12 50 00 or write to us via My PFA.
What should I do if I disagree with the decision?
If you are dissatisfied with or disagree with a decision, we ask you first to contact the employee who made the decision in your case and explain what you disagree with. We will then review your case.
If you still disagree after this, you can complain to PFA’s complaints officer, who will conduct a new review of your case.
Finally, you can file a complaint with the Danish Insurance Complaints Board. If you wish to file a complaint with the Danish Insurance Complaints Board, you can do so via their website www.ankeforsikring.dk. There is a small fee for filing a complaint.
I have suffered a work-related injury. Can I get help making a claim to PFA?
If you have suffered a work-related injury, you should contact your employer or health and safety representative and ask for the injury to be reported.
If the work-related injury has resulted in a long-term reduction of your ability to work, you may also be entitled to benefits in the event of reduced occupational capacity. This requires that you have PFA Occupational Insurance, which provides financial cover if you become seriously ill and are unable to work.
See how you are covered in your pension certificate and terms and conditions, which you can find on My PFA
How do I change my insurance cover?
If you want to change your insurance cover, please call us at (+45) 70 12 50 00 so that we can help you with advice and guidance on the best combination of your insurance cover.
Where can I see what cover I have?
On My PFA, you can see an overview of your insurance cover.
The overview shows the level of cover, how the insurance cover works and what you need to do if you need to use your insurance.
In the Insurance Guide on My PFA, you can also see what level of cover PFA recommends that you have.
Where can I see what cover I have?
If you pay for your insurance cover on a private or voluntary basis, you are free to terminate your insurance cover when you no longer need it.
The term of notice is the current month plus one month.
If you have paid for a full year at a time, we will refund any overpayment.
The termination must be made in writing. You may find this link useful.
It is important that you state your customer or policy number when you cancel your insurance.
I have left my job and want my insurance cover to end immediately.
When you leave your job, your payments will by default be put on hold for three months, during which you keep your insurance cover even though you are not making payments to your plan. During this period, the price of your insurance cover will be deducted from your savings.
If, when you leave your job, you already know that you will not need to keep your insurance cover for three months, you can cancel your insurance cover with effect from the first day of the following month.
If you want your insurance cover to lapse before the three months in which your payments are on hold have ended, we must be notified in writing, so you need to send us a message via My PFA.
Why do I need to provide health information when I want to increase my insurance cover?
We need your health information to assess the insurance risk and determine whether your risk allows the insurance increase you want and, if so, on what terms we can offer it to you.
As a company, we would like to work with employee well-being. Can PFA help with that?
PFA can help companies work with employee well-being.
- We advise companies on how you can create a healthier working life and improve well-being.
- We have developed a model with inspiration and practical tools for employees, managers and HR.
You can read more about our work with health and well-being here
If you would like to discuss the options for your company, you can contact our PFA Business Centre at (+45) 70 80 90 30.
Does PFA have any material on specific initiatives for employees going through the menopause?
For customers with PFA, we offer both a guide for managers about the menopause and a range of webinars about the menopause for employees, managers and HR.
If you would like to discuss the options for your company, you can contact our PFA Business Centre at (+45) 70 80 90 30.