PFA Health Insurance

PFA Health Insurance

PFA Health Insurance gives you access to quick examination and treatment at hospitals, clinics and by specialists.

Log into My PFA and see how you are covered

How to use PFA Health Insurance

1. Contact your doctor

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

This is necessary in order to ensure that you receive the correct treatment.

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

2. Contact PFA at (+45) 70 24 50 01

Once you have seen your doctor, we need to approve the examination and/or treatment that your doctor has recommended* or referred you to. As a rule, you will get an approval immediately, and afterwards you will receive a letter either by post or in your e-Boks with a summary of what we have discussed on the phone – for instance who you need to call to book a treatment.

If you need to see a psychologist, the psychologist will contact you instead to set a time for the consultation – therefore you will in this case not receive a letter.

3. Get started with examination and treatment

Generally, we will refer you to a treatment facility within PFA’s quality-assured network, and settle the payment directly with the treatment facility.

View the list of treatment facilities (in Danish only)

 

 

 

 

 

File a claim

What does PFA Health Insurance cover?

The specifics of PFA Health Insurance vary depending on the agreement between your employer/organisation and PFA. If you log onto My PFA, you can see the details of your coverage.   

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.

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 6 months after the date of registration.

View your insurance cover at My PFA here >

Covered by PFA Health Insurance

Therapist:
Individual treatment by a chiropractor
Individual treatment by a physiotherapist
Acupuncturist
Reflexologist
Dietician

Diagnosing:
Expenses for pre-examinations

Surgery/follow-up treatment:
Treatment and re-examination at hospitals, clinics or by specialists
Prescription-only medicine following treatment covered by the insurance
Rehabilitation ordered by a specialist
Recuperation
Temporary home help and home nursing care
Transportation                

Psychologist:
Treatment by a psychologist

Psychiatrist:
Examination and treatment of a mental illness by a psychiatrist

Substance abuse:
Treatment of abuse of alcohol, medicine and other intoxicants

Log into My PFA. In your terms and conditions of pension, you can see the exact cover that applies to you

Not covered by PFA Health Insurance (not exhaustive)

Chronic illnesses that occurred before you became covered by PFA Health Insurance

Cosmetic surgery, forehead lift, eyelid lift

Glasses, contact lenses, hearing aids or dental treatment

Any need of treatment that occurred before you became covered by PFA Health Insurance

Emergency treatments (for instance situations that require doctors from the emergency service or casualty ward)

Alternative treatment

Addictions such as compulsive gambling 

You find all the details in your terms and conditions at My PFA

Go to My PFA to see your coverage

PFA Health Insurance for your children

If you are covered by PFA Health Insurance, your children are usually covered too. Please note that, in some cases, the insurance plan does not enter into effect before the child turns 1.

Please contact us at (+45) 70 12 50 00 if your children are not covered through the agreement with your employer/organisation and you want to take out Health Insurance for your children.

  

PFA Health Insurance for your partner

If you are covered by PFA Health Insurance, you are, in most cases, able to take out a health insurance plan for your spouse, cohabiting partner or registered partner at an advantageous price. You can choose to do so if the agreement between your employer/organisation and PFA allows for it, provided that your partner lives in Denmark.

If your spouse, cohabiting partner or registered partner wants to take out PFA Health Insurance, provided that this is possible according to the pension agreement, please print and forward the below form to PFA.