PFA Health Insurance

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

View your cover at My PFA

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.

*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. 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)

 

 

 

 

 

What does PFA Health Insurance cover?

The specifics of PFA Health Insurance vary depending on the agreement between your employer/organisation and PFA. For example, you may either have the basic cover or the extended cover.

You can use the examination and treatment options, etc. right from the day when you are registered for the health insurance plan; however, the need for treatment must have arisen during the insurance period.
 
If you have registered for a voluntary health insurance plan, please note that any pre-existing illnesses and illnesses that have arisen as a consequence of a pre-existing illness will not be covered until two years after the date of registration.

 

Basic cover and extended cover

Basic Health Insurance covers:

Expenses for pre-examinations, treatments and re-examinations at hospitals, clinics or by specialists

Treatment of abuse of alcohol, medicine and other intoxicants (up to DKK 132,000)

Psychiatric treatment (up to 12 consultations)


In addition, Extended Health Insurance covers:


Chiropractor and physiotherapist (up to 12 treatments in total)

Psychologist including emergency counselling (up to 12 consultations)

Dietician (up to 12 consultations in case of BMI >30)

Acupuncturist and reflexologist (up to 12 treatments)

Medicine (up to 6 months)

Rehabilitation (up to 6 months)

Recuperation (up to 3 months)

Temporary home care services (up to 3 months)

Transportation

Not covered by the Insurance (not exhaustive)

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

Cosmetic surgery, forehead lift, eyelid lift

Glasses, contact lenses, hearing aids or dental treatment

Treatment needs that occurred before you were covered by PFA Health Insurance

Alternative treatment

Treatment of compulsive gambling

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

PFA Health Insurance for your children

If you are covered by PFA Health Insurance, your children are usually covered too. Typically, the insurance takes effect when your 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.

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 form to PFA.