What does PFA Health Insurance cover?
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 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 of a pre-existing illness 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 and 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 on to 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 (non-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
Any treatment needs that occurred before you were 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