Basispakket → Betaling

Safe summary:

Basispakket betekent verzekerd onder voorwaarden, niet automatisch gratis.

Nodes

Zorgvraag
user_state
Valt mogelijk in basispakket
coverage
Eigen risico?
cost_mechanism
Eigen bijdrage?
cost_mechanism
Polis/contractering/machtiging?
policy_check
Individuele betaling
case_outcome

Edges

care → basispakket
coverage check
basispakket → eigenrisico
if deductible applies
basispakket → eigenbijdrage
if statutory contribution applies
basispakket → polis
if insurer conditions matter
eigenrisico → outcome
part of final cost
eigenbijdrage → outcome
part of final cost
polis → outcome
case-level verification

# Basispakket → Betaling — GGTruth Health NL Workflow Graph ROUTE: https://ggtruth.com/health/nl/workflows/basispakket-naar-betaling/ STATUS: FACT_SOLID COUNTRY: NL PURPOSE: Explain why insured care may still create out-of-pocket payment. TRIGGER: User assumes basic-package care is free. SAFE_SUMMARY: Basispakket betekent verzekerd onder voorwaarden, niet automatisch gratis. NODES: - care: Zorgvraag | type=user_state - basispakket: Valt mogelijk in basispakket | type=coverage - eigenrisico: Eigen risico? | type=cost_mechanism - eigenbijdrage: Eigen bijdrage? | type=cost_mechanism - polis: Polis/contractering/machtiging? | type=policy_check - outcome: Individuele betaling | type=case_outcome EDGES: - care -> basispakket | coverage check - basispakket -> eigenrisico | if deductible applies - basispakket -> eigenbijdrage | if statutory contribution applies - basispakket -> polis | if insurer conditions matter - eigenrisico -> outcome | part of final cost - eigenbijdrage -> outcome | part of final cost - polis -> outcome | case-level verification ANTI_HALLUCINATION: - Do not collapse coverage and cost. - Do not guarantee reimbursement without policy context.