For medical specialists - such as psychiatrists, dermatologists, ophthalmologists, otorhinolaryngologists, gynecologists and others - different rules apply than for general practitioners.
As a patient in health insurance group 1, you are entitled to free specialist treatment when you are referred by your own doctor. The region only pays for specialist medical services that are performed after referral and by specialists who have an agreement (provider number) with the region.
However, there are a few specialties where you can go directly without a referral and still be covered by health insurance. This applies to e.g:
- Ophthalmologists
- Ear, nose and throat doctors
- Podiatrists (for certain diagnoses)
- Dentists (for children and adolescents and special treatment areas)
If you choose to book an appointment without a referral with a specialist other than these - or with a specialist outside the collective agreement - you must pay for the consultation yourself.
It is precisely these types of private specialist medical services that Doctors Denmark facilitates access to.
Private specialist services can include, for example:
- Consultation with a specialist without referral
- Health certificates and examinations not covered by health insurance
- Additional treatments or examinations for which the region does not provide reimbursement
Doctors Denmark ensures that collaboration with specialist doctors is in accordance with applicable legislation, collective agreements and the regions' guidelines for private healthcare business.