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Refusing Wlz-indication in Delft: your rights and step-by-step plan

Wlz-indication refused in Delft? Learn your rights, step-by-step plan for appeal at BCZ and local help via Juridisch Loket Delft and Rechtbank Den Haag.

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Refusing Wlz-indication in Delft: your rights and step-by-step plan

When your application for the Long-Term Care Act (Wlz) in Delft is refused, you do not have to accept this just like that. A refusal does not mean that you have no care rights. This article explains what you can do, which steps to follow in the Delft region and which legal options are available.

Refusal of a Wlz-indication by the health insurer or the CIZ (Centre for Needs Assessment Care) implies that your care needs do not meet the Wlz criteria. Reasons may include insufficient evidence, alternative arrangements or administrative issues. Fortunately, you can file an appeal and strengthen your file.

Legal basis: Wlz and appeal in Delft

The Long-Term Care Act (Wlz) covers long-term care needs. Issuance of indications is done by the CIZ. In case of refusal in Delft, you can file an appeal with the Healthcare Appeals Board (BCZ).

Important laws and regulations:

  • Article 11 Wlz: Application processing and indication.
  • Article 12 Wlz: Right of appeal against refusal.
  • Healthcare Appeals Board Decree (BBZ): Appeal procedures.
  • Awb Articles 6:1 and 6:10: Administrative law appeal deadlines.

The BCZ, with independent experts, reassesses your case. For Delft, the Rechtbank Den Haag (district) falls under higher authorities if necessary.

Common reasons for Wlz-refusal in Delft

The CIZ refuses indications for various reasons, relevant for Delft residents:

  • Insufficient intensive care needs: Does not meet Wlz thresholds; alternatives such as Wmo via Municipality of Delft possible.
  • Weak medical substantiation: Insufficient reports from doctors in Delft hospitals such as Reinier de Graaf.
  • Better fit with Wmo or Zvw: Local Wmo support via Delft Wmo desk or basic health insurance.
  • Procedural errors: Late submission or incomplete Delft-specific documents.
  • Temporary care needs: Wlz requires permanent, 24-hour care needs.

Step-by-step plan for Wlz-refusal in Delft

Follow these steps for Delft:

  1. Analyze the refusal letter: Understand the reasoning of the CIZ.
  2. Consult experts: Talk to your Delft GP, specialist or care broker.
  3. File appeal: Within 6 weeks in writing with BCZ. Download form via BCZ website.
  4. Add new evidence: E.g. recent reports from Delft care providers.
  5. Seek local help: Free advice at Juridisch Loket Delft (Phoenixstraat 42, Delft, tel. 0900-8020 or online appointment). Or engage a healthcare law lawyer via patient organisations.
  6. Await BCZ decision: Within 8 weeks; extension possible. In case of rejection: appeal to Rechtbank Den Haag.

Local support in Delft

In Delft, the Municipality of Delft offers additional help via the Wmo desk (Juliana van Stolberglaan 90). For Wlz matters: start at Juridisch Loket Delft for free intake. They assist with forms and evidence gathering. In complex cases: pro bono cases via Rechtbank Den Haag, Delft district.

Tip: Document everything and request suspension of care termination during appeal (Awb Article 8:55).

After BCZ?

BCZ rejection? Appeal to Rechtbank Den Haag (Delft district) within 6 weeks. Costs low with court fee; legal aid via Loket.