Refusing Wlz Indication in Rotterdam: Your Rights and Step-by-Step Plan
Has your application for the Long-Term Care Act (Wlz) been refused in Rotterdam? Do not accept this lightly. A negative decision does not rule out long-term care. This article for residents of Rotterdam explains what to do in case of refusal of your Wlz indication, the step-by-step plan, and your legal options.
Wlz refusal by the CIZ or your health insurer means that they judge that you do not meet the Wlz criteria. Reasons: insufficient severity, lack of evidence, or alternative arrangements. Fortunately, you can file an appeal and strengthen your position.
Legal Basis for Wlz Appeal in Rotterdam
The Long-Term Care Act (Wlz) covers long-term care needs. Indication via CIZ. In case of refusal: appeal to the Healthcare Appeals Committee (BCZ).
Key laws:
- Article 11 Wlz: Application processing and indication.
- Article 12 Wlz: Right of appeal against refusal.
- Healthcare Appeals Committee Decree (BBZ): Appeal rules.
- Awb art. 6:1 and 6:10: Administrative law appeal deadlines.
In Rotterdam, the Rotterdam District Court, Wilhelminaplein 100-125 handles any subsequent appeals. The BCZ reassesses independently.
Common Reasons for Wlz Refusal in Rotterdam
Typical grounds for rejection by CIZ:
- Insufficient 24-hour care need: No permanent severe limitation.
- Incomplete medical file: Lacks convincing evidence of structural necessity.
- Alternatives via Wmo or Zvw: Care fits better in municipal or insured care.
- Procedural errors: Late submission or incomplete application.
- Temporary care need: Wlz requires permanent indication.
Step-by-Step Plan in Case of Wlz Refusal in Rotterdam
Act quickly in Rotterdam:
- Analyze the letter: Understand the exact reason for refusal.
- Consult doctor/advisor: Assess feasibility of appeal.
- File the appeal: Within 6 weeks in writing with the BCZ. Use their form.
- Add new evidence: Recent medical reports, specialist opinions.
- Seek local help in Rotterdam: Juridisch Loket Rotterdam, Westblaak 180 offers free advice. Or healthcare law lawyer/specialist association.
- Await BCZ decision: Max. 8 weeks; extendable. In case of rejection: appeal to Rotterdam District Court.
Local Support in Rotterdam
In Rotterdam:
- Rotterdam District Court: Wilhelminaplein 100-125 – for appeals on points of law.
- Juridisch Loket Rotterdam: Westblaak 180 – free intake on healthcare law.
- Municipality of Rotterdam Wmo desk for alternatives.
Tip: Document everything. Success in appeal depends on a strong medical file.