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

Wlz-indication refused in Tilburg? Discover your rights, step-by-step plan for appeal with CIZ/BCZ and local help via Juridisch Loket Spoorlaan 364.

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

When your application for the Long-Term Care Act (Wlz) in Tilburg is refused, you do not have to accept this just like that. A refusal does not mean that you do not deserve care. In this article for residents of Tilburg, we explain what you can do, which steps to take and what rights you have in the region.

Refusal of a Wlz-indication by the health insurer or the CIZ (Centre for Care Indication) means that they judge that your care needs do not fall under the Wlz. This can be due to insufficient severity of the condition, lack of evidence or alternative care options. Fortunately, you can file an appeal and have your situation reassessed.

Legal basis: Wlz and appeal procedure in Tilburg

The Long-Term Care Act (Wlz) determines which long-term care is reimbursed. The CIZ establishes the indication. In case of refusal, you can file an objection and appeal. In Tilburg, the District Court Zeeland-West-Brabant, Wilhelminapark 100, handles more complex cases.

Important laws and regulations:

  • Article 11 Wlz: Application processing and indication setting.
  • Article 12 Wlz: Possibility of appeal in case of refusal.
  • Care Appeals Committee Decree (BBZ): Procedure for appeals.
  • Awb Article 6:1 and 6:10: Time limits and rules for objection and appeal.

Your appeal goes to the Care Appeals Committee (BCZ), an independent body with experts who thoroughly review your file.

Common reasons for Wlz-refusal in Tilburg

The CIZ can reject your indication for various reasons. Typical causes:

  • Insufficient intensive care needs: Your situation does not meet Wlz criteria, e.g. because care via Wmo or Zvw is possible.
  • Incomplete medical file: Missing or insufficient doctor's statements.
  • Better alternatives: Care fits better in Wmo (municipality of Tilburg) or Zvw.
  • Procedural errors: Late submission or incomplete application.
  • Temporary care needs: Wlz is for permanent, 24-hour care needs.

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

Follow these steps for residents of Tilburg:

  1. Analyze the refusal letter: Understand the reasoning of the CIZ.
  2. Consult experts: Talk to your GP in Tilburg or a care broker.
  3. Timely objection/appeal: Within 6 weeks in writing to BCZ. Download form at regieopzorg.nl.
  4. Strengthen your file: Add new medical reports.
  5. Seek local help: Visit the Juridisch Loket Tilburg, Spoorlaan 364 for free advice. Or engage a care law jurist.
  6. BCZ decision appointment: Decision within 8 weeks; extendable.
  7. Further appeal: If dissatisfied, to District Court Zeeland-West-Brabant, Wilhelminapark 100.

Local support in Tilburg

In Tilburg you can go to:

  • Juridisch Loket Tilburg: Spoorlaan 364, phone 0900-8020, for free legal advice.
  • Municipality of Tilburg Wmo desk: For alternative care options.
  • District Court Zeeland-West-Brabant: Wilhelminapark 100, for judicial procedures.
  • Patients Federation or local care associations: For personal guidance.

Tip: Start taking action quickly. The Juridisch Loket in Tilburg helps you immediately with drafting your appeal.

Success rates and tips

Approximately 30-40% of appeals at BCZ succeed. Gather strong evidence and consider professional help. In Tilburg there are specialized agencies for care law.