Medical certificate for employers not covered

Hi!
It’s more of a curiosity thing than an important question to ask.
You probably know what a medical invoice looks like, i.e. it’s split into various detailed positions and then there’s a total payable amount.
I’ve encountered smth new: an activity for issuing a medical certificate for my employer was billed individually to me personally, and my insurance considered it as uncovered when I tried to submit it after having it paid.
It’s a minor amount so it won’t make any difference whatsoever yet as a matter of principle it seems strange as it could easily blend in into a “consultation”? Or is it completely normal?
I understand the logic though, as a certificate isn’t strictly required for my treatment.
Thanks

There has definitely been a change in the last couple of years. The invoices are much more detailed and the insurance company is more likely not to cover some items. I assume the system is automated and you can always question any decision made. Uncovered costs are tax-deductible to an extent.

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Indeed such certificates are considered admin that is to be covered by individual.

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