In stark contrast to many other European systems, the Dutch government is responsible for the accessibility and quality of the healthcare in the Netherlands but not in charge of its management.
The new Dutch health insurance system (January 1st, 2006) is a combination of private health plans with social conditions built on the principles of solidarity, efficiency and value for the patient.
Health insurance in the Netherlands is mandatory if you are on a long-term stay and is designed to cover the cost of medical care. As a rule, all expats must have a Dutch health insurance even if they are insured for healthcare in their homeland too (for exceptions read other health insurances).
Healthcare in the Netherlands is funded through taxation; mandatory health insurance fees and taxation of income (pre-specified tax credits). From the moment you start working, you are subject to Dutch social security legislation and thus, have to obtain (at least) the basic health insurance (Basisverzekering) package.
The basic package costs around 100 euros per month and covers:
› general medical care (including medical specialists, hospital care, GP appointments etc.)
› hospital stays
› dentistry (for those under 18 years old)
› limited dental care (for those over 18 years old)
› medicine prescriptions
› patient transport (ambulance services)
› paramedical care
› pre and post-natal care
› midwifery services
› rehab services (diet care, physic etc.)
However, you may need extra coverage for additional medical treatment (extensive dental care, physiotherapy etc.) and that is where private health insurance providers (Zorgvezekeraar) compete.
After you have chosen your Dutch health insurance provider you should register with a general practitioner (Huisarts). Every time you need a specific examination you should first liaise with your family doctor and he / she will refer you to the right hospital / clinic. A list with all nearby doctors can be found in your local pharmacy shop.
Main health insurance companies in the Netherlands
› Dutch
- Achmea Insurance
- Aegon
- Agis Zorgverzekeringen
- DSW Zorgerzekeraar
- Menzis Zorg en Inkomen
- Trias, Zorgverzekeraar
- VGZ Zorgverzekeraar Insurance
- Zilverenkruis
› International
- Allianz
- Expatcare
- Good Health Worldwide
- Medibroker
- William Russell
Hints & tips
› Dutch insurance companies are obliged by law to offer you the basic package. They can not deny coverage because of gender, age or health profile.
› You are not allowed to change your health insurance provider more than once a year.
› Those without a basic insurance are facing a fine worth 130% of the premium health package.
› All those under 18 years old are insured for free.
› Many firms arrange collective agreements with insurance companies and offer a small discount to their employees.
› Be aware that there may be long waiting lists for certain services.
› Doctors can all be expected to speak English.
Useful links
› To compare insurances and prices click here (in Dutch)
› To apply for healthcare allowance (Zorgtoeslag) in the Netherlands click here
› The Ministry of Health, Welfare and Sport offers information about:
- compulsory health insurance for those working in the Netherlands (written in 11 languages) (download pdf)
- Dutch health care (download pdf)
