Understanding Dutch Healthcare and Insurance for Expats
Understanding Dutch Healthcare and Insurance for Expats
Having Dutch health insurance is mandatory if you are planning to work in the Netherlands, and understanding the system will help you make the best informed decision.
Moving to the Netherlands is a thrilling new chapter in life for all newcomers, students and working people alike. There are many things to do, many things to experience, and the first bouquet of Dutch tulips to pick (just don’t go into anyone’s private garden, please). Yet, things like healthcare might or might not be the first thing on your mind to figure out. For me at least, it really was the case of the latter. While this made me rich in experience for sure, it also made me a couple (hundred) euros poorer. Thus, I compiled this article to help you figure out the essentials of Dutch healthcare and insurance, ensuring you’re well-prepared for your new life, something many long-timers (me) wish they had.
The Dutch Healthcare System
The Dutch healthcare system is known for its high quality and accessibility, regularly ranking among the best in the world. In fact, the system is built with three principles in mind. Access to care includes and mandates everyone, collective responsibility that ensures that costs of care are shared by everyone insured and last but certainly not least, care services that are high in quality, yet come with affordable prices.
The system operates through a universal public health insurance program. The government oversees healthcare through multiple regulatory acts, ensuring that it meets national standards of quality and accessibility. While the system is publicly mandated, health insurance is provided by private and competing insurers that must follow government regulations, which make sure they offer comprehensive and fixed coverage while maintaining fair pricing practices.
Who Needs Health Insurance?
In the Netherlands, all Dutch citizens and permanent residents are required to take out basic health insurance and register with a General Practitioner, also known as a home doctor, who will be your first person to contact in medical matters and who are your primary medical caretakers (weird concept right). This requirement extends to expats under certain situations:
Students: If you are in the Netherlands solely for study purposes and not working, you are not obligated to take out Dutch health insurance. Instead, you can rely on your home country’s insurance or international health insurance. If you are from an EU/EEA country, the European Health Insurance Card (EHIC) may cover basic healthcare expenses, but check with your home insurer for specifics.
Working Students: If you are a student working part-time or undertaking a paid internship, you must take out standard Dutch health insurance.
Working Expats: If you are employed in the Netherlands, you are obliged to obtain Dutch health insurance.
If you are unsure about your obligation, you can contact the Sociale Verzekeringsbank (SVB) for an assessment. It’s important to note that if you are required to take out health insurance and fail to do so, you will be fined. From personal experience, you do NOT want to receive that CAK letter…
There are mainly two costs you will encounter with healthcare in the Netherlands:
1. Health Insurance Premium: In 2023, the average monthly premium for basic health insurance was about €135. This can vary based on the insurer and the specific policy chosen. Regardless of the provider, all basic insurance policies cover the same essential services.
2. Eigen Risico (Own Risk/Deductible): This is the maximum amount you pay out-of-pocket before your health insurance starts covering your medical costs. In 2024, the standard eigen risico is set at €385 per year. For example, if you have a hospital bill of €500, you will pay €385 which is your Eigen Risico, and your insurance will cover the remaining €115. Notably, the eigen risico is an annual limit, meaning any additional medical expenses incurred within the same year will be covered by your insurance.
What Does The Basic Health Insurance Cover?
Basic health insurance in the Netherlands typically covers services such as:
Visits to your General Practitioner (GP)
Specialist care
Hospitalization
Prescription medications
Some mental health treatments
Dental care for individuals under 18
Generally, testing for sexually transmitted infections (STIs) and diseases (STDs)
You can also enhance your coverage by adding supplementary insurance for services not included in the standard package, such as adult dental care, psychiatric care or physiotherapy.
Additionally, if you have low income you might be eligible to receive healthcare benefit (Zorgtoeslag) which is a financial aid to help pay for your health insurance premium and the required out-of-pocket costs. The amount of the benefit depends on your income, among other things.
Navigating the details of Dutch healthcare and insurance may seem confusing at first, but understanding your obligations and coverage options will help you make informed decisions. And remember, the one who asks never loses their way. In other words, don’t hesitate to reach out to entities and people around you who are more familiar with the healthcare system if you feel unsure of it all. Welkom in Nederland!
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