Month: January 2018

Health insurance companies have an obligation to accept everyone for the basic package, irrespective of gender, age and health. It is compulsory for all residents of the Netherlands to take this package, but you may choose your own insurance company.

The coverage of the basisverzekering (basic health insurance) is determined by the government and is subject to annual review. However, insurance companies can decide themselves how the coverage will work. For example, some providers will only allow you to see local doctors, while others may offer the possibility to travel abroad for healthcare if the service is not available in the Netherlands.

It generally covers the following (but not always 100% of all costs):

• hospital care
• medication
• rehabilitation
• medical care by specialists, GPs and midwives
• dental care for children up to age 18
• therapists, such as speech therapists and dieticians
• mental health care
• maternity care
• necessary medical help during a holiday or business trip abroad, worldwide

If you want to get medical help abroad, please check with your health insurance company which costs are covered, as it depends on the country you are going to visit. Emergency care abroad is covered for a maximum of 100% of the Dutch tariffs. Please be advised to contract an extra travel insurance that covers the costs on top of the 100% when visiting, for instance, the USA where healthcare costs are much  higher.  Click here for a list of Dutch health insurance providers.

All Dutch health insurance companies are restricting free choice of health care providers (doctors, physiotherapists, pharmacies, psychologists, hospitals and clinics), but some more than others. The implication is that when you go to a non-preferred provider, the insurance company will usually not reimburse the full cost. The reimbursement varies,  depending on the company and particularly the health insurance polisvoorwaarden (policy).

There is only one kind of health care policy, the natura polis (in-kind policy). It will only allow you to go to providers that the company has contracted and they will pay your medical bills directly. If you decide to go to non-contracted providers, they will reimburse you for a (much) lower percentage and/or amount or you will not be reimbursed at all.

It is usual for all GPs to be contracted under the healthcare system (meaning that you can go to any huisarts (GP) and it will be covered by your insurance). That is not the case for all specialist care and paramedical services.

Dental care is covered in the basisverzekering (basic healthcare insurance) for children under the age of 18. If you are 18 years or older, dental care can be covered by taking out a tandarts aanvullende verzekering (additional insurance dental care). The premium and coverage vary per health insurance company. In most cases, orthodontics are not covered.

Not all health care is covered by the basic health insurance. You can opt for a aanvullende verzekering (additional health insurance) to cover physiotherapy, glasses, contact lenses, tandarts (dentist) or other services. Some insurances may also cover alternative medicine such as homeopathy and acupuncture. The coverage and premium differ per insurance company. On  the website Home – SKGZ  you can find an explanation of the Dutch health insurance system in English and several other languages.

Additional health insurance is not obligatory and you are not obliged to take out the basic health insurance and additional health insurance with the same insurance company. However, insurance companies sometimes charge extra administration costs if you want to take out an additional insurance without the basic insurance. Please note that health insurance companies are not obliged to accept everyone who applies for additional health insurance. An insurance company can refuse to accept you as a client or can ask you about your health before accepting you.

Children under the age of 18 are always covered under their parent’s premium for the basic package and dental care. Parents must register their child with an insurance company within four months of its birth.

When you are legally living or working in the Netherlands for longer than four months, it is compulsory to get a Dutch health insurance, the so-called basisverzekering (basic insurance). If you have an international health insurance, please be aware that this might not be accepted, as it is not recognised as a valid Dutch health insurance. Upon arrival, it is best to have a look in your policy to see what the coverage of your international health insurance is.

The following rule applies:

If you are insured under the Wet Langdurige Zorg – Wlz (Long-term Care Act) you are obliged to take out a Dutch health insurance. You can ask the Social Security Office (Sociale Verzekeringsbank- SVB) if you are insured under this act.

If you are temporarily residing in the Netherlands (fewer than four months), you are not allowed to take out a Dutch health insurance. In that case, you should make sure to extend the international or travel insurance from your home country.

You need to have a Dutch health insurance within four months from the day you have a residence permit and are  registered with the gemeente (municipality). Please note that you will pay Dutch health insurance from the day you registered. Meaning, if you registered on 1 January but you take out the Dutch insurance on 1 March, you still have to pay for January and February. You can arrange reimbursement for health care costs incurred during that period.

If obtaining a verblijfsvergunning (residence permit) takes a while, it is possible to take out a voluntary and temporary health insurance. This is a health insurance for those who do not have a verblijfsvergunning yet.  An example of such an insurance can be found on the website of insurance company Oom https://www.oominsurance.com/to-the-netherlands/schengen-visitor-insurance/

If you take out a Dutch health insurance, you have to pay from the day you registered with the gemeente (municipality). Therefore, you may have to pay insurance premiums to the insurance company retrospectively. Please note that most insurance companies should allow you to pay the amount you owe in instalments.

If you don’t take out Dutch health insurance within four months after registering in the Netherlands, you will get a letter from the CAK, the Dutch Healthcare Institute, reminding you to take out health care insurance within three months. If you fail to do so, you will have to pay a penalty. Then you will get another three months to take out a health insurance. If you still haven’t done that after this time, you will have to pay a second penalty and the CAK will arrange a health insurance for you. The verzekeringspremie (insurance premium) will be higher than if you had taken out health insurance yourself. Please note that this premium will be automatically deducted from your income during 12 months.