HEALTH INSURANCE IN THE NETHERLANDS
THE COMPLETE GUIDE

Health insurance is one of the first things you should consider arranging when you decide to study abroad. Health insurance in the Netherlands can be costly and confusing to navigate, but luckily College Life knows you'd rather be spending your time doing other things. That's why we've teamed up with United Consumers to help make health insurance understandable and affordable.

CHAPTER 1:

Do You Need It?

Legally, everyone in the Netherlands is required to have health insurance. This, however, is largely dependent on your nationality and your working status. This can seem complicated at first, but there's no need to worry; we've simplified the entire process for you below. Thus, you can ensure that you are insured when you need to be and never overpay!

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From the EU/EEA?

When the European Union was formed, many benefits could be shared across borders. In addition to capital, labor, goods, among many other national services, health insurance is valid across borders. This means that, if you already have a European insurance provider, you're covered in the Netherlands through your European Health Insurance Card (EHIC). Prior to arriving in the Netherlands, you can request an EHIC from your local government at no additional cost. This EHIC ensures that you are insured in all EEA countries and Switzerland. Most of the time, this coverage takes the form of post factum reimbursements; you’ll most probably have to send the invoices to your insurance agency.

Also, please note that this doesn't mean you don't need travel insurance. If you go on a trip to another European country where you'll be doing extreme sports or are at risk of theft, consider purchasing temporary travel insurance. The EHIC only applies to health insurance you would normally receive in your home country.

In the case that you want to work in the Netherlands, even if you are European, you must purchase a Dutch health insurance plan. An EHIC is not sufficient to obtain a work contract.

Non-EU/EEA citizens

If you do not already have European health insurance and are coming to study in the Netherlands, you must purchase Dutch health insurance. Everyone in the Netherlands is required to have health insurance. As a potential or current resident of the Netherlands, you must abide by this rule. An insurance plan from your non-European home country is not valid. In addition, not having insurance here in the Netherlands would quickly become very costly for you if you ever had an accident or emergency.

  • You DO NOT need Dutch health insurance if: you have an EHIC and will NOT be working in the Netherlands.
  • You DO need Dutch health insurance if: you have an EHIC and WILL be working in the Netherlands, or DO NOT have a European health insurance

CHAPTER 2:

How It Works

Among other things, the Netherlands has a very liberal health care system in that it truly believes in coverage and high-quality healthcare for all. The Health Insurance Act of 2006 was enacted under the belief that all residents in the Netherlands should have access to basic health insurance, with the opportunity to purchase additional insurance if they so desire.

Image of health insurance in the netherlands how it works

This law means that insurance companies work closely under government regulation to ensure that premiums are affordable and fair. This also means that almost all health insurance companies in the Netherlands have the consumers’ interest in mind: most profits they earn are translated into lower insurance premiums for consumers.

Therefore, the Dutch health insurance market is very fair and transparent. The basic health insurance is the same for all health care companies, the benefits are the same regardless of the service. You cannot be refused from an insurance company due to your age or a pre-existing condition.

Dutch basic healthcare

Healthcare here in the Netherlands is pretty complex and exists in multiple forms. Most of the time when you hear about Dutch healthcare, it’s actually referring to compulsory basic healthcare.

There are various health insurance policies in the Netherlands. The cheapest and most basic form of insurance is basisverzekering (basic healthcare) and is required for all residents of the Netherlands who do not have an EHIC.

Basic health insurance costs around 101,35 euros per month and covers basic essential medical care such as:

  • Doctor’s appointments (huisarts)
  • Stays at the hospital, surgery and emergency treatment (ziekenhuis)
  • Medical transportation such as ambulance services (ambulancevervoer)
  • Medicine prescriptions (medicijnen)
  • Mental health care
  • Dietary advice
  • Therapy: speech, dyslexia etc

Healthcare policies

There are two different policies: restitutiepolis (restitution policy), natura polis (in-kind policy).

With the restitution policy, you are given free choice of your health provider and have to pay the bill yourself. You then need to send your bill to your insurance company in order to be reimbursed. Depending on your contract, the reimbursement will be anywhere from 70–80% of what the company determines is the fairest price for that treatment. This policy is slightly more expensive due to its relative freedom.

With an in–kind policy, your insurer has a network of professionals they have agreements with. When you go to these providers, the insurance company pays your bills directly. However, if ever you choose to go to a provider not included in the contract, you’ll have to pay for the treatment up front and get reimbursed later. This reimbursement is optional and depends on the health insurer.

Additional health care

If you would like to get coverage for more extensive medical attention, such as dentistry or physical therapy, you can purchase extra insurance (aanvullendeverzekering). Additionally, you can set your own deductible (eigen risico). This deductible is an annual amount you have to pay yourself before your insurance covers any costs and is limited at maximum 385 euros per year. This excludes services such as appointments with your general practitioner and maternity care and is not required if you have no medical costs for the year. The monthly price of your health care depends on how much extra insurance you purchase and how high you set your deductible.

Main providers

Though there are many health providers here in the Netherlands here is a list of the largest ones:

  • ONVZ
  • Cigna
  • Besured
  • ZorgDirect
  • LoonZorg

One aspect of making health insurance affordable for all entails government stipends to help cover the monthly premiums. The Dutch government is luckily very committed to helping individuals get affordable health care, and it works in your favor to be able to apply for this stipend. That's why it's important to know if you are eligible for this benefit, and if so, how to apply for it.

Image of health insurance allowance

Getting health insurance here is a considerable investment which can be unaffordable for many. One of the greatest aspects of health insurance in the Netherlands is that there is zorgtoeslag (healthcare allowance). This is a monthly subsidy provided by the government to compensate citizens for their healthcare expenditures. The government does this to ensure that all citizens can afford healthcare. Currently, the healthcare allowance is set at 94 euros per month. This, however, depends on your income level. This subsidy is paid to your Dutch bank account every month before the end of the month, several days before your health insurance premium is taken from your bank account. Please note that this is not automatically done for you when you sign up for health insurance. You must apply for healthcare allowance on the Dutch government website.

There are plenty of suppliers of health insurance in the Netherlands. Maybe even too many. That means that sometimes it can be really hard to compare which supplier is best for you and decide which is offering the best deal for you. Especially because many of these websites are in Dutch. It's important that you get a healthcare provider that serves your needs best.

We recognize that health insurance is difficult to find for international students. We hope to have helped you find the best insurance at the best price all in one place! Feeling overwhelmed and disoriented by this whole process? Don’t worry! If you have any questions, feel free to reach out to us.