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In this guide

New to the Netherlands? Start with our complete expat guide and make sure you have your DigiD set up.

💡 Looking for a complete banking comparison? Read Best banking for expats in the Netherlands 2026 — covers ABN, ING, Bunq, Wise, Revolut & 5 others by expat use case.

Insurance Overview for Expats

InsuranceMandatory?Monthly CostPriority
Health insurance (zorgverzekering)✅ YesAverage €157 (2026, Rijksoverheid)Within 4 months of arrival
Liability (aansprakelijkheid)❌ No€3-€5Key
Home contents (inboedel)❌ No€8-€20Recommended
Travel insurance❌ No€5-€15Recommended
Disability (arbeidsongeschiktheid)❌ No*€50-€200Critical for ZZP
Legal expenses (rechtsbijstand)❌ No€15-€25Optional
Life insurance❌ No€10-€50If mortgage/family

For the two household policies in that table, our guides go deeper: liability insurance (AVP) explained and contents insurance for renters.

*Disability insurance may become mandatory for self-employed workers (ZZP) in 2027.

1. Health Insurance (Zorgverzekering) — Mandatory

How the Dutch System Works

The Netherlands has a unique healthcare system combining public regulation with private insurance. Every resident must have basic health insurance (basisverzekering), which is provided by private insurance companies but regulated by the government.

The three layers:

  1. Basisverzekering (basic insurance) — Mandatory, same coverage at every insurer, costs €157/month on average
  2. Aanvullende verzekering (supplementary) — Optional, covers extras like dental, physiotherapy
  3. Eigen risico (deductible) — Mandatory €385/year out-of-pocket before insurer pays (GP visits exempt)

What Basic Insurance Covers

Covered ✅NOT Covered ❌
GP (huisarts) visitsAdult dental care
Hospital careGlasses/contact lenses
Specialist consultationsPhysiotherapy (first sessions)
Prescription medicationAlternative medicine
Mental health careCosmetic procedures
Maternity careMost vaccinations
Ambulance transportNon-critical medication
Medical devices—

Best Health Insurance Providers for Expats

ProviderMonthly PremiumExpat-FriendlyEnglish Support
CZ€156.95-€177.50⭐⭐⭐⭐✅ Online
Zilveren Kruis€153.95-€176.45⭐⭐⭐⭐✅ Phone + online
VGZ€149.90-€171.65⭐⭐⭐Partial
Menzis€151.25-€175.75⭐⭐⭐Partial
ONVZ€156.10-€166.10⭐⭐⭐⭐⭐✅ Full

Our recommendation: ONVZ or Zilveren Kruis for expats. Both have excellent English-language support, online portals in English, and experience serving international clients. For a detailed comparison of ONVZ against international alternatives, see our ONVZ vs Aetna expat health insurance comparison.

If you are comfortable dealing with your insurer in Dutch, a.s.r. is worth adding to the shortlist for one reason: it lets you buy the reimbursement level you want instead of accepting one house style. Its basisverzekering comes in three variants — Bewuste Keuze (non-contracted care up to 65%), Ruime Keuze (up to 85%, GGZ and district nursing 75%) and Eigen Keuze (100% at contracted and non-contracted providers) — and all three give 100% free choice of any Dutch hospital, so the variants only diverge outside the contracted network (asr.nl/zorgverzekering/basisverzekering, checked 17 September 2026). The basic cover named on that page is the statutory set: huisartsenzorg, ziekenhuiszorg, medicijnen, verloskundige zorg en kraamzorg, with no own contribution on GP visits, and a 2026 eigen risico of €385 that you can raise to a maximum of €885. a.s.r. has an English health insurance page (asr.nl/health-insurance) with an overview of its English documents, but says that “all correspondence is in Dutch” (checked 5 October 2026).

Check a.s.r. health insurance →

Healthcare Allowance (Zorgtoeslag)

If your income is below a certain threshold, you may qualify for healthcare allowance (zorgtoeslag) from the government. In 2026:

  • Single person: Income up to €40,857 → up to €129/month
  • With a toeslagpartner: Combined income up to €51,142 → up to €246/month together

(Belastingdienst, 2026; assets must also stay under €146,011, or €184,633 with a toeslagpartner.)

Apply via toeslagen.nl — you need a DigiD. See our DigiD guide for expats.

Supplementary Insurance: Do You Need It?

Consider supplementary insurance if you need:

  • Dental care — Basic cleanings + checkups cost €200-€400/year uninsured
  • Physiotherapy — Basic insurance only covers chronic conditions from the 21st session onward
  • Glasses/contacts — Supplementary may cover €100-€200 per 2 years
  • Alternative medicine — Acupuncture, osteopathy, etc.

Tip: You can switch health insurance every year for the following year: insurers publish premiums before 12 November, you cancel by 31 December, and you have until 1 February to take out the new policy, backdated to 1 January (Rijksoverheid).

2. Liability Insurance (Aansprakelijkheidsverzekering) — Important

Liability insurance is not mandatory but is considered a must by virtually all Dutch residents. It covers damage you accidentally cause to other people or their property.

What It Covers

  • Accidentally damaging someone’s property (e.g., spilling wine on an expensive laptop)
  • Your child breaking a neighbor’s window
  • Your pet causing injury or damage
  • Water damage to downstairs neighbors from your apartment
  • Bicycle collisions causing injury to others

Cost and Coverage

The Consumentenbond puts a single-person policy at €3.50 to €5 a month, with family cover a few euros higher, and advises insuring at least €1.25 million, preferably €2.5 million, because personal-injury claims run high (consumentenbond.nl, retrieved 14 September 2026). A published example: Univé starts at €4.03 a month for worldwide cover up to €2.5 million per event, with no standard deductible and damage caused by your pet included (unive.nl, checked 30 September 2026).

Our recommendation: take the €2.5 million level, which the Consumentenbond calls often the better choice. Details in our AVP guide.

Calculate Univé’s liability premium →

Home contents insurance covers your belongings inside your home against damage from fire, theft, water damage, and storm.

What It Covers

  • Furniture and electronics
  • Clothing and personal items
  • Kitchen appliances
  • Bicycles (often with supplement)
  • Damage from fire, theft, storm, water leaks

Cost

  • Apartment: €8-€15/month
  • House: €15-€25/month
  • Premium depends on: Location, value of contents, building type

Univé, which publishes no contents starting price, puts the average contents premium at €10 to €20 a month; its policy has no deductible as standard, includes accidents and cyber crime, and covers belongings away from home only with its Buitenshuis add-on (unive.nl, checked 30 September 2026). Check Univé’s contents cover.

Tip for renters: Your landlord’s insurance does NOT cover your personal belongings. If your apartment floods or catches fire, you need your own inboedelverzekering to replace your things.

4. Travel Insurance (Reisverzekering)

As an expat, you likely travel more than average — visiting home, exploring Europe, or business trips. A travel insurance covers medical emergencies, luggage loss, and trip cancellations.

Options

TypeCoverageCost/YearBest For
Doorlopende reisverzekeringContinuous, all trips€60-€150Frequent travelers
Kortlopende reisverzekeringSingle trip€15-€40Occasional travel

World coverage including USA: Add €20-€50/year for worldwide coverage. A must if you visit the US or Canada where medical costs are extremely high.

Published starting prices can sit below these ranges for basic Europe cover: Univé’s annual travel policy starts from €1.79 a month, covering trips of up to 60 days in Europe; longer trips (up to 180 days), worldwide cover, medical costs, luggage and cancellation are options at extra cost (unive.nl, checked 30 September 2026).

Get SafetyWing Nomad Insurance from USD 62.72 per 4 weeks →

5. Disability Insurance (Arbeidsongeschiktheidsverzekering) — For Self-Employed

If you are self-employed (ZZP) in the Netherlands, disability insurance is critical. Unlike employees who are covered by their employer, ZZPers have no safety net if they cannot work due to illness or injury.

Why It Matters

  • No employer backup — If you cannot work, you have zero income
  • Social safety net is minimal — You may qualify for bijstand (welfare) after depleting savings
  • Potentially mandatory from 2027 — The government is considering making this mandatory for all ZZP workers

Cost

  • Monthly premium: €50-€200 (depends on income, age, occupation, waiting period)
  • Coverage: 70-80% of your income
  • Waiting period: 30 days (expensive) to 365 days (cheaper)

Tip: Choose a longer waiting period (90-180 days) to reduce premiums, and keep 3-6 months of savings as a buffer.

Read more about freelancing in the Netherlands in our ZZP freelancer guide.

Legal expenses insurance covers the cost of legal assistance in disputes. In the Netherlands, where legal matters can be complex (especially for expats), this can be valuable.

Common Situations Where It Helps

  • Disputes with your landlord
  • Employment conflicts
  • Consumer complaints
  • Traffic accidents
  • Neighbor disputes

Cost

  • Monthly premium: €15-€25
  • Coverage: Legal advice, mediation, and court costs

Consider it if: You rent (landlord disputes are common), have a Dutch employment contract, or want peace of mind dealing with Dutch legal systems.

How a policy is built, using Univé’s legal expenses insurance as the example: you choose basic covers for traffic and vehicles and for consumer, purchase and housing conflicts, and add work and salary, family and inheritance, or benefits and pensions if you need them. There is no deductible, but conflicts worth less than €175 get advice rather than a full case (except in areas such as housing, work and traffic), and you pay €250 if you go to court with a lawyer of your own choosing (unive.nl, checked 30 September 2026). Univé’s site and conditions are in Dutch.

Insurance Comparison by Expat Situation

Your SituationMust HaveShould HaveConsider
Employee, singleHealthLiability, home contentsTravel, legal
Employee, familyHealth (all members)Liability, home contentsTravel, life, legal
Freelancer (ZZP)HealthLiability, disability, professional liabilityHome contents, legal
StudentHealth (or EHIC)LiabilityTravel
Recently arrivedHealth (within 4 months)LiabilityHome contents

How to Save on Insurance

  1. Compare annually — Compare insurers during the switching period (from the premium publication before 12 November to 31 December)
  2. Bundle policies — Many insurers offer 5-10% discount when you combine multiple insurances
  3. Higher deductible — Opting for a higher eigen risico (up to €885) lowers your monthly premium by €15-€25
  4. Healthcare allowance — Check if you qualify for zorgtoeslag to offset health insurance costs
  5. Employer benefits — Some employers offer group insurance rates or contribute to your health insurance

The basic package is the same at every insurer, so compare premium, policy type and supplementary cover.

Compare Dutch health insurance options with our Health Insurance Wizard →

Common Mistakes Expats Make

  1. Waiting too long for health insurance — You must register within 4 months or face fines
  2. Keeping international insurance — This usually does not meet the Dutch legal requirement
  3. Skipping liability insurance — At €3-€5/month, the risk-reward is a no-brainer
  4. Not claiming zorgtoeslag — Many expats qualify but do not apply
  5. Ignoring disability insurance as ZZP — The biggest financial risk for freelancers
  6. Over-insuring — You do not need every supplementary insurance available

Insurance for ZZP’ers and Freelancers

Working as a self-employed professional (ZZP) in the Netherlands is increasingly common among expats — and it comes with a completely different insurance picture compared to being an employee. There is no employer to provide sick pay, occupational health support, or group insurance. You are responsible for everything yourself.

AOV: Disability Insurance (Arbeidsongeschiktheidsverzekering)

The AOV is the most important and most expensive insurance for freelancers. If you are ill or injured and cannot work, your income stops immediately. There is no employer to cover your first two years of sick leave. The Dutch social safety net (WIA/bijstand) for ZZP’ers is minimal and only kicks in after you have depleted most of your savings.

Why it matters in numbers: A freelancer earning €60,000 per year who becomes seriously ill at age 40 could lose over €1 million in income before retirement. An AOV policy paying 70-80% of your income could cost €80-€180 per month — a fraction of that risk.

How premiums are calculated:

  • Your age (younger = cheaper)
  • Your profession (risk category — office work vs physical labour)
  • Your desired coverage level (typically 70-80% of profit)
  • The waiting period before payouts begin (30, 90, or 365 days)

Reducing the cost: The most practical way to keep premiums manageable is to choose a longer waiting period — 90 or 180 days — and maintain 3-6 months of savings as a personal buffer. The premium difference between a 30-day and 180-day waiting period can be €60-€100 per month.

Mandatory AOV status: the bill for a basic disability insurance for the self-employed (Wet BAZ, bill 36 912) went to the Tweede Kamer on 24 March 2026 and has not been passed; the explanatory memorandum uses 1 January 2030 as an example start date, and the public cover would pay at most the minimum wage after a two-year waiting period (checked 24 September 2026). If you are currently self-employed without disability cover, do not wait for it — compare options now.


Liability Insurance: Why Every Landlord Requires It

If you are renting in the Netherlands, you have probably seen “aansprakelijkheidsverzekering” listed as a requirement in rental contracts. This is not unusual — the vast majority of Dutch private landlords include it as a standard clause, and many housing corporations do too.

The reason is practical: in an apartment building, you share walls, floors, and pipes with your neighbours. A burst washing machine hose, an overflowing bath, or a fire starting in your kitchen can cause tens of thousands of euros in damage to adjacent properties. Without liability insurance, you are personally responsible for every euro.

What it covers in a rental context:

  • Water damage you cause to a downstairs neighbour’s apartment
  • Accidental fire damage to shared areas
  • Damage you or your household members cause to the landlord’s property
  • Your pet causing injury or damage to another person

At €3-€5 per month, this is the easiest insurance decision you will make in the Netherlands. A practical rule to arrange it within their first week — before signing a lease if possible, so you are covered from day one.

What it does not cover: Your own possessions. For that, you need a separate home contents policy (inboedelverzekering). The two work together: contents covers what is yours, liability covers what you owe others.

Not sure which insurance package suits your situation? Use our insurance chooser for a personalised recommendation, or start with our health insurance wizard to sort your mandatory coverage first.

Comparing SafetyWing vs Cigna vs Allianz for Expats

SafetyWing Nomad Insurance

SafetyWing is built for digital nomads and short-to-medium-term expats. It works on a rolling monthly subscription model, you can start and stop coverage at any time, and it is priced to be accessible — from USD 62.72 per 4 weeks (Essential, ages 18–39, safetywing.com, 5 October 2026).

Where it works well: Gap coverage between arriving in the Netherlands and getting your BSN and Dutch insurance sorted. Also excellent if you travel extensively outside the Netherlands while living here. It covers medical emergencies, hospital stays, and evacuation.

Where it falls short: SafetyWing is not a substitute for Dutch basisverzekering from a legal standpoint. If the Dutch CAK determines you should have registered for Dutch health insurance, SafetyWing does not satisfy that requirement. Also, it does not cover pre-existing conditions and has annual limits that are lower than Cigna or Allianz.

Cigna Global

Cigna Global sells individual international plans in four tiers, Close Care, Silver, Gold and Platinum, with annual benefit maximums of USD 500,000, USD 1 million, USD 2 million and paid in full, and cites more than 200 markets and territories and 2.4 million health professionals. Its policies are underwritten by Cigna Global Insurance Company Limited, regulated in Guernsey (cignaglobal.com, checked 5 October 2026).

Where it works well: Frequent international travellers and expats who split time between multiple countries. Outpatient care (Silver, Gold and Platinum) and vision and dental are optional modules; routine maternity care is only covered on Gold and Platinum, after the mother has been insured for 12 months (or 24, depending on where treatment takes place).

Where it falls short: Price is by quote only, and it does not replace Dutch health insurance if you are required to have it.

Allianz Care

Allianz Care sells three international healthcare plans: Care Base (maximum plan limit €1,000,000), Care Enhanced (€2,000,000) and Care Signature (€3,703,705). Maternity is included in Care Enhanced and Care Signature. You choose an area of cover (Worldwide, Worldwide excluding USA, Africa or Europe), and the price varies by factors such as age and country of residence (allianzcare.com, checked 5 October 2026). The policies come from AWP Health & Life SA, acting through its Irish branch.

Where it works well: Expats who want an international plan with maternity cover in the mid and top tiers.

Where it falls short: Price is by quote only, and like Cigna it does not replace Dutch health insurance if you are required to have it.

ProviderBest ForMonthly Cost (approx.)Pre-existing Conditions
SafetyWingShort-term, budget-conscious, digital nomadsFrom USD 62.72 per 4 weeks (18–39)Not covered
Cigna GlobalGlobally mobile expatsQuote onlyAssessed individually
Allianz CareExpats wanting maternity in mid/top tierQuote onlyAssessed individually

When to Switch from International to Dutch Insurance

This is the transition that most expats handle either too early or too late. The timing matters both financially and legally.

You must switch when:

  • You become an employee in the Netherlands (the obligation kicks in from your first day of work, with a four-month window to register)
  • You become a self-employed ZZP’er with a Dutch business registration
  • You obtain a residency permit that requires Dutch health insurance

The four-month rule: Dutch law gives you four months from the date you first fall under the obligation (typically your employment start date) to register with a Dutch insurer. If you take out the policy after those four months, it is not backdated (and you pay no premiums for the earlier months), and if you stay uninsured the CAK can fine you €529.74 (2026).

Why switching can feel expensive: Dutch basisverzekering at €157/month on average plus the EUR 385 annual deductible can feel like more than you were paying for international cover. But you also get access to Dutch GP care, specialist referrals, and hospital treatment at no or low marginal cost — the system is genuinely good value once you use it.

When international cover still makes sense alongside Dutch insurance: If you travel frequently — more than 8-10 trips per year, or long stays outside the EU — a supplementary international travel insurance or SafetyWing plan on top of your Dutch basisverzekering makes sense. Dutch health insurance covers you within the Netherlands and has limited out-of-EU coverage. The combination gives you complete worldwide protection without paying for full international health insurance.

Practical tip for the transition period: Do not cancel your international insurance until your Dutch insurance is confirmed and active. There is typically a 2-4 week gap between applying for Dutch insurance and receiving your policy documents. Keep overlap coverage during that window.

Not sure which Dutch insurance package is right for your situation? Our health insurance wizard walks you through the key questions and gives you a personalised recommendation. For a broader view of all insurance types you need as an expat in the Netherlands, our Dutch health insurance guide covers the full basisverzekering system in detail.


Practical Guide to Switching Health Insurers

The annual switching period (overstapperiode) is the one time each year you can switch your basisverzekering without penalty: cancel by 31 December and take out the new policy by 1 February, backdated to 1 January.

It is not. Here is the practical process:

Step 1 — Compare options: Compare policies on both premium and coverage. The basic coverage is identical by law — what differs is the premium, supplementary options, and service quality.

Step 2 — Check your supplementary insurance: If you have aanvullende verzekering (supplementary coverage) that you actually use — dental, physiotherapy, glasses — check whether the new insurer covers the same things at a comparable cost. Sometimes the cheapest basic policy has poor supplementary options.

Step 3 — Register with the new insurer: Do this before December 31. Your new insurer handles the cancellation of your old policy — you do not need to cancel it yourself. Start the switch at least a week before December 31 to allow processing time.

Step 4 — Confirm your huisarts network: Check that your preferred GP and any specialists you see regularly are in the new insurer’s contracted network. Dutch basic policies are a “naturapolis” (full cover at contracted providers), a budget policy (narrower network) or a “combinatiepolis” (more freedom outside the network, higher premium). The restitutiepolis has not been sold since 2025 (NZa).

When NOT to switch: If you have reached your eigen risico threshold for the year through healthcare use, consider whether switching makes sense. Your deductible resets every January regardless — there is no continuity benefit from staying with the same insurer from a deductible perspective.


Group Insurance Through Your Employer

Many Dutch employers offer group health insurance (collectieve zorgverzekering) at a discounted rate, typically 5-15% below individual market rates. This is worth checking with your HR department before you go through the open market comparison process.

The discount is available because insurers offer lower rates for group contracts. The employer is not subsidising this from their own budget — you still pay the full premium — but the group rate is lower than what you would pay individually.

Things to check about employer group insurance:

  • Is the insurer one of the good ones for English-language support? (Not all group contract insurers are equally expat-friendly)
  • What supplementary options are included?
  • Can you add dependents at the same group rate?
  • What happens to the group rate if you leave the employer?

If the employer’s group contract works for you, use it. If not, the open market is equally accessible and you are not obliged to use the employer’s insurer.


Explore More Expat Guides


Home Contents Insurance (Inboedelverzekering): What Expats Get Wrong

Home contents insurance covers your possessions inside your rental property — electronics, clothing, furniture, bikes (with separate bike coverage as an add-on), and valuables. It is not mandatory in the Netherlands but is very much worth having.

The most common mistake expats make with home contents insurance is either not having it or significantly underinsuring. Dutch cities have relatively low crime rates, but apartment water damage, electrical fires, and theft do happen — and the cost of replacing everything in your home is always higher than you expect.

What it covers:

  • Theft or burglary (inbraak) — standard coverage
  • Fire damage (brand)
  • Water damage from burst pipes or flooding
  • Storm damage
  • Contents in a shared storage area (if you have a storage unit in your apartment building’s kelder)

What it does not cover by default:

  • Bikes outside the home (this requires a separate fietsenverzekering or a specific bike add-on)
  • Very high-value items (jewellery, art, expensive electronics above a certain value) without specific declaration
  • Damage caused by your own negligence in some policies

Insuring your bike separately: Dutch bike theft is genuinely common, particularly in Amsterdam and Utrecht. Dedicated bicycle insurance costs €5–15/month depending on bike value and includes theft outside the home. If you have an expensive e-bike or road bike, this is worth adding. For a standard city bike, the maths are less clear — a second-hand bike replacement costs €100–200, and the annual insurance premium may approach that.

Cost: Basic home contents coverage in the Netherlands starts from approximately €5–8/month for a typical furnished apartment, rising with coverage amount and location. Compare cover and exclusions in each insurer’s conditions.

Contents and liability insurance explained →


Travel Insurance for Expats Living in the Netherlands

Dutch health insurance (basisverzekering) provides some coverage when you travel within the EU — with the free EHIC (European Health Insurance Card) you get essential care in the EU, Iceland, Liechtenstein, Norway, Switzerland and the UK under the conditions of the country where you are treated. The EHIC does not cover planned care, private clinics, treatment on a cruise ship or repatriation (government.nl). Outside the EU, coverage is limited and reimbursement rates may not cover the full cost of medical treatment, particularly in the United States or other high-cost countries.

For expats who travel regularly — and most do, both for work and to visit family in their home country — having additional travel insurance is sensible.

What a standard travel insurance policy adds:

  • Full medical coverage in non-EU countries, including the USA
  • Emergency medical evacuation (which can cost €50,000+ without insurance)
  • Trip cancellation and delay coverage
  • Lost luggage compensation
  • Personal liability while travelling

Options:

  • Year-round annual travel insurance: most practical for frequent travellers, typically €100–200 per year for comprehensive coverage
  • Per-trip policies: good for occasional travellers who take one or two international trips per year outside the EU
  • SafetyWing Nomad Insurance: a rolling subscription option popular with expats who travel extensively — provides international emergency medical coverage from USD 62.72 per 4 weeks (ages 18–39)

If you visit the United States regularly (family, work), comprehensive travel insurance that explicitly covers US medical costs is not optional. A single emergency room visit in the US can cost €5,000–50,000 without coverage.


Final Thoughts

Insurance in the Netherlands is not complicated once you understand the layers. Start with the mandatory basisverzekering, add liability insurance in your first week, and then assess what else you need based on your situation. Freelancers should prioritise disability insurance above everything else optional.

The key steps: compare health insurance before your 4-month deadline, apply for zorgtoeslag if you qualify, and do not over-insure — a basic liability policy and sensible supplementary dental coverage are enough for most expats.

For the full picture of Dutch health insurance beyond the supplementary options, the best Dutch health insurance plans guide compares all major insurers on premium, service quality, and expat-friendliness. And for anyone newly registering in the Netherlands, the complete guide to moving to the Netherlands covers the sequence of registrations, insurance applications, and government interactions in the order they actually need to happen.


Insurance Checklist for New Expats: What to Arrange and When

For a newly arrived expat, the sequence of insurance decisions in your first weeks matters. Here is the practical order.

Within your first month:

  1. Dutch health insurance (basisverzekering) — mandatory once you come to live or work in the Netherlands. You have four months from arrival to apply; the policy is backdated to the day you arrived. Do not wait — apply within your first two weeks to avoid the risk of forgetting.

  2. Aansprakelijkheidsverzekering (liability insurance) — apply the same day or the day after health insurance. It costs €3–5/month and covers you against third-party damage claims. In a country full of bicycles and expensive electronics, this is genuinely necessary and genuinely cheap.

  3. Apply for zorgtoeslag — once you have your BSN and health insurance policy number, apply for the healthcare allowance through the Belastingdienst portal. This is money you are entitled to but do not automatically receive. The average for expats in the mid-income range is €80–100/month. Do this in week two.

Within your first three months:

  1. Inboedelverzekering (contents insurance) — if you rent furnished accommodation, check your lease to see whether the landlord’s policy covers your personal possessions. Most do not. Arrange your own contents cover. A basic policy for an apartment runs €10–20/month.

  2. Supplementary dental (aanvullende verzekering) — adult dental care above basic treatments is not covered by the basisverzekering. If you expect to need dental work, add a dental supplement at the point of health insurance sign-up, as changing plans mid-year can reset waiting periods.

For freelancers and ZZP:

  1. Arbeidsongeschiktheidsverzekering (disability insurance) — priority for anyone who does not have an employer covering sick pay. Research this in your first quarter of self-employment and arrange cover before you need it. An independent adviser can compare AOV policies for you.

Last updated: March 2026.

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Frequently Asked Questions

Is health insurance mandatory for expats in the Netherlands?

Yes, if you live and work in the Netherlands, you are legally required to have Dutch basic health insurance (basisverzekering) within 4 months of arriving. This applies to employees, self-employed workers, and their dependents. Students from EU countries may be exempt if they have a European Health Insurance Card (EHIC).

How much does health insurance cost for expats in the Netherlands?

Basic-policy premiums vary by insurer and excess. The mandatory 2026 excess is €385 per adult. Eligible people can receive up to €129 per month in healthcare benefit; check the current policy premium and make an official benefit calculation.

Can I keep my international health insurance instead of Dutch insurance?

Generally no. If you work in the Netherlands (employed or self-employed), you must take out Dutch basic health insurance. Exceptions include posted workers (detachering) from EU countries and some international organization employees. Students with an EHIC may also be exempt.

What does Dutch basic health insurance cover?

Basisverzekering covers GP visits, hospital care, prescription medication, mental health care, maternity care, dental care for children under 18, and ambulance transport. It does NOT cover dental care for adults, physiotherapy (first sessions), glasses/contact lenses, or alternative medicine. You need supplementary insurance for these.

Do I need liability insurance (aansprakelijkheidsverzekering) in the Netherlands?

While not legally required, liability insurance is considered a must in the Netherlands. It covers damage you accidentally cause to others or their property. Premiums start at just €3-€5 per month and cover damages up to €1.25-€2.5 million. Most Dutch residents have this insurance.

What insurance do I need as a freelancer/ZZP in the Netherlands?

As a ZZP (freelancer), you need: basic health insurance (mandatory), liability insurance (strongly recommended), professional liability insurance (beroepsaansprakelijkheidsverzekering), and disability insurance (arbeidsongeschiktheidsverzekering). Disability insurance is the most expensive but critical since ZZPers have no employer safety net.

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SafetyWing
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Publisher and editor at Expat Netherlands Hub. Checks high-impact guidance against current official Dutch sources; not a licensed tax, legal, immigration or insurance adviser. Read our methodology and corrections policy.