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Dutch health insurance confused me more than almost anything else when I first moved here. Basisverzekering, eigen risico, zorgtoeslag – the terminology alone is enough to make your head spin. And then you find out it is mandatory and you have only four months to sort it out. After working through the system myself and helping hundreds of clients choose the right policy, I can tell you it is actually one of the best healthcare setups in the world. You just need to know how it works.

How the Dutch Health Insurance System Works: Overview

ComponentWhat It IsRequired?Cost (2026)
BasisverzekeringBasic health insuranceMandatoryEUR 140-175/month
Eigen risicoAnnual deductible/own riskMandatory (built into system)EUR 385/year
Aanvullende verzekeringSupplementary insuranceOptionalEUR 10-80/month
TandartsverzekeringDental insurance (adults)OptionalEUR 10-40/month
ZorgtoeslagGovernment healthcare allowanceApply if eligibleUp to ~EUR 130/month back
Employer contributionIncome-based contribution via payrollAutomatic~6.57% of salary (paid by employer)

The Basisverzekering: Your Mandatory Basic Insurance

The basisverzekering (basic insurance) is the foundation of Dutch healthcare. Every person who legally resides or works in the Netherlands must have one. There are no exceptions based on age, health status, or nationality.

What It Covers

The basic package is defined by the Dutch government and is identical across all insurers. This means no matter which insurer you choose, the basic coverage is the same. It includes:

  • GP (huisarts) care: Fully covered with no eigen risico applied
  • Hospital and specialist care: Covered after eigen risico
  • Prescription medication: Covered after eigen risico (for medications on the approved list)
  • Mental healthcare: Covered with GP referral, after eigen risico
  • Maternity care: Fully covered, including prenatal care, delivery, and postnatal home care
  • Ambulance and emergency transport: Covered after eigen risico
  • Physiotherapy: Limited coverage for chronic conditions (from the 21st session onward, or from the 1st session for conditions on the chronic list)
  • Medical devices and prosthetics: Covered as specified
  • Dental care for children under 18: Fully covered
  • Smoking cessation support: Covered once per year

What It Does NOT Cover

  • Dental care for adults: Requires supplementary insurance or out-of-pocket payment
  • Physiotherapy for non-chronic conditions: Not covered under basic insurance
  • Alternative medicine: Homeopathy, acupuncture (unless specified for certain conditions), etc.
  • Cosmetic procedures: Unless medically necessary
  • Glasses and contact lenses: Requires supplementary insurance
  • Extensive mental healthcare beyond the covered sessions

Choosing Your Insurer

While the basic coverage is the same everywhere, there are differences between insurers that matter:

The Main Dutch Health Insurers

InsurerBrandsMarket ShareMonthly Premium (approx.)English SupportKey Strength
Zilveren KruisZilveren Kruis, InterpolisLargestEUR 145-155GoodLargest network, most contracted care
CZCZ, Just, Nationale-NederlandenLargeEUR 140-150ModerateCompetitive pricing, good digital tools
VGZVGZ, Univé, UMCLargeEUR 145-155ModerateStrong supplementary packages
MenzisMenzis, AnderzorgMid-sizeEUR 140-150LimitedOften competitive on price

For expats considering international health insurance alongside or instead of Dutch coverage, see our ONVZ vs Aetna comparison for a detailed look at two providers popular with internationally mobile professionals.

How to Choose: What Matters

  1. Premium: Premiums vary by approximately EUR 20-35 per month between the cheapest and most expensive option for the same basic coverage. Over a year, this adds up.

  2. Contracted care (gecontracteerde zorg): Insurers negotiate contracts with hospitals, specialists, and therapists. If you use contracted providers, your care is fully covered (after eigen risico). If you use non-contracted providers, the insurer may only reimburse a percentage (typically 60-80%). Larger insurers like Zilveren Kruis tend to have the widest networks.

  3. Supplementary insurance options: If you need dental, physiotherapy, or alternative medicine coverage, compare the supplementary packages offered by each insurer.

  4. Collectiviteitskorting (group discount): Many employers, unions, and organizations offer group health insurance discounts. Check with your employer if they have a collective agreement with a specific insurer, which can save you 5-10% on your premium.

  5. Customer service: Check reviews for claim handling speed, app quality, and responsiveness.

Comparison Tools

Not sure where to start? Our health insurance wizard guides you through a short questionnaire and recommends the policy type that fits your situation, while the insurance chooser helps you compare supplementary coverage options side by side.

Use these Dutch comparison websites to find the best policy for your situation:

  • Independer.nl: The most popular comparison site for health insurance
  • Zorgwijzer.nl: Clear overviews and annual comparisons
  • Consumentenbond.nl: Consumer association with detailed testing

Compare Dutch Health Insurance on Independer.nl


The Eigen Risico Explained

The eigen risico (own risk) is the Dutch equivalent of a deductible. In 2026, the mandatory amount is EUR 385 per year.

How It Works

  • Each calendar year, you pay the first EUR 385 of covered care costs out of your own pocket
  • After reaching EUR 385, your insurer covers everything for the rest of the year
  • The counter resets to zero on January 1

What Counts Toward Your Eigen Risico

  • Specialist consultations and treatments
  • Hospital stays and procedures
  • Prescription medication
  • Mental healthcare sessions
  • Ambulance transport

What Does NOT Count

  • GP visits (huisarts)
  • Maternity and obstetric care
  • Care for children under 18
  • Certain preventive screenings

Voluntary Higher Eigen Risico

You can choose to increase your eigen risico by EUR 100, 200, 300, or 500 (to a maximum of EUR 885) in exchange for a lower monthly premium. This makes sense if you are young, healthy, and rarely visit specialists. However, if you do need care, you will pay more out of pocket.

My advice for new expats: Stick with the standard EUR 385 eigen risico in your first year. You do not yet know the Dutch healthcare system, and unexpected medical needs can arise during a stressful relocation period.


Aanvullende Verzekering: Supplementary Insurance

Supplementary insurance (aanvullende verzekering) covers what the basisverzekering does not. Unlike basic insurance, supplementary coverage differs between insurers and they can reject your application based on health questionnaires.

Common Supplementary Coverage

Coverage TypeTypical CostWhat It Covers
Dental (tandarts)EUR 10-40/monthCheckups, fillings, crowns, sometimes orthodontics
PhysiotherapyEUR 5-25/monthSessions beyond basic coverage
Alternative medicineEUR 5-15/monthAcupuncture, homeopathy, osteopathy
Glasses/contactsEUR 5-15/monthAllowance toward lenses, frames
Abroad coverageEUR 5-20/monthExtended coverage for travel outside the Netherlands
Full packagesEUR 20-80/monthBundles of multiple supplementary coverages

Do You Need Supplementary Insurance?

Consider it if you:

  • Need regular dental care (adults)
  • Want physiotherapy for non-chronic conditions
  • Use alternative medicine
  • Wear glasses or contacts and want partial reimbursement
  • Travel frequently outside Europe

You may skip it if you:

  • Are young and healthy with no regular healthcare needs beyond GP visits
  • Have good dental health and minimal specialist needs
  • Prefer to pay out-of-pocket for occasional dental visits (a basic cleaning costs approximately EUR 30-50, a filling EUR 50-100)

Pregnancy and Maternity Care: What Is Covered

When I moved to the Netherlands and started reading about what the basisverzekering covers, the maternity provisions genuinely surprised me — in a good way. The Dutch system treats pregnancy as a normal medical event that should not cost you extra, and the coverage reflects that.

Prenatal Care

All prenatal appointments with a midwife (verloskundige) are fully covered by your basic insurance. In the Netherlands, the vast majority of pregnancies are managed by a community midwife rather than an obstetrician. This is not a cost-cutting measure — it reflects a genuine medical philosophy that uncomplicated pregnancies belong in primary care. If complications arise, you will be referred to a hospital-based gynaecologist (gynaecoloog), and that care is also covered.

The standard prenatal schedule includes:

  • Initial intake appointment (around 8-10 weeks)
  • Nuchal translucency scan (10-14 weeks) — covered if medically indicated
  • 20-week anomaly scan (SEO) — fully covered under basic insurance
  • Regular check-ups throughout the pregnancy
  • NIPT (non-invasive prenatal testing) — covered for women 36 and older, or on medical indication

The Eigen Risico Exemption

This is one of the most important things to know: maternity and obstetric care does not count towards your eigen risico. This means you pay nothing out of pocket for your prenatal appointments, the birth itself, or postnatal care — regardless of whether your eigen risico has been met that year.

This applies to:

  • All midwife-led care during pregnancy
  • The birth (at home, at a birthing centre, or in hospital with a midwife)
  • Hospital delivery costs when medically indicated
  • Postnatal checkups

Kraamzorg: Postnatal Home Care

Kraamzorg is a uniquely Dutch concept and one of the things I think many expats are genuinely delighted to discover. After the birth, a kraamverzorgster (maternity nurse) comes to your home for up to 49 hours over the first 8 days to help with care for both the baby and the mother — feeding, bathing, cord care, monitoring weight, and supporting the family. This is fully covered by basic insurance.

You need to register for kraamzorg with a kraamzorgbureau well in advance (most recommend before 20 weeks), as capacity can be limited in popular areas.

Care TypeProviderCovered by Basic Insurance?Eigen Risico Applies?
Prenatal midwife appointmentsVerloskundigeYesNo
20-week anomaly scanHospital/clinicYesNo
Birth (home/birthing centre)VerloskundigeYesNo
Hospital birth (medical indication)Hospital + gynaecologistYesNo
Kraamzorg (postnatal home care)KraamverzorgsterYes (up to 49 hrs)No
NIPTSpecialised clinicYes (age 36+ or medical indication)No

For a complete walkthrough of pregnancy care in the Netherlands — including how to find a midwife, what to expect during labour, and the difference between thuisbevalling and ziekenhuisbevalling — see our guide to pregnancy and maternity care in the Netherlands for expats.


Mental Healthcare: How the Dutch System Works

Mental healthcare in the Netherlands is covered by the basisverzekering, but the system has specific rules and genuine limitations that are worth understanding before you need it.

The GP as Gatekeeper

You cannot simply book an appointment with a psychologist or psychiatrist in the Netherlands. You first need a referral from your GP (huisarts). Your GP will assess your situation and decide which level of care is appropriate.

POH-GGZ: The First Step

Many GP practices have a POH-GGZ (Praktijkondersteuner Huisarts GGZ) — a mental health practitioner who works within the GP practice. For mild to moderate issues such as anxiety, stress, or low mood, your GP may refer you to the POH-GGZ first. These sessions are covered under your basic insurance as part of the GP practice, which means the eigen risico does not apply to POH-GGZ sessions. You can typically get 3-5 sessions with a POH-GGZ.

Specialised GGZ Care

For more significant mental health conditions, your GP will refer you to a BIG-registered psychologist (gezondheidszorgpsycholoog, GZ-psycholoog) or a psychiatrist. BIG stands for Beroepen in de Individuele Gezondheidszorg — it is the Dutch professional registration system, and only BIG-registered practitioners are reimbursed by Dutch health insurance.

Key points about specialised GGZ coverage:

  • The eigen risico applies to specialised GGZ care — your EUR 385 annual deductible counts here
  • Sessions are covered once your insurer has contracted the specific provider (contracted care)
  • Non-contracted GGZ providers are reimbursed at only 60-75% of the reference rate
  • Session limits: Basic insurance covers GGZ care based on clinical need, not a fixed number of sessions. However, very long-term therapy may require additional justification

Waiting Times

This is the honest part: waiting times for GGZ care in the Netherlands are long. For contracted, publicly-funded mental health care, waits of 3-6 months (or longer in major cities) are common. This is a known problem in the Dutch healthcare system and one I hear about regularly from expat clients.

Practical options if you need care sooner:

  • Private psychology practice: Many English-speaking psychologists in the Netherlands operate privately. Sessions typically cost EUR 80-150 per session and are not reimbursed by basic insurance (though supplementary insurance sometimes contributes)
  • Online therapy platforms: Services like OpenUp (used by some employers) or Therapieland bridge the gap for less severe situations
  • Expat Mental Health Netherlands: A specialist organisation offering English-language mental health support — see our guide to mental health support for expats in the Netherlands for a full list of resources

What Is Not Covered

  • Relationship therapy and couples counselling: Not covered by basic insurance
  • Life coaching: Not a medical service; not covered
  • Private psychologists without BIG registration: Not reimbursed

If you anticipate needing regular psychological support, check whether your employer’s health package or an supplementary insurance module offers additional GGZ coverage or access to private practitioners.


Physiotherapy Coverage Explained

Physiotherapy (fysiotherapie) in the Netherlands has a tiered coverage system that confuses a lot of people, including me when I first encountered it. Here is how it actually works.

The Chronic List: Full Coverage from Session 1

The Dutch government maintains a list of chronic conditions (the chronische aandoeningen lijst or ‘indicatielijst’) for which physiotherapy is covered from the very first session under your basisverzekering. If your condition appears on this list, you do not need supplementary insurance and you will not be out of pocket beyond the eigen risico.

Conditions on the chronic list include (among others):

  • COPD and chronic lung conditions
  • Parkinson’s disease and other neurological conditions
  • Rheumatoid arthritis and other chronic joint conditions
  • Post-CVA (stroke) rehabilitation
  • Chronic pain syndromes (certain diagnoses)
  • Multiple sclerosis

If you have one of these conditions, ask your GP to confirm the referral specifies the relevant chronic diagnosis so coverage is activated correctly from session 1.

The 1st vs 21st Session Rule for Non-Chronic Conditions

For everything outside the chronic list — a sports injury, back pain, post-surgery rehabilitation, shoulder problems — the basic insurance only covers physiotherapy from the 21st session onward within a calendar year. Sessions 1 through 20 are not covered by basic insurance at all.

In practice, this means:

  • A single course of physiotherapy for acute back pain (say, 6-10 sessions) is entirely out of pocket without supplementary insurance
  • Physiotherapy costs approximately EUR 40-60 per session at most practices
  • Sessions 1-20 could cost you EUR 800-1,200 if you pay out of pocket

Supplementary Insurance for Physiotherapy

Most supplementary insurance packages (aanvullende verzekering) include a physiotherapy benefit that covers some or all of those first 20 sessions. The exact number varies by package — cheaper packages might cover 9 sessions, while more expensive ones cover 18 or more.

Coverage LevelSessions CoveredApprox. Extra Monthly Cost
Basic supplementary6-9 sessions/yearEUR 5-10/month
Mid-range supplementary12-15 sessions/yearEUR 15-25/month
Premium supplementary18-20 sessions/yearEUR 25-40/month
Basic insurance onlySessions 21+Included

My recommendation: If you are physically active, regularly use physiotherapy, or have a history of musculoskeletal issues, supplementary insurance with physiotherapy coverage almost always pays for itself within a year.

For a side-by-side comparison of which insurers offer the best physiotherapy coverage in their supplementary packages, see our guide to what Dutch health insurance covers.


Zorgtoeslag: Getting Money Back

Zorgtoeslag is a monthly government allowance designed to help people on lower and moderate incomes afford health insurance. As an expat, you may be eligible, especially in your first partial year when your annual income may be lower.

Eligibility Criteria (2026 Approximate)

  • Single: Annual income below approximately EUR 38,520
  • Couple: Combined annual income below approximately EUR 48,224
  • Assets: Below approximately EUR 130,000 (single) or EUR 260,000 (couple), excluding your primary home
  • Age: 18 or older
  • Insurance: You must have Dutch basic health insurance

How to Apply

  1. Register for a DigiD at digid.nl (you need your BSN)
  2. Go to toeslagen.nl (part of the Belastingdienst / Dutch Tax Authority)
  3. Submit your application with income and personal details
  4. Receive monthly payments directly to your bank account

The maximum zorgtoeslag in 2026 is approximately EUR 130 per month for a single person. The actual amount decreases as your income increases.

Important: Apply as soon as you have your DigiD. Zorgtoeslag can be claimed retroactively, but only up to a certain period. Do not leave money on the table.


The 4-Month Deadline: What Happens If You Are Late?

When you register at your gemeente and receive your BSN, a 4-month countdown begins. You must have basisverzekering arranged within this period.

If you miss the deadline:

  1. The CAK sends a warning letter informing you that you are uninsured
  2. If you remain uninsured after 3 months, the CAK issues a fine (approximately EUR 469 in 2026)
  3. If still uninsured, the CAK will assign you to an insurer and start deducting premiums from your salary or benefits

Do not let this happen. Arrange your insurance within the first few weeks of arriving. It is simple and all major insurers have English-language sign-up processes.


Temporary Coverage: Before Your Dutch Insurance Starts

There is often a gap between arriving in the Netherlands and getting your Dutch health insurance set up. You might be waiting for your BSN, comparing insurers, or simply dealing with the chaos of relocation.

During this period, SafetyWing offers an excellent temporary solution. SafetyWing provides international health insurance designed for expats and digital nomads, with the following features:

  • Monthly subscription starting from approximately USD 45 per month
  • No commitment: Cancel anytime
  • Coverage in the Netherlands and worldwide (including trips back to your home country)
  • Hospital and doctor visits: Covered up to policy limits
  • Emergency and urgent care: Fully covered
  • Sign up online in minutes, no BSN or Dutch address required

SafetyWing is not a replacement for Dutch basisverzekering. Once you are registered and have arranged your Dutch health insurance, you should cancel SafetyWing. But as bridge coverage, it provides genuine peace of mind during the transition period. If you are comparing international options at this stage, see our SafetyWing vs Cigna comparison for a detailed side-by-side analysis.

This is especially relevant for:

  • Expats who arrive a few weeks before their employment start date
  • Partners or family members who may have a gap in coverage
  • Anyone waiting for their BSN to process their Dutch insurance application

Get temporary expat coverage with SafetyWing

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Step-by-Step: Setting Up Dutch Health Insurance

Here is the complete process from arrival to being fully insured:

Week 1: Arrival and Registration

  1. Register at your gemeente and receive your BSN
  2. If you do not yet have coverage, sign up for SafetyWing as temporary insurance

Week 2-3: Research and Compare

  1. Use Independer.nl or Zorgwijzer.nl to compare basic insurance premiums
  2. Check if your employer offers a group discount (collectiviteitskorting) with a specific insurer
  3. Decide whether you need supplementary insurance (dental, physiotherapy, etc.)

Week 3-4: Sign Up

  1. Apply online with your chosen insurer (you will need your BSN, Dutch address, and Dutch bank account or IBAN)
  2. Set up the monthly direct debit (automatische incasso) from your bank account
  3. Receive your insurance confirmation and policy number

After Insurance Starts

  1. Register with a GP (huisarts) near your home. You will need your insurance details for this.
  2. Apply for zorgtoeslag via toeslagen.nl if your income qualifies
  3. Cancel your temporary SafetyWing coverage

How to Register with a GP (Huisarts)

In the Netherlands, the GP (huisarts) is your medical gatekeeper. You cannot see a specialist, go to the hospital (except emergencies), or access mental healthcare without a referral from your GP.

How to Find and Register

  1. Search for GP practices near your home on Zorgkaartnederland.nl
  2. Call or visit the practice to ask if they accept new patients (many popular practices have full patient lists)
  3. Bring your insurance details and ID
  4. Complete a registration form

Tip: Register with a GP as soon as you have your health insurance. In popular neighborhoods, especially in Amsterdam and other large cities, many GPs have waiting lists. Do not wait until you are sick to find one.

As an expat, you may specifically want a GP who speaks English or who is experienced with international patients. Our guide to finding English-speaking doctors in the Netherlands covers how to search by city, what to expect from the Dutch GP system, and when you will need a referral to a specialist.


Special Situations

Expats with the 30% Ruling

The 30% ruling does not affect your health insurance requirements. You must still take out basisverzekering. However, because the ruling reduces your taxable income, you may qualify for zorgtoeslag even on a relatively high gross salary.

Self-Employed Expats (ZZP)

If you are self-employed (ZZP’er) in the Netherlands, you must arrange your own health insurance. There is no employer contribution. Your premiums are tax-deductible as a business expense. Carefully compare policies, as the full cost comes out of your own pocket.

Students

See the dedicated section below — Health Insurance for Students in the Netherlands — for a full breakdown of the rules by nationality and employment status.

Children

Children under 18 are covered free of charge under their parent’s basic insurance. They have no separate premium and no eigen risico. Dental care is included in their basic coverage.


Health Insurance for Students in the Netherlands

Whether you need Dutch health insurance as a student depends on two things: your nationality and whether you work.

EU/EEA Students

If you are an EU or EEA national studying in the Netherlands and you do not work, you are generally not required to take out Dutch basisverzekering. Your European Health Insurance Card (EHIC) gives you access to medically necessary care during your stay. However, the EHIC is designed for temporary stays, not long-term residence — it does not cover everything the Dutch system does, and it does not include GP registration in the same way.

If your study programme lasts more than a year and you intend to register as a resident (inschrijven bij the gemeente), I would strongly recommend getting Dutch health insurance anyway. The basisverzekering gives you proper access to GP care, mental health referrals, and the full Dutch system. Without it, you will be navigating care as an unregistered visitor.

Non-EU/EEA Students

Non-EU students studying in the Netherlands on a student visa (MVV/residence permit) are typically not required to take out Dutch health insurance unless they also work. Your institution (university or HBO) may offer a collective student insurance arrangement — check with your international student office.

However, many universities now recommend or even require that non-EU students have health coverage. A common option is international student health insurance from providers like AON, Aetna, or ONVZ’s student packages.

Working Students: The EUR 10,000 Threshold

Here is where it becomes obligatory: if you work in the Netherlands and your income exceeds roughly EUR 10,000 per year (the threshold for Dutch social insurance contributions), you become an insured person under Dutch social insurance law. This means:

  • You must take out basisverzekering
  • You become eligible for zorgtoeslag if your income is low enough
  • Your employer will pay the income-related health contribution (approximately 6.57% of your salary) on top of your wages

A part-time student job at minimum wage for 15 hours a week will typically put you over this threshold. Check your pay slip — if you see “Zvw” deductions, you are paying into the system and you must have basisverzekering.

DUO Student Finance and Zorgtoeslag

Students receiving DUO student finance (studiefinanciering) are in a slightly different position. DUO income is not counted as earned income for tax purposes and does not trigger the insurance obligation on its own. However, if you do become obliged to insure (because you work), you can also apply for zorgtoeslag — and at a student income level, you will very likely qualify for the full allowance of up to EUR 130 per month, which essentially makes your insurance premium nearly free.

Student SituationInsurance Required?Zorgtoeslag Eligible?
EU student, no workNo (EHIC acceptable)No
Non-EU student, no workNo (check your visa conditions)No
Any student working >~EUR 10K/yearYesLikely yes
Student on DUO onlyNo (unless also working)No

For a full guide on DUO student finance for international students — including eligibility and repayment rules — see our DUO student finance guide.


Common Mistakes Expats Make

  1. Waiting too long to arrange insurance: Start the process in your first week, not your fourth month.

  2. Choosing the cheapest premium without checking the network: A low premium means nothing if your preferred hospital or specialist is not in the insurer’s contracted network.

  3. Ignoring supplementary dental insurance: A single root canal treatment can cost EUR 500-1,000 out of pocket. If you have any ongoing dental needs, supplementary dental insurance is usually worth it.

  4. Forgetting to apply for zorgtoeslag: Free money that many expats do not claim simply because they do not know about it.

  5. Not registering with a GP immediately: When you get sick, it is too late to find a GP with an open patient list.

  6. Assuming home country insurance is sufficient: In almost all cases, Dutch law requires Dutch basisverzekering, regardless of what other insurance you hold.


How to Switch Health Insurance Providers

Switching Dutch health insurance is simpler than most people expect, but it only happens once a year.

The Open Enrollment Window

You can switch your basic health insurance provider during the open enrollment period: mid-November to 31 December. Your new policy takes effect on 1 January of the following year. Outside this window, you cannot switch unless you have a qualifying life event (see below).

The process:

  1. Compare policies in October or November using Independer.nl or Zorgwijzer.nl
  2. Sign up with the new insurer before 31 December — they will handle the cancellation of your old policy on your behalf
  3. Your new policy starts on 1 January — there is no gap in coverage

You do not need to give a reason for switching, and your new insurer must accept you for basic insurance regardless of your health status or medical history. This is one of the strongest protections in the Dutch insurance system.

What Changes When You Switch

  • Basic coverage: Identical regardless of insurer — you are not giving up or gaining any basic coverage by switching
  • Premium: You will typically save EUR 100-300 per year by switching to a cheaper insurer offering the same basic coverage
  • Contracted care network: This is the most important thing to check. Make sure your preferred GP, hospital, and any specialists you use are in the new insurer’s contracted network. If they are not, you will be reimbursed at a lower rate (typically 60-80% of the reference rate)
  • Supplementary insurance: You can switch supplementary coverage at the same time, but the new insurer can screen your health history and may refuse your supplementary application. Basic insurance is always accepted; supplementary is not guaranteed

Mid-Year Switching: Qualifying Life Events

You can switch mid-year only in specific circumstances:

  • Moving to a new municipality where your current insurer has limited contracted care
  • Your insurer changes the terms of your supplementary policy mid-year
  • Other specific administrative reasons

These mid-year switches are uncommon. For most people, the November-December window is the only opportunity.

Compare and Switch Dutch Health Insurance on Independer.nl


How to Cancel Dutch Health Insurance When Leaving

If you are leaving the Netherlands permanently, you are no longer required to have Dutch health insurance — and you need to formally cancel it. This process has specific steps, and getting them wrong can mean continuing to pay premiums for months after you have left.

The Deregistration Requirement

You cannot simply email your insurer and ask them to cancel your policy. They need proof that you have deregistered from the Netherlands. Without this, the insurer has no legal basis to cancel your policy, and you remain liable for premiums.

The formal deregistration process:

  1. Visit your gemeente (municipal office) and formally deregister — this is called aangifte van vertrek or emigratieverzoek
  2. The gemeente will issue a RES form (Verhuisbericht Emigratie / Emigration Notification) confirming your official departure date
  3. Submit this form to your insurer as proof of departure

Your insurer should then backdate the cancellation to your official departure date (the date on the RES form).

Notice Period

Most Dutch health insurers require one full calendar month’s notice. In practice this means:

  • If your RES form shows you leaving on 15 April, your insurer will typically cancel from 1 May (the first full month after notification)
  • Some insurers will backdate to the exact departure date once they receive the RES form — check with your specific insurer

Practical Steps

  1. Decide your departure date and book an appointment at your gemeente (most require an appointment for deregistration)
  2. At the gemeente, bring your passport, residence permit (if applicable), and your new address abroad
  3. Receive your RES form (sometimes issued immediately, sometimes posted)
  4. Send the RES form to your insurer via their official cancellation channel (usually the insurer’s website or registered post)
  5. Keep confirmation of the cancellation with a reference number

Timing: Do Not Cancel Too Early

Do not cancel your insurance before you have your departure paperwork confirmed. If you have a medical emergency in the days or weeks before you leave, you will need coverage. Cancel once you have the RES form and your departure is certain.

What About Zorgtoeslag?

If you have been receiving zorgtoeslag, you must also notify the Belastingdienst (via toeslagen.nl) of your departure. Payments stop from the month after your departure, and any overpayments will need to be repaid. Log into your DigiD account and update your situation as soon as possible.

For a broader guide on all the administrative steps involved in leaving the Netherlands, see our complete relocation guide.



Final Thoughts

Dutch health insurance may seem complicated at first, but the system is logical once you understand its components. The basisverzekering provides a strong foundation of coverage that is the same regardless of which insurer you choose. Your main decisions are: which insurer offers the best premium and network for your situation, whether you need supplementary coverage, and whether to adjust your eigen risico.

For expats just arriving, the most important steps are:

  1. Get temporary coverage through SafetyWing if there will be any gap before your Dutch insurance starts
  2. Compare policies on Independer.nl once you have your BSN
  3. Sign up within your first few weeks, well before the 4-month deadline
  4. Register with a GP immediately after your insurance is active
  5. Apply for zorgtoeslag if your income qualifies

The Dutch healthcare system is excellent. Once you are set up, you will have access to high-quality, affordable care that covers virtually all your medical needs. Take the time to get it right from the start, and it will serve you well throughout your time in the Netherlands.

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Frequently Asked Questions

Is health insurance mandatory in the Netherlands?

Yes. Everyone who legally lives or works in the Netherlands is required by law to have a basic health insurance policy (basisverzekering). You must arrange this within 4 months of your registration date. If you fail to do so, the CAK (Central Administration Office) will assign you a policy and you may face a fine.

How much does Dutch health insurance cost in 2026?

Basic health insurance (basisverzekering) premiums in 2026 range from approximately EUR 140 to EUR 175 per month depending on the insurer. On top of this, you pay an annual own risk (eigen risico) of EUR 385 for most treatments beyond GP visits. Supplementary insurance (aanvullende verzekering) adds EUR 10-80 per month depending on coverage.

What is the eigen risico and how does it work?

The eigen risico (own risk or deductible) is a mandatory annual amount of EUR 385 in 2026 that you pay out of pocket before your insurance covers certain treatments. It applies to specialist care, hospital visits, prescription medication, and mental healthcare. It does NOT apply to GP visits, maternity care, or care for children under 18. You can choose to increase your eigen risico to up to EUR 885 in exchange for a lower monthly premium.

What is zorgtoeslag and am I eligible?

Zorgtoeslag is a monthly healthcare allowance from the Dutch government to help lower-income residents afford health insurance. Eligibility depends on your income and assets. In 2026, single individuals earning below approximately EUR 38,520 and couples earning below approximately EUR 48,224 may qualify. The maximum allowance is approximately EUR 130 per month. You need a DigiD to apply via toeslagen.nl.

Can I keep my home country health insurance in the Netherlands?

Generally no. If you are employed or self-employed in the Netherlands, Dutch law requires you to take out Dutch basic health insurance, even if you have insurance from another country. There are limited exceptions: posted workers covered by their home country's social security system, and certain cross-border workers. If in doubt, check with the SVB (Social Insurance Bank).

What does Dutch basic health insurance cover?

The basisverzekering covers a full package defined by the government, including: GP care, hospital care, specialist medical care, prescription medication, mental healthcare (with referral), maternity and obstetric care, ambulance transport, dental care for children under 18, physiotherapy (limited sessions for chronic conditions), and medical devices. Dental care for adults and extensive physiotherapy require supplementary insurance.

When can I switch health insurance providers in the Netherlands?

You can switch your basic health insurance provider once per year during the open enrollment period, which runs from mid-November to December 31. Your new policy starts on January 1 of the following year. You do not need to give a reason for switching, and the new insurer must accept you regardless of your health status. Supplementary insurance can be switched at the same time, but the new insurer may reject your supplementary application based on health screening.

Does Dutch health insurance cover pregnancy and maternity care?

Yes. Pregnancy and maternity care is one of the most generous parts of the basisverzekering. Prenatal appointments with a midwife (verloskundige), the birth itself, and postnatal home care (kraamzorg) are all fully covered by basic insurance. Importantly, none of these costs count towards your eigen risico. The standard kraamzorg package includes up to 49 hours of postnatal home care in the first 8 days after birth.

How does mental healthcare work in the Netherlands?

Mental healthcare (geestelijke gezondheidszorg, or GGZ) is covered by the basisverzekering, but you need a referral from your GP first. Your GP may initially refer you to a POH-GGZ (a mental health practitioner attached to the GP practice) for mild to moderate issues, or directly to a BIG-registered psychologist or psychiatrist for more serious conditions. The eigen risico applies to GGZ care. Waiting times at contracted providers can be long — sometimes months. Supplementary insurance or private therapy are alternatives for faster access.

Is physiotherapy covered by Dutch health insurance?

It depends on your condition. The basisverzekering covers physiotherapy from the 1st session onward for conditions on the government's 'chronic list' (chronische lijst), such as COPD, Parkinson's disease, rheumatoid arthritis, and several others. For all other conditions, basic insurance only covers physiotherapy from the 21st session onward — meaning you pay the first 20 sessions out of pocket. Most people with regular physiotherapy needs buy supplementary insurance (aanvullende verzekering) to cover those first 20 sessions.

Do international students need Dutch health insurance?

It depends on whether you work. EU/EEA students who study in the Netherlands but do not work are generally not required to take out Dutch health insurance — they can use their European Health Insurance Card (EHIC). Non-EU students without a work permit are also usually exempt. However, if you work in the Netherlands (even part-time) and your income exceeds roughly EUR 10,000 per year, you become subject to Dutch social insurance law and must take out basisverzekering. Students receiving DUO (student finance) are sometimes exempt from zorgtoeslag but can still be obliged to insure. Always verify with your university's international office.

How do I cancel Dutch health insurance when leaving the Netherlands?

To cancel (opzeggen) your Dutch health insurance, you must formally deregister from the Netherlands — this means handing in your residence permit (if applicable) and deregistering at your gemeente. Your insurer will request proof of deregistration, typically the RES form (Verhuisbericht Emigratie) issued by the gemeente. You must give at least one calendar month's notice. Your insurer will backdate the cancellation to your official departure date. Do not cancel before you have your departure confirmation in writing, as you remain legally liable for premiums until the cancellation is processed.

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Written by
Sarah van den Berg
Expat coach and relocation specialist. Half Dutch, half British, living in the Netherlands for over 10 years.