Healthcare in the Netherlands: A guide to the Dutch healthcare system

The Netherlands is known for its universal and excellent standard of healthcare and it’s regularly rated as one of the best healthcare systems in the world. This is excellent news for anyone looking to relocate permanently or visit.

This article gives a brief overview of healthcare stats in the Netherlands along with what you’ll need to know about mandatory health insurance, finding doctors and specialists, and dealing with emergencies.

Quick facts on the healthcare system in the Netherlands

Money in the Netherlands is denominated in the euro, which is written as EUR or €. Here are some quick facts on the healthcare system there:

• Type of healthcare: Universal (with mandatory private insurance)
• Average cost of an emergency room visit: € 256 (£235, US$300, AU$380)
• Average cost of a doctor’s visit: € 47 (£40, USD$55, AU$70)
• Number of pharmacies: 1,975
• Number of hospitals: 93
• Population % covered by health insurance: 99%

It’s never easy to know exactly what your home currency is worth as the global exchange market is constantly changing. For up-to-date figures, though, you can always use an online currency converter to check your money’s current value.

At the time of writing, these are the, very approximate, figures you can expect to find:

• €1000 = £900
• €1000 = US$1175
• €1000 = AU$1500
• €1000 =CA$1500

Average cost of healthcare in the Netherlands

Is healthcare free in the Netherlands?

The Netherlands has universal healthcare, but the government requires all adults living or working in the Netherlands to have basic insurance. The basic plan will cost € 100-120 out of pocket. If you’re employed, your employer will pay a small percentage towards medical coverage as well. Children under the age of 18 don’t pay for health insurance.

The basic plan covers the basic standard of care like visits to the GP and hospital. Some treatments may have an excess for which you need to pay a portion out of pocket. Many people also choose to get a higher level insurance coverage for an additional fee that compensates for other treatments not covered on the basic insurance package.

To give you a general idea of some costs you might run into, here are common costs for healthcare in the Netherlands:

Healthcare Item	Average Cost in the Netherlands
Basic insurance plan	€100
One-night hospital stay	€146
Emergency room visit	€256
Doctor’s office visit in normal office hours	€47
Doctor’s visit outside of normal office hours	€92

When you go to the Netherlands, you might consider a Wise borderless multi-currency account to manage your health insurance fees. The borderless account helps you receive and organise your money without confusing fees and exchange rates, you just pay a small, fair charge when your money moves between currencies. You can hold and manage money in tens of different currencies and send money to over 50 countries.

Dutch medical system: Public, private, universal, national, state, single payer - which is it?

The Netherlands has a universal healthcare system. It’s managed by the government and supplemented by private insurers. Anyone living or working in the Netherlands must obtain basic level health insurance (with or without additional coverage) from a Dutch provider.

The Dutch state healthcare system

The state offers mandatory insurance that is funded from the state and managed by private insurance companies. The insurance companies receive funding from a regulator’s fund. All primary care and long-term care services must be offered at a fixed price. It’s illegal for companies to refuse coverage for anyone or to impose punitive fees or conditions based on someone’s financial or health situation.

The Dutch private healthcare system

Insurance companies can supplement their required offerings with additional services. People with a lower income can apply for financial assistance for the basic healthcare or if they want supplemental services but can’t afford them.

Signing up for the healthcare system in the Netherlands

These are the main steps you should take in order to get healthcare in the Netherlands:

• Register with your local council to get a citizen service number (BSN)
• Choose and register for the health insurance of your choice (basic package or additional coverage) from the provider of your choice
• Register with a local doctor

In case of an emergency in the Netherlands

You can contact emergency services by dialling 112 or going directly to the emergency department at your nearest hospital. In an emergency situation you do not need to be pre-registered at the hospital. If you’re signed up to a local doctor they may also have an out-of-hours number that you can contact for help. If you’re in Holland, you can call the Centrale Huisartsen Post (CHP) outside of regular hours to consult a doctor.

Hospitals in the Netherlands

The Dutch have 3 types of hospitals: university hospitals, general hospitals, and teaching hospitals. Most of them are privately run. When on a routine visit to a hospital to see a specialist, patients will be asked for details to register before the treatment. The hospital will issue a patient ID card which you bring back with you on visits. The basic health insurance coverage will cover hospital care, though you may have to pay an excess fee depending on the treatment.

Doctors and specialists in the Netherlands

Once you have your health insurance, you should register with a local doctor, or huisarts in Dutch. Your local doctor plays an important role in healthcare in the Netherlands; they are the first stop to receive any type of medical treatment. Most doctors are well educated and will speak English.

Finding a GP / family doctor in the Netherlands

You’ll need to register ahead of time to visit your local doctor. Many practices offer a telephone consultation hour to assist new patients. Not all practices will be taking new patients, but they may have a waiting list to join. You can find a list of local doctors by visiting the Town Hall, which should provide you with a community guide or by searching online on local Dutch sites like this one. The good news is that also, most health insurance companies will be able to offer you a list of family doctors who will take on new patients

Specialists in the Netherlands

You must be referred by your local doctor in order to see a specialist. Most specialists work in a hospital setting, and unfortunately you may experience a long wait period. The basic health insurance package will cover a visit to a specialist, but an excess fee may apply, depending on the treatment.

Health insurance in the Netherlands: Cost and plans

To move to the Netherlands permanently, you’ll need basic Dutch health insurance, even if you have private international health insurance from a non-Dutch company. The government tightly regulates the Dutch company plans and quality of the coverage. Everyone has the right to choose which provider they want, and insurers are required to cover everyone for a flat fee. There’s a mandatory deductible amount for Dutch health insurance, though, and this amount is set by the government. For 2017, for instance, this was €385, but the government reviews this amount each year and, if needed, changes it.

There are 2 types of health insurance coverage:

• compulsory basic insurance
• optional additional insurance

The government sets the standards for the basic health coverage. In 2017, this included:

• GP visits
• some specialist care
• hospital care
• some mental health treatments
• medication
• dental care up to age 18
• maternity care
• dietary advice
• services to quit smoking
• some therapy treatments

Many of the services are likely to have out-of-pocket charges. The cost of basic Dutch medical insurance is around €100 - €120 per month. Monthly premiums with your provider are fixed for the calendar year.

You need to get insurance within 4 months of your arrival, but in order to do so you’ll need to register with your local council and get a citizen service number (BSN) first.

Temporary health insurance for tourists

If you’re a tourist from an EU/EEA country and staying in the Netherlands for less than 12 months, you can use your European Health Insurance Card. Temporary visitors from outside the EU/EEA should arrange to have their own travel insurance or international health insurance while in the Netherlands.

Useful medical phrases in the Netherlands

You might find these medical terms useful when you are in the Netherlands:

Medical term	Dutch translation
accident	ongeval
ambulance	ambulance
broken bone	gebroken bot
dentist	tandarts
family doctor	huisarts
emergency	noodgeval
heart attack	hartaanval
hospital	ziekenhuis
medical bill	medische rekening
medical insurance	medische verzekering
pharmacy	apotheek
prescription	recept
stroke	beroerte

Useful links

These links will be helpful to you when you relocate to the Netherlands:

• The Dutch Government Healthcare site
• Holland Expat Center
• Hollandzorg (for temporary insurance)
• Anderszorg (Dutch health insurance)
• List of Hospitals in the Netherlands

If you’re moving to the Netherlands, healthcare is one area where you won’t have to worry. The system is world-class and affordable for all. This guide will help you find the care and coverage you need when you are there.