Reimbursement of costs
You want to come to the Netherlands for medical treatment. You are insured in another EU country. In order to be reimbursed, you must meet certain conditions.
It is therefore important that you always ask your health insurance provider in advance what these conditions are. This way you can be sure that you will receive a fee for medical treatment in the Netherlands.
What should you do?
Always contact your health insurance provider first. They should tell you what is the best option for you to have treatment in the Netherlands: according to European Regulation 883/2004 (the Regulation) or to Directive 2011/24/EU (the Directive).
Treatment in the Netherlands according to the Regulation
In any case, your health insurance company must give you prior authorisation. You will then receive an S2/E112 form from your health insurance company. You will show this form to the healthcare provider in the Netherlands. This way he knows that you are entitled to the treatment and that your health insurance company pays the costs.
Treatment in the Netherlands according to the Directive
Even then, your health insurance company may require you to ask for prior authorisation. If you do not, the costs may not be reimbursed.
Your health insurer can also provide you with information on:
- conditions for permission;
- how you will be reimbursed; and
- what else you should take into account if you want to undergo treatment in another EU country.
You'll find more information on the websites of the:
- European Union;
- European Commission; and
- EPECS (only in Dutch).
Toolbox for patients
For patients wishing to go to another EU country for medical treatment, the European Commission has made a toolbox. This toolbox has information on everything related to cross-border care. For example, European legislation on cross-border care. Or practical things to think about if you want to be treated in another EU country.
The toolbox consists of a manual and several documents. These include a glossary, a checklist and an overview of frequently asked questions and answers. You will find this information on the right of this page under “Documents”.
The European Commission has also made a short video. This video shows what you need to pay attention to when you are treated in another EU country. A link to the video can be found on the right of this page.
You cannot use the European Health Insurance Card (EHIC) if you come to the Netherlands for treatment. With the EHIC you will only be reimbursed for medical care that is necessary if you are already in the Netherlands. For example, if you're here on holiday.
Would you like to know more about this? Please contact Zilveren Kruis by phone: + 31 (0)33 445 68 70 or by e-mail: [email protected].
Your health insurer pays the healthcare provider for your treatment
You will receive healthcare in accordance with the European Regulation 883/2004. This means that you usually don't have to pay the costs for the treatment yourself. That’s what your health insurance company does. But you must have been given prior authorisation for this treatment. In that case, you will receive a form S2 or E 112.
You will then receive the treatment according to the Zorgverzekeringswet [Zvw, Healthcare Insurance Act] (only in Dutch) or in the Wet langdurige zorg[Wlz, Long-Term Care Act] (only in Dutch).This means, for example, that you need to have a referral for certain care. For instance, healthcare by a medical specialist or in a hospital. Sometimes you pay your own contribution for treatment to the healthcare provider.
You first have to pay for the treatment yourself
The European Patients' Directive (Directive 2011/24/EU) also allows the treatment to be reimbursed in the Netherlands. You will have to pay the costs for the treatment upfront. And you may need prior authorisation from your health insurance company.
You are entitled to healthcare under the terms of your own insurance. Do you meet the conditions? After returning home, you'll declare the costs to your health insurance company. The health insurance company will then reimburse the costs. But only up to the amount that the treatment would have cost if you had had the same treatment in your own country. If the costs are higher, you'll run the risk that you'll have to pay the difference yourself.
Prescriptions from the Netherlands
Did you have treatment in the Netherlands? Your healthcare provider may have given you a prescription for medicines or medical devices. A pharmacist or device provider in your own country must accept the prescription if it contains the following information:
- the patient's details;
- details proving that the prescription is genuine;
- details about the healthcare provider who wrote the prescription;
- details about the medicine or medical device.
Read more on this subject on the website of the European Union.
Healthcare tariffs in the Netherlands
The Nederlandse Zorgautoriteit (NZa, Dutch Healthcare Authority) fixes healthcare tariffs in the Netherlands; these are maximum tariffs. You'll find the NZa tariffs on the website of the NZa (only in Dutch).
Report to NZa
If you think the healthcare provider charged you too much, you can report this at the NZa (only in Dutch). The NZa then checks whether the healthcare provider has complied with the rules and acts if necessary.
In case of hospital care, the government does not determine the entire price. So you may pay a different price at different hospitals for the same treatment. Only the healthcare provider or the hospital itself can let you know how much your reatment costs.
On their invoices, Dutch hospitals do not mention each operation separately (such as an injection, a scan or an examination). They mention diagnostic treatment combinations (‘DBC healthcare products'). Every DBC healthcare product has its own code and rate.
About hospital bills you can read more on the sheet of the Dutch Healthcare Authority, NZa (only in Dutch): "Betalen van ziekenhuiszorg" ("Payment of hospital care" - only in Dutch). This sheet shows how Dutch hospitals draw up the bills.
Do you wish to know what type of healthcare is covered by the DBC healthcare product shown on your invoice? Please use the DBC care product rates application on the NZa's website (only in Dutch).
The costs of treatment in Dutch hospitals sometimes are high. Do you receive a lower reimbursement for the same treatment in your own country? Then you may not get all costs covered if you first pay for the treatment yourself.
- Manual for patients (22-1-2020) (pdf, 496 kB)
- Glossary (22-1-2020) (pdf, 220 kB)
- Checklist for patients (22-1-2020) (pdf, 218 kB)
- FAQs (patients travelling to the Netherlands) (22-1-2020) (pdf, 287 kB)
- Seeking healthcare in another EU Member State (your rights) (1-1-2017) (pdf, 3.4 MB)
- Betalen van ziekenhuiszorg (1-1-2017) (pdf, 574 kB)