Health Insurance

Understand Dutch health insurance.

Navigating the Dutch healthcare system is one of the first and most important steps in your expat journey. Health insurance is mandatory for all residents, and the system is designed to be fair, high-quality and accessible.

Remind me before the switching deadline

How health insurance works in the Netherlands

If you live or work in the Netherlands, you must take out Dutch basic health insurance (basisverzekering) within 4 months of arriving. You'll need your Citizen Service Number (BSN) to do it. Every insurer offers the same basic package, and they're legally required to accept you regardless of your age or health status.

The system is built on a shared-cost model with three main parts you need to know.

1. The Basic Package (Basisverzekering) Mandatory · approx €145–165/mo

The mandatory insurance required by law. The government defines exactly what's covered, so everyone has access to essential care: GP visits (free), hospitals (subject to the deductible), and pharmacies (subject to the deductible).

2. The Deductible (Eigen Risico) Mandatory · €385/yr

Everyone aged 18 and over has a compulsory deductible of €385 per year. Think of it as a personal health bucket you fill before the insurer pays for everything else.

How the bucket works

What's free (no deductible)

Some things never come out of your €385 — they're covered by your monthly premium from day one:

3. Supplementary Packages (Aanvullende verzekering) Optional

Optional extras you can add if you want coverage the basic plan doesn't fully provide, such as dental care (tandarts), physiotherapy, or eyeglasses.

4. Policy types

Restitutie

You can go to any doctor or hospital, not only those contracted with your insurer.

Natura

You should use providers contracted by your insurer. Go elsewhere and you may pay 20–30% of the bill yourself.

Combination

Acts like a Restitutie policy for most things (hospitals, GPs) but like a Natura policy for specific, expensive care such as mental healthcare (GGZ) or district nursing.

The good news: in the Netherlands, almost every GP (huisarts) has a contract with every major insurer.

5. The annual switch — how to get a better deal

You're free to change provider once a year, and it's the best way to make sure you aren't overpaying as premiums change. The switching window runs until 31 December, with your new policy starting 1 January.

Beat the price hikes

Don't get caught by a surprise price hike. Get a free reminder so you stay ahead of the curve:

  • Instant alerts — be among the first to know when new pricing drops.
  • Switching made easy — a step-by-step guide to changing providers without the stress.
  • Real savings — switching at the right time can save €200–€400 a year.
Get my free reminder

Insurer comparison

Premiums below are based on the 2026 standard €385 deductible. Replace each "View" link with your affiliate deeplink for that provider.

ProviderApprox monthly (basic)Policy typeEnglish support
Nationale-Nederlanden€142–161Natura / CombinationExcellentView
Postcode Zorg€160.95Combinatie / RestitutieExcellentView
ONVZ€158–165RestitutieExcellent (app & phone)View

Featured: Postcode Zorg (Nationale-Nederlanden collective)

A strong choice for expats:

The free health check — step by step

Visit Postcode Zorg

Don't miss the switching window

Every year you can change insurer until 31 December, with the new policy starting 1 January. Get a free reminder in mid-November so you can compare and switch in time.

Get my free reminder