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Why do I have to register with the CAK?


The Netherlands has agreements on health insurance with a number of countries. Do you have a pension or benefit from the Netherlands and live in one of these so-called ‘treaty countries’? If so, the Netherlands remains responsible for your healthcare costs. You then arrange and pay for your health insurance through the CAK. This way, you are always insured for medical care in your country of residence.

Good to know

  • Health insurance through the CAK is compulsory, except for in Turkey.
  • You pay a healthcare contribution to the Netherlands, not a healthcare premium in your country of residence.
  • You are insured for basic care according to the rules in your country of residence.
  • Do you live in an EU/EEA Member State, Switzerland or the United Kingdom? If so, you remain insured for basic care in the Netherlands, while also being insured for medically necessary care in Europe.
  • You pay for an additional insurance, personal contribution or deductible yourself.
  • mbursed and which is not

More information

  • Read more about agreements between the EU, the EEA and Switzerland in Regulation (EC) No 883/2004 of the European Parliament
  • Read more about the CAK’s implementation tasks in Section 69 of the Zorgverzekeringswet (Health Insurance Act) (Dutch only)
  • Read more about the agreements with the UK

See also

  • Which are the treaty countries?
  • How do I register?
  • How do I register my family members?

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The Netherlands has good social services and good care for everyone. We are proud to contribute to this by carefully performing our statutory tasks.

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Countries that have agreements with the Netherlands on health insurance in the event of migration. Find out more

This does not apply to Turkey. If you live in Turkey, you do not need to take out insurance through the CAK. However, you can if you want to.

Medically necessary care is care that becomes medically necessary during a holiday or stay, and cannot wait until you return home. This could be emergency care, for example if you break your leg while on holiday. Or care that is necessary due to a pre-existing condition. Please note that repatriation to your home is often not reimbursed. You will need to take out your own travel insurance for that.