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Frequently asked questions


What is a treaty country?

The Netherlands has made agreements with a number of countries on medical care in case of emigration. These countries are called ‘treaty countries’.

These are:

  • EU/EEA countries plus Switzerland and the United Kingdom
  • a few countries outside the EU/EEA

Read more on treaty countries

What is a healthcare contribution?

The healthcare contribution can be compared to the health insurance premium. You pay this contribution if your family members are entitled to medical care in their country of residence at the expense of the Netherlands. Your country of residence will settle the costs of their medical care with the Netherlands. The CAK collects, on behalf of the Netherlands, the healthcare contribution, which is sometimes referred to as the Zvw-contribution or foreign contribution.

Read more on the healthcare contribution

What is a country of residence factor?

The costs of healthcare abroad are often lower than they are in the Netherlands. One country may have a more extensive statutory healthcare package than another. In some cases that means that healthcare is more expensive in that country, but generally the healthcare in your country of residence is cheaper. We refer to the ratio between the costs in the two countries as the country of residence factor.

We use the country of residence factor to adjust the healthcare contribution according to the size and costs of healthcare in your country of residence (country of residence package). The Minister for Health, Welfare and Sport determines the country of residence factor annually for the treaty countries. If healthcare in your country of residence becomes more expensive, the country of residence factor also increases. You then have to pay a higher healthcare contribution for your family members.

Read more on country of residence factors

What is a country of residence package?

A country of residence package is a package of healthcare facilities and services your family members are entitled to in their country of residence. By healthcare services, we mean, for example, costs of the general practicioner, medicines and hospitalisations. Each country has a different country of residence package.

Healthcare services

The coverage of the country of residence package is the same as the statutory healthcare package in that country. In the Netherlands, for example, this is the basic health insurance. Your family members are therefore entitled to reimbursement of the same healthcare as other residents of that country. They also have the same duties: if your country of residence has an own risk or contribution, the same applies to them.

How do I report the death of a co-insured family member?

Has your relative passed away? We are sorry for your loss. We understand that there is a lot to deal with and that you might have questions. That is why we have made an overview with information for relatives. You can read here what you need to arrange, where you need to go and what you can expect from us. Do you prefer personal contact or do you have any additional questions? Please contact us at + 31 88 711 5551. Or send us an e-mail via the online contact form.

Read more on how to report a death


Self service

  • Payment arrangment for the healthcare contribution
  • To lodge an objection
  • Contact
  • Applying for an EHIC
  • Change address or personal details (pdf, 535 kB)
  • Change or notify bank details (pdf, 499 kB)

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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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