Eigen Risico (“Own Risk”): the Dutch Health Insurance System

The health insurance system in the Netherlands works slightly different from the social or health institutions of other European countries. The following paragraphs will explain everything you need to know about the eigen risico (literally “own risk”, or deductibles) that all Dutch medical insurance companies mention in their policy.

eigen risicoIf you decide to move to The Netherlands to live and/or work, it is compulsory to sign up for a Dutch health insurance plan. The monthly premium amount set by the government is a guideline for Dutch health insurance providers, who determine their own prices at the end of the year.

These insurance providers also need to adhere to the Dutch government mandates outlining what is covered in the basic package, which usually consists of general coverage and a compulsory deductible.

For more information check the following link: here

Eigen Risico: the legal amount

Every year, the government sets the fixed legal amount of insurance eigen risico. In 2016, this amount is €385. What this means is that you have to pay the first €385 in medical expenses yourself. Bills exceeding this amount will be paid directly via your insurer, depending on your chosen policy.

However, you can also negotiate these costs by choosing a voluntary deductible of up to €500 more. In this way, your monthly premium for the basic insurance would initially become cheaper. Nevertheless, you could eventually incur more healthcare costs than the basic health insurance package!

You don’t pay excess deductible fees for the following expenses:

  • General Practitioner
  • Costs for nursing care
  • Maternity care
  • Obstetric care
  • Cost of integrated care for diabetes: There are an increasing number of healthcare providers who treat people with diabetes (DM2 or increased risk) in the Netherlands.
  • Vascular risk: addressing risk factors for cardiovascular disease
  • COPD: chronic lung disease
  • Check-ups for donors

We do recommend checking with your own health insurance company to clarify the details of your own policy and avoid any misunderstanding.

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