Medical benefits
The basic package
The government has put together a basic package that health insurance companies
are legally obliged to offer. With the basic package you are covered for the
following:
- Medical care, including services by GP's, hospitals, medical specialists
and obstetricians
- Hospital stay
- Dental care (up until the age of 18 years, when 18 years or older you are
only covered for specialist dental care and false teeth)
- Various medical appliances
- Various medicines
- Prenatal care
- Patient transport (e.g. ambulance)
- Paramedical care
You can decide to purchase additional insurance for circumstances not included
in the basic package. However, in this case insurance companies can reject your
application and they have the right to determine the price. The basic package costs roughly 95 euros per month.
If you are working for a company in the Netherlands, you could also opt for
a collective health insurance policy. This could be a good option as it is often
cheaper. However, you are not obliged to buy such a policy if it is offered
to you and your employer is not obliged to make you an offer. Speak to your
employer about the possibilities.
The 'no-claim' rebate
In the Netherlands, everyone who pays health insurance
premiums is now entitled to a rebate of up to 255 euros if no claim is made
during the preceding year. This is known as the 'no-claim rebate rule'.
Those who do incur health costs, but less than 255 euros, will receive a reduced
rebate equal to the difference between the actual costs and the maximum rebate
amount.
The costs of GP consultations and maternity care (prenatal and neonatal) are
disregarded when calculating the rebate entitlement. The no-claim rebate rule
applies only to the standard insurance cover, and not to any supplementary policies.
The rule also does not apply to persons under the age of 18 (since they do not
pay premiums).