Healthcare in the Netherlands

The Netherlands is credited with having one of the best healthcare systems in the world. You’ll have access to top-notch facilities and highly qualified medical professionals through the Dutch healthcare system.

There are a few key things to note about receiving medical care in the Netherlands, particularly the requirement for health insurance.

Public and private healthcare in the Netherlands

The healthcare system in the Netherlands uniquely blurs the lines between private and public care. Most healthcare facilities are non-profit and highly regulated by the government. The government funds long-term health treatment through taxes, while short-term treatment is covered by mandatory private insurance.

Dutch medical schemes must offer certain basic services for a monthly fee and can’t refuse anyone based on risk. Belonging to a scheme is compulsory for all residents, including expats who have permanent residency. Private schemes are also partially funded by employers, who contribute to healthcare costs as part of the payroll system.

Banking, Money and Taxes in the Netherlands
Visas and Residence Permits in the Netherlands

Useful links

• The Dutch Healthcare System – National Health Care Institute
• Health Insurance – Government.nl

Healthcare facilities in the Netherlands

High standards and specialist treatments are available at most medical facilities in the Netherlands. All hospitals offer similar facilities and services, but some specialise in particular areas of treatment, such as cardiac care or oncology.

The Dutch healthcare system operates on a tiered model, with GPs forming a large part of the first tier. You usually can’t visit a specialist on the second tier without a doctor’s referral.

Most doctors understand English, but you might find that local doctors sometimes lack bedside manner and are often reluctant to prescribe medication unless absolutely essential. This stems from the general non-interventionist approach adopted by Dutch medical practitioners, which prioritises natural recovery and minimal medical intervention.

You should try to find a general practitioner (huisarts) as soon as possible after you arrive. GPs are frequently busy, and finding one with space for new patients can be difficult. Once you’ve found a doctor, you’ll need to register with them.

Hospitals in Amsterdam
Hospitals in Rotterdam

Health insurance in the Netherlands

All residents and taxpayers in the Netherlands are required to have medical insurance from a private health insurance company. You must organise this within four months of arriving in the country.

Insurers in the Netherlands are required to provide the same basic coverage for everyone. They can’t deny coverage to anyone who applies for a standard insurance package, and all policyholders must be charged the same premium, regardless of age or state of health. Children under the age of 18 are typically included in their parents' or guardians' insurance packages.

Some medical services aren’t covered by basic insurance plans, and additional health insurance is optional to cover these costs. It’s highly recommended that you carefully review these medical plans and decide if you need additional cover. Services commonly excluded include dental care for adults, extended physiotherapy sessions, alternative treatments like acupuncture, vision care, and elective cosmetic procedures. For these, supplementary insurance can provide extra coverage.

EU citizens can use their European Health Insurance Card (EHIC) to access state healthcare during a short-term visit. UK citizens can use their Global Health Insurance Card (GHIC), which replaced the EHIC for UK citizens post-Brexit.

Useful links

• Standard Health Insurance – Government.nl

Medicines and pharmacies in the Netherlands

Pharmacies (apotheken) are plentiful in the Netherlands and stock both prescription and non-prescription medications. The symbol for a pharmacy in the Netherlands is a green cross, which you will commonly see on pharmacy signs. To obtain prescription medication, you’ll first need a consultation with a GP. If a prescription is necessary, it will be issued and sent electronically to your chosen pharmacy. Once it’s issued, the medication is easily accessible from pharmacies.

Large cities usually have 24-hour pharmacies available alongside those operating during regular working hours. Pharmacies in smaller towns may have more limited hours, so it’s a good idea to check availability in your local area.

Vaccinations for the Netherlands

When moving to the Netherlands, it’s important to ensure that your vaccinations are up-to-date. The standard vaccinations for residents include protection against diseases such as measles, mumps, rubella, and tetanus. These are part of the national immunisation programme.

Seasonal flu is common during the colder months, especially among vulnerable groups such as the elderly and those with chronic conditions. Getting an annual flu shot is a good idea if you’re in a high-risk category.

The Dutch National Immunisation Programme also offers free vaccinations for children against diseases like diphtheria, whooping cough, polio, and HPV. While participation isn’t legally mandatory, it’s strongly encouraged, and parents receive invitations for their children’s vaccinations.

For travellers, additional vaccinations such as Hepatitis A and B are recommended, particularly if you plan to engage in activities that could expose you to health risks, such as visiting rural areas or consuming street food. It’s best to consult a healthcare provider to determine the appropriate vaccinations for your situation. COVID-19 vaccinations are no longer required but are recommended, especially for vulnerable groups.

Useful links

• National Immunisation Programme

Health hazards in the Netherlands

The Netherlands is generally safe, with minimal health hazards. Pollution can be an issue in major cities, particularly during rush hours. It’s advisable to monitor local air quality reports if you have respiratory conditions. Food safety standards are high, but it’s always wise to practise good food hygiene to avoid rare instances of foodborne illness.

Ticks are another concern, particularly in wooded or grassy areas, as they can transmit Lyme disease. If you’re planning outdoor activities, use insect repellent, wear protective clothing, and check for ticks afterwards.

Emergency services in the Netherlands

Several private ambulance services are contracted to the Dutch government and operate within designated service areas. Ambulance services are organised regionally into 25 Regional Ambulance Services (RAVs), which ensure coverage and maintain the ambulance dispatch centres. Response times are generally good, and emergency medical teams are well-trained to handle a variety of situations.

The emergency number for an ambulance in the Netherlands is 112. Ensure you know this number, as it’s used for all emergency services, including police and fire departments. For less urgent medical issues, it’s best to contact your GP, who will have an emergency contact number for out-of-hours care. Many insurers will also provide clients with a list of contact numbers for nearby hospitals in case of an emergency.