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Healthcare after arrival ยท reviewed 24 July 2026

Dutch health insurance after moving to the Netherlands

Most people who live or work in the Netherlands must take out Dutch basic health insurance, but the insurance position can depend on work, residence and cross-border circumstances. Confirm whether you fall under Dutch social-insurance legislation before relying on a generic rule.

Day oneCoverage normally starts from arrival or work
4 monthsNormal deadline to arrange the policy
Under 18Children need registration but pay no basic premium
The four-month period is not a free uninsured period. When Dutch insurance is compulsory, the policy normally needs coverage from the date the obligation started. Arrange it promptly.

When is Dutch basic insurance required?

Government.nl states that people who come to live or work in the Netherlands are generally required to take out insurance with a Dutch health insurer. However, cross-border workers, people with a foreign employer, students and people receiving income from another country can have a different Wlz insurance position. When uncertain, request an assessment from the Social Insurance Bank (SVB) or use the responsible official guidance.

Residence-permit timing

For people whose obligation follows a permanent residence permit, Government.nl states that insurance must be taken out within four months of the permit taking effect, with coverage effective from that date. Other situations can start from arrival or the first work date. Use the date applicable to your circumstances.

What to arrange

  1. Register with the municipality and obtain a BSN.
  2. Confirm the start date of the Dutch insurance obligation.
  3. Compare basic policies, contracted-care networks, voluntary deductible choices and service language.
  4. Register children with an insurer even though basic insurance is premium-free for those under 18.
  5. Choose supplementary cover only if needed; it is separate from the statutory basic package.
  6. Register with a general practitioner and transfer essential medical information and prescriptions.
  7. Check healthcare-benefit eligibility separately with the Tax Administration.

If you apply after four months

Government.nl states that a policy taken out after the four-month deadline is not retroactive. Care received in the uninsured gap is not reimbursed, and the CAK can contact people who appear uninsured and may impose consequences. Do not delay while waiting for every other arrival task.

What basic insurance covers

The statutory basic package covers categories such as GP care, hospital treatment and prescription medicines, subject to the current package rules and deductible. Supplementary insurance can cover items outside the basic package, but acceptance and conditions can differ.

Frequently asked questions

Can I keep only my foreign health insurance?

Usually not when Dutch basic insurance is compulsory. Exceptions and cross-border rules exist, including some foreign-employer situations, so confirm your Wlz insurance position.

Do I really have four months before coverage starts?

No. Four months is normally the period to arrange the policy. When compulsory, coverage generally starts from the applicable arrival, work or residence-permit date.

Do children need insurance?

Yes. Register children with a Dutch insurer when the family is subject to Dutch insurance. Basic insurance is premium-free for children under 18.

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Official sources

Government.nl: Start of compulsory coverageGovernment.nl: Standard health insuranceGovernment.nl: Insurance and residence permitNetherlandsWorldwide: Relocation healthcare checklist

Informational guidance only. Requirements depend on your facts and can change. Verify decisions with the responsible authority.