ScholarshipUnion | Guides
Mandatory 2026 Edition

Health Insurance
The Confusing Dual System

Private insurance, public insurance, the working student trap, the EUR 385 deductible, and why you can't just walk into a hospital. The Dutch healthcare system explained honestly.

Mandatory
For All Residents
€130–159
Public Insurance/Month
€385
Annual Deductible
€131
Max Healthcare Allowance

Which Insurance Do You Need?

Answer 3 questions to find out. Health insurance is mandatory for all residents.

Question 1: Are you an EU/EEA citizen?
Question 2: Will you be working (even part-time)?
Question 3: Will you work more than a few hours per week?

Insurance Cost Comparison

Visual comparison of monthly insurance costs and the mandatory deductible.

Private Student Insurance €30–60/mo
~€45
Study-only students • No zorgtoeslag • Varies by provider
Public Insurance (basisverzekering) €130–159/mo
~€145
Working students • Mandatory once you start any job • + €385/yr deductible
Public Insurance AFTER Zorgtoeslag €0–28/mo (net)
~€14
If earning below €38,000/yr • Apply via Toeslagen.nl • Requires BSN + DigiD
Eigen Risico (annual deductible) €385/year
€385
Public insurance only • GP visits are FREE (don't count) • Specialist visits, meds, lab tests DO count

Coverage Details

Typically Covered
  • Emergency medical care
  • Hospital stays
  • Repatriation
  • Basic outpatient care
Often NOT Covered
  • Dental care
  • Pre-existing conditions
  • Mental health (limited)
  • Physiotherapy

Providers: AON, OOM, Aetna International, Care Concept. Check your university's recommended provider.

Covered (basisverzekering)
  • GP visits (FREE, no deductible)
  • Hospital care + specialists
  • Maternity (no deductible)
  • Medication + lab tests
  • Mental healthcare (with referral)
NOT Covered (need supplement)
  • Dental care (adults)
  • Vision/glasses
  • Alternative medicine
  • Extra physio sessions

Working student trap: Starting a part-time job requires switching from private (€30–60) to public (€130–159). Not switching risks fines + retroactive charges of €1,000+. Your university usually does not warn you about this.

Insurance FAQ

No. The GP (huisarts) is the gatekeeper. You must register with a GP first, then get a referral for specialists. Only genuine emergencies go directly to hospital. Call 112 for life-threatening emergencies, 0800-1351 for after-hours GP.

Basic insurance does NOT cover dental for adults. Check-up: €30–50. Filling: €50–100. You need separate supplementary insurance (aanvullende verzekering) or pay out of pocket.

Register your first week. Call 3–5 practices near your home. Many are full in student-heavy cities. Check your university's website for recommended practices. Try practices further from the city centre.

Waiting times of 8–16 weeks for psychologist referrals. University counselling (3–5 free sessions) is the fastest option. 59% of international students struggle with mental health — start the referral process early.

Paid internship = Dutch public insurance required. Unpaid = private is fine. Yes, this means switching for a 3-month paid internship and switching back after. It is as annoying as it sounds.

Insurance Sorted. Keep Planning.

Health insurance is one piece of the puzzle. Make sure you've also tackled housing, your visa, and your overall budget before arriving in the Netherlands.