ExpatSetup.nl
Updated for 2026

Health Insurance Comparison

Compare Dutch health insurance providers side by side. Filter by English support, sort by price or rating, and calculate your annual costs.

Higher deductible = lower monthly premium. The mandatory minimum is €385.

Ditzo

Dutch only

a.s.r. · ~2% market share

3/5 rating

€ 132,00

/month basic premium

Annual cost (premium + eigen risico)€ 1.969,00

Menzis

English support

Menzis Group · ~12% market share

4/5 rating

€ 141,00

/month basic premium

Annual cost (premium + eigen risico)€ 2.077,00

VGZ

English support

Cooperatie VGZ · ~24% market share

4/5 rating

€ 143,50

/month basic premium

Annual cost (premium + eigen risico)€ 2.107,00

Zilveren Kruis

English support

Achmea · ~30% market share

4/5 rating

€ 145,00

/month basic premium

Annual cost (premium + eigen risico)€ 2.125,00

CZ

English support

CZ Group · ~14% market share

4/5 rating

€ 147,50

/month basic premium

Annual cost (premium + eigen risico)€ 2.155,00

ONVZ

English support

VGZ Group · ~3% market share

5/5 rating

€ 155,00

/month basic premium

Annual cost (premium + eigen risico)€ 2.245,00

Cost summary (2026 average)

Average monthly premium€ 148,00
Annual premium (12 months)€ 1.776,00
Eigen risico (deductible)€ 385
Maximum annual cost€ 2.161,00

Zorgtoeslag (healthcare allowance)

You may be eligible for up to € 123/month (single) or € 246/month (with partner) if your gross income is below € 38.520 (single) or € 48.672 (with partner). Apply via Toeslagen.nl.

Key information for expats

  • Insurance is mandatory

    Everyone living or working in the Netherlands must have basic health insurance (basisverzekering). You must register within 4 months of arrival.

  • Switching deadline

    You can switch insurers each year before December 31. Your new policy starts January 1.

  • Children are free

    Children under 18 are covered for free under a parent's policy, including the basic package.

  • Eigen risico explained

    The mandatory deductible is €385/year. You can voluntarily increase it (up to €885) for a lower monthly premium. GP visits and maternity care are exempt.

Key statistics for 2026

€385

Mandatory eigen risico (minimum deductible)

€148

Average basic monthly premium

€123/mo

Maximum zorgtoeslag (single)

Dec 31

Annual switching deadline

Frequently asked questions

Is health insurance mandatory in the Netherlands?

Yes. Everyone who lives or works in the Netherlands must have basic health insurance (basisverzekering). You must register within 4 months of arriving in the Netherlands or starting work. Failure to do so can result in a fine from the CAK (Central Administration Office).

What does Dutch basic health insurance cover?

Basic health insurance (basisverzekering) covers GP visits, hospital care, prescription medications, mental healthcare, maternity care, ambulance transport, and some paramedical care. The coverage is standardized by law — every insurer must offer the same basic package. Differences between insurers are in price, service quality, and supplementary packages.

What is eigen risico and should I choose a higher deductible?

Eigen risico is your annual deductible. The mandatory minimum for 2026 is €385. You can voluntarily increase it up to €885 to lower your monthly premium. Choose a higher deductible if you rarely visit specialists or hospitals. GP visits, maternity care, and care for children under 18 are exempt from the eigen risico.

Can I get zorgtoeslag (healthcare allowance) as an expat?

Yes, if your income is below the threshold. For 2026, single individuals earning under approximately €38,520 gross per year can receive up to €123/month. Couples with a combined income under approximately €48,672 can receive up to €246/month combined. Apply through Toeslagen.nl (you need a DigiD).

When can I switch health insurance providers?

You can switch your basic health insurance every year. Cancel your current policy before December 31, and your new policy starts on January 1. Your new insurer handles the cancellation of your old policy. Supplementary insurance may have different switching rules and acceptance is not guaranteed.

Which health insurer is best for English-speaking expats?

ONVZ, CZ, and Zilveren Kruis are widely recommended for expats due to their English-language websites and customer support. ONVZ is particularly popular among expats for its free choice of provider policy and premium English service, though it has the highest basic premium. CZ and Zilveren Kruis offer a good balance of English support and competitive pricing.

Data sources: Zorgwijzer.nl, individual insurer websites, Rijksoverheid.nl, Belastingdienst.nl. Premium amounts are approximate and based on the basic package (basisverzekering) for 2026. Last updated: February 2026.

This tool provides estimates for comparison purposes only. Actual premiums may vary based on your specific supplementary coverage choices. Always verify current prices on the insurer's official website before purchasing.