Dear readers,

Displaced in the Netherlands, or your health insurance covers you up to 70 years in Thailand, what if you need medical care and cannot afford it?

I ask this question because English and Swedish friends told me that in such a case they receive free care in their own country. And who pays those costs? The government I was told.

How is this arranged in the Netherlands? For example, you are displaced, have no money or no insurance, will Dutch healthcare help you out of trouble? Does the government help? Or are you left to your own devices?

Regards,

Clean

19 responses to “Reader question: Displaced in the Netherlands, what about your health insurance?”

  1. david h. says up

    I do not know whether health insurance is the same thing that counts for us as Belgians, namely that upon return, even temporarily for family visits, etc., we have immediate access to medical assistance through the sickness law, based on nationality, no waiting time …..
    This, regardless of whether we are now 70 years old, more or less, have received this confirmation on my question to mutuality, (for your name I suspect care fund or the like.)

    Regardless of the fact of being deregistered from Belgium

  2. grain says up

    Register in the Netherlands with a municipality where you will be living and you will be insured directly through the basic insurance. There is a waiting period for supplementary insurance that differs per insurer. Or simply take out an AXA insurance in Thailand via the boys in Hua Hin, which also insures people over 70 years old, provided they are registered before the age of 70.

  3. Nico says up

    Interesting question, I'd like to know the answer to that too.
    And how is this regulated in the EU? Or does each country regulate separately?

    Greetings Nico

  4. Piet says up

    You mean You live or stay in Thailand while you are deregistered from the Netherlands a so-called non-resident….you are not insured against medical costs in Thailand or anywhere else in the world and now you need medical care of any quality You are going to Netherlands back and let you 'fall' in front of a hospital in the Netherlands….I think they will help you in case of emergency and then present you with the bill…if you can't pay then they will chase you until the bill is paid…should you then fly back abroad then I advise you not to come back to NL and certainly not via Schiphol where your debt will undoubtedly be noted there … if they never 'catch' you, the Dutch Government or the Hospital will probably pay the bill
    Piet

  5. erik says up

    Why do people ask their question so incompletely? But if I understand it: you are NL-er and out of NL, live elsewhere, become broke and without care, then you have to get back to NL. If someone wants to dock that ticket for you, at least otherwise you won't get out of here. Overstay maybe? Don't get into the detention center without help because you'll rot.

    You arrive in NL, have no income or possibly a state pension, register in a municipality, then you have the obligation to take out a health care policy, then you collapse and the medical world does the rest. How to get by after that? There is social assistance, rent subsidy and more, it will not make you fat, but the basics are there and finally there is the food bank.

    • Karel says up

      The question is indeed very incomplete and, moreover, unclear.
      I wouldn't just believe those English and Swedish friends either. If it were really that simple, why take out health insurance?

      Register in Netherlands. municipality: do you have to be able to prove a home address?!

  6. Rob V says up

    I don't quite understand the question/screenplay. If you live in the Netherlands you are compulsorily insured, if necessary they (Zorginstituut Nederland) will impose an insurer on you and deduct the premium from your income. If you are in the Netherlands illegally or as a guest, the care will be limited to medically necessary assistance, and you will also have to pay yourself in the first instance.

    So living in Thailand without insurance there with the idea that you can quickly return to the Netherlands for free care will not really work. Returning to the Netherlands uninsured at the age of 70 for just some free care is not an option… But in case of acute necessity, they will not let you die before the entrance of the hospital. You can of course always migrate back to the Netherlands and receive partial reimbursement for any treatment through the compulsory basic insurance and optional supplementary insurance policies.

    See: https://www.rijksoverheid.nl/onderwerpen/zorgverzekering/vraag-en-antwoord/wat-gebeurt-er-als-ik-niet-verzekerd-ben-voor-de-zorgverzekering
    And also: https://www.zorginstituutnederland.nl/verzekering/onverzekerbare+vreemdelingen

  7. Nico B says up

    It is as Bob says, provided you are still able to travel to NL, then register with a municipality and the health insurance is in effect.
    As far as I know, something will be added to this, namely a waiting time for possible AWBZ healthcare, in principle there is a waiting period of 1 year, your health insurer in NL can shorten that period, but you cannot claim this.
    Are you no longer able to travel to NL, do you have no financial resources as a reserve for care and no insurance in Thailand the turnips are done, yes .. from what or who?
    NicoB.

  8. Harrybr says up

    So… you have already left NL, and have climbed another wall: Thailand. Less service from the government, therefore also lower taxes.
    Now things are going wrong, because not enough has been spared from the somewhat more generous purchasing power in Thailand, and do you wish that the NL taxpayer – because in addition to the € 1200 / year, also directly fits the 5,5% + 7,85% of the income to scrape together those annual € 74,6 billion in healthcare costs, in addition to € 78,1 billion Social services - paying for your old age costs?
    Sorry, the Government never pays anything, the taxpayer pays.

    • Gerard says up

      Harry,

      As a 71-year-old Dutch citizen you receive an AOW benefit, also abroad if you have lived in NL for x +15 years, from which tax is withheld in the Netherlands. In exchange for this tax withholding, the deregistered Dutchman receives no right in return, except for the net payment of his state pension.
      It therefore seems to me that in this situation, as a taxpayer, the deregistered (71-year-old) AOWer can return with a clear conscience to use the provisions in the Netherlands without being labeled a glutton.

      In short, as an AOWer you are a Dutch taxpayer.

      Regards,

      Gerard

  9. theos says up

    That of that Briton or Englishman used to be like that, the NSH, but that has long since come to an end. I believe that a Briton must first prove that he is a resident of Britain and that he is not just overnight. The NSH is free to residents. Correct me if I'm wrong.

  10. theos says up

    In Denmark, healthcare is also completely free, even for tourists if you stay in the country for longer than three months. You will then receive a so-called care card and can then go to any doctor and hospital. What else than the Netherlands huh? I sailed for Danes for 3 years.

  11. Lung addie says up

    Possibly those Swedes and English are right; This also applies to Belgians. I have deregistered in Belgium, registered in Thailand and retired. At the source, a certain percentage of my pension is deducted monthly as “State Social Security”, just the same if I were to live in Belgium. I therefore retain all my rights in case of hospitalization, doctor's visit, medication intervention, without waiting time, but must have this carried out in Belgium. So in Thailand I have taken out my own health/hospitalization insurance with sufficient coverage. In previous posts I saw that this is labeled as “terribly expensive and unaffordable”. Everyone has their own opinion about that, but I don't take any risks for 27.000THB/year as an over-60s and …. a person has to prioritize.

  12. erik says up

    Karel, yes, you must have a home address, that's right, but there is family who can arrange that, right? You don't have to worry about ownership within wide limits for the tax authorities. NicoB, the AWBZ has been abolished, you will mean the WLZ. It has an 'indication setting' and there is a waiting period. But you are entitled to care immediately after registration, followed by reporting to a health insurer and I have heard that there is one that will want you to register a few weeks earlier on presentation of the ticket if you pay the premium, of course.

  13. self says up

    Reint wants to know whether someone who is uninsured against medical expenses receives (hospital) care in NL. Reint makes the question unnecessarily complicated by dragging in a Swede and an Englishman. Now the question is whether the care is free there. Could be, but irrelevant for the NL situation.

    In the Netherlands, no one is allowed to be uninsured by law. Someone who returns from eg TH to NL is considered to be insured. See Rob V's answer. If you come back to NL as a pensioner, you will receive at least an AOW benefit. Which means that the premium of a basic insurance can be paid from this benefit, as all state pensioners do.

    Now imagine the worst case scenario: a pensioner aged 71 (older or younger) arrives penniless at Schiphol and reports to the homeless shelter of the municipality of Haarlemmermeer. Employees there will help get the basic insurance application started. In NL, a health insurance fund is not allowed to refuse customers, so that will be fine. Then the doctor visits can get a start.

    But of course Reint is concerned with the last 2 questions: “Does the government help?” No, of course not. The government has set up all kinds of legislation and institutions to assist people in need. But bear in mind that all childcare is ultimately paid for by good citizens who have stayed within limits and pay their premiums, taxes and contributions on time.

    Then the last question: "Or are you left to your own devices?" No, of course not. No one is left to fend for themselves, even if in some situations it seems that way. But people really don't stand at Schiphol with a sign up and a limousine waiting for people who turned out to be unable or unwilling to take out proper insurance, to such an extent that medical expenses after their 70th birthday turned out to be covered.

  14. Ton says up

    Have a bit of trouble with the question. Gives me the impression that certain people are trying to get out of an insurance premium. Health care is paid for by all contributors, in addition with money from the general pot (taxpayers). As a non-payer for many years, let yourself return to the Netherlands quickly in case of a serious medical problem, then register yourself with a municipality, take out a healthcare policy, drop yourself in front of a hospital and have the damage repaired, without ever paying a penny of premium for it. to have paid,
    I don't really find it socially acceptable, in other words: an anti-social profiteer who makes others pay for the costs. The more of those kinds of freeloaders, the higher the premiums and tax burden. Thank you!

    • Nico says up

      Moderator: Please do not chat.

  15. Jacques says up

    I know Dutch people who have been living here for years in Thailand (deregistered from the Netherlands) and had their Thai insurance here, but who had problems with treatments that turned out to be too expensive (cancer) and who were deregistered by their insurance and therefore had no possibility to travel in Thailand. still to be treated, or could take out new insurance, because they automatically exclude existing ailments upon acceptance. This is hearsay but I don't see why they would lie about this. Those people went back to the Netherlands, what else can you do, you are in a very bad situation at that moment. Re-registered there with a municipality and applied for and received health insurance and had it treated further. You are and remain a Dutch citizen and you are entitled to it, but that it should actually be possible to do otherwise, the Dutch government also has a clean task to perform. Thinking outside the box can do no harm and is sometimes necessary.

  16. Gerard Van Heyste says up

    Am in the same case as Lung Adddie, what Belgium can do is difficult for the Netherlands? Next month we will go on leave !! in Belgium my wife, me and my son, upon arrival I report to the health insurance fund and that's it, we are going to do a full check-up, completely free, why not? completed a full career! Who is a profiteer?
    And then it is longingly looking forward to Thailand, nice weather nice life, with my Dutch and Belgian. friends !


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