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Entrepreneurs are, just like everyone else in the Netherlands, obliged to take out health insurance under the Healthcare Insurance Act (Zorgverzekeringswet, Zvw). The mandatory basic package of the healthcare insurance will cover the default healthcare provided by a general practitioner, hospital or pharmacy, for instance.
Excess and additional coverage
The healthcare insurance is subject to a mandatory excess. This means you pay the first part of the care you receive yourself. The excess rate is set annually. In addition to the mandatory basic health insurance, which covers medical care included in the basic package, you can take out additional coverage via your health insurer.
Self-employed professionals and ZVW
If you are a self-employed professional and the Dutch Tax and Customs Administration considers your income to be the result from other activities (ROW), you will have to pay a ZVW contribution. To this end they will send you an assessment.
Healthcare benefit entitlement
Healthcare benefit is a contribution to the costs of your healthcare insurance. Whether you are entitled to healthcare benefit (in Dutch) depends on your income level, among other things. You can apply for healthcare benefit (zorgtoeslag)(in Dutch) via the Dutch Tax and Customs Administration.
Employing uninsured workers
All employees in the Netherlands must take out Dutch healthcare insurance. If someone fails to do so, the Dutch Central Administration Office (CAK) will do this for them. Their employer will have to withhold the monthly premium (in Dutch) for this insurance from their regular wages and pay this to CAK.
The Healthcare Insurance Act also applies if you do not live in the Netherlands, but if you are insured in the Netherlands for the Exceptional Medical Expenses Act. You are then required to have basic health insurance. Besides this, you may be entitled to healthcare benefit (in Dutch)