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Insured healthcare provision by self-employed carers

This information is provided by

Netherlands Enterprise Agency, RVO

Freelance/self-employed carers or nurses in the Netherlands who provide care can do so via a care provider, care administration office or directly.

Are you a freelance/self-employed carer or nurse in the Netherlands? And do you want to provide your clients with insured care at home under the Social Support act (Wet maatschappelijke ondersteuning, Wmo) or the Long-term Care Act (Wet langdurige zorg, Wlz)? If so, you have several options:

  • You can offer your services through a care provider. This is an approved institution (in Dutch), such as a homecare organisation, care institution or intermediary agency.
  • You can conclude an agreement with a care administration office. The personal care, nursing or assistance you offer your clients at home will then be insured.
  • You provide care directly to an individual client, who has been granted a so-called Personal Care Budget (persoonsgebonden budget, pgb).

Avoid false self-employment

When you accept an assignment, you need to check if you will be working as an employee or as a self-employed professional. You have to avoid false self-employment. Use a model agreement if you think you may be considered an entrepreneur by the Dutch Tax and Customs Administration. An approved model agreement (in Dutch) for freelancers/self-employed professionals who give home care commissioned by care institutions, is available.

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This information is provided by

Netherlands Enterprise Agency, RVO
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