Everybody aged 18 or over has a compulsory deductible for healthcare provided under their general insurance policy. You pay the first €385 for the costs of healthcare yourself and we reimburse the costs above this amount.
For healthcare covered under the general insurance policy, like hospital care, medicine and blood tests, you pay some of the costs yourself. This is called the deductible. The compulsory deductible for 2021 is €385. The amount of the compulsory deductible is set by the Dutch government.
the compulsory deductible applies to everyone aged 18 and over
you pay the deductible in addition to your premium
the deductible applies to one calendar year (1 January to 31 December)
you must first use the €385 deductible before we start reimbursing the costs
What healthcare is excluded from the deductible?
You do not have to pay a deductible for a visit to your general practitioner, midwifery care, obstetric care, medical aids on loan or district nursing, nor for any healthcare covered by your additional insurance package.
Besides the €385 compulsory deductible, you can opt to add a voluntary deductible and save on your premium. The higher the deductible you choose, the lower your premium will be. You can opt for a deductible of up to €885. Do bear in mind, however, that you will be required to pay more of the healthcare costs you incur out of your own pocket. If you want to change your voluntary deductible, please let us know on ‘Mijn CZ’ before 1 January.
How much you can add to your deductible as a voluntary deductible depends on the kind of general insurance policy you have chosen.
With the ‘Zorg-op-maatpolis’, ‘Zorgkeuzepolis’ or ‘CZdirectpolis’ policies, you can add a voluntary deductible of €100, €200, €300, €400 or €500.
If you have the ‘Zorgbewustpolis’, you can only choose a voluntary deductible of €500.
Discount on your premium
Amount of deductible
Premium discount per year: CZ
Premium discount per year: CZdirect
€ 385
€0
€0
€ 485
€36
€48
€ 585
€72
€96
€ 685
€108
€144
€ 785
€144
€192
€ 885
€210
€240
Do I have to pay the deductible all at once?
You can opt to pay the compulsory deductible in instalments so that you don’t have to pay the entire €385 in one go. Your deductible will then be split up into 10 monthly payments of €38.50. If you do not ‘use up’ all of your deductible, we will reimburse you for the excess amount you paid. If you want to pay the deductible in instalments in 2021, please notify us before 1 February.
Difference between the deductible and the personal contribution
The deductible and the personal contribution are both amounts that you need to pay out of your own pocket for healthcare. They are not the same thing, however. When do you have to pay a personal contribution?
We send the invoice for the deductible once every three months, meaning you may need to wait a while before you receive it.
The year for which you are charged a deductible is determined by the start date of your treatment. If the first appointment for your treatment is in 2021, you will be charged the deductible for 2021.
If you are treated in hospital, you may be charged a deductible twice.
From the first time you come to the hospital for treatment, the hospital groups together all your treatments in a sort of package called the Diagnosis-Treatment-Combination, or DBC. The DBC will stop as soon as your treatment has finished, or it will stop after a certain number of days as stipulated by the NZa, which is currently 120 days for most healthcare in hospital, 42 days for surgery and 365 days for mental healthcare. If the treatment takes longer than that, a new (follow-up) DBC will start. If you had not yet paid all of your deductible or this new follow-up DBC is opened in a new year, you will be charged a deductible again.
Your healthcare provider can tell you when a new DBC will be opened for you.