As this is done automatically for employees and only a once-a-year activity for freelancers, this probably is not the part that you will be most concerned with. Your insurance premium and deductible excess will most likely have a more active impact on your bank balance and mood!

Your monthly premium (premie in Dutch) is a fixed fee that is deducted from your bank account each month. It’s partially based on the selection of medical services that you selected when selecting your specific policy.

The deductible excess (eigen risico) of your insurance is the annual amount that you must pay out of pocket for certain types of treatments and drugs before your health insurance will cover the rest. This is an annual amount, so after the new year, your own contribution resets. If you have no medical costs for a whole calendar year, you won’t have to pay eigen risico that year.

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There are two types of deductible excess: obligatory and mandatory. The obligatory excess is the amount that applies for everyone. It changes every year; in 2019 it’s €385. You can choose to increase your excess by opting for a voluntary excess. That would mean a higher deductible excess amount, but a lower premium. You can add a voluntary excess of €100 up to €500.

Example of deductible excess

You have taken on a voluntary deductible excess of €100 and you need to get a medical treatment that costs €600. This would mean that you would have to pay €385 (for the mandatory excess) + €100 (for the voluntary excess) = €485. Your insurance would pay the other €115.