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What are reciprocal healthcare agreements? | NetherlandsWorldwide
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agreements?</h1></header><div class="RichText_container__QJWUn content-small-wrapper ActionArea_intro__2v5LN"><p>Reciprocal healthcare agreements are agreements between the Netherlands and other countries about medical care and the reimbursement of medical expenses. They apply to people who live abroad and receive a Dutch pension or benefit. They can also apply to family members of people who live abroad and work in the Netherlands.</p></div></div></div><div class="content-wrapper" data-testid="information-area"><div class="component-wrapper-no-margin"><div class="component-wrapper content-small-wrapper"><div class="RichText_container__QJWUn "><p>The CAK is responsible for implementing these agreements.</p><h2>People who fall under reciprocal healthcare agreements</h2><p>Reciprocal healthcare agreements apply in the following situations:</p><ul><li>You live in a country with which the Netherlands has a reciprocal healthcare agreement and you receive a Dutch pension or benefit. And you no longer work in the Netherlands and you do not have your own company.</li><li>You are a family member of someone who falls under the reciprocal healthcare agreement.</li></ul><p>They can also apply to family members of people who <a href="/health-insurance-abroad/living-abroad-working-netherlands">live abroad and work in the Netherlands</a> (cross-border commuters). The rules for this vary by country.</p><p><strong>Countries with which the Netherlands has a reciprocal healthcare agreement</strong></p><p>The Netherlands has reciprocal healthcare agreements with a number of countries.</p></div></div><div class="component-wrapper content-small-wrapper"><h3 class="AccordionItem_header__wJ8XV "><button class="AccordionItem_button__OC8hB" aria-expanded="false" aria-controls="accordion-panel-2-0" type="button"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 64 64" height="20" width="20" class="Icon_icon__hNQtl AccordionItem_icon__chBVl" aria-hidden="true"><path fill="#000" d="M13.086 36.559v-9.215h14.211V13.137h9.312v14.207h14.305v9.215H36.609v14.305h-9.312V36.559H13.086z"></path></svg><span class="AccordionItem_text__ipDOI">See which countries the Netherlands has a reciprocal healthcare agreement with</span></button></h3><div id="accordion-panel-2-0" data-testid="accordion-panel" class="AccordionItem_panel__RMVBc AccordionItem_hidden__TDxEx"><div class="AccordionItem_panelContent__CCN0b"><div class="RichText_container__QJWUn "><h4>A</h4><ul><li>Austria</li></ul><h4>B</h4><ul><li>Belgium</li><li>Bosnia and Herzegovina</li><li>Bulgaria</li></ul><h4>C</h4><ul><li>Cabo Verde</li><li>Croatia</li><li>Cyprus (Greek part only)</li><li>Czech Republic</li></ul><h4>D</h4><ul><li>Denmark</li></ul><h4>E</h4><ul><li>Estonia</li></ul><h4>F</h4><ul><li>Finland</li><li>France (including Guadeloupe, French Guiana, Martinique, Mayotte, St Martin and R茅union)</li></ul><h4>G</h4><ul><li>Germany</li><li>Greece</li></ul><h4>H</h4><ul><li>Hungary</li></ul><h4>I</h4><ul><li>Iceland</li><li>Ireland</li><li>Italy</li></ul><h4>L</h4><ul><li>Latvia</li><li>Liechtenstein</li><li>Lithuania</li><li>Luxembourg</li></ul><h4>M</h4><ul><li>Malta</li><li>Montenegro</li><li>Morocco</li></ul><h4>N</h4><ul><li>The Netherlands</li><li>North Macedonia</li><li>Norway</li></ul><h4>P</h4><ul><li>Poland</li><li>Portugal (including Madeira and the Azores)</li></ul><h4>R</h4><ul><li>Romania</li></ul><h4>S</h4><ul><li>Serbia</li><li>Slovakia</li><li>Slovenia</li><li>Spain (including Ceuta, Melilla and the Canary Islands)</li><li>Sweden</li><li>Switzerland</li></ul><h4>T</h4><ul><li>Tunisia</li><li>T眉rkiye</li></ul><h4>U</h4><ul><li>United Kingdom (including Gibraltar)</li></ul></div></div></div></div><div class="component-wrapper content-small-wrapper"><div class="RichText_container__QJWUn "><p><strong>Pension and benefit schemes that fall under reciprocal healthcare agreement</strong></p><p>Reciprocal healthcare agreements apply to people who receive a Dutch pension or benefit under at least 1 of the following:</p><ul><li><a href="/aow-pension-abroad">General Old Age Pensions Act (AOW pension)</a></li><li>Surviving Dependants Act (ANW)</li><li>Flexible pension (early retirement) or KeuzePensioen scheme</li><li>Bridging scheme (OBR)</li><li>Invalidity Insurance Act (WAO), Work and Income (Capacity for Work) Act (WIA) or Incapacity Insurance (Self-employed Persons) Act (WAZ)</li><li>Work and Employment Support (Young Disabled Persons) Act (Wajong)</li><li>Redundancy pay scheme (WW+) for military personnel and civil servants</li></ul><p><strong>Family members</strong></p><p>Who exactly is considered to be a family member varies by country. For example, in some countries you must be married to your partner to fall under a reciprocal healthcare agreement. In other countries that is not necessary. Ask your local health insurer for information on who exactly is considered a family member.</p><h3>Why do I have to pay a premium?</h3><p>If the reciprocal healthcare agreement applies to your situation, you are legally obliged to register with the CAK to arrange your health insurance abroad.</p><p>For health insurance via the CAK you must pay an insurance premium. In most cases, the organisation that pays your benefit or pension will automatically withhold this amount. You do not have to make a separate payment for this premium.</p><p>The amount of your premium depends on your income and where you live. You can fill in your information on the CAK website to <a href="https://www.hetcak.nl/zelf-regelen/rekenhulp-verdragsbijdrage">see an estimate of what your premium may be</a> (in Dutch).</p><p><a href="https://www.hetcak.nl/en/health-insurance-abroad/pension-benefit/financial-information/healthcare-contribution/">Read more about CAK premiums for people who receive a Dutch pension or benefit</a></p><p><a href="https://www.hetcak.nl/en/health-insurance-abroad/cross-border-worker-family/financial-information/healthcare-contribution/">Read more about CAK premiums for family members of cross-border commuters</a></p><h3>What is the coverage of the health insurance?</h3><p>The coverage of the health insurance through the CAK differs per country. You can inquire about this with your health insurer in your country of residence.</p><h2>Contact</h2><p>If you have any questions, please do not hesitate to <a href="/contact">contact us</a>.</p><h2>Also useful</h2><ul><li><a href="/health-insurance-abroad/pension">I live abroad and am retiring. How will this affect my health insurance?</a></li><li><a href="/health-insurance-abroad/benefit">I live abroad and receive a Dutch benefit. How will this affect my health insurance?</a></li></ul></div></div></div></div></main><footer class="BrFooter_wrapperWithFeedbackBar__mp5SG"><div class="layout-wrapper"><div class="no-js"></div><div id="surveyContent"></div></div><div class="PayOff_payOff__kzCDk Footer_payOff__n8mNy"><div class="layout-wrapper"><span>NetherlandsWorldwide</span><p class="PayOff_payOffText__aMuPv">Here to help. 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Wherever you are.","announcementFolderPath":"announcements","logoFileName":"logo-kn-eng.svg"}}},"root":{"$ref":"/page/p1"},"document":{"$ref":"/page/u5b627a2d4ba04cb68f6ce933820cb1e1"},"page":{"p1":{"id":"p1","links":{"self":{"href":"https://www.netherlandsworldwide.nl/resourceapi/health-insurance-abroad/reciprocal-agreements?_hn:type=component-rendering\u0026_hn:ref=p1","type":"external"}},"meta":{"definitionId":"dda3889f-2303-4597-b875-960605fbff73","params":{}},"name":"contentpage","label":"Content pagina","type":"component","children":[{"$ref":"/page/p1p1"},{"$ref":"/page/p1p2"},{"$ref":"/page/p1p3"},{"$ref":"/page/p1p4"},{"$ref":"/page/p1p5"},{"$ref":"/page/p1p6"}]},"u5b627a2d4ba04cb68f6ce933820cb1e1":{"type":"document","links":{"site":{"href":"/health-insurance-abroad/reciprocal-agreements","type":"internal"}},"meta":{},"data":{"name":"reciprocal-agreements","displayName":"Foreign health insurance","authority":"Ministerie van Buitenlandse Zaken","language":"en","description":"If you live abroad and receive a Dutch pension or benefit or are a family member of someone who works in the Netherlands, under a reciprocal healthcare agreement you may be required to have health insurance via the CAK.","title":"What are reciprocal healthcare agreements?","creator":"Ministerie van Buitenlandse Zaken","countries":[],"topicTaxonomyKeys":["zorgverzekering"],"cooperatingPartners":["CAK"],"subjects":["zorgverzekering"],"sdgContentType":null,"translations":[{"lang":"en","link":"/health-insurance-abroad/reciprocal-agreements"},{"lang":"nl","link":"/zorgverzekering-buitenland/buitenlandregeling"}],"introduction":{"contentType":"hippostd:html","value":"\u003cp\u003eReciprocal healthcare agreements are agreements between the Netherlands and other countries about medical care and the reimbursement of medical expenses. They apply to people who live abroad and receive a Dutch pension or benefit. They can also apply to family members of people who live abroad and work in the Netherlands.\u003c/p\u003e"},"contentblocks":[{"contentType":"hippostd:html","value":"\u003cp\u003eThe CAK is responsible for implementing these agreements.\u003c/p\u003e\n\n\u003ch2\u003ePeople who fall under reciprocal healthcare agreements\u003c/h2\u003e\n\n\u003cp\u003eReciprocal healthcare agreements apply in the following situations:\u003c/p\u003e\n\n\u003cul\u003e\n \u003cli\u003eYou live in a country with which the Netherlands has a reciprocal healthcare agreement and you receive a Dutch pension or benefit. And you no longer work in the Netherlands and you do not have your own company.\u003c/li\u003e\n \u003cli\u003eYou are a family member of someone who falls under the reciprocal healthcare agreement.\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003cp\u003eThey can also apply to family members of people who \u003ca href=\"/health-insurance-abroad/living-abroad-working-netherlands\" data-type=\"internal\"\u003elive abroad and work in the Netherlands\u003c/a\u003e (cross-border commuters). The rules for this vary by country.\u003c/p\u003e\n\n\u003cp\u003e\u003cstrong\u003eCountries with which the Netherlands has a reciprocal healthcare agreement\u003c/strong\u003e\u003c/p\u003e\n\n\u003cp\u003eThe Netherlands has reciprocal healthcare agreements with a number of countries.\u003c/p\u003e"},{"name":"p1o:contentblocks","displayName":"p1o:contentblocks","type":"Content","accordionitem":[{"name":"p1o:accordionitem","displayName":"p1o:accordionitem","content":{"contentType":"hippostd:html","value":"\u003ch4\u003eA\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eAustria\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eB\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eBelgium\u003c/li\u003e\n \u003cli\u003eBosnia and Herzegovina\u003c/li\u003e\n \u003cli\u003eBulgaria\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eC\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eCabo Verde\u003c/li\u003e\n \u003cli\u003eCroatia\u003c/li\u003e\n \u003cli\u003eCyprus (Greek part only)\u003c/li\u003e\n \u003cli\u003eCzech Republic\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eD\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eDenmark\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eE\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eEstonia\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eF\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eFinland\u003c/li\u003e\n \u003cli\u003eFrance (including Guadeloupe, French Guiana, Martinique, Mayotte, St Martin and R\u0026#233;union)\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eG\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eGermany\u003c/li\u003e\n \u003cli\u003eGreece\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eH\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eHungary\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eI\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eIceland\u003c/li\u003e\n \u003cli\u003eIreland\u003c/li\u003e\n \u003cli\u003eItaly\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eL\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eLatvia\u003c/li\u003e\n \u003cli\u003eLiechtenstein\u003c/li\u003e\n \u003cli\u003eLithuania\u003c/li\u003e\n \u003cli\u003eLuxembourg\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eM\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eMalta\u003c/li\u003e\n \u003cli\u003eMontenegro\u003c/li\u003e\n \u003cli\u003eMorocco\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eN\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eThe Netherlands\u003c/li\u003e\n \u003cli\u003eNorth Macedonia\u003c/li\u003e\n \u003cli\u003eNorway\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eP\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003ePoland\u003c/li\u003e\n \u003cli\u003ePortugal (including Madeira and the Azores)\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eR\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eRomania\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eS\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eSerbia\u003c/li\u003e\n \u003cli\u003eSlovakia\u003c/li\u003e\n \u003cli\u003eSlovenia\u003c/li\u003e\n \u003cli\u003eSpain (including Ceuta, Melilla and the Canary Islands)\u003c/li\u003e\n \u003cli\u003eSweden\u003c/li\u003e\n \u003cli\u003eSwitzerland\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eT\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eTunisia\u003c/li\u003e\n \u003cli\u003eT\u0026#252;rkiye\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003ch4\u003eU\u003c/h4\u003e\n\n\u003cul\u003e\n \u003cli\u003eUnited Kingdom (including Gibraltar)\u003c/li\u003e\n\u003c/ul\u003e"},"title":"See which countries the Netherlands has a reciprocal healthcare agreement with","contentType":"p1o:accordionitem"}],"actiontype":null,"contentType":"p1o:accordioncontentblock"},{"contentType":"hippostd:html","value":"\u003cp\u003e\u003cstrong\u003ePension and benefit schemes that fall under reciprocal healthcare agreement\u003c/strong\u003e\u003c/p\u003e\n\n\u003cp\u003eReciprocal healthcare agreements apply to people who receive a Dutch pension or benefit under at least 1 of the following:\u003c/p\u003e\n\n\u003cul\u003e\n \u003cli\u003e\u003ca href=\"/aow-pension-abroad\" data-type=\"internal\"\u003eGeneral Old Age Pensions Act (AOW pension)\u003c/a\u003e\u003c/li\u003e\n \u003cli\u003eSurviving Dependants Act (ANW)\u003c/li\u003e\n \u003cli\u003eFlexible pension (early retirement) or KeuzePensioen scheme\u003c/li\u003e\n \u003cli\u003eBridging scheme (OBR)\u003c/li\u003e\n \u003cli\u003eInvalidity Insurance Act (WAO), Work and Income (Capacity for Work) Act (WIA) or Incapacity Insurance (Self-employed Persons) Act (WAZ)\u003c/li\u003e\n \u003cli\u003eWork and Employment Support (Young Disabled Persons) Act (Wajong)\u003c/li\u003e\n \u003cli\u003eRedundancy pay scheme (WW+) for military personnel and civil servants\u003c/li\u003e\n\u003c/ul\u003e\n\n\u003cp\u003e\u003cstrong\u003eFamily members\u003c/strong\u003e\u003c/p\u003e\n\n\u003cp\u003eWho exactly is considered to be a family member varies by country. For example, in some countries you must be married to your partner to fall under a reciprocal healthcare agreement. In other countries that is not necessary. Ask your local health insurer for information on who exactly is considered a family member.\u003c/p\u003e\n\n\u003ch3\u003eWhy do I have to pay a premium?\u003c/h3\u003e\n\n\u003cp\u003eIf the reciprocal healthcare agreement applies to your situation, you are legally obliged to register with the CAK to arrange your health insurance abroad.\u003c/p\u003e\n\n\u003cp\u003eFor health insurance via the CAK you must pay an insurance premium. In most cases, the organisation that pays your benefit or pension will automatically withhold this amount. You do not have to make a separate payment for this premium.\u003c/p\u003e\n\n\u003cp\u003eThe amount of your premium depends on your income and where you live. You can fill in your information on the CAK website to \u003ca href=\"https://www.hetcak.nl/zelf-regelen/rekenhulp-verdragsbijdrage\"\u003esee an estimate of what your premium may be\u003c/a\u003e (in Dutch).\u003c/p\u003e\n\n\u003cp\u003e\u003ca href=\"https://www.hetcak.nl/en/health-insurance-abroad/pension-benefit/financial-information/healthcare-contribution/\"\u003eRead more about CAK premiums for people who receive a Dutch pension or benefit\u003c/a\u003e\u003c/p\u003e\n\n\u003cp\u003e\u003ca href=\"https://www.hetcak.nl/en/health-insurance-abroad/cross-border-worker-family/financial-information/healthcare-contribution/\"\u003eRead more about CAK premiums for family members of cross-border commuters\u003c/a\u003e\u003c/p\u003e\n\n\u003ch3\u003eWhat is the coverage of the health insurance?\u003c/h3\u003e\n\n\u003cp\u003eThe coverage of the health insurance through the CAK differs per country. You can inquire about this with your health insurer in your country of residence.\u003c/p\u003e\n\n\u003ch2\u003eContact\u003c/h2\u003e\n\n\u003cp\u003eIf you have any questions, please do not hesitate to \u003ca href=\"/contact\" data-type=\"internal\"\u003econtact us\u003c/a\u003e.\u003c/p\u003e\n\n\u003ch2\u003eAlso useful\u003c/h2\u003e\n\n\u003cul\u003e\n \u003cli\u003e\u003ca href=\"/health-insurance-abroad/pension\" data-type=\"internal\"\u003eI live abroad and am retiring. How will this affect my health insurance?\u003c/a\u003e\u003c/li\u003e\n \u003cli\u003e\u003ca href=\"/health-insurance-abroad/benefit\" data-type=\"internal\"\u003eI live abroad and receive a Dutch benefit. How will this affect my health insurance?\u003c/a\u003e\u003c/li\u003e\n\u003c/ul\u003e"}],"rightsHolder":"Ministerie van Buitenlandse Zaken","publisher":"Ministerie van Buitenlandse 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