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01. The new care insurance
02th
application & acceptance
specifically 05th
No-claim &
own risk 06.
additional insures 03th premium &
cover 04th target group
07th
income & income-related contribution
08. if you
live abroad
how krijg I care allowance abroad?
Is it possible that persons who live abroad and/or
work and that is not verzekeringsplichtig in the Netherlands, however,
can conclude a care insurance?
Does a foreign
insurer have accept me?
You are resident in the
Netherlands and you have exclusively a pension from an EU/honour
country
you are resident in the Netherlands and
you work in another one an EU/honour country.
You
live in an EU/honour - or treaty country, you are now private or
public insured and you are in the Netherlands employee, independent or
frontier worker
you live in an EU/honour - or
treaty country, you are now private or public insured and you have
only a Dutch pension or benefit
you live in an
EU/honour - or treaty country, you are now health insurance
fund-insured and you are in the Netherlands employee, independent or
frontier worker
you live in an EU/honour - or
treaty country, you are now health insurance fund-insured and you have
only a Dutch pension or benefit
you do not live in
an EU/honour - or a treaty country, you are insured individual
doesn't honour live - in an EU/or a treaty country, you are
insured individual and you have only a Dutch pension or where
am I possible benefit correct for
further information on Dutch abroad?
When are you
entitled to medical care in your country of residence at the expense
of the Netherlands?
09. Complaints
10 care allowance & Financi? impact
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You live in an EU/honour - or treaty country, you are
now private or public insured and you are in the Netherlands employee,
independent or frontier worker
This information it has been written for the employee but
is also on the frontier worker and the self-employed person.
Where this deviates this is mentioned explicitly.
Current situation
You are insured now private, you standaardpakketpolis have (Wtz
insurance) or you are insured public (IZA/izr or DGVP).
This means that you compensate for your medical expenses gets
because in your policy a foreign country cover has been incorporated.
Moreover are you oblige Awbz-verzekerd (insurance for long-term
care). The costs which you make can directly declare you at your
care insurer. You use for this of Awbz-restitutieregeling.
The impact of the setting-up of the care insurance law
The Zvw are socialezekerheidswet as a result of which apply the
European social certainty regulation (the regulation). Moreover
bilateral sociaalzekerheidsverdragen are which have been closed by the
Netherlands with other countries, in which have been taken a
regulation for the attribution of medical care, also on the Zvw.
People who are insured under the social security system and fall
under the regulation or a treaty, are entitled to medical care such as
that in the country of residence are
regulated; the so-called country of residence parcel.
This care is granted by the institutions of the social health
insurance of the country of residence.
The costs of this care are charged to the Netherlands. The
Care Insurance Board (CVZ) looks after the financi? run.
Because you work in the Netherlands, are you
verzekeringsplichtig for the Zvw. you must a care insurance conclude
at a Dutch insurer of your choice. Moreover you are insured
under the social security system by setting-up of the Zvw as a result
of which applies the regulation or a treaty to you.
In your country of residence you can call upon care in two
manners:
1. If you in the Netherlands have chosen for an insurance where
you the costs of care which you enjoy abroad your insurer get
compensated for (restitutiepolis), can call upon you abroad care and
declare the account at your Dutch care insurer.
You can call upon care in the Netherlands with your
restitutiepolis also.
The expenses of abroad enjoy care are reimbursed to Dutch
criteria. This means that the compensation can be lower than the
costs which you have paid to the care provider.
2. You can register yourself with a form of your Dutch care
insurer with the social health insurance company of your place of
residence. In your country of residence are entitled you then to
the country of residence parcel at the expense of the Netherlands.
As the Zvw it has been introduced, pays you a flat-rate
contribution to your care insurer. Beside the flat-rate
contribution is there income-related
insured person contribution which is paid by your employer.
If you are self-employed person you must income-related pay
insured person contribution himself.
No-claimteruggaveregeling, which have been introduced by 1
January 2005 in the Health Insurance, continue exist also under the
Zvw and also precede you to apply. New in the Zvw is that you
can right dependent on your income on a care allowance as an allowance
in the costs of the flat-rate contribution. The Tax and Customs
Administration occupies himself with the implementation of the law on
zorg-toeslag. For questions about this you get help at the Tax
and Customs Administration.
Consequences on the AWBZ
By setting-up of the Zvw you are insured under the social
security system. The voluntary AWBZ insurance is for this reason
no longer necessary and comes expire. Also
Awbz-restitutieregeling come expire. For people who at the
setting-up of
already Awbz-zorg enjoy the Zvw a transitional measure applies
(to see verderop).
You pay income-related premium for the AWBZ.
Family members
He who family member is it is stipulated by the legislation of
the country where you live. In general this the spouse is and
under 21 children without own income. You this can inquire from
the social health insurance company in your place of residence.
The family member is niet-verzekeringsplichtig for the Zvw but
has only
revendications on the basis of the regulation or a treaty, the
so-called treaty revendications. This meanss that the family
member is entitled to medical care such as that in the country of
residence has been regulated; the so-called country of residence
parcel.
As the Zvw, is the family member of 18 years it has been
introduced and older a contribution to the CVZ chargeable. This
contribution is levied at the one of which the right to care has been
inferred (employee, frontier worker or independent). Family
members younger than 18 years are no contribution chargeable.
For family members of 18 years and older
no-claimteruggaveregeling, which have been introduced by 1 January
2005 existed in the Health Insurance, also under the Zvw, remain.
Transitional measure Awbz-zorg abroad
Like for this it has been indicated, is entitled you to the
country of residence parcel. That country of residence parcel is
possible more or less is extended than the Dutch package of care.
For people who receive now already care at the expense of the
AWBZ, problems can arise there when that care has not been
incorporated in their country of residence parcel. For problems
to occur, becomes to foresee in a transitional measure. The
transitional measure means that people who, the moment the Zvw are
introduced, enjoy Awbz-zorg in
can continue foreign country, this care or from that resulting
continuation care at the expense of the AWBZ.
What has do you?
. You must a care insurance conclude at a care insurer to choice
if you conclude no zogverzekering, then the CVZ impose you a fine.
. Family members must communicate themselves at the CVZ.
If your family members do not communicate themselves at the CVZ,
then the CVZ impose you a fine.
. If you choose care to call upon on the basis of the regulation
or a treaty you must register yourself with a social health insurance
company. in your country of residence.
If you have family members and you do not register yourself your
family members can who Zvw-verzekerd are not do not claim the country
of residence parcel.
Source: Minvws.nl, brochure your health insurance if you
live abroad
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