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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 have only a Dutch pension or
benefit
Current situation
You are insured now private, you have standaardpakketpolis (Wtz
-
verzekering) or you are insured public (IZA/izr or DGVP).
This means that you compensate for your medical expenses gets
because in your policy
foreign country cover has been taken.
You are not oblige insured for the AWBZ. However, it is
possible that you have concluded a voluntary AWBZ insurance (insurance
for long-term care). The costs which you make, can directly
declare you at your health insurance company. You use for this
of Awbz-restitutieregeling.
The impact of the setting-up of the care insurance law
You are not verzekeringsplichtig for the Zvw.
The Zvw are socialezekerheidswet, as a result of which apply the
European socialezeker heidsverordening (the regulation).
Moreover is
bilateral sociaalzekerheidsverdragen 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
treaty, is entitled to medical care such as that in the country
of residence is
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 were not insured under the social security system,
you did not fall under the regulation or a bilateral treaty
and the voluntary AWBZ insurance has been then introduced for
Awbz-zorg if you lived abroad.
By setting-up of the Zvw you are insured under the social
security system, however, and are entitled you to care such as that in
your country of residence have been regulated; the so-called
country of residence parcel.
The voluntary AWBZ insurance and is for this reason no longer
necessary and comes expire. Also Awbz-restitutieregeling come
expire. To people who enjoy Awbz-zorg at setting-up the Zvw
already, a transitional measure applies.
Because you have revendications on the basis of the regulation
or a treaty is your current insurance with foreign country cover no
longer necessary. In the course of the year you receive more
information of your insurer on
consequences on your health insurance. Insofar your
insurer
insurance does not cancel, can you that yourself cancel.
It can be that your current insurance gives more revendications
than the standard package of your country of residence. It is
also possible that you have an additional insurance. This
additional insurance
continues exist in principle. Your insurer can inform you
concerning the consequences on these extra revendications or the
additional insurance.
As the Zvw, are you a contribution to the CVZ it has been
introduced chargeable.
No-claimteruggaveregeling, which have been introduced by 1
January 2005 in
Health Insurance, continues exist also under the Zvw and also
precedes you to apply. Dependent of altitude of your pension or
benefit you can are entitled to a care allowance as an allowance in
the costs of the contribution. The Tax and Customs
Administration occupies himself with the implementation of the care
allowance. For questions about this you get help at the Tax and
Customs Administration.
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.
To family members applies after setting-up of the Zvw the same
as to the one which the pension or the benefit receives. They
are not -
verzekeringsplichtig for the Zvw and are entitled to care such
as that in the country of residence have been regulated.
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 (the gepensioneerde/entitled to benefits).
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 whom, the moment the Zvw are introduced, Awbz-zorg enjoy
abroad can continue this care or from that resulting continuation care
at the expense of the AWBZ.
What has do you?
. You must communicate yourself at the CVZ for asking a form
from which appears that you are entitled to medical care at the
expense of the Netherlands.
. With this form you must register yourself with a social health
insurance company
in your country of residence.
. The family member must communicate himself also at the CVZ.
. If you do not communicate yourself and your family members at
the CVZ, then the CVZ impose you a fine.
Source: Minvws.nl, brochure your health insurance if you
live abroad
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