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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 health insurance fund-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
Because you work in the Netherlands and an income have under the
health insurance fund border,
are you now health insurance fund-insured. For this reason
on your salary premium for the Health Insurance Act is implied.
You can see this on your wage slip.
You have itself registered at a Dutch health insurance fund.
People who are health insurance fund-insured and in an EU/EEA
country or treaty country live, have been insured under the social
security system, as a result of which apply the regulation and the
treaties. This meanss that you and your family members are
entitled to medical care such as that in your country of residence
have been regulated; the so-called country of residence parcel.
This care is granted by the institutions of the social health
insurance of your 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 are health insurance fund-insured, are you also
obliges insured for the AWBZ (insurance for long-term care).
Also for the AWBZ you get the care such as this in your country
of residence are regulated; the country of residence parcel.
For Awbz-zorg that have not been incorporated in the country of
residence parcel, can you now use of Awbz-restitutieregeling.
The impact of the setting-up of the care insurance law
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 the regulation or a
treaty on you remains of application.
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
the account
declare 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 verzekerden-bijdrage which you
compensate for gets of 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. New in the Zvw is that you can, depending on of your
income, right on a care allowance as
allowance in the costs of the flat-rate contribution. The
Tax and Customs Administration occupies himself with the
implementation of the care allowance. For questions about that
you get help at the Tax and Customs Administration.
The consequences on the AWBZ
Because you work in the Netherlands, you remain insured for the
AWBZ. No change comes. By setting-up of the Zvw you get
the care such as that
your country of residence is regulated and can you no more
appeal to the AWBZ -
refund regulation. This refund regulation comes expire, as
it happens. To people who enjoy Awbz-zorg at setting-up the Zvw
already 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 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 declared are entitled you are 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 becomes occur 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 conclude a care insurance at a care insurer to
choice. If you conclude no care insurance, 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 are not insured do not claim the country of
residence parcel.
It is possible that you have an additional insurance. Your
insurer will inform you concerning the consequences of the setting-up
of the Zvw on this additional insurance.
Source: Minvws.nl, brochure your health insurance if you
live abroad
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