Exceptions to the excess

Some medical treatments are exempt from mandatory and voluntary excess. In most cases, you won’t receive a bill for the medical costs reimbursed by basic insurance.
  • Visits to a general practitioner (GP) or GP centre (excess applies to treatment or tests prescribed by the GP, such as lab tests)
  • Care for children up to the age of 18
  • Medical devices on loan
  • Nursing and medical care in your own surroundings
  • Integrated care via your GP if the GP is affiliated to a care group (performance-related funding of the provision of multidisciplinary care for chronic disorders)
  • Transport and follow-up of the organ donor (up to 13 weeks and for a liver transplant 6 months)
  • Obstetric care, maternity care, midwifery care, chorionic villus test, amniocentesis, counselling, structural ultrasound exam and the NIPT (excluding medicines, blood pressure tests and patient transport
  • Annual follow-up of the donor (the bill clearly states donation)
  • Donor’s transport costs if they are reimbursed by the donor’s basic insurance
  • Combined lifestyle intervention

Are you a chronic user of prescription medicine and do you have an annual medicine review at a contracted pharmacy, then the mandatory an voluntary excess doesn't apply. Even the costs of the stop smoking programme and any pharmacotherapeutic intervention (medication) at a contracted care provider are exempt. The care provider for the stop smoking programme is someone other than a GP, medical specialist or clinical psychologist.

Sometimes you will receive a bill

Maternity care or a visit to a GP may require follow-up tests, such as a blood test. The excess applies to the blood test. Your reimbursement statement will state this as lab costs. These costs are not included in the reimbursement for GP or maternity care.

What type of care does the excess apply to?

For most medical costs reimbursed from basic insurance, you will need to pay the mandatory excess of €385 first.

Check our online reimbursement overview to see if the excess applies. Further information in Dutch only.