Friday 5 October 2012

The medical system

The healthcare system in Netherlands is pretty weird and very difficult to digest for an Indian.
Note: Since Jan 2014, I have transferred this blog to http://indiansinnetherlands.com due to better features. So for latest (and correct) notes, kindly click here: http://indiansinnetherlands.com.

A health insurance is mandatory in Netherlands. Basic insurance covers for free visits to the general doctor (for medicines you have to pay). The general doctor is called the GP. For dental coverage you need to take additional insurance. 

Once you get your insurance paper, you need to register yourself (and family) with a doctor (GP). You can visit only that GP for any illness (except dental and emergency cases)! If the GP thinks your illness needs a specialist, he/she can recommend you to a specialist.

For kids, in addition to the above you need to register your child with Zuid Zorg. Zuid Zorg is responsible for immunization, growth check and progress monitoring of your child. Your GP will not do any of these.

The GP will give a prescription that you have to buy in a Apotheek (Medical store). The procedure of buying the medicine is:
- you provide your insurance number to the Apotheek 
- Apotheek will give you the medicine without asking you to pay
- Apotheek will send the bill to your insurance company
- if the total cost of the medicines you have bought so far for the year is less than €360/-, the insurance company will charge the bill to you. Anything over €360/- for the calendar year will be paid by the insurance company.

Important to note:
GPs work only from Monday thru Friday, 8:30AM to 5:00PM!! Due to this limited window, even on their work day, you may or may not get an appointment on the same day! They also go on vacation very often!! In emergency situations, you can visit a hospital. Depending on how serious the hospital doctor thinks your condition is, he/she might accept or refuse to treat you.

Also a well known fact about Dutch GPs is that they will not prescribe medicines easily. If they expect the illness will go away on its own, they will just give you some assurance and ask you to just go back home and take rest!

My personal opinion is that the doctor's quality here is average. I have heard a few cases of negligence, ignorance etc. Some times the GP might ask you what he/she should do! For not so normal cases, people surf the internet, identify the problem and take the solution to the GP!! So good luck :)

Disclaimer: The is my best effort and personal opinion. No responsibility will be taken for any inaccuracy

3 comments:

  1. Thanks for the information

    ReplyDelete
  2. Hey, Can you pls provide some info on choosing a GP? How to choose one? are there any ratings for GPs or I choose one randomly? Do you personally suggest any GPs that are taking new patients?

    Ur response is much appreciated.

    Thanks a lot for ur time and effort.

    ReplyDelete
    Replies
    1. Choosing a GP is generally by word of mouth. If you are having difficulty, the townhall can help in providing you a list. Sometimes the GPs also take patients whose address is near to their office. Some doctors have walkin visits generally from 8AM to 8.30AM. This really helps. Also enquiry the average wait time to get an appointment. If it is anything more than next day, go for someone else.

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