
Claiming an international invoice

Claiming an invoice
In order for you to be able to claim an invoice, it has to be drawn up in a foreign language, as long as it is in the Latin alphabet (Western script). If that is not the case, we need a translation from a certified translator. The invoice needs to state the following details:
- Name, address, domicile and profession of the healthcare provider
- The date of the invoice and the date on which the care was provided
- A description of the care provided
- Name and date of birth of the insured person
When you submit the invoice, we also need a claim form. Please note: if you have bills from several healthcare providers? Then fill in a claim form for each healthcare provider separately. You can choose from the following forms:
- Claim form Dutch
- Claim form English
- Claim form Polish (Wniosek o pokrycie kosztów leczenia)
International claim form
Note: when submitting a claim for an international invoice, the process is different compared to a Dutch invoice. When submitting a claim for an international invoice, you also have to complete the back of the claim form. If you have inovices from several healthcare providers? Then fill in a claim form for each healthcare provider separately. Send this form, along with the original invoice and a translation (if appropriate) to:
HollandZorg
Attn. dept. Verstrekkingen/groep verzekerden
Antwoordnummer 30
7400 VB Deventer
No stamp required.
Healthcare in your country of origin
If you need healthcare in the country you live in (only 27 EU-countries, Liechtenstein, Norway, Iceland, United Kingdom and Switzerland) when you are not in the Netherlands, you can opt to give the healthcare provider in your country of residence an E106/S1 Form. In that case they will not give you an invoice, so you do not have to claim anything once you get back home. This is not compulsory, as you can also use the EHIC.Please regard the following when submitting a claim:
- You must send us the original invoice within 12 months of the end of the year.
- Submitting expense claims in a foreign language? Expense claims for healthcare may be drawn up in a foreign language, as long as it is in the Latin alphabet (Western script).
- Keep copies of the claim form and the original invoice for your own records.
- We will not consider overdue payments and copied invoices.