Manage your HollandZorg health insurance
On this page, you will find information and forms you need to manage your health insurance policy yourself. You can change your personal details, submit a claim or apply for certain forms of care.
Apply for healthcare services
- Apply for medical transportation
- Apply for waiting list mediation
- Apply for non-contracted district nursing care
In some cases, you need prior written permission, otherwise the healthcare service may not be reimbursed. Read more about: - Apply for authorization for healthcare services
Looking for forms for 2025? You'll find them here.
Update your information
- Change your address (My HollandZorg)
- Change your personal information (name, e-mail, telephone number) (My HollandZorg)
- Change your payment details (bank account, means of payment) (My HollandZorg)
Claim forms
- Claim form transport costs - English
- Claim form costs home dialysis - Dutch
- Claim form home respiration - Dutch
Application forms
Third party authorization
Would you like to authorize someone to have access to your basic health insurance details? Then please complete and sign the form below.