Changes 2026

More support for quitting smoking

Reimbursement of a quit-smoking programme maximum three times per calendar year from the public health insurance. This supplement is intended to help more smokers quit, considering that it often takes several attempts and supervision increases the chance of success.

Indexation of statutory personal contribution

The statutory personal contribution for maternity care, obstetric care without a medical indication, patient transport, overnight stays and aids is indexed. The statutory personal contribution is determined by the government. The reimbursement overview and policy conditions tell you the amount of this contribution per type of care .

Extra reimbursement for people with axSpA

Remedial therapy for adults with axial spondyloarthritis (axSpA) and serious functional impairments are reimbursed from the public health insurance package instead of receiving a temporary reimbursement. This means that physiotherapy or remedial therapy is fully reimbursed from the first treatment, without an examination first being required.

Adjustment of maximum rates for Healthcare Insurance Personal Budget (Zvw-pgb)

The maximum rates for a personal budget (pgb) under the Zvw have been adjusted. The rates are set out in the Healthcare Insurance Personal Budget Regulations. There is no right to reimbursement via the personal budget for costs of tasks as an employer or client.

No compulsory excess for a collegial consultation and collegial advice

During a collegial consultation, your general practitioner looks at your situation together with another healthcare provider. You are also present during this meeting. In the case of collegial advice, another healthcare provider looks at your situation with your general practitioner, but you are not present. The aim is for you to get the right care more quickly. From 2026, you will therefore no longer pay a compulsory excess for a collegial consultation and collegial advice.

Amended principles for the Medical care for specific patient groups (GZSP)

The care provider must deliver the care in compliance with the GZSP Principles. You can view and download these principles at www.hollandzorg.nl/voorwaarden. Do you wish to use the care from a care provider with whom we have not concluded a contract? In that case, the reimbursement may be lower than the amount charged by the care provider. The maximum reimbursements can be found on the rates lists for non-contracted care at www.hollandzorg.nl/rates. Contracted care providers are listed at https://hollandzorg.z-zoeker.nl/.

General changes

Faster payment of claims

With effect from 1 January 2026, we will pay claims within 3 working days instead of 5.

Faster complaint handling

We will handle complaints within 4 weeks instead of 6 weeks.

Limitation for care provided by yourself or a family member

In principle, there is no longer a right to (reimbursement of costs of) care provided by yourself or by family members. This right only remains in exceptional cases. For example, in the case of a Healthcare Insurance Personal Budget or if we have given you permission.