Healthcare costs when living abroad

Even if you do not live in the Netherlands, you can choose an examination or treatment at Radboudumc. This page provides information about what this means for your healthcare costs.  

Who is liable for the invoice of your hospital treatment?  

You have a European healthcare insurance

In many cases, we will send the invoice of your hospital treatment to your health insurance company abroad, via an intermediate insurance company. For this we need a copy of a valid European Health Insurance Card (EHIC). If you are not in possession of an EHIC, you can ask your health insurance company for a letter of guarantee. Please note: there are only 2 kinds of letters of guarantee we can accept:
  • an E-112 form
  • an S2 form

You can check with your health insurance company whether they can provide you with an EHIC or one of the forms mentioned above.
If you want to send these forms to us, please use our secure upload form.
 

You are from a non-European country or your health insurance company cannot provide you with a valid letter of guarantee 

Are you from a country outside Europe or is your own health insurance company unable to provide you with a valid letter of guarantee (EHIC, E-112 or S2 form)? In that case, you sometimes have to make an advance payment for your hospital treatment, or you receive the invoice at your home address. Afterwards, you can attempt to recover the costs from your health insurance company.
Please feel free to contact us for any information on this matter via:
T +31 (0)24 361 33 93
E kostenvanzorg@radboudumc.nl  

How much does your hospital treatment cost?

Costs of all hospital treatments can be found on our standard price list.

Would you like a price indication prior to your hospital treatment?

You can request a price indication.

How is the invoice determined?

Diagnosis-Treatment Combination
The cost of hospital treatment in the Netherlands is determined by what is known as a Diagnosis-Treatment Combination (DBC in Dutch). This diagnosis treatment combination is also called a DBC healthcare product. A DBC healthcare product includes all stages of a patient’s treatment over a certain period of time. DBC healthcare products form the basis of Dutch hospital care finance.


A DBC healthcare product has a maximum duration of 120 days. If a patient has a chronic illness and undergoes long-term treatment, consecutive DBC healthcare products are registered over the years.  
 
Various factors of influence
When you come to hospital, the medical specialist opens the DBC healthcare product which matches your diagnosis. The final cost of the treatment is not yet determined. The final DBC healthcare product is determined by various factors; it depends, among other factors, on whether you have  an operation, whether you spend the night at hospital and how many appointments you have with a specialist. The price of a DBC healthcare product is not based on the exact treatment of one specific patient, but on the treatment an average patient with that diagnosis receives.

The final price
The DBC healthcare product is officially determined at the end of the treatment. The Dutch Healthcare Authority (NZA) is the supervisory body for all the healthcare markets in the Netherlands and determines which DBC healthcare products hospitals can declare. The NZA also determines the rules regarding start and end dates of a healthcare product. It is possible for a patient to have more than one healthcare product at once if he/she is being treated for more than one ailment by different specialists.
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