Health expenditure; functions and financing

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Functions Financing Health care expenditure (mln euro)
Health expenditure for residents Total financing of residents 120,201
HF1: Government, comp. contr. schemes 99,894
HF11: Government schemes 9,568
HF12: Compulsory contributory schemes 90,326
HF121a: Long-term care insurance 29,851
HF122: Compulsory private insurance 60,475
Voluntary schemes (incl. OOP) 20,307
HF2: Voluntary schemes 5,984
HF21: Voluntary health insurance schemes 4,469
HF22: Financing schemes NPISH 75
HF23: Enterprise financing schemes 1,439
HF3: Household out-of-pocket payments 14,323
HF31: Out-of-pocket excl cost sharing 8,382
HF32: Cost sharing 5,941
HC1: Services of curative care Total financing of residents 55,386
HF1: Government, comp. contr. schemes 47,051
HF11: Government schemes 3,453
HF12: Compulsory contributory schemes 43,598
HF121a: Long-term care insurance 149
HF122: Compulsory private insurance 43,449
Voluntary schemes (incl. OOP) 8,335
HF2: Voluntary schemes 1,559
HF21: Voluntary health insurance schemes 1,559
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 6,776
HF31: Out-of-pocket excl cost sharing 4,476
HF32: Cost sharing 2,300
HC11: In-patient curative care Total financing of residents 16,146
HF1: Government, comp. contr. schemes 15,230
HF11: Government schemes 1,082
HF12: Compulsory contributory schemes 14,149
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 14,149
Voluntary schemes (incl. OOP) 915
HF2: Voluntary schemes 27
HF21: Voluntary health insurance schemes 27
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 888
HF31: Out-of-pocket excl cost sharing 64
HF32: Cost sharing 824
HC12: Day cases of curative care Total financing of residents 3,807
HF1: Government, comp. contr. schemes 3,584
HF11: Government schemes 95
HF12: Compulsory contributory schemes 3,489
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 3,489
Voluntary schemes (incl. OOP) 223
HF2: Voluntary schemes 3
HF21: Voluntary health insurance schemes 3
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 220
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 220
HC13: Outpatient curative care Total financing of residents 34,750
HF1: Government, comp. contr. schemes 27,598
HF11: Government schemes 2,276
HF12: Compulsory contributory schemes 25,321
HF121a: Long-term care insurance 148
HF122: Compulsory private insurance 25,173
Voluntary schemes (incl. OOP) 7,152
HF2: Voluntary schemes 1,511
HF21: Voluntary health insurance schemes 1,511
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 5,641
HF31: Out-of-pocket excl cost sharing 4,400
HF32: Cost sharing 1,241
HC13.1: General outpatient curative care Total financing of residents 6,527
HF1: Government, comp. contr. schemes 6,416
HF11: Government schemes 18
HF12: Compulsory contributory schemes 6,398
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 6,398
Voluntary schemes (incl. OOP) 111
HF2: Voluntary schemes 27
HF21: Voluntary health insurance schemes 27
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 84
HF31: Out-of-pocket excl cost sharing 26
HF32: Cost sharing 58
HC13.2: Outpatient dental care Total financing of residents 2,579
HF1: Government, comp. contr. schemes 882
HF11: Government schemes 12
HF12: Compulsory contributory schemes 870
HF121a: Long-term care insurance 148
HF122: Compulsory private insurance 721
Voluntary schemes (incl. OOP) 1,697
HF2: Voluntary schemes 1,077
HF21: Voluntary health insurance schemes 1,077
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 620
HF31: Out-of-pocket excl cost sharing 506
HF32: Cost sharing 114
HC13.3: Spec. outpatient curative care Total financing of residents 21,128
HF1: Government, comp. contr. schemes 18,452
HF11: Government schemes 1,700
HF12: Compulsory contributory schemes 16,752
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 16,752
Voluntary schemes (incl. OOP) 2,677
HF2: Voluntary schemes 25
HF21: Voluntary health insurance schemes 25
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,651
HF31: Out-of-pocket excl cost sharing 1,635
HF32: Cost sharing 1,016
HC13.9: Other outpatient curative care Total financing of residents 4,516
HF1: Government, comp. contr. schemes 1,848
HF11: Government schemes 547
HF12: Compulsory contributory schemes 1,301
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,301
Voluntary schemes (incl. OOP) 2,668
HF2: Voluntary schemes 383
HF21: Voluntary health insurance schemes 383
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,285
HF31: Out-of-pocket excl cost sharing 2,232
HF32: Cost sharing 53
HC14: Services of curative home care Total financing of residents 683
HF1: Government, comp. contr. schemes 639
HF11: Government schemes 0
HF12: Compulsory contributory schemes 639
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 639
Voluntary schemes (incl. OOP) 44
HF2: Voluntary schemes 18
HF21: Voluntary health insurance schemes 18
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 26
HF31: Out-of-pocket excl cost sharing 12
HF32: Cost sharing 14
HC.2:Services of rehabilitative care Total financing of residents 4,904
HF1: Government, comp. contr. schemes 2,917
HF11: Government schemes 109
HF12: Compulsory contributory schemes 2,808
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 2,808
Voluntary schemes (incl. OOP) 1,987
HF2: Voluntary schemes 1,317
HF21: Voluntary health insurance schemes 1,317
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 670
HF31: Out-of-pocket excl cost sharing 541
HF32: Cost sharing 129
HC21: In-patient rehabilitative care Total financing of residents 1,338
HF1: Government, comp. contr. schemes 1,306
HF11: Government schemes 49
HF12: Compulsory contributory schemes 1,256
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,256
Voluntary schemes (incl. OOP) 33
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 33
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 33
HC22: Day cases of rehabilitative care Total financing of residents 0
HF1: Government, comp. contr. schemes 0
HF11: Government schemes 0
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 0
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC23: Out-patient rehabilitative care Total financing of residents 3,565
HF1: Government, comp. contr. schemes 1,611
HF11: Government schemes 59
HF12: Compulsory contributory schemes 1,552
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,552
Voluntary schemes (incl. OOP) 1,954
HF2: Voluntary schemes 1,317
HF21: Voluntary health insurance schemes 1,317
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 637
HF31: Out-of-pocket excl cost sharing 541
HF32: Cost sharing 96
HC3: Services of long-term nursing care Total financing of residents 35,620
HF1: Government, comp. contr. schemes 33,391
HF11: Government schemes 336
HF12: Compulsory contributory schemes 33,055
HF121a: Long-term care insurance 29,084
HF122: Compulsory private insurance 3,971
Voluntary schemes (incl. OOP) 2,229
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,229
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 2,229
HC31: In-patient long-term nursing care Total financing of residents 26,613
HF1: Government, comp. contr. schemes 24,546
HF11: Government schemes 315
HF12: Compulsory contributory schemes 24,231
HF121a: Long-term care insurance 23,724
HF122: Compulsory private insurance 507
Voluntary schemes (incl. OOP) 2,067
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,067
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 2,067
HC32: Day cases long-term nursing care Total financing of residents 321
HF1: Government, comp. contr. schemes 307
HF11: Government schemes 0
HF12: Compulsory contributory schemes 307
HF121a: Long-term care insurance 201
HF122: Compulsory private insurance 106
Voluntary schemes (incl. OOP) 14
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 14
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 14
HC33: Outpatient long-term care (health) Total financing of residents 322
HF1: Government, comp. contr. schemes 312
HF11: Government schemes 21
HF12: Compulsory contributory schemes 291
HF121a: Long-term care insurance 105
HF122: Compulsory private insurance 186
Voluntary schemes (incl. OOP) 10
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 10
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 10
HC34: Long-term nursing care: home care Total financing of residents 8,363
HF1: Government, comp. contr. schemes 8,226
HF11: Government schemes 0
HF12: Compulsory contributory schemes 8,226
HF121a: Long-term care insurance 5,054
HF122: Compulsory private insurance 3,172
Voluntary schemes (incl. OOP) 137
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 137
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 137
HC4: Ancillary services Total financing of residents 1,219
HF1: Government, comp. contr. schemes 1,165
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,165
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,165
Voluntary schemes (incl. OOP) 54
HF2: Voluntary schemes 2
HF21: Voluntary health insurance schemes 2
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 52
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 52
HC41: Laboratory services Total financing of residents 90
HF1: Government, comp. contr. schemes 85
HF11: Government schemes 0
HF12: Compulsory contributory schemes 85
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 85
Voluntary schemes (incl. OOP) 6
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 6
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 6
HC42: Imaging diagnosis Total financing of residents 0
HF1: Government, comp. contr. schemes 0
HF11: Government schemes 0
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 0
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC43: Patient transport Total financing of residents 1,129
HF1: Government, comp. contr. schemes 1,080
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,080
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,080
Voluntary schemes (incl. OOP) 49
HF2: Voluntary schemes 2
HF21: Voluntary health insurance schemes 2
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 46
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 46
HC5: Medical goods Total financing of residents 11,693
HF1: Government, comp. contr. schemes 7,530
HF11: Government schemes 20
HF12: Compulsory contributory schemes 7,510
HF121a: Long-term care insurance 263
HF122: Compulsory private insurance 7,247
Voluntary schemes (incl. OOP) 4,163
HF2: Voluntary schemes 239
HF21: Voluntary health insurance schemes 239
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 3,924
HF31: Out-of-pocket excl cost sharing 2,721
HF32: Cost sharing 1,203
HC51: Pharmaceuticals, other nondurables Total financing of residents 7,612
HF1: Government, comp. contr. schemes 5,218
HF11: Government schemes 20
HF12: Compulsory contributory schemes 5,198
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 5,198
Voluntary schemes (incl. OOP) 2,394
HF2: Voluntary schemes 46
HF21: Voluntary health insurance schemes 46
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,349
HF31: Out-of-pocket excl cost sharing 1,408
HF32: Cost sharing 940
HC52: Therapeutic appliances Total financing of residents 4,081
HF1: Government, comp. contr. schemes 2,312
HF11: Government schemes 0
HF12: Compulsory contributory schemes 2,312
HF121a: Long-term care insurance 263
HF122: Compulsory private insurance 2,049
Voluntary schemes (incl. OOP) 1,769
HF2: Voluntary schemes 193
HF21: Voluntary health insurance schemes 193
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,576
HF31: Out-of-pocket excl cost sharing 1,313
HF32: Cost sharing 263
HC6: Preventive care Total financing of residents 5,841
HF1: Government, comp. contr. schemes 3,051
HF11: Government schemes 2,517
HF12: Compulsory contributory schemes 534
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 534
Voluntary schemes (incl. OOP) 2,790
HF2: Voluntary schemes 2,161
HF21: Voluntary health insurance schemes 849
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 1,312
HF3: Household out-of-pocket payments 629
HF31: Out-of-pocket excl cost sharing 602
HF32: Cost sharing 27
HC7: Governance, health system, fin. Total financing of residents 3,574
HF1: Government, comp. contr. schemes 3,072
HF11: Government schemes 1,445
HF12: Compulsory contributory schemes 1,627
HF121a: Long-term care insurance 356
HF122: Compulsory private insurance 1,271
Voluntary schemes (incl. OOP) 502
HF2: Voluntary schemes 502
HF21: Voluntary health insurance schemes 502
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC71: Governance, health system adm. Total financing of residents 1,038
HF1: Government, comp. contr. schemes 1,038
HF11: Government schemes 1,038
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 0
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC72: Administration of health financing Total financing of residents 2,536
HF1: Government, comp. contr. schemes 2,034
HF11: Government schemes 407
HF12: Compulsory contributory schemes 1,627
HF121a: Long-term care insurance 356
HF122: Compulsory private insurance 1,271
Voluntary schemes (incl. OOP) 502
HF2: Voluntary schemes 502
HF21: Voluntary health insurance schemes 502
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC9: Healthcare n.e.c. Total financing of residents 1,963
HF1: Government, comp. contr. schemes 1,718
HF11: Government schemes 1,688
HF12: Compulsory contributory schemes 29
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 29
Voluntary schemes (incl. OOP) 246
HF2: Voluntary schemes 203
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 75
HF23: Enterprise financing schemes 127
HF3: Household out-of-pocket payments 43
HF31: Out-of-pocket excl cost sharing 42
HF32: Cost sharing 1
Total health related expenditure Total financing of residents .
HF1: Government, comp. contr. schemes .
HF11: Government schemes .
HF12: Compulsory contributory schemes .
HF121a: Long-term care insurance .
HF122: Compulsory private insurance .
Voluntary schemes (incl. OOP) .
HF2: Voluntary schemes .
HF21: Voluntary health insurance schemes .
HF22: Financing schemes NPISH .
HF23: Enterprise financing schemes .
HF3: Household out-of-pocket payments .
HF31: Out-of-pocket excl cost sharing .
HF32: Cost sharing .
HCR1: Long-term care (social) Total financing of residents .
HF1: Government, comp. contr. schemes .
HF11: Government schemes .
HF12: Compulsory contributory schemes .
HF121a: Long-term care insurance .
HF122: Compulsory private insurance .
Voluntary schemes (incl. OOP) .
HF2: Voluntary schemes .
HF21: Voluntary health insurance schemes .
HF22: Financing schemes NPISH .
HF23: Enterprise financing schemes .
HF3: Household out-of-pocket payments .
HF31: Out-of-pocket excl cost sharing .
HF32: Cost sharing .
HCR11:In-kind long-term social care Total financing of residents .
HF1: Government, comp. contr. schemes .
HF11: Government schemes .
HF12: Compulsory contributory schemes .
HF121a: Long-term care insurance .
HF122: Compulsory private insurance .
Voluntary schemes (incl. OOP) .
HF2: Voluntary schemes .
HF21: Voluntary health insurance schemes .
HF22: Financing schemes NPISH .
HF23: Enterprise financing schemes .
HF3: Household out-of-pocket payments .
HF31: Out-of-pocket excl cost sharing .
HF32: Cost sharing .
HCR12: Long-term soc. care cash benefits Total financing of residents .
HF1: Government, comp. contr. schemes .
HF11: Government schemes .
HF12: Compulsory contributory schemes .
HF121a: Long-term care insurance .
HF122: Compulsory private insurance .
Voluntary schemes (incl. OOP) .
HF2: Voluntary schemes .
HF21: Voluntary health insurance schemes .
HF22: Financing schemes NPISH .
HF23: Enterprise financing schemes .
HF3: Household out-of-pocket payments .
HF31: Out-of-pocket excl cost sharing .
HF32: Cost sharing .
HCR2: Health promotion multi-sector Total financing of residents .
HF1: Government, comp. contr. schemes .
HF11: Government schemes .
HF12: Compulsory contributory schemes .
HF121a: Long-term care insurance .
HF122: Compulsory private insurance .
Voluntary schemes (incl. OOP) .
HF2: Voluntary schemes .
HF21: Voluntary health insurance schemes .
HF22: Financing schemes NPISH .
HF23: Enterprise financing schemes .
HF3: Household out-of-pocket payments .
HF31: Out-of-pocket excl cost sharing .
HF32: Cost sharing .
Source: CBS.
Explanation of symbols

Table explanation


This table presents health(care) expenditure used by residents of the Netherlands in a year. Health care is delineated according to the international definition of the System of Health Accounts. The figures are thus internationally comparable with Eurostat, OECD and WHO publications. All healthcare activities count, regardless of whether they take place inside or outside the healthcare sector.
The figures are derived from the care accounts, which include more activities such as youth care, welfare work, social services and child care. The care accounts also include exports (expenditure on and by non-residents).

Data available from: 2021

Status of the figures:
The figures for 2025 are provisional. The figures for 2022–2024 are revised provisional. The figures for 2021 are final.

Changes as of 25 June 2026:
The provisional figures for 2025 have been added. The figures for 2022–2024 have been revised in parts based on the most recent data from various sources, including claims data from the Health Insurance Act (Zorgverzekeringswet) and the Long-term Care Act (Wet langdurige zorg), figures from the Healthcare Institute (Zorginstituut) and the CBS business economics health statistics.

When will new figures be available?
At the end of 2026, the figures for 2022–2025 will be revised. In early 2027, provisional figures for 2026 will be published.


Description topics

Health care expenditure
Final consumption expenditure in current prices on health care goods and services used by or for residents in one year.