Health expenditure; functions and financing

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Functions Financing Health care expenditure (mln euro)
Health expenditure for residents Total financing of residents 113,403
HF1: Government, comp. contr. schemes 94,092
HF11: Government schemes 9,147
HF12: Compulsory contributory schemes 84,945
HF121a: Long-term care insurance 27,768
HF122: Compulsory private insurance 57,177
Voluntary schemes (incl. OOP) 19,311
HF2: Voluntary schemes 5,742
HF21: Voluntary health insurance schemes 4,359
HF22: Financing schemes NPISH 95
HF23: Enterprise financing schemes 1,288
HF3: Household out-of-pocket payments 13,569
HF31: Out-of-pocket excl cost sharing 7,890
HF32: Cost sharing 5,679
HC1: Services of curative care Total financing of residents 52,395
HF1: Government, comp. contr. schemes 44,300
HF11: Government schemes 3,166
HF12: Compulsory contributory schemes 41,134
HF121a: Long-term care insurance 129
HF122: Compulsory private insurance 41,005
Voluntary schemes (incl. OOP) 8,095
HF2: Voluntary schemes 1,593
HF21: Voluntary health insurance schemes 1,593
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 6,502
HF31: Out-of-pocket excl cost sharing 4,257
HF32: Cost sharing 2,245
HC11: In-patient curative care Total financing of residents 15,404
HF1: Government, comp. contr. schemes 14,491
HF11: Government schemes 991
HF12: Compulsory contributory schemes 13,500
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 13,500
Voluntary schemes (incl. OOP) 912
HF2: Voluntary schemes 31
HF21: Voluntary health insurance schemes 31
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 881
HF31: Out-of-pocket excl cost sharing 67
HF32: Cost sharing 814
HC12: Day cases of curative care Total financing of residents 3,536
HF1: Government, comp. contr. schemes 3,321
HF11: Government schemes 80
HF12: Compulsory contributory schemes 3,241
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 3,241
Voluntary schemes (incl. OOP) 214
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 211
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 211
HC13: Outpatient curative care Total financing of residents 32,807
HF1: Government, comp. contr. schemes 25,892
HF11: Government schemes 2,095
HF12: Compulsory contributory schemes 23,797
HF121a: Long-term care insurance 129
HF122: Compulsory private insurance 23,668
Voluntary schemes (incl. OOP) 6,916
HF2: Voluntary schemes 1,542
HF21: Voluntary health insurance schemes 1,542
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 5,373
HF31: Out-of-pocket excl cost sharing 4,178
HF32: Cost sharing 1,195
HC13.1: General outpatient curative care Total financing of residents 6,191
HF1: Government, comp. contr. schemes 6,085
HF11: Government schemes 16
HF12: Compulsory contributory schemes 6,069
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 6,069
Voluntary schemes (incl. OOP) 106
HF2: Voluntary schemes 24
HF21: Voluntary health insurance schemes 24
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 82
HF31: Out-of-pocket excl cost sharing 25
HF32: Cost sharing 57
HC13.2: Outpatient dental care Total financing of residents 2,538
HF1: Government, comp. contr. schemes 849
HF11: Government schemes 11
HF12: Compulsory contributory schemes 838
HF121a: Long-term care insurance 129
HF122: Compulsory private insurance 709
Voluntary schemes (incl. OOP) 1,689
HF2: Voluntary schemes 1,104
HF21: Voluntary health insurance schemes 1,104
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 585
HF31: Out-of-pocket excl cost sharing 485
HF32: Cost sharing 100
HC13.3: Spec. outpatient curative care Total financing of residents 19,888
HF1: Government, comp. contr. schemes 17,314
HF11: Government schemes 1,611
HF12: Compulsory contributory schemes 15,702
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 15,702
Voluntary schemes (incl. OOP) 2,575
HF2: Voluntary schemes 15
HF21: Voluntary health insurance schemes 15
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,560
HF31: Out-of-pocket excl cost sharing 1,572
HF32: Cost sharing 988
HC13.9: Other outpatient curative care Total financing of residents 4,190
HF1: Government, comp. contr. schemes 1,645
HF11: Government schemes 457
HF12: Compulsory contributory schemes 1,188
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,188
Voluntary schemes (incl. OOP) 2,546
HF2: Voluntary schemes 400
HF21: Voluntary health insurance schemes 400
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,146
HF31: Out-of-pocket excl cost sharing 2,096
HF32: Cost sharing 50
HC14: Services of curative home care Total financing of residents 648
HF1: Government, comp. contr. schemes 595
HF11: Government schemes 0
HF12: Compulsory contributory schemes 595
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 595
Voluntary schemes (incl. OOP) 53
HF2: Voluntary schemes 17
HF21: Voluntary health insurance schemes 17
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 36
HF31: Out-of-pocket excl cost sharing 11
HF32: Cost sharing 24
HC.2:Services of rehabilitative care Total financing of residents 4,625
HF1: Government, comp. contr. schemes 2,740
HF11: Government schemes 76
HF12: Compulsory contributory schemes 2,663
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 2,663
Voluntary schemes (incl. OOP) 1,886
HF2: Voluntary schemes 1,243
HF21: Voluntary health insurance schemes 1,243
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 643
HF31: Out-of-pocket excl cost sharing 515
HF32: Cost sharing 128
HC21: In-patient rehabilitative care Total financing of residents 1,281
HF1: Government, comp. contr. schemes 1,249
HF11: Government schemes 34
HF12: Compulsory contributory schemes 1,215
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,215
Voluntary schemes (incl. OOP) 32
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 32
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 32
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 3,344
HF1: Government, comp. contr. schemes 1,490
HF11: Government schemes 42
HF12: Compulsory contributory schemes 1,448
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,448
Voluntary schemes (incl. OOP) 1,854
HF2: Voluntary schemes 1,243
HF21: Voluntary health insurance schemes 1,243
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 611
HF31: Out-of-pocket excl cost sharing 515
HF32: Cost sharing 96
HC3: Services of long-term nursing care Total financing of residents 33,386
HF1: Government, comp. contr. schemes 31,361
HF11: Government schemes 396
HF12: Compulsory contributory schemes 30,965
HF121a: Long-term care insurance 27,073
HF122: Compulsory private insurance 3,893
Voluntary schemes (incl. OOP) 2,026
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 2,026
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 2,026
HC31: In-patient long-term nursing care Total financing of residents 25,057
HF1: Government, comp. contr. schemes 23,155
HF11: Government schemes 377
HF12: Compulsory contributory schemes 22,778
HF121a: Long-term care insurance 22,404
HF122: Compulsory private insurance 374
Voluntary schemes (incl. OOP) 1,902
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 1,902
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 1,902
HC32: Day cases long-term nursing care Total financing of residents 288
HF1: Government, comp. contr. schemes 275
HF11: Government schemes 0
HF12: Compulsory contributory schemes 275
HF121a: Long-term care insurance 171
HF122: Compulsory private insurance 105
Voluntary schemes (incl. OOP) 12
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 12
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 12
HC33: Outpatient long-term care (health) Total financing of residents 302
HF1: Government, comp. contr. schemes 292
HF11: Government schemes 18
HF12: Compulsory contributory schemes 274
HF121a: Long-term care insurance 98
HF122: Compulsory private insurance 176
Voluntary schemes (incl. OOP) 9
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 9
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 9
HC34: Long-term nursing care: home care Total financing of residents 7,739
HF1: Government, comp. contr. schemes 7,638
HF11: Government schemes 0
HF12: Compulsory contributory schemes 7,638
HF121a: Long-term care insurance 4,401
HF122: Compulsory private insurance 3,237
Voluntary schemes (incl. OOP) 102
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 102
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 102
HC4: Ancillary services Total financing of residents 1,140
HF1: Government, comp. contr. schemes 1,082
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,082
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,082
Voluntary schemes (incl. OOP) 58
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 55
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 55
HC41: Laboratory services Total financing of residents 75
HF1: Government, comp. contr. schemes 70
HF11: Government schemes 0
HF12: Compulsory contributory schemes 70
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 70
Voluntary schemes (incl. OOP) 5
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 5
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 5
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 1,065
HF1: Government, comp. contr. schemes 1,012
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,012
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,012
Voluntary schemes (incl. OOP) 53
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 50
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 50
HC5: Medical goods Total financing of residents 10,984
HF1: Government, comp. contr. schemes 7,012
HF11: Government schemes 17
HF12: Compulsory contributory schemes 6,995
HF121a: Long-term care insurance 239
HF122: Compulsory private insurance 6,756
Voluntary schemes (incl. OOP) 3,972
HF2: Voluntary schemes 245
HF21: Voluntary health insurance schemes 245
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 3,727
HF31: Out-of-pocket excl cost sharing 2,529
HF32: Cost sharing 1,197
HC51: Pharmaceuticals, other nondurables Total financing of residents 7,196
HF1: Government, comp. contr. schemes 4,932
HF11: Government schemes 17
HF12: Compulsory contributory schemes 4,915
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 4,915
Voluntary schemes (incl. OOP) 2,264
HF2: Voluntary schemes 43
HF21: Voluntary health insurance schemes 43
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,220
HF31: Out-of-pocket excl cost sharing 1,309
HF32: Cost sharing 911
HC52: Therapeutic appliances Total financing of residents 3,788
HF1: Government, comp. contr. schemes 2,080
HF11: Government schemes 0
HF12: Compulsory contributory schemes 2,080
HF121a: Long-term care insurance 239
HF122: Compulsory private insurance 1,841
Voluntary schemes (incl. OOP) 1,708
HF2: Voluntary schemes 202
HF21: Voluntary health insurance schemes 202
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,506
HF31: Out-of-pocket excl cost sharing 1,220
HF32: Cost sharing 287
HC6: Preventive care Total financing of residents 5,424
HF1: Government, comp. contr. schemes 2,888
HF11: Government schemes 2,417
HF12: Compulsory contributory schemes 471
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 471
Voluntary schemes (incl. OOP) 2,536
HF2: Voluntary schemes 1,959
HF21: Voluntary health insurance schemes 788
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 1,172
HF3: Household out-of-pocket payments 576
HF31: Out-of-pocket excl cost sharing 548
HF32: Cost sharing 28
HC7: Governance, health system, fin. Total financing of residents 3,458
HF1: Government, comp. contr. schemes 2,972
HF11: Government schemes 1,435
HF12: Compulsory contributory schemes 1,537
HF121a: Long-term care insurance 328
HF122: Compulsory private insurance 1,209
Voluntary schemes (incl. OOP) 487
HF2: Voluntary schemes 487
HF21: Voluntary health insurance schemes 487
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 1,032
HF1: Government, comp. contr. schemes 1,032
HF11: Government schemes 1,032
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 2,426
HF1: Government, comp. contr. schemes 1,939
HF11: Government schemes 403
HF12: Compulsory contributory schemes 1,537
HF121a: Long-term care insurance 328
HF122: Compulsory private insurance 1,209
Voluntary schemes (incl. OOP) 487
HF2: Voluntary schemes 487
HF21: Voluntary health insurance schemes 487
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 1,990
HF1: Government, comp. contr. schemes 1,737
HF11: Government schemes 1,640
HF12: Compulsory contributory schemes 97
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 97
Voluntary schemes (incl. OOP) 253
HF2: Voluntary schemes 212
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 95
HF23: Enterprise financing schemes 117
HF3: Household out-of-pocket payments 41
HF31: Out-of-pocket excl cost sharing 40
HF32: Cost sharing 1
Total health related expenditure Total financing of residents 14,303
HF1: Government, comp. contr. schemes 13,876
HF11: Government schemes 7,390
HF12: Compulsory contributory schemes 6,486
HF121a: Long-term care insurance 6,486
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 427
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 427
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 427
HCR1: Long-term care (social) Total financing of residents 14,303
HF1: Government, comp. contr. schemes 13,876
HF11: Government schemes 7,390
HF12: Compulsory contributory schemes 6,486
HF121a: Long-term care insurance 6,486
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 427
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 427
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 427
HCR11:In-kind long-term social care Total financing of residents 12,228
HF1: Government, comp. contr. schemes 11,803
HF11: Government schemes 7,151
HF12: Compulsory contributory schemes 4,652
HF121a: Long-term care insurance 4,652
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 424
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 424
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 424
HCR12: Long-term soc. care cash benefits Total financing of residents 2,076
HF1: Government, comp. contr. schemes 2,072
HF11: Government schemes 239
HF12: Compulsory contributory schemes 1,833
HF121a: Long-term care insurance 1,833
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 3
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 3
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 3
HCR2: Health promotion multi-sector 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
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 2024 are revised provisional. The figures for 2022 and 2023 are revised provisional. The figures for 2021 are final.

Changes as of 8 October 2025:
The figures for 2021–2024 have been partly adjusted, based on the most up-to-date data from various sources, including data from the National Health Care Institute and the CBS business and economic statistics on health care.

When will new figures be published?
In spring 2026, provisional figures for 2025 and revised figures for 2022–2023 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.