Health expenditure; functions and financing

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Functions Financing Health care expenditure (mln euro)
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
HF121b: Health Insurance Fund
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
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
HF121b: Health Insurance Fund
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
HF121b: Health Insurance Fund
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
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
HF121b: Health Insurance Fund
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
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
HF121b: Health Insurance Fund
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
HF121b: Health Insurance Fund
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
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.