Obstetric care
Reimbursements
Obstetric care includes:
- Information and advice about prenatal screening during pregnancy (counselling). The object of prenatal screening is to identify congenital anomalies
- Neck fold measurement and serum test (combination test) if there is a medical indication
- Non-invasive prenatal test (NIPT) if there is a medical indication or if a combination test reveals a significant risk of Down's syndrome, Edwards' syndrome or Patau's syndrome
- Invasive diagnostics (chorionic villus testing or amniocentesis), if there are medical grounds to do so or if a combination test or NIPT reveals a significant risk of Down's syndrome, Edwards' syndrome or Patau's syndrome
Referral needed
For obstetric care in a hospital, you need a referral from a general practitioner, medical specialist, nursing specialist, obstetrician or physician assistant.
Reimbursements under the basic health insurance plan
With HollandZorg basic healthcare insurance, you qualify for reimbursement of the costs of obstetric care. Under our supplementary insurances Plus and Top you are entitled to reimbursement of a part of your statutory personal contribution in case of a delivery without indication in a hospital or in a contracted birth centre.
| Basic health insurance | Reimbursement |
| HollandZorg basic health insurance |
100% |
| Supplementary insurance | Reimbursement |
| Start | none |
| Extra |
none |
| Plus |
statutory personal contribution: 60% |
| Top |
statutory personal contribution: 60% |
| No Risk I |
none |
| No Risk II | none |
Statutory personal contribution
With a medical indication for childbirth in a hospital, you will not pay a statutory personal contribution.
Compulsory excess
The costs of obstetric care do not count towards your compulsory excess. The compulsory excess does include:
- the cost of laboratory testing in a hospital or independent laboratory at the request of an obstetric care provider
- indirect costs, such as medicine and transport costs
Who may provide the care?
You will be able to use the following care providers for obstetric care:
- obstetricians
- general practitioners
- hospitals
- a birth centre
- a birth care organisation which has been contracted for this purpose by us
- an echoscopic centre (only for an echoscopic examinations)
Visit our Care finder to find a contracted birth centre.
Coverage of interpreter costs
Pregnant women who do not speak sufficient Dutch are eligible for coverage of the costs of an interpreter. It's important for the mother-to-be to fully understand the information given by the obstetrician and the maternity care provider, and that she has the opportunity to ask questions. An interpreter can help out. The obstetrician or maternity care provider will determine whether there is a need for an interpreter. If so, they will organise a professional interpreter. For this, they will be reimbursed.
Please note:
The information on this page is a brief outline of the reimbursements. No rights can be derived from this page. You can only derive rights from our insurance conditions 2025.
Your health insurance
In My HollandZorg you will find all information about your health insurance policy.
Maximum rates for a non-contracted care provider
Have you chosen a healthcare provider with whom we have no contract? Then, we will reimburse according to our maximum rates for 2025. If the rate invoiced by the non-contracted care provider is higher than our maximum rates, you will have to pay the difference yourself. You will be able to find contracted care providers with our Care finder.
Reimbursements, conditions and regulations 2024
