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This file contains per Dutch resident, who is insured through the basic insurance, his costs per year for care that is insured through the basic insurance. Basic insurance is required by law through the Healthcare Insurance Act (Zvw) for almost all Dutch residents. The costs are those that are actually reimbursed by the health insurers.The costs are divided into forms of care, such as general practitioner care, hospital care, physiotherapy, etc. The health care costs include the costs that are ultimately paid by the insured persons themselves because of the compulsory or voluntary deductible, but exclude own payments. If the insured person himself has received an account and has not submitted it to the insurance, for example because the deductible has not been reached, the costs are not included in the figures. If new forms of care are included in this file, they will be added in new variables after the already existing ones. This means that they will follow the variables with prefix 'NOP' (variables which are not published on StatLine and which have not been checked and analysed as such). The use of this file requires permission from the data provider. This permission can be obtained by sending an e-mail with the analysis plan or the quotation to the e-mail address: [address hidden - contact CBS]. From here we will then contact the data provider to arrange permission. More information on how to access the data: > https://www.cbs.nl/en-en/our-services/custom-and-microdata/microdata-self-research ### Methodology The raw data on actual reimbursed costs associated with the basic insurance relating to a reporting year come from Vektis, which in turn receives these data from the health insurers. The following shall not be taken into account: (1) care for which one can insure oneself through additional insurance, (2) care costs that fall outside the Health Care Insurance Act (Zvw) and have been paid through one's own payments and (3) care that falls under a different legal framework (such as (until 2014) the General Exceptional Medical Expenses Act; AWBZ, since 2015 the Long-term Care Act and the Youth Act, etc). Up to and including the reporting year 2010, the costs are observed during the year itself and the 3 following quarters, from 2011 onwards during the year itself and the 4 following quarters. With an observation over 7 quarters, about 95% of all claims relating to that reporting year are within, with hospital care and mental health care in particular not yet complete. The remaining costs for these two types of care are more than the mentioned 5%. With an observation during 8 quarters, about 98% of all claims are received. The health insurers have made an estimate of the remaining costs that they still expect to incur (mainly in specialist mental health care and to a lesser extent hospital care). With the help of this estimate, Vektis has increased the costs per health insurer per type of care; these increased costs are included in this file. The actual costs are not available separately. An important point of attention is that only the costs of those who already had costs have been increased, when in reality this does not have to be the case. It is therefore not possible to determine the exact number of people who have actually received care. Vektis checks the data received from the health insurers and any errors detected are always fed back to the relevant insurer with a request for a new delivery of the relevant data. Vektis itself does not make corrections to the received data. This means, among other things, that the data files also contain negative amounts. These can be corrections of disbursed costs for an earlier year that an insurer has implemented in a later year. The health insurers can be divided into risk bearers and proxy holders. The risk bearers are the "real" health insurers and bear the financial risk associated with insuring a person. The proxy holders do take out basic insurance, but do so on behalf of one or more risk bearers. Proxy holders do not bear the risk themselves. Until 2016, the cost data of the proxy holders were less reliable. That is why an additional increase was made up to and including the reporting year 2016 to correct for these proxy holders (this concerned approximately 5 percent of the insured persons). This part was estimated using the personal characteristics of age, gender, region, migration background and household income. The resulting uplift factors (up to and including the reporting year 2016) are shown in the variable ZVWKOPHOOGFACTOR. This add-on has not yet been applied to the costs in this file; This choice is up to the user. As of the reporting year 2017, the additional increase is no longer necessary and therefore a ZVWKOPHOOGFACTOR is no longer available. ### Population Dutch residents who actually have basic insurance.

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Health care costs of Dutch residents with basic insurance (01-01-2020 - 01-01-2021)

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