Cooperation, laws and regulations - People without valid residence documents
Cooperation, laws and regulations
Find a doctor or dentist
It is often difficult for undocumented migrants to find a doctor who is willing to accept and treat him as a patient. This led to situations in which undocumented migrants received too late, too little or no care, which aggravated their illness. Sometimes complications occurred for which the patient had to be hospitalized. Such admission could have been prevented by timely care. In a number of large cities, doctors have set up GP care for undocumented migrants on their own initiative. In Amsterdam, for example, the Kruispost.
A financial arrangement (see the following box) ensures that general practitioners, dentists and pharmacists are reimbursed for assistance to undocumented migrants.
An undocumented person cannot collect prescription drugs from any pharmacy, but only from a pharmacy that has been contracted for this. Medications from the basic package are reimbursed here by the Healthcare Institute. Undocumented patients must pay a personal contribution of five euros per medicine. The prescriber notes on the prescription that the patient is covered by the Zorginstituut Nederland scheme.
Sometimes there is an emergency fund, such as in Amsterdam, that reimburses the costs to the pharmacist when the patient cannot pay the five euros.
Reimbursement for care for undocumented migrants
If a patient without a residence permit cannot pay the costs of care, general practitioners, midwives and dentists can declare the costs (of basic care) to the Netherlands Care Institute. The health care provider must prove that he has done everything to collect the amount. Only then will there be irrecoverable costs. Only such costs can the care provider claim from the Netherlands Care Institute. 80% of the costs of general practitioner care and dental care are reimbursed. The costs of obstetric care and maternity care are reimbursed for 100%.
This arrangement does not apply to EU citizens. EU citizens can take out health insurance.
The facilities for people without a valid residence permit differ greatly per municipality. In larger cities, there are generally more undocumented migrants and there are often more facilities. There are also groups of undocumented migrants who have organized themselves.
The social map differs greatly per municipality. Social relief and churches often work together with the GGD.
There are various national organizations, each with its own objectives and areas of attention, see the table below.
National organizations for people without a valid residence permit
|Lampion||Information and advice point for the care of illegal residents||http://www.lampion.info/home|
|National Undocumented Support Center (NUSC)||Organization that represents the interests of undocumented migrants||http://www.stichtinglos.nl/|
|Doctors of the world||Organization for improving access to care for undocumented migrants; holds office hours||http://www.doktersvandewereld.org/|
Initiatives for affordable dental care
For people without a valid residence permit, dental care is often difficult to obtain. Medical care organizations for undocumented migrants can sometimes mediate in finding a dentist.
Organizations that offer or mediate oral care for undocumented migrants
|Eindhoven||Refugees in trouble||http://www.vluchtelingenindeknel.nl/|
|Nijmegen||Dutch Council for Refugees||https://www.vluchtelingenwerk.nl/oostnederland|
In Amsterdam and The Hague there are Friendly Networks of dentists who treat undocumented migrants free of charge with pain complaints. Patients are referred through Doctors of the World (http://www.doktersvandewereld.org).