Insured healthcare provision by self-employed carers

Are you a freelance/self-employed carer or nurse in the Netherlands? And do you want to provide your clients with insured care at home under the Social Support act (Wet maatschappelijke ondersteuning, Wmo) or the Long-term Care Act (Wet langdurige zorg, Wlz)? If so, you have several options:

• You can offer your services through a care provider. This is an approved institution (in Dutch), such as a homecare organisation, care institution or intermediary agency.
• You can conclude an agreement with a care administration office (in Dutch). The personal care, nursing, or assistance you offer your clients at home will then be insured.
• You provide care directly to an individual client with a so-called Personal Care Budget (persoonsgebonden budget, pgb) they use to pay for the care you provide.

Avoid false self-employment

When you accept an assignment, you need to check if you will be working as an employee or as a self-employed professional. You have to avoid false self-employment. Use a model agreement if you think you may be considered an entrepreneur by the Netherlands Tax Administration. An approved model agreement (in Dutch) for freelancers/self-employed professionals who give home care commissioned by care institutions, is available. This document clarifies the working relationship between the parties involved.