La santé à Curacao

Comment fonctionne le système

Curacao runs a mandatory national basic health insurance, the Basisverzekering Ziektekosten (BVZ), introduced on 1 February 2013 and administered by the Sociale Verzekeringsbank (SVB). It is a uniform scheme covering residents, financed mainly through income-based premiums deducted from wages, and it pays for GP care, specialist care on referral, hospital admission, pharmaceuticals (with a small fixed dispensing fee of Naf. 1), maternity, paramedical and limited dental care, plus treatment abroad when unavailable on-island. The system is built around a GP gatekeeper: a referral is needed for virtually all specialist and hospital care. Alongside BVZ sits a sizeable private market used by those not covered by BVZ and by expats/visitors. Curacao has one central modern hospital, the Curacao Medical Center (CMC), opened November 2019.

The private sector is well developed and the default route for most temporary residents and visitors, who are generally not enrolled in BVZ unless they work locally and contribute through payroll. Private care is described as high quality with modern facilities, shorter waiting times and English-speaking doctors; many physicians are Dutch BIG-registered. Visitor- and expat-focused providers such as MedPoint operate direct-bill clinics, with payment usually claimed back from health/travel insurance, and BVZ insurance does not reimburse such visitor clinics. Private clinics offer faster specialist access. Annual private insurance premiums from one of the more affordable providers were cited at roughly USD 770/year for a 35-year-old adult (2024 indicative figure). Entry/stay practice expects valid health or travel insurance covering medical expenses (a USD 15,000 minimum is commonly cited for short stays, though it is not a hard legal entry requirement).

Curacao's main hospital, the Curacao Medical Center (CMC) in Willemstad, opened on 15 November 2019, replacing the older Sint Elisabeth Hospital; it has about 300 beds and modern equipment, and reports working toward Joint Commission International accreditation. Its emergency department operates 24/7, 365 days a year. For highly complex cases not all specialist procedures are available on the island, and patients may be transferred (including by air ambulance) off-island, with medical evacuation costs commonly cited in the USD 15,000-25,000 range.