You will receive this payment each year in September. 

We need to know which bank account number we need to transfer the payment to. This is why we sent you a letter asking you to complete the ‘Form for the Health costs assistance payment’. 

To access this form, log in with your DigiD account or an electronic ID that is valid in the EU. 

Please note: You should only fill out this form if you have received a letter from us specifically asking you to do this.