PURPOSE: With today’s excellent cure rates for Hodgkin lymphoma (HL), the number of long-term survivors is increasing. This study provides a global assessment of late effects for working-age HL survivors treated with contemporary protocols (intensive chemotherapy and limited radiotherapy). PATIENTS AND METHODS: From Swedish nationwide registers we identified 1017 HL survivors diagnosed in 2000-2009, aged 18-60 years (median 32) and surviving at least one year post-diagnosis, and 4031 age-, sex- and calendar-year-matched population comparators. Incidence rate ratios (IRR) and 95% confidence intervals (95%CI) for hospital outpatient visits and hospital bed-days after the first year and up to 2013 (maximum 14 years post-diagnosis) were estimated across treatment subgroups, considering relapse-free time and using negative binomial regression. Scheduled outpatient visits for HL were excluded but inpatient visits for HL were included in analysis of bed-days. RESULTS: The rate of outpatient visits among relapse-free survivors was nearly double (IRR=1.8, 95%CI: 1.6-2.0) and the rate of bed-days was more than triple that among comparators (IRR=3.6, 95%CI: 2.7-4.7). The higher rates of outpatient visits persisted up to 10 years and bed-days up to four years post-diagnosis. However, absolute numbers of extra visits were low (mean = 2 outpatient visits and 2 bed-days, respectively, during follow-up). Patients requiring 6-8 chemotherapy courses had higher rates of outpatient visits (IRR=1.4, 95%CI: 1.1-1.7) and bed-days (IRR=4.7, 95%CI: 2.9-7.8) than patients treated with 2-4 courses + radiotherapy. Established late effects including heart disease and second malignancies accounted for a minority of outpatient visits. Previously unstudied reasons for excess healthcare use included diabetes mellitus, keratitis, chest pain, and asthma. CONCLUSION: Chemotherapy, but not radiotherapy, appears to drive the slight excess healthcare use among contemporarily treated HL survivors. The diagnoses of healthcare visits reflected a broad panorama of disorders, indicating the need of comprehensive care in addition to specific screening programs.