Where to get information?
Information about contracting
medical providers in the place of stay and other informations
concerning health care during the temporary stay in the Czech
Republic are available by the
health insurance funds (HIF).
The list of HIF and their contact addresses you can find in
annex of this information.
In case of any problem
concerning health care during your stay in the Czech Republic,
you can also contact us on e-mail address
info@cmu.cz
This e-mail address is being
protected from spambots, you need JavaScript enabled to view it
, or by phone on 00 420 - 234 46 (20 52), (20 53), (20
43), or by fax on 222 734 951
In case of emergency
call the Ambulance. Central extension for emergency calls is 112
(international, communication in foreign languages) and
155 (local, usually communication in czech language only).
Medical treatment
General
informations and administrative procedures
To obtain treatment under the
provisions of the European regulation it is important to contact
medical institution (doctor, dentist, hospital), which is
covered by the contract with the public health insurance system
(most of them do).
Your European health insurance
card or Provisional certificate has to be submitted to attending
physician. If no of above mentioned documents is presented, the
physician can ask for cash payment.
For purposes of costs
reimbursements from contracting Czech health insurance fund
doctor needs to see your EHIC card, Provisional certificate
and write included informations to specific internal form, so
called „Potvrzení o nároku“ (Certificate of entitlement). Doctor
should also check your ID dokument (passport, ID card, driverś
license)
He should also ask you to
confirm expected length of stay in the territory of the
Czech Republic and choose one of Czech contracting health
insurance funds . You will confirm your choice and expected
length of your stay by signature in above mentioned „Potvrzení o
nároku“ (Certificate of entitlement).
If any medicines, laboratory
examinations, or any other examinations were prescribed, doctor
should give you appropriate number of copies of „Potvrzení
o nároku“ (Certificate of entitlement). The copy should by then
submitted in pharmacy, laboratory or surgery.
If European health insurance
card (EHIC) or Certificate provisionally replacing EHIC is
presented, the costs of treatment are covered by any Czech
health insuramce fund chosen.
In case you have to pay
treatment by yourself in cash (e.g. if you don´t present
appropriate documents), the costs would not be reimbursed by
Czech health insurance fund during you stay in the Czech
Republic.
If you travel to the Czech
Republic in order to obtain specific health care, ask your
competent institution for authorisation ( form E112 ). This form
should be sumbitted before provision of health care to chosen
Czech health insurance fund. Without E112 cost of health care
can´t be beared by helping Czech heaalth insurance fund.
Direct access
In case of need of medical treatment during the
temporary stay in the CR, visitors with the
Provisional certificate or the European health insurance card (EHIC).
can go to the doctor/dentist/hospital directly
with this document
Posibility of
previous registration
When staying in the CR
for longer time, e.g. the posted workers or students,
it is always possible to choose and contact one of the
health insurance funds (HIF).
Over there you can be registered. As the registration document
you will obtain „Potvrzení o registraci“ (Certificate of
Registration) which will be submitted to the attending doctor/dentist/at
the hospital before getting the treatment.
Dental care
The standard dental
care is generally covered by the health insurance
system, only for some extra dental manipulation and materials a
participation is to be paid in particular amounts.
Specialised care
When requiring the
treatment by a specialist, attending physician
issues a recommendation.
Hospitalisation
In urgent cases
visitors can go to the hospital with the EHIC
directly. In other cases the practitioner issues a
recommendation for acces to the hospital.
Medical transport
Transport to the hospital is
covered by the insurance system and is provided free of charge.
In case of urgent medical transport or in case of treatment by
doctor of emergency service it is also neccessary to present
your European health insurance card, or Provisional certificate.
Medicines
If the doctor decides to
prescribe medicines, he issues a prescription. He
should also give you one copy of „Potvrzení o nároku“ (Certificate
of entitlement). Medicines are available at the pharmacies. For
some drugs and medicines compulsory participation is to be paid
– there are groups, which are fully reimbursed, partially and
not covered groups of drugs and medicines as well.
Co-payments
Every insured person (or
his/her legal representative) is obliged to pay the regulation
charge to the health care provider for the medical treatment
provided by him. There are three levels of the regulation
charges:
1) 30 CZK
The legal act also exhaustively
mentions the exceptions from this rule, when the insured person
does not have the obligation to pay the regulation charges – for
example for some preventive examinations (inspections), dialysis,
protective treatment ordered by a court, obligatory treatment of
an infectious disease etc.
The overall limit of
5.000 CZK
If the total amount of
regulation charges covered by the insured person (or his/her
legal representative) exceeds 5.000 CZK per a calendar year, the
health insurance fund is obliged to pay the insured person (or
his/her legal representative) back the exceeding amount no later
than 60 days after the end of the calendar quarter in which the
limit was exceeded.
There are only the following
regulation charges counted into the overall limit: regulation
charges of 30 CZK and supplementary payments for prescribed
medicaments and nourishments fully or partially covered by the
health insurance that were issued on the territory of the Czech
Republic.
The health care provider has to
issue a document confirming payment of the regulation charge
only on request of the insured person (or his/her legal
representative).
Dialysis
In case you need dialysis
during the stay in the Czech Republic, please, contact first one
of the dialysis center listed in attached
annex or see the web site of
European Dialysis Centres.