Health care during a temporary stay in the Czech Republic for EU insured persons
PriLast Updated: Friday, 15 March 2019 22:05
Information about contracted medical providers and other information concerning healthcare during your temporary stay in the Czech Republic are available here.
In case of any problems concerning healthcare during your stay in the Czech Republic you can also contact us:
Kancelář zdravotního pojištění (Health Insurance Bureau)
nám. Winstona Churchilla 2, 113 59 Prague 3
phone: +420 236 033 411
fax: +420 222 734 951
In case of an emergency dial 112 (international, communication in foreign languages) or 155 (local, usually communication in Czech only).
General information and administrative procedures
To obtain treatment under the provisions of the European regulations it is important to contact a healthcare provider (doctor, dentist, hospital), which is in a contractual relationship with any of the Czech health insurance funds. Most of the providers in the Czech Republic are contractual.
Your European health insurance card (EHIC) or Provisional certificate must be submitted to the attending physician. If none of the above-mentioned documents are presented, the physician can ask for an upfront payment.
The healthcare provider needs to make a copy of your EHIC or a Provisional certificate in order for the costs to be covered by a Czech health insurance fund. Your personal data has to be filled into a specific form called “Potvrzení o nároku” (Certificate of Entitlement). The healthcare provider may also check your passport or ID card.
You might also be expected to state the length of stay in the Czech Republic and to choose one of the Czech contracting health insurance funds. You will confirm your choice and the expected length of your stay by signing the above-mentioned “Potvrzení o nároku” (Certificate of Entitlement).
If any medicine, laboratory examinations, or any other examinations were prescribed, the healthcare provider should give you an appropriate number of copies of “Potvrzení o nároku” (Certificate of Entitlement). The copy should be then submitted to pharmacy, laboratory or surgery.
If the EHIC or Provisional certificate is presented, the costs of treatment are covered by the chosen Czech health insurance fund.
If the EHIC or Provisional certificate is not presented and you pay for the treatment yourself, the costs cannot be covered by the Czech health insurance fund during your stay in the Czech Republic. You should ask your competent institution for reimbursement once you return home.
If you travel to the Czech Republic in order to obtain a specific health care, ask your competent institution for authorisation (S2 or E112 form). This form should be submitted before undergoing treatment to your chosen Czech health insurance fund. If you do not have this form or you did not submit it to the Czech health insurance fund, the cost of the treatment cannot be borne by a Czech health insurance fund and you will have to pay upfront.
If you need medical treatment during your temporary stay in the Czech Republic, you can go to the doctor/dentist/hospital directly and present your EHIC or Provisional certificate.
Possibility of previous registration
When staying in the Czech Republic for a longer time (e.g. posted workers or students) it is possible to choose and contact one of the Health insurance funds, and register with them. You will receive a registration document called “Potvrzení o nároku” (Certificate of Registration) which shall be submitted to the attending doctor/dentist/at the hospital before getting the treatment.
The standard dental care is generally covered by the public health insurance system; specialised treatments or materials require you to pay a specified excess.
A treatment by a specialist requires prior recommendation by an attending physician.
In urgent cases visitors can go to the hospital with the EHIC directly. In non-urgent cases hospitalisation is indicated by an attending physician.
Transport to the hospital is covered by the public health insurance system and is provided free of charge. The EHIC or Provisional certificate must be presented to the medical transport team in order for the costs to be covered by a Czech health insurance fund.
When a physician prescribes you medicine, they should also issue you a copy of “Potvrzení o nároku” (Certificate of Entitlement). Medicine is available at a pharmacy (“Lékárna” in Czech). Some prescribed medicine will be handed over without any cost; some medicine is only partially covered (or not covered at all) and you will be required to pay the excess.
Every insured person (or their legal representative) is obliged to pay the regulatory fee of CZK 90 for emergency care provided by the first aid medical service including first aid medical service provided by the dentists.
When the emergency care results in hospitalisation, the patient is exempt from this fee.
Only upon request of the insured person (or their legal representative) is the healthcare provider obligated to issue a confirmation of payment of the regulation fee.
A price-cap on medicine excess
If the total amount of supplementary payments paid for partially covered medicine by the insured person (or their legal representative) exceeds 5.000 CZK annually, the health insurance fund is obliged to pay the insured person (or their legal representative) back the exceeding amount no later than 60 days after the end of the quarter in which the limit was exceeded.
The annuall limit for children under 18 and pensioners aged 65-70 is 1.000 CZK annually. The limit for pensioners aged 70+ is 500 CZK.