Service fees and co-payments for healthcare services

Up to 5 euros

Please note! Pregnant people whose pregnancy has been confirmed by a doctor and children under the age of 2 are not subject to the home visit fee.
The fee per home visit may not exceed 5 euros, regardless of the number of patients tended to during the home visit.

Up to 5 euros

Please note! A fee for a visit to a medical specialist may not be charged:

• if the person is referred to another health professional in the same institution
• from pregnant women
• from children under two years of age
• in the case of emergency care, if followed by hospitalisation

Please note! If a patient fails to appear for a service on the agreed time or cancels their booked appointment less than 24 hours before the start of the visit or procedure, the healthcare provider has the right to charge the patient double the amount of the visit fee for the next visit (subsection 70 (6) of the Health Insurance Act).

Up to 2.50 euros per day. 

Up to 10 days per case, or a maximum of 25 euros per stay.

Please note! No in-patient fee may be charged:

• for time spent in the intensive care unit;
• for the provision of specialised in-patient care in connection with pregnancy and childbirth;
• the provision of in-patient specialised medical care to a minor.

Up to 5 euros

Please note! Pregnant people whose pregnancy has been confirmed by a doctor and children under the age of 2 are not subject to the home visit fee.

The fee per home visit may not exceed €5, regardless of the number of patients tended to during the home visit.

Up to 20 euros

The maximum fee for a visit to a medical specialist (including a dentist), physiotherapist, clinical psychologist, or speech therapist, or emergency department visit is €5 if the service is provided to an insured person who is:

1. under the age of 19;
2. pregnant (except for when out-patient treatment is provided in connection with the pregnancy or childbirth);
3. the mother of a child under one year old;
4. over the age of 63;
5. a recipient of the pension for incapacity for work or old-age pension under the State Pension Insurance Act;
6. determined to have partial or no work ability under the Work Ability Allowance Act;
7. unemployed within the meaning of the Labour Market Measures Act;
8. a recipient of the subsistence benefit under the Social Welfare Act or a member of their family, if the person or their family has received the subsistence benefit in the month of receiving specialised out-patient medical care or in the preceding two months.

Please note! Visit fees may not be charged:

1. for emergency medical care (urgent emergency medical care) if it is immediately followed by hospital treatment.
2. if out-patient treatment is provided in connection with pregnancy or childbirth.
3. if the patient is referred to another doctor or to a specialist equivalent to a health care professional within the institution.
4. if the patient is referred to another doctor specialising in the same field (incl. to another institution).
5. again within 365 days if the doctor or specialist equivalent to a health care professional leaves the patient under their monitoring or treatment.
6. Preventive activities (e.g., screening programs).

Please note! If the patient fails to turn up at the agreed time for the provision of the service or cancels their visit less than 24 hours before the start of the visit or procedure, the health care provider has the right to charge the double visit fee for the next visit (subsection 70 (6) of the Health Insurance Act).

 

Up to 5 euros per day

For up to 10 days, i.e. a maximum of €50 per medical case, for the time spent in hospital.

Please note! No in-patient fee may be charged:

• for time spent in the intensive care unit;
• for the provision of specialised in-patient care in connection with pregnancy or childbirth;
• the provision of in-patient specialised medical care to a minor.