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Amendment to the Health Insurance Act in Slovakia | News Flash

1 May 2015

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We would like to draw your attention to the Amendment to the Health Insurance Act that came into force as of May 1st, 2015. The main aim of the amendment is to eliminate the most common problems occurring in the practice. The amendment introduced an extension of insured persons who are entitled to the full health care, change on requirements and usage of insurance cards and new obligation of health insurance company to deal also with the objections against a statement of arrears without any justification.

Amendment to the Health Insurance Act effective as of May 1st, 2015 in SlovakiaInsurance debtors

Every insured person who did not pay:

    • advance payment of insurance for 3 months of the relevant calendar year
    • arrear on insurance or insurance that he/she was obliged to pay from the day  of the establishment of the public health insurance to the confirmation of the application form
    • payment for the health care if it was provably provided because of the breach of the medical regime or usage of alcohol or other addictive substances in the amount higher than EUR 10.

is considered to be an  insurance debtor.

Under the current wording insurance debtors are entitled only to the emergency health care, even if they have agreed on a repayment schedule. As of May 1st, 2015 these persons are entitled to the full health care if they have agreed on the repayment schedule and they respect it.

If the application form has not been submitted for a minor, he/she was entitled only to the emergency health care. In order to ensure the protection of minors also these are entitled to the full health care as amended. 

Insurance card as amended

The amendment introduced requirements and parts of the insurance card as well as its usage. The structure and form of the security code of the insurance card and terms and conditions for its issue were specified.

Pursuant to the amendment, the insured person has to show her/his insurance card  or confirmation of the general health insurance and paste the insurance card or ID card with an electronic chip and a relevant certificate in the technical equipment of the insurance provider during the creation of relevant electronic health record in an electronic health book when the health care is provided by the provider of the health care. This change is not applicable to the provision of the emergency health care. This provision will become effective as of January 1st, 2017.

Objections against the arrears on health insurance

The most important change for employers is the possibility to file a statement on arrears on health insurance also without any justification.

Originally, the health insurance company did not take into consideration objections against the statement of arrears if these were without any justification. As of May 1st, 2015 the health insurance companies in Slovakia are obliged to deal with these objections as well.

 

Contact:

Monika Berežňáková

Payroll Methodist

Monika.Bereznakova@accace.com

+421 232553034


Read more about juridical matters in Slovakia:
  • Usage of virtual cash registers in Slovakia
  • Approved Amendment to the Labour Code in Slovakia

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About Accace

Originally established in Central and Eastern Europe in 2006, Accace ranks among the leading outsourcing and consultancy providers in the region. Engaging over 600 experts, we have vast experience with handling small to large scale, multi-country outsourcing projects and providing a comprehensive range of our services to over 2,000 customers.

About Accace Circle

Accace operates internationally as Accace Circle, a co-created business community of like-minded BPO providers and advisors who deliver outstanding services with elevated customer experience. Covering almost 40 jurisdictions with over 2,000 professionals, we support more than 10,000 customers, mostly mid-size and international Fortune 500 companies from various sectors, and process at least 170,000 pay slips globally.

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