CMU

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 at 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 healthcare during your stay in the Czech Republic, you can also contact us on e-mail address This email address is being protected from spambots. You need JavaScript enabled to view it., or by phone on 00420-2-36 03 3411, or by fax on 00420-2 22 73 4951

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 are).

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 upfront 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 document (passport, ID card, driver's 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 signing the above mentioned „Potvrzení o nároku“ (Certificate of entitlement).

If any medicines, laboratory examinations, or any other examinations were prescribed, doctor should give you an appropriate number of copies of „Potvrzení o nároku“ (Certificate of entitlement). The copy should be then submitted in pharmacy, laboratory or surgery.

If a European health insurance card (EHIC) or Certificate provisionally replacing EHIC is presented, the costs of treatment are covered by any Czech health insurance fund chosen.

In case you have to pay treatment by yourself in cash (e.g. if you didn´t present appropriate documents), the costs would not be reimbursed by Czech health insurance fund during your 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 (S2 or E112 form). This form should be sumbitted before provision of healthcare to chosen Czech health insurance fund. Without S2/E112 form cost of healthcare can´t be beared by helping Czech health 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).
You can be registered there. 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 a case of urgent medical transport or in a 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 you 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 healthcare provider for the medical treatment provided by him:

1) 30 CZK

  • for the visit by the general practitioner, pediatrist, gynecologist, dentist, specialist (outpatient care), during which a clinical investigation has been made,
  • for issuing of  prescribed medicament that is fully or partially covered by the health insurance or nourishment for special medical purposes, irrespective of the number of prescribed packages on the prescription.

2) 90 CZK

  • for emergency care that was provided by the first aid medical service including first aid medical service provided by the dentists,
  • for hospital emergency service provided on Saturday, Sunday and holidays and in working days during 17.00 and 7.00 unless the insured person is subsequently admitted to hospital.

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 2.500 and 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.

The overall limit for children under the age of 18 and for pensioners above the age of 65 is 2.500 CZK per a calendar year.

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.

 

Kontaktní informace

Kompletní kontakty naleznete zde!
Centrum mezistátních úhrad, Praha 3, Žižkov, nám. W. Churchilla 1800/2, PSČ 130 00, Tel: +420 236 033 411; Fax: +420 222 734 951, IČ: 70938393,
Email: info @ cmu.cz ; www: http://www.cmu.cz/; Datová schránka: 939ut2i