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Expat Exchange - How to Enroll in the Public Healthcare System in Czechia
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Prague, Czechia


How to Enroll in the Public Healthcare System in Czechia

By Betsy Burlingame

Urban Address Prague
Urban Address Prague

Summary: A primer on how to enroll in the public healthcare system in Czechia.

If you're planning to enroll in the public healthcare system in Czechia, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

The Czech Republic, also known as Czechia, has a robust public healthcare system known as the General Health Insurance Company of the Czech Republic (Všeobecná zdravotní pojiš?ovna ?eské republiky or VZP ?R). This system is mandatory for all residents, including foreigners living in the country. The quality of healthcare in Czechia is generally high, with a wide range of services covered, from preventive care to hospitalization and rehabilitation. The cost of healthcare is largely covered by mandatory health insurance contributions, which are typically deducted from wages for those who are employed.

Most people in Czechia use the public healthcare system, although private healthcare is also available. Private healthcare often offers shorter waiting times and a wider choice of providers, but it is more expensive and not all services are covered by insurance.

Eligibility for Public Healthcare in Czechia

Foreigners are eligible to enroll in the public healthcare system in Czechia if they are long-term residents (staying for more than 90 days) or if they are employed in the country. EU citizens are also covered by their European Health Insurance Card (EHIC) for necessary healthcare during a temporary stay. However, it is recommended to have additional private insurance to cover any potential costs not covered by the EHIC.

Steps for Enrolling in the Public Healthcare System

  1. Obtain a long-term residence permit or employment in Czechia. This is a prerequisite for enrolling in the public healthcare system.
  2. Choose a health insurance company. The largest and most common is the General Health Insurance Company (VZP), but there are other options available.
  3. Register with the chosen health insurance company. This typically involves filling out a registration form and providing proof of residence or employment.
  4. Pay the health insurance contributions. The amount is based on income for those who are employed. For those who are not employed, the amount is set by law and must be paid directly to the health insurance company.
  5. After registration and payment, you will receive a health insurance card. This card must be presented when accessing healthcare services.

It's important to note that even with public health insurance, there may be some out-of-pocket costs for certain services or medications. It's also worth noting that not all healthcare providers may have staff who speak English or other foreign languages, so it may be helpful to have a Czech-speaking friend or colleague assist with healthcare appointments.

If the quality of the public healthcare system is not satisfactory, foreigners often opt for private healthcare or supplementary private insurance. This can provide access to a wider range of providers, shorter waiting times, and coverage for services not included in the public healthcare system. However, it is more expensive and requires out-of-pocket payments.

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Urban Address Prague is a bespoke boutique one-stop-shop solution for your property needs in Prague and the Czech Republic. We don't just find you the perfect apartment, we build your Prague dream. And what's more - we can arrange everything remotely, stress-free. We are your partner to help you make Prague your new home.
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Click connect to have our partner contact you via e-mail and/or phone.

About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


Urban Address Prague
Urban Address Prague

Urban Address Prague
Urban Address Prague

Prague, Czechia

William Russell
William Russell

Get a quote for international health insurance from our partner, William Russell.
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Get a quote for international health insurance from our partner, William Russell.
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