Advice and information for foreigners in Slovakia

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Health Health insurance Mandatory Insurance: Who must be insured
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Mandatory Insurance: Who must be insured Print
Public health insurance is established by birth in case of a natural person with permanent residence in Slovakia or a dependent family member born to the insurance holder in another EU/EEA member state.  

In case of a natural person with permanent residence in Slovakia, the public health insurance is also established the day following the day when circumstances excluding mandatory public health insurance cease to exist (e.g. if such individual is employed abroad and is also insured in the country where he/she works and this situation changes).

In case of a natural person without permanent residence in Slovakia, the public health insurance is established the day when  circumstances establishing the obligation to have public health insurance arise, even if such person does not have permanent residence in Slovakia (e.g. if the individual starts performing a self employment activity, starts working for an employer whose seat or permanent establishment is in Slovakia etc.). Public health insurance is also established the day of acquiring permanent residence permit in Slovakia.

Mandatory Health Insurance

Generally, every individual with permanent residence in the Slovak Republic must have mandatory public health insurance. This does not apply in certain exceptions listed below (please see "Exemptions from Mandatory Health Insurance").

A third country national (outside EU) becomes mandatorily insured after obtaining permanent residence in Slovakia and fulfilling conditions stipulated by the Act on Health Insurance.

An individual who does not have permanent residence in Slovakia must also have mandatory public health insurance  (if he/she is not covered by health insurance in another EU/EEC member state), if such person is:

  • Employed with an employer whose seat or  permanent establishment is in Slovakia;
  • A self-employed person in Slovakia;
  • A student from another EU member state or a foreign student studying in Slovakia according to an international treaty;
  • A student with acknowledged status of a Slovak Living Abroad attending school in Slovakia.
  • An asylum holder
  • A minor foreigner staying in the territory of the Slovak Republic without a legal guardian or person responsible for his/her upbringing and is provided with care in a facility where he/she is placed on the basis of a court decision;
  • A foreigner detained in Slovakia;
  • In detention or serving a prison sentence;
  • A dependent family member who was born to the insured person in another EU member state.

Exemptions from Mandatory Health Insurance

Mandatory public health insurance does not apply to an individual with permanent residence in Slovakia, if he/she:

  • Is employed abroad and is covered by health  insurance in the country of employment;
  • Performs a self-employment activitiy abroad and is covered by health insurance abroad;
  • Is staying abroad long-term (more than six months), is covered by health insurance in this country and is not employed or self-employed in Slovakia.

Payers of Insurance

According to the Act on Health Insurance, the insurance payers are:
  • Employee (partially participates on payments with the employer);
  • Self-employed person (mostly pays the insurance alone, unless otherwise stipulated by law);
  • Employer (partially participates on payments for the employee);
  • The state (see separate article).

Obligation to have public health insurance in Slovakia according to the Act on Health Insurance does not always mean the insured person must also be the insurance payer.

 

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