|Mandatory Insurance: Who must be insured|
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:
Exemptions from Mandatory Health Insurance
Mandatory public health insurance does not apply to an individual with permanent residence in Slovakia, if he/she:
Payers of Insurance
According to the Act on Health Insurance, the insurance payers are:
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.