Payment of health insurance

after the expiry of 150 days from the granting of temporary protection (visa for the purpose of tolerance)

After 150 days have passed from the date of granting temporary protection, the payment of public health insurance by the state changes. If you are a person between the ages of 18 and 64, please inform the health insurance company with which you are registered how you will pay the premiums.

You must notify your health insurance company of all facts relevant to inclusion in the above-mentioned groups no later than 8 days after the expiration of the 150-day period from the granting of temporary protection, or in the event of any change in the course of your insurance.

phone

Health information for citizens of Ukraine. Call the line +420 226 20 1221 and choose an option straight away 2. The line is available in Czech, Ukrainian and Russian.

Who pays the insurance premium and what needs to be documented?

Children under 18 years

Health insurance pays state.
No proof is required.

Student aged 18-26

Students in the Czech Republic or Ukraine.

Health insurance pays state.
A certificate of study issued by the school is required.

Employee aged 18-64

In an employment relationship, for an agreement on the execution of work over 10,000 CZK per month, for an agreement on work activities from 3,500 CZK per month.

Health insurance pays employer.
No proof is required.

A person who personally and properly cares for at least one child under the age of 7 or two or more children under the age of 15 all day long

Health insurance pays state.
Affidavits and children's birth certificates or a similar document must be attached.

Job seeker registered at the labor office

You can become a job seeker if you apply for employment mediation at the employment office. You can also register at the labor office if you are a person with a disability or other health restrictions, or if you are caring for such a person.

Health insurance pays state.
Proof of registration at the labor office is provided.

A self-employed person, or persons who do not fall into any of the above categories

You have to pay the premium as self-payer.
You can get information about premium payments from your health insurance company.

Seniors from 65 years old

Health insurance pays state.
No proof is required.

Important links

You can also find information related to the issue of health insurance payments on these websites.

Frequently Asked Questions

No, a natural person who has an agreement to perform work cannot be included in the register of job applicants, regardless of the amount of the monthly remuneration.

If a natural person granted temporary protection and with a closed DPP wants to be kept in the register of job applicants, he must first agree with the employer to end the DPP. After the DPP expires, he can apply to the workplace of the employment office in his place of residence.

You can come to the employment office during office hours from Monday to Thursday.

Monday and Wednesday from 8.00 to 12.00 p.m., 13.00 until 5 p.m. 
Tuesday and Thursday from 8.00 to 11.00 a.m.

IN Friday from 8.00 to 11.00 a.m.is the labor office open only for new registration of job applicants and for submitting applications for extraordinary immediate assistance.

Here you will find contacts at individual workplaces of the Labor Office of the Czech Republicexternal-link.

Yes, it can, but it has certain conditions.

A person registered in the register of job applicants can earn extra money during the registration process employment relationship, service relationship and agreements on work activities – but only up to half the minimum wage! Monthly earnings or remuneration may not exceed half of the minimum wage, i.e. CZK 8,100 (gross). In the case of multiple activities, earnings and rewards are added together for the purpose of fulfilling this condition. 

The performance of this activity must be reported by the job applicant, regardless of the amount of earnings or remuneration when applying for employment mediation (register of job applicants) or at the latest on the day of starting to perform this activity. Within the period determined by the employment office, the job applicant must provide proof of monthly earnings (remuneration). Monthly earnings, remuneration is confirmed to job applicants by the employer at form Confirmation of performance of activity (non-conflicting employment)external-link.

This additional income must not prevent the applicant from fulfilling the obligations arising from his management in the register of job applicants (providing cooperation to the employment office, accepting job offers, participating in activities and programs.

You can't earn extra money on an agreement to carry out work! Closing the DPP is the reason for the termination of management in the register of job applicants.

Yes, to report the category of payer, the insured may be represented by another person who proves to be a power of attorney for the given act. The power of attorney does not need to be officially verified.

You don't have to. The insurance premium is paid by the state for entire calendar months, and in case of registration at the ÚP during the month, the insured does not have to pay a proportional part of the insurance premium.

The employer pays the insurance premium for his employees, while ⅓ is deducted from the employee's salary and ⅔ of the insurance premium is paid by the employer.

If the income does not reach the minimum wage (CZK 16,200), the employee must pay an additional insurance premium in the amount corresponding to the deduction from the minimum wage.

The employer does not pay insurance premiums for persons who work for him on the basis of an agreement on the performance of work with an income of up to CZK 10,000 or on the basis of an agreement on work activities with an income of up to CZK 3,500.

If neither the state nor the employer pays the insurance premium for the insured person, he must pay the insurance premium himself at the health insurance company:

a) either as a self-employed person - the minimum advance amount is CZK 2,627

b) or as a person without taxable income - the minimum premium is CZK 2,187.

A natural person with a registered DPČ can become a job seeker only on the condition that their gross monthly remuneration from the performance of this activity does not exceed half of the minimum wage (CZK 8,100 gross for 2022). This activity (so-called non-conflicting employment) must be reported to the Labor Office immediately upon submission applications for employment mediationexternal-link – is filled in in part I. letter J, point 1. of this request.

It is necessary to document the employment agreement to the labor office (the labor office will make a copy of this DPČ). Each month, it is the duty of the job seeker to document the amount of the monthly remuneration by a set date determined by the employment office. The job seeker must monitor the amount of the monthly remuneration, which must not exceed the stated amount.

The validity of the public health insurance card received on the basis of a temporary protection visa is the same as the period for which you were granted a temporary protection visa. Therefore, it is not necessary to apply for a replacement card, and health care providers will treat you based on its presentation.

However after 150 days from the granting of a temporary protection visa to you the state stops automatically paying health insurance. You have an obligation contact your health insurance company and document how the health insurance will be paid for you, whether you still fall into the category of the so-called state insured. Health insurance is paid by the state, for example, for people who are registered with the Labor Office of the Czech Republic, take care of a dependent child under the age of 7 all day, or by two or more children under the age of 15, studying at a secondary/university school, etc. However, the employer can also pay for the health insurance on behalf of the insured, on the basis of an employment contract, an agreement to perform work with an income of more than CZK 10,000, or on the basis of an agreement about employment with income from CZK 3,500.

If the insurance is not paid for by the employer and you do not provide the health insurance company with a confirmation that you are a state insured person, you must pay for the health insurance yourself.

If you started a business after coming from Ukraine to the territory of the Czech Republic, you need to provide the health insurance company with a trade certificate and proof of registration at the tax office and start paying monthly advances for health insurance in the amount of CZK 2,627 yourself.

In case you do not fall into any of the above categories (state insured, employee, self-employed), after 150 days have passed since the temporary protection visa was granted, you will be reassigned to a category OBZPexternal-link (Person without taxable income) when you have the obligation to pay the minimum advance for health insurance yourself, which for 2022 amounts to CZK 2,187 per month. Failure to fulfill this obligation and subsequent non-payment of health insurance results in a debt to the health insurance company, which can end in execution in extreme cases.