Who is and isn’t insured by public health insurance

Public health insurance begins at birth for persons with permanent residency in the Slovak Republic, or for a dependent family member who was born to a policyholder in another EU/EEA member state.

For individuals who have permanent residency in the Slovak Republic, public health insurance comes into being even on the day following termination of circumstances which eliminate compulsory health insurance (eg. If such person is employed abroad and has insurance coverage in the country of where he is employed).

For individuals without permanent residence in the Slovak Republic, public health insurance comes into being on the same day when reasons justify the requirement of the individual to be insured, even though the individual has no permanent residence in Slovakia (eg. when an individual begins self-employment in Slovakia or when his  employer is based in Slovakia or has permanent operations in Slovakia, etc.). Public health insurance comes into being also on the date when an individual obtains permanent residency in the Slovak Republic.

Compulsory public health insurance 

Compulsory public health insurance is generally required for an individual who has permanent residency in the Slovak Republic. There are of course, some exemptions which are listed below (see "Exemptions from compulsory health insurance").

 A foreign national from a country outside the EU, who obtains permanent residency, shall become publicly insured upon meeting all the conditions under the Health Insurance Act.

Compulsory public health insurance also applies to natural persons who don’t have permanent residency in the Slovak Republic (if not insured in another EU/EEA state), but is applicable in their cases when he:

is employed by an employer who is based in or has permanent operations in Slovakia;

Exemptions from public health insurance

Payers of health insurance

According to the Act on Health Insurance, a payer of health insurance is:

The requirement to be publicly insured in Slovakia under the Health Insurance Act does not mean that the insured person must also be the payer.