Health Services
The amounts for health services indicated in the health insurance budget are divided between the regional departments of the Health Insurance Funds according to the number of person benefiting from health insurance within the service area of the regional department. The regional departments use this as a basis to sign contracts for the purchase of health services with health care institutions. For the health services provided to the persons benefiting from insurance cover and registered as such by the Health Insurance Fund the latter shall, according to the contract concluded between the Fund and the institution, pay to the health care institution on the basis of the reference price fixed by the Government and indicated in the Fund’s list of health services. Thus, the service must be included in Fund’s list of health services and be medically prescribed.
The amounts received by Health Insurance Fund – the health insurance part of the social tax – are used to pay for the health services and medical examinations made available under the signed contracts to persons benefiting from health insurance, for example:
- visits to the doctor;
- diagnostic examinations;
- treatment procedures;
- preventive procedures;
- surgeries;
- technical aids put in place during or after the surgery.
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