Adoption benefit is paid by the Health Insurance Fund in the amount of 100% since the first day of exemption from work.
The benefit for temporary incapacity for work is paid on the basis of a certificate of incapacity for work for a person who is insured through an employer or a contractual partner under the law of obligations, or as a self-employed person.
The benefit for temporary incapacity for work is calculated from official income. If the employee receives undeclared wages, then the benefit he or she receives is smaller. Read more about the risks and losses related to undeclared work from the homepage of the Estonian Tax and Customs Board.
If you are looking for information on the proceedings of your certificate of incapacity for work, visit the State Portal at www.eesti.ee or call the Health Insurance Fund’s short number 16363 or calling from abroad, +372 669 6630.
An insured person shall not be entitled to receive benefit from the Health Insurance Fund, if:
- The illness or injury of the person or of the person under his or her care was caused by the person’s intent or is a result of intoxication;
- The person or the person under his or her care ignores medically justified treatment determined by a doctor, thus impeding recovery;
- The temporary incapacity for work begins at a moment when the insured person is on holiday.
An insured person shall not be entitled to receive benefit from the Health Insurance Fund from the day of the violation, if:
- He or she fails to keep an appointment with a doctor at the agreed time without good reason;
- He or she performs duties of employment during the temporary incapacity for work and receives social-taxable income for it or acts as an entrepreneur.
An insured person who is entitled to maternity or adoption benefit is not entitled to receive sickness benefit or care allowance for the same period of time.
An insured person who is entitled to sickness benefit is not entitled to receive care allowance for the same period of time.