About us

The Organisation

The main task of the Health Insurance Fund is to organize national health insurance to provide insured people with access to necessary healthcare services, medicines, medical equipment and cash benefits.

The mission of the Health Insurance Fund is to ensure insured people the availability of health insurance benefits.

The vision of the Health Insurance Fund is to create a sense of security for members of society when they face health problems and seek medical care, so as to increase the number of healthy life years.

The Estonian health care system is based on solidarity or unified health insurance. This makes it possible to provide the same quality medical care to all insured people.

 The Health Insurance Fund is guided by two principles when organizing health insurance:

  • Solidarity - Currently employed insured persons cover the costs of health insurance for those currently unemployed. It means solidarity between generations - the cost of health care for children, students and pensioners is fully covered by those currently employed. It also means solidarity between employed persons whose financial contribution to the health insurance depends on their income, not on their personal health risks, and who receive health insurance benefits on an equal basis, regardless of the size of their financial contribution.
  • Equal treatment - We guarantee equal rights and equal treatment for all insured persons and partners in accordance with applicable legislation.

The Estonian health insurance system complies with internationally approved principles:

  • As much of the population as possible must be covered with health insurance.
  • The scope of health insurance must be as wide as possible, i.e. based on the principle of solidarity, health insurance must offer a package of health services that is as comprehensive, coherent and modern as possible.
  • Health insurance must be as far-reaching as possible, i.e. the out-of-pocket expenses of a person in the total cost of treatment must be optimal and should not lead to poverty risk.

Strategic goals of the Health Insurance Fund until 2022:

  • People are able to take better care of their health.
  • Health insurance benefits are available, and their choice extends expediently.
  • High-quality healthcare services ensure comprehensive patient care.
  • The Health Insurance Fund is a health insurance organization valued by insured persons and partners.

The objectives, functions, competence, bases for activities and the bodies of the Estonian Health Insurance Fund are provided by the Estonian Health Insurance Fund Act and the Articles of Association of the Health Insurance Fund.

The supreme body of the Estonian Health Insurance Fund is the Supervisory Board, the members of which represent the interests of employers, insured persons and the state.

The Health Insurance Fund is led by Management Board, which is chaired by Rain Laane since 16.10.2017.

The Estonian Health Insurance Fund has been ISO 9001:2015-certified since 13.12.2017. ISO 9001:2015 is a set of rules for an organization that aims to enhance customer satisfaction through the effective application of risk and process management. The certificate is awarded based on the results of a thorough audit. The Health Insurance Fund was audited by AS Metrosert in 28-30 November 2017. 

Management

Management Board

juhatus

 

 Chairman of Management Board Rain Laanerain.laane [@] haigekassa.ee+372 620 8430
 Member of Management BoardMaivi Parvmaivi.parv [@] haigekassa.ee+372 620 8430
 Member of Management BoardPille Banhardpille.banhard[@] haigekassa.ee+372 620 8430
Member of Management BoardKarl-Henrik Petersonkarl.peterson[@] haigekassa.ee+372 620 8430

The Management Board is the body managing the Health Insurance Fund. The Management Board consists of three to seven members, one of them being the Chairman of the Management Board. The term of office of the members of the Management Board is up to five years. The Supervisory Board designates the Chairman of the Management Board. In order to find candidates for the office of the Chairman of the Management Board, the Supervisory Board organises an open competition. On the proposal of the Chairman of the Management Board the Supervisory Board designates the other members of the Management Board.

In the management of the Health Insurance Fund the Management Board performs the functions imposed on it by this Act, the Statutes of the Health Insurance Fund and the decisions of the Supervisory Board. The Management Board sees for the performance of the functions and obligations as well as for the exercise of the rights of the Health Insurance Fund insofar as, by virtue of this Act or the Statutes, it is not the task of the Supervisory Board or Chairman of the Management Board. The Management Board reports to the Supervisory Board. On the basis of the national health care policy the Management Board prepares the development plan and the budget of the Health Insurance Fund and submits these to the Supervisory Board for approval. If the Supervisory Board does not decide otherwise, the Management Board prepares the materials and draft decisions to be discussed by the Supervisory Board.

Supervisory Board

Minister of Social Affairs

 

Tanel Kiik
Minister of FinanceMartin Helme
Chairwoman of the Estonian Chamber of the Disabled PeopleUlvi Tammer-Jäätes
Member of Estonian Trade Union Confederation

Jüri Lember

Chairman of Estonian Employer's UnionToomas Tamsar

 

Priit Perens

 

The Supervisory Board consists of 6 members. The Minister of Social Affairs, The Minister of Finance and the Chairman of the Social Affairs Committee of the Parliament are members of the Board by virtue of office. On the proposal of the Social Affairs Committee the Parliament designates one Member of Parliament as a member of the Supervisory Board. On the proposal of the Minister of Social Affairs the Government designates one official of the Ministry of Social Affairs as a member of the Supervisory Board, and five members of the Board on the proposal of the organisations representing the interests of insured persons and five members of the Board on the proposal of employers’ organisations.

The Minister of Social Affairs is the Chairman of the Board by virtue of office. The members of the Board shall elect a Deputy Chairman from amongst themselves. In the absence of the Chairman of the Board the Deputy Chairman takes over the formers functions.

Contact of the client service

If you have any questions about health care and health insurance, please contact the Customer Service of the Health Insurance Fund. We will respond quickly and, if necessary, involve healthcare professionals to provide the best response to your query.

  • +372 669 6630 

  • Lastekodu 48, Tallinn, 10144

  • WEB

  • Instagram

  • Visit our client service office

The client service offices of the Health Insurance Fund

Client service address

Open

Tallinn, Lastekodu 48, 10144

Jõhvi, Nooruse 5, 41597

Tartu, Põllu 1a, 50303

M, T, W, T 8.30-16.30; F 8.30 – 14.00

  • Our client infotelephone (+372) 669 6630 and our e-mail: info [at] haigekassa.ee will answer to your questions: M, T, W, T 8.30-16.30; F 8.30 – 14.00
  • Our client service in Pärnu has moves to new location-  Suur-Jõe 63 (2nd floor), 80047

We can disclose information containing your personal data only when we have verified your identity as a person requesting information or clarification. To verify your identity at information request you can choose between the following options:

  • send an e-mail with a digitally signed application to info [at] haigekassa.ee
  • send a hand-signed application to the Health Insurance Fund by mail: Lastekodu 48, Tallinn, 10144
  • come to a Customer Service Office  of the Health Insurance Fund and present your personal identification document

 

 

Contact us

If you have any questions about health care and health insurance, please contact the Customer Service of the Health Insurance Fund. We will respond quickly and, if necessary, involve healthcare professionals to provide the best response to your query.

We can disclose information containing your personal data only when we have verified your identity as a person requesting information or clarification. To verify your identity at information request you can choose between the following options:

  • send an e-mail with a digitally signed application to info [at] haigekassa.ee
  • send a hand-signed application to by mail: Lastekodu 48, Tallinn, 10144
  • come to a Customer Service Office  of the Health Insurance Fund and present your personal identification document
  • call to the Health Insurance Fund infoline and identify yourself either with your mobile-ID or with smart-ID. 

Feedback and suggestions

Õigusosakond

EP

Osakonna pädevusse kuulub haigekassa tegevuse tagamine õiguslike vahenditega ning haigekassa õigusalase töö korraldamine.

Lastekodu 48, Tallinn, 10144

Siseauditi osakond

Osakonna pädevusse kuulub siseauditeerimine, mis on sõltumatu, objektiivne, kindlust ja nõu andev tegevus, mis on kavandatud lisama väärtust organisatsiooni tegevusele ja seda täiustama. See aitab kaasa organisatsiooni eesmärkide saavutamisele, kasutades süsteemset ja korrakohast lähenemist, hindamaks ja täiustamaks riskide juhtimise, kontrolli- ja valitsemisprotsesside mõjusust.

Osakonna juhataja Erly Feld

Lastekodu 48, Tallinn, 10144

Personaliosakond

KH

Osakonna pädevusse kuulub protsesside efektiivse toimimise tagamine läbi kompetentse personali.

Osakonna juhataja Krista Humal

Lastekodu 48, Tallinn, 10144

Juhatus

RL

Juhatus vastutab haigekassa sujuva toimimise ja juhtimise eest. Juhatus jälgib, et haigekassa täidaks seaduse ning põhikirjaga pandud ülesandeid ja kohustusi.  Selleks organiseerib juhatus töökorraldust, aitab kaasa tingimuste loomisele (strateegia, struktuur ja eesmärgid) ning jälgib, et osakondade õigused, kohustused ja vastutus oleksid tasakaalus.

Juhatuse esimees Rain Laane

Lastekodu 48, Tallinn, 10144

Nõukogu

Eesti Haigekassa kõrgeim juhtimisorgan on nõukogu. Nõukogu liikmed esindavad tööandjate huve,  kindlustatute huve ja  riigi huve. Nõukogu esimees on sotsiaalminister. Kõik nõugkogu liikmed leiab siit.

Avalike suhete ja tervise edenduse osakond

ET

Osakonna pädevusse kuulub haigekassa avalike suhete, tervise edenduse tegevuste ja rahvusvahelise koostöö korraldamine.

Osakonna juhataja Evelin Trink

Lastekodu 48, Tallinn, 10144

Infoturbe osakond

Osakonna pädevusse kuulub haigekassa infoturbe juhtimine.

Lastekodu 48, Tallinn, 10144

Strateegianõunik

Organisatsiooni tegevuste strateegiline nõustamine ja strateegilise arengu juhtimine.

Lastekodu 48, Tallinn, 10144

Eriarstiabi teenuste osakond

TS

Osakonna pädevusse kuulub eriarstiabi tervishoiuteenuste ja kiirabi tasumisel rakendatava süsteemi arendamine, et tagada kvaliteetne ravikindlustushüvitiste pakett olemasolevate ravikindlustusvahendite piires õigusaktides sätestatud tingimustel ja korras.

Osakonna juhataja Tiina Sats

Lastekodu 48, Tallinn, 10144

Esmatasandi teenuste osakond

KF

Osakonna pädevusse kuulub esmatasandi (perearstiabi, õendusabi, hambaravi, ennetuse (sh koolitervishoiuteenuse) teenuste, hambaravihüvitiste (sh proteesihüvitis) arendamine, et tagada kvaliteetne ravikindlustushüvitiste pakett olemasolevate ravikindlustusvahendite piires.

Osakonna juhataja Külli Friedemann

Lastekodu 48, Tallinn, 10144

Klienditeeninduse osakond

ML

Klienditeeninduse osakonna pädevusse kuulub haigekassa tervikliku klienditeeninduse arendamine ja klientide igapäevane teenindamine. Osakond menetleb isikupõhiseid pöördumisi, arendab kliendihaldussüsteemi, e-teenuseid ning edastab kindlustuskaitse alast teavet.

Osakonna juhataja Maris Liitmäe

Lastekodu 48, Tallinn, 10144

Partnersuhtluse osakond

MT

Osakonna pädevusse kuulub haigekassa partnersuhete arendamine ja koordineerimine, mis hõlmab endas kõigi lepingute (va edenduse ja kindlustatud isiku välisravi lepingu) planeerimist, haldamist ja lepingutingimuste rakendamist, võimaldades Eesti elanikele kvaliteetset, tõenduspõhist ja võrdselt kättesaadavat tervishoiuteenust.

Osakonna juhataja Marko Tähnas

Tartu, Põllu 1a, 50303

Ravimite ja meditsiiniseadmete osakond

EL

Osakonna pädevusse kuulub ravimi- ja meditsiiniseadmehüvitiste ning ravimitega seotud tervishoiuteenuste eest tasumisel rakendatava süsteemi arendamine, et tagada isikutele kvaliteetne hüvitiste pakett olemasolevate rahaliste vahendite piires õigusaktides sätestatud tingimustel ja korras.

Osakonna juhataja Erki Laidmäe

Lastekodu 48, Tallinn, 10144

Finantsosakond

RP

Osakonna pädevusse kuulub haigekassa igakülgne juhtimisarvestuse korraldamine ning tööprotsesside arendamine.

Osakonna juhataja Riho Peek

Lastekodu 48, Tallinn, 10144

Kvaliteedi edenduse osakond

SK

Osakonna pädevusse kuulub ravikindlustushüvitiste ravikvaliteedi tagamise, mõõtmise, hindamise ja tagasiside andmise süsteemi arendamine koostöös organisatsioonisiseste ja väliste huvigruppidega ning ravikindlustushüvitiste osutamise õigsuse kontroll.

Osakonna juhataja Sirje Kree

Tartu, Põllu 1a, 50303

Nõuete osakond

Osakonna pädevusse kuulub haldusaktide ja nõuete menetlemine osas, mis hõlmab haigekassale kahju ärahoidmise, tekitatud kahju ja haigekassa poolt alusetult väljamakstud hüvitiste sissenõudmise protsessi tegevuste täitmist.

Osakonna juhataja Jelena Kont

Jõhvi, Nooruse 5, 41597

Raamatupidamise osakond

Osakonna pädevusse kuulub haigekassa raamatupidamise korraldamine, tööprotsesside arendamine ning oma vastutusvaldkonna infovara haldamine ja arendamine.

Osakonna juhataja Marina Laaneväli

Lastekodu 48, Tallinn, 10144

Ravikindlustuse osakond

AVR

Osakonna pädevusse kuulub ravikindlustuse korraldamine, raviarvete ja ajutiste töövõimetushüvitiste menetlemine ning digioperaatori teenuse osutamine.

Osakonna juhataja Avely Raid-Lelov

Lastekodu 48, Tallinn, 10144

Analüütika osakond

KHK

Osakonna pädevusse kuulub analüütilise toe tagamine organisatsioonile põhitegevuse läbiviimiseks.

Juht Kadri Haller-Kikkatalo

Lastekodu 48, Tallinn, 10144

IT halduse osakond

Osakonna pädevusse kuulub IT infrastruktuuri ja IT teenuste halduse korraldamine.

Lastekodu 48, Tallinn, 10144

Innovatsiooni osakond

KK

Osakonna pädevusse kuulub uute digitaalsetel lahendustel põhinevate arendusprojektide kirjeldamine ja läbiviimine ning projektiga juurutatavate süsteemide testimise korraldamine.

Juht Kitty Kubo

Lastekodu 48, Tallinn, 10144

Süsteemiarenduse osakond

SV

Osakonna pädevusse kuulub haigekassa infosüsteemi arendamine, lõppkasutajate juhendamine uute funktsionaalsuste osas ja ärikasutajate konsulteerimine arendusettepanekute kirjeldamisel.

Osakonna juhataja Seidi Vilba

Lastekodu 48, Tallinn, 10144

Teabehalduse osakond

KK

Osakonna pädevusse kuulub haigekassa efektiivne toimimine läbi ühtse teabehalduse.

Osakonna juhataja Kadi Krull

Lastekodu 48, Tallinn, 10144