Benefits

General information about benefits

The EHIF provides many monetary benefits for the insured individual such as incapacity to work benefits, supplementary pharmaceutical benefits, dental care benefits, and artificial insemination benefits.
 
The temporary incapacity to work benefit is paid on the basis on of a certificate of incapacity to work to an insured person, who because of a temporary incapacity to work does not pay the social income tax. Temporary incapacity to work benefit subcategories are:
  • Sickness benefit is a benefit which is paid on the basis of a certificate of incapacity to work to an insured person, who is temporary leave from work. The sickness benefit can apply in the case of falling ill, work accident, traffic accident, or domestic injury.

  • Carer’s allowance: A benefit which is paid to the insured person, who has an ailing child or family member. 

  • Maternity benefit: A benefit which is payed to the insured woman on pregnancy or maternity leave. 

  • Adoption benefit: A benefit which is paid to the insured person on the adoption of a child under 10 years of age. 

More information about the benefit of temporary incapacity to work can be found here

The dental care benefit is a monetary benefit payed to pensioners, to those on the basis of the operational support law of partial or no work capacity, to individuals over the age of 63, to the pregnant, to mothers with children under the age of 1, and to individual who as a result of provided medical service has developed a heightened need to receive dental care services. More specific information on the dental care service benefit and conditions can be found here.
 
The denture benefit is a benefit payed to insured individuals over the age of 63, to those on the basis of the operational support law of partial or no work capacity, old-age pensioners, and no work capacity pensioners. More specific information about this benefit and conditions can be found here (in estonian). 
 
The supplemental pharmaceutical benefit is a benefit which is paid in addition to savings received at the pharmacy. The Supplemental pharmaceutical benefit is paid in the case when the benefit paying conditions are met. More information can be found here.
 
The artificial insemination related pharmaceutical benefit is payed to cover in vitro fertilization and/or embryo transfer procedures and the expenses of related pharmaceuticals. More information can be found here