The Ministry of Health publishes selected parameters of contract terms of health insurance companies 2 x per year, valid on 1.7 and on 1.1 calendar year. In those price conditions, the possible affiliation of the general outpatient care provider to the association or association is not taken into account.
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- Selected contract terms applicable on 1.1.2026
- Selected contract terms applicable on 1.1. 2025
- Selected contract terms applicable on 1.7. 2024
- Selected contract terms applicable at 1.1. 2024
- Selected terms and conditions applicable to 1.7. 2023
- Selected contract terms applicable on 1.4. 2023
- Selected terms and conditions applicable to 1.1. 2023
- Selected contractual terms applicable on 1.7. 2022
Capitation - 11.2026
| General Health Insurance Institution, a.s. | ||
| The insured person's age group | Capital cost | Max. additional capitulation |
|---|---|---|
| up to 1 year | 12,53 € | 1,35 € |
| over 1 and up to and including 2 years | 12,41 € | 1,35 € |
| over 3 and up to 5 years old | 8,59 € | 1,35 € |
| 6 to 9 years old and inclusive | 6,21 € | 1,35 € |
| 10 to and including 14 years | 5,69 € | 1,35 € |
| 15 to and including 17 years | 5,37 € | 1,35 € |
| from 18 to 19 years old and including | 4,83 € | 1,35 € |
| from 19 to 19 years old and including | 4,83 € | 1,35 € |
| 20 to 26 years old and inclusive | 3,74 € | 1,35 € |
| Trust health insurance company, a.s. | ||
| The insured person's age group | Capital cost | Boning |
|---|---|---|
| until the 1st year of life | 12,52 € | discount price power no 1, 4, 8, 250 by number capitalised insured persons |
| from 1 year to 2 year old | 13,08 € | |
| 2 years to 7 years of age | 8,40 € | |
| 7 years to the age of 19 | 5,09 € | |
| from 19 years to 26 years old | 3,21 € | |
| Union health insurance undertaking, a.s. | ||
| The insured person's age group | Capital cost | Max. surrender bonus |
|---|---|---|
| up to 1 year old | 10,55 € | 1,82 € |
| over 1 and up to 2 years of age | 9,36 € | 1,82 € |
| from 3 to 5 years of age including | 7,99 € | 1,82 € |
| from 6 to 14 years of age including | 5,47 € | 1,82 € |
| 15 to 18 years of age including | 3,68 € | 1,82 € |
| from 19 to 25 years of age including | 3,43 € | 1,82 € |
Selected outputs
Import Page 2240 - Table 1
| Performance code | Performance name | General Health Insurance Institution, a.s. | Trust health insurance company, a.s. | Union health insurance undertaking, a.s. |
|---|---|---|---|---|
| 1b | Consultation by e-mail, telephone or SMS | €4.32 | €4.32 | €4.32 |
| 11a | Consultation through enhanced electronic communication in the online environment (web application, video interview) | € 5,67 | € 5,67 | € 5,67 |
| 60b | Pre-operative examination | €17.33 | 18,08 € | € 17.51 |
| 70 | Re-medical treatment of prescriptions or vouchers based on the requirement of the insured person by e-mail, SMS or telephone | € 1.08 | € 1.08 | € 1.08 |
| 252b | Vaccinations | € 6.30 | € 6.30 | 6,52 € |
| 4571a | Examination C-reactive protein (CRP) | €5.75 | 5,65 € | 6,00 € |
| 142 | 1st preventive inspection at VLDD | €41.13 | 38,57 € | 44,94 € |
| 143 | 2nd preventive survey to 4th week of life | €29.40 | €29.40 | 29,58 € |
| 143a | 3rd preventive tour at 5-7 weeks of life | €29.40 | €29.40 | 29,58 € |
| 144 | 4th preventive screening at weeks 8-10 of life | €29.40 | €29.40 | 29,58 € |
| 145 | 5th preventive inspection at 3 to 4 months of life | €29.40 | €29.40 | 29,58 € |
| 145a | 6th preventive exam at 5-6 months of life | 31,08 € | 31,08 € | €31.27 |
| 146 | 7th preventive screening at 7 to 8 months of life | 31,08 € | 31,08 € | €31.27 |
| 146a | 8th preventive inspection at 9th to 10th months of life | 31,08 € | 31,08 € | €31.27 |
| 146b | 9th preventive inspection at 11-12 months of life | 31,08 € | 31,08 € | €31.27 |
| 146c | 10th preventive inspection at 18 months of age | 31,08 € | 31,08 € | €31.27 |
| 148 | 11th preventive tour in 3rd year of life | 31,08 € | 31,08 € | €31.27 |
| 148a | 12th preventive tour in 5th year of life | 31,08 € | 31,08 € | €31.27 |
| 148b | 13th preventive check-up in the 6th or 7th year of life if the insured person has not entered school | 32,76 € | 32,76 € | 32,96 € |
| 148c | the 14th preventive survey is reported in the 9th year of life | 32,76 € | 32,76 € | 32,96 € |
| 149 | 15th preventive survey is reported in the 11th year of life | 32,76 € | 32,76 € | 32,96 € |
| 149a | the 16th preventive survey is reported in the 13th year of life | 32,76 € | 32,76 € | 32,96 € |
| 149b | the 17th preventive survey shall be reported in year 15 | 32,76 € | 32,76 € | 32,96 € |
| 149c | Entrance to secondary school pupils and secondary vocational teacher education | 32,76 € | - | - |
| 149d | Preventive tour in 17 years | 32,76 € | 32,76 € | 32,96 € |
| 159b | Preventive assessment of total cholesterol at years 11 and 17 | €8.40 | €8.40 | €8.45 |
| 160 | Preventive performances | 32,76 € | 32,76 € | 30,85 € |
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