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 and including 19 years | 4,83 € | 1,35 € |
| 20 to 28 years old and inclusive | 3,74 € | 1,35 € |
| 29 to 39 years old and inclusive | 3,50 € | 1,35 € |
| 40 to and including 44 years | 3,52 € | 1,35 € |
| 45 to 49 years old and inclusive | 3,56 € | 1,35 € |
| 50 to 54 years old and inclusive | 4,09 € | 1,35 € |
| 55 to and including 59 years | 4,69 € | 1,35 € |
| 60 to 64 years old and including | 5,23 € | 1,35 € |
| 65 to 69 years old and inclusive | 5,67 € | 1,35 € |
| 70 to 74 years old and including | 6,44 € | 1,35 € |
| between 75 and 79 years | 7,22 € | 1,35 € |
| from 80 to 84 years old including | 8,11 € | 1,35 € |
| over 85 years and over | 8,48 € | 1,35 € |
| Trust health insurance company, a.s. | ||
| The insured person's age group | Capital cost | Max. additional capitulation |
|---|---|---|
| until the 19th year of life | 5,09 € | 1,749552 € |
| from 19 years to 27 years old | 3,21 € | 1,749552 € |
| from 27 years to the age of 45 | 3,29 € | 1,749552 € |
| from 45 years to 51 years of age | 3,47 € | 1,749552 € |
| from 51 years of age to 53 years of age | 3,78 € | 1,749552 € |
| from 53 years to 57 years of age | 4,53 € | 1,749552 € |
| from 57 years of age to 61 years of age | 4,87 € | 1,749552 € |
| 61 to 64 years of age | 5,34 € | 1,749552 € |
| from 64 years of age to 68 years of age | 6,13 € | 1,749552 € |
| from 68 years to 72 years of age | 6,63 € | 1,749552 € |
| from 72 years of age to 87 years of age | 7,31 € | 1,749552 € |
| from 87 years of age | 7,21 € | 1,749552 € |
| Union health insurance undertaking, a.s. | ||
| The insured person's age group | Capital cost | Max. surrender bonus |
|---|---|---|
| from 18 years up to and including 50 years of age | 3,43 € | 1,69 € |
| from 51 years to 60 years of age including | 3,93 € | 1,69 € |
| from 61 years to 80 years of age including | 6,31 € | 1,69 € |
| from 81 years of age | 8,24 € | 1,69 € |
Selected performances
Import Page 2239 - 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 |
| 10 | Analysis and planning of targeted therapeutic practices to affect chronic or multi-organ diseases for the purpose of rational pharmacotherapy, including advice and documentation. | €5.72 | 20,00 € | 14,00 € |
| 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 |
| 159a | Preventive testing for faecal blood using the iFOB method in insured persons over 40 years of age. | 12,00 € | 15,12 € | 12,36 € |
| 160 | Preventive performances | 32,76 € | 32,76 € | 30,85 € |
| 163 | Examination and early recognition of impending loss of self-sufficiency among insured persons over 60 years of age (MoCA) | 6,78 € | - | 7,00 € |
| 252b | Vaccinations | € 6.30 | € 6.30 | 6,52 € |
| 4571a | Examination C-reactive protein (CRP) | €5.75 | 5,65 € | 6,00 € |
| 5702 | Electrocardiographic (ECG) examination, standard 12-leather ECG record | €5.27 | €5.98 | 5,50 € |
| H0003 | Initial examination of the chronic illness insured person | 15,00 € | 15,00 € | 14,00 € |
| H0004 | Inspection of the insured person with chronic illness | 15,00 € | 15,00 € | 14,00 € |
| H0005 | A targeted examination of the insured person with an acute hypertensive condition | 6,00 € | - | - |
| H0006 | Cardiovascular risk loss | 5,65 € | 5,00 € | €582 |
| H0007 | Quantitative INR instrument examination at VLD | € 5,20 | 6,24 € | 6,06 € |
| H0008 | Determination of the ABI by oscillometric method including pulse wave | 6,78 € | €7.20 | 6,98 € |
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