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Access to the health care in Poland August 2006 Zbigniewa Nowodworska.

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Presentation on theme: "Access to the health care in Poland August 2006 Zbigniewa Nowodworska."— Presentation transcript:

1 Access to the health care in Poland August 2006 Zbigniewa Nowodworska

2 Non EU Students STUDENTS WHO - FROM OUTSIDE EU STUDENTS WHO - FROM OUTSIDE EU SHOULD SIGN VOLUNTARY HEALTH INSURANCE AGREEMENT SHOULD SIGN VOLUNTARY HEALTH INSURANCE AGREEMENT IN CASE OF STUDENTS FROM WIELKOPOLSKA OR POZNAŃ IT IS: IN CASE OF STUDENTS FROM WIELKOPOLSKA OR POZNAŃ IT IS: Wielkopolski Oddział Wojewódzki NFZ Wielkopolski Oddział Wojewódzki NFZ ul.Piekary 14/15, 61 – 823 Poznań ul.Piekary 14/15, 61 – 823 Poznań tel. (61) , fax (61) tel. (61) , fax (61) TO SIGN THE AGREEMENT - STUDENTS SHOULD POSSESS THE DOCUMENT - STATUS of being a STUDENT TO SIGN THE AGREEMENT - STUDENTS SHOULD POSSESS THE DOCUMENT - STATUS of being a STUDENT IDENTITY DOCUMENT ( PASSPORT, KARTA POBYTU) IDENTITY DOCUMENT ( PASSPORT, KARTA POBYTU) MONTHLY INSURANCE PAYMENT at present PLN MONTHLY INSURANCE PAYMENT at present PLN DOCUMENTS to be shown by doctor: DOCUMENTS to be shown by doctor: - COPY OF THE AGREEMENT - COPY OF THE AGREEMENT - LAST MONTH PAYMENT SHEET - LAST MONTH PAYMENT SHEET

3 HEALTH CARE IN POLAND If you are entitled to health care under European Union rules on coordination of social security systems you can receive free health care services from health care providers who have contracts for health services with the National Health Fund (NFZ). The information about public health care providers is available in the competent regional branch offices of the NFZ. Health care providers are marked with the logo of the NFZ: If you are entitled to health care under European Union rules on coordination of social security systems you can receive free health care services from health care providers who have contracts for health services with the National Health Fund (NFZ). The information about public health care providers is available in the competent regional branch offices of the NFZ. Health care providers are marked with the logo of the NFZ:

4 Treatment by a general practitioner Go to a doctor who has a contract with the NFZ and show your European Health Insurance Card (EHIC) or a replacement certificate. Primary health care comprises examination and consultation by a general practitioner. A doctor may also refer you to diagnostic tests, to a specialist or to a hospital. Dispensaries are open from Monday to Friday, from 8 a.m. to 6 p.m. After 6 p.m. on workdays, as well as on Saturdays, Sundays and on holidays 24-hour-care is provided by health units which have concluded contracts for this kind of services. They comprise out-patient care and home visits in case a patient's condition is serious. Addresses and telephone numbers of health units providing 24-hour-care are available in health care dispensaries. Go to a doctor who has a contract with the NFZ and show your European Health Insurance Card (EHIC) or a replacement certificate. Primary health care comprises examination and consultation by a general practitioner. A doctor may also refer you to diagnostic tests, to a specialist or to a hospital. Dispensaries are open from Monday to Friday, from 8 a.m. to 6 p.m. After 6 p.m. on workdays, as well as on Saturdays, Sundays and on holidays 24-hour-care is provided by health units which have concluded contracts for this kind of services. They comprise out-patient care and home visits in case a patient's condition is serious. Addresses and telephone numbers of health units providing 24-hour-care are available in health care dispensaries.

5 Emergency Emergency In case of a sudden illness, accident, injury, intoxication or life threat a you will receive necessary medical benefits without a referral. - go to a doctor (NFZ) - show your EHIC or a repl. certificate. - show your EHIC or a repl. certificate.

6 By a specialist By a specialist Generally you need a referral for a visit to the doctor who practises within the health care system. No referral is required by: obstetrician, dentist, dermatologist, venereologist, oncologist, eye specialist, psychiatrist, and for following persons: suffering from tuberculosis, infected with HIV, war invalids and persecuted persons, addicted to alcohol, stupefacients and psychoactive substances - in case of addiction treatment.

7 By a dentist By a dentist Free dental services are available only in the restricted scope. Free dental services are available only in the restricted scope. A list of free services and materials is available in the dentist surgery. A list of free services and materials is available in the dentist surgery. You will have to cover costs of over standard services and materials on your own. You will have to cover costs of over standard services and materials on your own. Go to a dentist who has a contract with the NFZ, show your (EHIC) or a replacement certificate.You dont need referral Go to a dentist who has a contract with the NFZ, show your (EHIC) or a replacement certificate.You dont need referral

8 Hospital Planned treatment - You need a doctor's referral. Planned treatment - You need a doctor's referral. In case of emergancy - without a referral. In case of emergancy - without a referral. show your European Health Insurance Card (EHIC) or a replacement certificate. During stay in a hospital operations, diagnostic tests and medicines are provided free of charge. show your European Health Insurance Card (EHIC) or a replacement certificate. During stay in a hospital operations, diagnostic tests and medicines are provided free of charge. Transportation to a hospital - - in emergancy call an ambulance (dialing 999 or 112) or Transportation to a hospital - - in emergancy call an ambulance (dialing 999 or 112) or - go directly to a hospital, emergency department (SOR). Ambulance transport in such cases is free of charge. Show your EHIC or a replacement certificate.

9 Medicines Medicines A prescription A prescription can be issued by a doctor who practises within the public health care system or a doctor who does not practise within this system, but has concluded a contract with the Fund authorizing him to issue prescriptions. Show your prescription and EHIC in a pharmacy! Prescribed medicines can be purchased: for a lump-sum price (in case of basic medicines - 3,20 zł and in case of magistral preparations - 5 zł); for 30 or 50% of the price of a medicine (in case of supplementary medicines); for a full price - in case of medicines which are not included in the reimbursed drugs list.

10 Polish institutions involved in the coordination of social security systems in the field of health benefits in kind Competent authority - The Minister of Health Competent authority - The Minister of Health Liaison body - the Central Office of the National Health Fund Liaison body - the Central Office of the National Health Fund Competent institution/ institution of the place of residence/ the place of stay - National Health Fund regional branches. Competent institution/ institution of the place of residence/ the place of stay - National Health Fund regional branches.

11 Liaison body Centrala Narodowego Funduszu Zdrowia - Biuro Współpracy Międzynarodowej Centrala Narodowego Funduszu Zdrowia - Biuro Współpracy Międzynarodowej ul. Grójecka Warszawa tel. +48 (22) fax +48 (22) ul. Grójecka Warszawa tel. +48 (22) fax +48 (22)

12 Institution of the place of residence/the place of stay Wielkopolski Oddział Wojewódzki NFZ in Poznań Wielkopolski Oddział Wojewódzki NFZ in Poznań ul. Piekary 14/15 ul. Piekary 14/ Poznań, 14/15, 61 – 823 Poznań Poznań, 14/15, 61 – 823 Poznań tel , fax tel , fax ul. Grunwaldzka 158 ul. Grunwaldzka

13 NON EU STUDENTS STUDENTS DO NOT HAVE POSSIBILITY TO INCLUDE THEIR FAMILY MEMBERS UNDER INSURANCE SCHEME WITHIN THE AGREEMENT STUDENTS DO NOT HAVE POSSIBILITY TO INCLUDE THEIR FAMILY MEMBERS UNDER INSURANCE SCHEME WITHIN THE AGREEMENT STUDENTS CAN TERMINATE THEIR AGREEMENT ON THE BASIS OF WRITTEN INFORMATION SUBMITTED TO THE NFZ REGIONAL OFFICE STUDENTS CAN TERMINATE THEIR AGREEMENT ON THE BASIS OF WRITTEN INFORMATION SUBMITTED TO THE NFZ REGIONAL OFFICE THE AGREEMENT IS VALID FOR THE WHOLE PERIOD UNTIL ITS TERMINATION BY THE STUDENT THE AGREEMENT IS VALID FOR THE WHOLE PERIOD UNTIL ITS TERMINATION BY THE STUDENT

14 Additional INFO ZUS = SOCIAL INSURANCE INSTITUTION CONTACT AT: CONTACT AT:

15 Thank You for your attention! Thank You for your attention! Zbigniewa Nowodworska


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