International treaties

In the Czech Republic, healthcare can also be provided to foreigners on the basis of bilateral international treaties on social security. Such treaties are reciprocal and apply to the providing of healthcare to the nationals of the Czech Republic and the respective foreign country.

Care can also be provided on the basis of bilateral agreements on cooperation in the field of healthcare, which contain provisions covering the providing of such free healthcare.

Bilateral Agreements on Cooperation in the Healthcare Sector

These are mainly cooperation agreements, which among other things provide for the reciprocal providing of free healthcare during each country’s citizens’ temporary stay in the territory of the other country in the event of an acute illness or injury. This type of an agreement has been entered into with the following third world countries – Yemen and Cuba. To receive health care on the basis of these agreements, it is sufficient for a person to prove that they are a citizen of either of these countries (e.g. by a passport). The cost of the healthcare provided to the respective foreign national is covered by the Czech Ministry of Health.

Upon request, additional information on these respective agreements may be obtained from the Czech Ministry of Health and the Czech Ministry of Foreign Affairs.

Bilateral Agreements on Social Security

The second type of agreement to be discussed in detail is a social security related agreement, which also include provisions on healthcare. On the basis of such agreements, claims for the payment of healthcare services can be transferred to the health insurance program, which is in place in the country that is the counterparty to the respective agreement. The level of healthcare provided under these agreements is usually limited – often consisting of just emergency and urgent care. With the prior approval of the relevant health insurance company, a wider range of healthcare services may be provided.

On the basis of the “Convention on Social Security” (entered into between the Czech Republic and following states: Montenegro, Macedonia, Serbia, Turkey and Israel), a foreign national from one of these countries can apply for healthcare in the Czech Republic by first submitting the appropriate form from the foreign entity providing the foreigner with health insurance. A Czech health insurance company will then issue the foreign national with a so-called “confirmation of registration” (or a card), which the insured person from a country with such a bilateral agreement, who is residing in the Czech Republic, can then use to identify themselves when seeking care from a provider of health care services in the Czech Republic.

Based on the currently valid bilateral agreement between the Czechoslovak Republic and the Federative People's Republic of Yugoslavia on social insurance (No. 3/1958 Coll.), healthcare is provided free-of-charge to authorized persons from Bosnia and Herzegovina (BiH). To obtain this beneficial care, the foreign national needs to be able to verify that they are entitled to such healthcare in BiH. The reason for this requirement is that BiH citizens are not automatically entitled to such free healthcare. Proof of entitlement can include any of the following types of documents: a medical certificate, proof of employment or proof of entitlement to a pension. The costs related to the healthcare provided to the above foreign nationals are covered by the Czech Ministry of Health.

Upon request, additional information on the above-discussed contractual relationships can be obtained from the Ministry of Health, the Ministry of Labor and Social Affairs (for a list of international agreements on social security visit: and from the Centre for International Settlements.

The exact requirements and terms and conditions (under which care is provided, how it is provided and under what circumstances) can be found in the administrative arrangements that are part of the concluded agreements. The terms and conditions of the individual agreements can vary. Before traveling to the Czech Republic, every foreign national should get information from the relevant authorities as to whether he or she meets the requirements defined in the international treaty.

If the foreign national does not identify themselves to a doctor using the relevant medical documentation, which will be used to verify the coverage for the care being requested or received, the foreign national will be required to pay for the care out of their own pocket. In the case of a need for emergency or urgent care, the price to be paid for the care is regulated by a maximum price per point (with different types of care assigned different numbers of points) – i.e. 1.12 CZK / point (see the pricing regulation of the Ministry of Health 1/2014/DZP in the Bulletin of the Ministry of Health dated December 2, 2013 (effective from January 1, 2014).

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Published: 11.12.2012

Last change: 20.03.2017, 15:58