{"id":16952,"date":"2020-02-11T10:47:54","date_gmt":"2020-02-11T10:47:54","guid":{"rendered":"https:\/\/domzdravljastanari.com\/?page_id=16952"},"modified":"2020-02-11T10:49:02","modified_gmt":"2020-02-11T10:49:02","slug":"zdravstveno-osiguranje","status":"publish","type":"page","link":"https:\/\/domzdravljastanari.com\/en\/zdravstveno-osiguranje\/","title":{"rendered":"Health Insurance"},"content":{"rendered":"
<\/span><\/div>

Health Insurance<\/h1>
<\/span><\/div>\n\t
\n\t\t
\n\t\t\t
\n
\n
\n
\n
\n

Mandatory health insurance<\/h2>\n<\/div>\n
\n

The Law on Health Insurance stipulates that all citizens of the Republika Srpska are covered by mandatory health insurance. The principle of obligation implies that all citizens must be registered for health insurance on one of the bases prescribed by the Law.<\/p>\n

Exercising rights from compulsory health insurance is conditioned by the paid contribution for health insurance, except for children up to 15 years of age, pregnant women and mothers in labor up to the first year of the child's life. These categories of citizens, on the condition that they are registered for health insurance, are enabled to exercise their rights from mandatory health insurance even when no contribution has been paid. The bases and rates of contributions for mandatory health insurance are prescribed by the Law on Contributions.<\/p>\n

Mandatory health insurance is implemented by the Health Insurance Fund of the Republic of Srpska, guided by the principles of solidarity, reciprocity and equality.<\/p>\n

__________________________<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

\n

Application for compulsory insurance<\/h2>\n<\/div>\n
\n

Compulsory health insurance provides you with the exercise of your rights in case of illness and injury, which include: treatment in health institutions in the Republic of Srpska, and in certain circumstances also abroad; consultative-specialist health care; diagnostics; physical rehabilitation in specialized institutions; dental health care; medicines; orthopedic, dental and optical aids. Health insurance rights also include preventive health care (immunization and preventive examinations), as well as salary compensation for employed insured persons who are on sick leave for more than 30 days.<\/p>\n

The Law on Health Insurance stipulates that all citizens of the Republic of Srpska are covered by mandatory health insurance. This law also stipulates that the paid contribution is a condition for exercising rights from compulsory health insurance.<\/p>\n

See more HERE<\/strong><\/a>.<\/p>\n<\/div>\n

__________________________<\/p>\n<\/div>\n

\n

Insured persons<\/h2>\n<\/div>\n
\n

Insured persons, covered by mandatory health insurance, are classified into several groups. The first group consists of insured persons, that is, persons in whose name the contribution for compulsory health insurance is paid. The second group consists of members of the insured's family. They are insured through the insured, that is, the insurance carrier, and no health insurance contribution is paid for them. The third group consists of persons who are insured only for occupational diseases and injuries at work. The fourth group includes foreign citizens who are insured on the basis of signed interstate agreements on social insurance.<\/p>\n

See more HERE<\/strong><\/a>.<\/p>\n<\/div>\n

__________________________<\/p>\n

\n

Rights from compulsory health insurance<\/h2>\n<\/div>\n
\n

Rights from compulsory health insurance are prescribed by the Law on Health Insurance and general acts of the Health Insurance Fund. The package of rights from mandatory health insurance consists of the right to health care and the right to salary compensation during temporary incapacity for work (sickness). All rights from compulsory health insurance are available to all insured persons under equal conditions and do not depend on the amount of the paid contribution for health insurance.<\/p>\n

See more HERE<\/strong><\/a>.<\/p>\n<\/div>\n

__________________________<\/p>\n

\n

Pravo na izbor doktora<\/h2>\n<\/div>\n
\n

Svako osigurano lice ima pravo na izbor doktora porodi\u010dne medicine i obavezu da se registruje kod izabranog doktora.\u00a0 Osigurana lica imaju pravo i na izbor bolnice, a djeci do 6 godina i \u017eenama iznad 15 godina \u017eivota omogu\u0107eno je da se opredijele i za pedijatra, odnosno ginekologa, kod kojih mogu da idu direktno, bez uputnice porodi\u010dnog ljekara.<\/p>\n

See more HERE<\/strong><\/a>.<\/p>\n

\n
\n

__________________________<\/p>\n

\n
\n
\n
\n

Participacija i refundacije<\/h2>\n<\/div>\n
<\/div>\n
\n

Participacija<\/em><\/strong><\/h4>\n

Dio prava iz obaveznog zdravstvenog osiguranja Fond finansira u cjelosti, a za dio prava i osigurana lica u\u010destvuju u tro\u0161kovima (participacija). Participacija je neophodna jer sredstvima iz doprinosa za zdravstveno osiguranje nije mogu\u0107e isfinansirati sva prava. Pojedine kategorije osiguranih lica su oslobo\u0111enje pla\u0107anja participacije u svim slu\u010dajevima izuzev kod kori\u0161\u0107enja lijekova sa liste B. Jedan od osnova za osloba\u0111anje od participacije je te\u017eina bolesti, s tim da se osloba\u0111anje odnosi samo na lije\u010denje osnovne bolesti. Preko 50 odsto ukupno osiguranih u Republici Srpskoj je po nekom osnovu oslobo\u0111eno pla\u0107anja participacije.<\/p>\n

Usluge zdravstvene za\u0161tite za koje se ne pla\u0107a participacija i kategorije osiguranih lica koje ne pla\u0107aju participaciju. Dokument<\/a><\/p>\n

Vi\u0161e informacija u vezi sa participacijom potra\u017eite u vodi\u010dima kroz prava iz zdravstvenog osiguranja, Pravilniku o sadr\u017eaju, obimu i na\u010dinu ostvarivanja prava na zdravstvenu za\u0161titu, Odluci o participaciji; cjenovnicima.<\/p>\n

Refundacije<\/em><\/strong><\/h4>\n

Osigurano lice ima pravo na refundaciju tro\u0161kova zdravstvene za\u0161tite u slu\u010daju kada:<\/p>\n

\n