An overview of states and categories of citizens who are or could be exempt from the requirement to submit a proof of travel medical insurance, as relates from international agreements
BOSNIA & HERZEGOVINA
As per citizens of Bosnia and Herzegovina, medical care is ensured on the basis of an international agreement, on the basis of submitting a valid travel document proving their nationality of the country in question. The foreigner must show that he/she has health insurance in Bosnia and Herzegovina. He/she declares it by one of these documents of Bosnia and Herzegovina: proof of granting a pension, health insurance card or certificate of employment.
CROATIA
As per citizens of Croatia, medical care is ensured on the basis of an international agreement. To verify that he/she falls under the regime of the given international agreement, the foreign national submits the HR/CZ 111 form, which is issued by the foreign institution that is providing insurance or he/she submits a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, issued by a Czech health insurance company after submitting the above-mentioned form. If the foreign national does not submit the form but a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, the validity date of any “Policyholder’s Card from a Signatory State Residing in the CR” does not determine the time the long-term residence permit is to be valid for.
CUBA
As per citizens of Cuba, medical care is ensured on the basis of an international agreement, merely by submitting a valid travel document proving their nationality of the country in question.
JAPAN
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Employees of a Japanese employer posted abroad and self employed persons
Japanese citizens who are employed in Japan and are posted by their employer to the Czech Republic to carry out a contractual activity, or Japanese citizens who are self-employed and temporarily carry out work in the Czech Republic, are exempt from the requirement to submit a proof of travel medical insurance. To verify the fact that they fall under the regime of the given international agreement, however, the foreign nationals submit theJ/CZ101 form. -
Family members of employees of a Japanese employer posted abroad and of self employed persons
Instead of proof of travel medical insurance, family members submit proof of their participation in the public health care system in Japan issued by the Japanese embassy and also a validated J/CZ 101 form, which is issued in the name of the person participating in the Japanese public health care system. -
Employees of a domestic employer and their family members
Citizens of Japan who reside in the Czech Republic as employees of a domestic employer (i.e. it does not concern posted workers or Japanese citizens who are self-employed and temporarily carry out work in the Czech Republic (thus they do not submit the J/CZ101 form) – see point 1), fall under the Czech system of public health insurance. On the basis of Articles 11 and 6 of the agreement, however, their family members (accompanying spouse and children) are also included. Thus, these persons submit a policyholder’s card from one of the Czech insurance companies providing public health insurance. -
Other Japanese citizens not falling under points 1. - 3.
As per Japanese citizens who do not fall under one of the abovementioned categories, a document on travel medical insurance will be requested in accordance with § 108j of the Act on the Residence of Foreign Nationals, unless one of the exceptions presented in 108j/4 of this Act is proven.
MACEDONIA
As per citizens of Macedonia, medical care is ensured on the basis of an international agreement. To verify that he/she falls under the regime of the given international agreement, the foreign national submits the RM/CZ 111 form, which is issued by the foreign institution that is providing insurance or he/she submits a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, issued by a Czech health insurance company after submitting the above-mentioned form. If the foreign national does not submit the form but a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, the validity date of any “Policyholder’s Card from a Signatory State Residing in the CR” does not determine the time the long-term residence permit is to be valid for.
MONTENEGRO
As per citizens of Montenegro, medical care is ensured on the basis of an international agreement. To verify that he/she falls under the regime of the given international agreement, the foreign national submits the MNE/CZ 111 form, which is issued by the foreign institution that is providing insurance or he/she submits a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, issued by a Czech health insurance company after submitting the above-mentioned form. If the foreign national does not submit the form but a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, the validity date of any “Policyholder’s Card from a Signatory State Residing in the CR” does not determine the time the long-term residence permit is to be valid for.
REPUBLIC OF TUNISIA
As per citizens of Republic of Tunisia, medical care is ensured on the basis of an international agreement on social security and is related to citizens of Republic of Tunisia, as well as to refugees and stateless persons who reside in the Czech Republic, and to their family members. According to Communication of Ministry of Foreign Affairs no. 10/2018 to implement agreement mentioned above, liaison points are: Czech Social Security Administration for sickness benefits, maternity benefits, disability benefits, benefits for old people, benefits for survivors and for cash benefits in accidents at work provided from sickness and pension insurance, further Employment Department of the Czech Republic – Directorate General for funeral directors, unemployment benefits and child benefit, and further Center of international payments for sickness and maternity benefits, in accidents at work and occupational diseases provided by health insurance.
To recieve cash benefits of sickness insurance during his/her stay in the Czech Republic, authorized person must contact institution according to his/her residence in the Czech Republic with document confirming incapacity for work, pregnancy or childbirth, which were issued by doctor. Tunisian policyholder should prove himself/herself by Registration confirmation issued by Czech Health Insurance Company where he/she was registered before visit of the hospital and where he/she submitted Form TN/CZ 111. He/she can prove himself/herself directly by Form TN/CZ 111 in urgent matters. Registration confirmation must contain defined scope of care, Czech Insurance number and validity. Then, Tunisian policyholder will have issued specialized Insurance card for foreign nationals from contracting states in the Czech Republic, for example at General Healt Insurance Company of the Czech Republic (yellow color).
Special rules
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Person who is employed in the Czech Republic by company, which sent him/her to the Czech Republic for a work, and this work will not be longer than 36 months (and the person is not send to the Czech Republic to replace another person who has completed his/her term in the Czech Republic), will be insured by Tunisian legislation;
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Self-employed person who works in the Czech Republic, will be insured by Tunisian legislation, assuming that he/she does not stay in the Czech Republic more than 24 months;
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Person who is crew member, which travels or flies for company ensuring international passenger transportation or goods transportation, is subject of the law of a contracting state, where is the headquarters of this company; but person who is employed by branch of the company or by permanent representation, which is situated in the second state, is responsible to the legislation of the state, where is the branch of the company or its permanent representation. Further, the person who is largely employed in this contracting state, where he/she lives, is responsible to legislation of this state, although the company which employs him/her, has not the branch of the company or permanent representation in the territory of this contracting state;
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State officers send by the Republic of Tunisia to the Czech Republic are insured by Tunisian legislation;
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Person who is a member of a sea ship (not only temporarily), is subject of legal regulations of contracting state, whose flag the ship sails. Person who is employed during loading, unloading, ships repair or at the duties of supervision in port, is subject of legal regulations of the state, where is the relevant port.
SERBIA
As per citizens of Serbia, medical care is ensured on the basis of an international agreement. To verify that he/she falls under the regime of the given international agreement, the foreign national submits the YU/CZ 111 form, which is issued by the foreign institution that is providing insurance or he/she submits a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, issued by a Czech health insurance company after submitting the above-mentioned form. If the foreign national does not submit the form but a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, the validity date of any “Policyholder’s Card from a Signatory State Residing in the CR” does not determine the time the long-term residence permit is to be valid for.
TURKEY
As per citizens of Turkey, medical care is ensured on the basis of an international agreement. To verify that he/she falls under the regime of the given international agreement, the foreign national submits the TR/CZ 111 form, which is issued by the foreign institution that is providing insurance or he/she submits a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, issued by a Czech health insurance company after submitting the above-mentioned form. If the foreign national does not submit the form but a “Registration Certificate” or a “Policyholder’s Card from a Signatory State Residing in the CR”, the validity date of any “Policyholder’s Card from a Signatory State Residing in the CR” does not determine the time the long-term residence permit is to be valid for.
UNITED STATES OF AMERICA
The citizens of USA who perform gainful activities in the Czech Republic are participated in the system of Public Health Insurance in the Czech Republic from 1 May 2016. These persons submit, because of this fact, insurance card from one of the Czech insurance which operates the Public Health Insurance. Posted workers (Article 8 of the Treaty) and persons who have an exception (Article 10 of the Treaty) are not insured in the system of Public Health Insurance. Posted workers and persons who have an exception show their absence in the system of the Czech Public Health Insurance by form USA/CZ1 which is headed „Potvrzení o příslušnosti k právním předpisům/ Certificate of coverage“. These persons are still obligated submit the travel medical insurance due to § 180j (1) ZPC, if it is the requirement of the request.
The ERASMUS+ (ERASMUS-MUNDUS Scholarship Programme)
Foreign nationals applying for a long-term visa (including those extending their residence period on a long-term visa) or for an extension of a long-term residence permit for the purpose of studies within the ERASMUS+ or still ongoing ERASMUS-MUNDUS scholarship programme, do not have to submit proof of travel medical insurance pursuant to § 180j of the Act on the Residence of Foreign Nationals. It is neither necessary to submit it at the embassy prior to affixing the long-term visa, nor when applying inside the Czech Republic.
European Health Insurance Card (EHIC) Holders
Citizens of non-EU countries who have been issued an EHIC in another EU Member State do not have to submit proof of travel medical insurance pursuant to § 180j of the Act on the Residence of Foreign Nationals, that being for the reasons given in § 180j/4 of that Act (due to the existence of an international treaty – i.e. the Treaty on European Union).
The Fulbright Scholarship Programme
- proof of travel medical insurance presented by scholars, interns and other foreigners holding a Fulbright international educational exchange programme scholarship
Foreign nationals applying for a long-term visa (including an extension of permitted time of stay on a long-term visa) or a long-term residence permit or its extension for the purpose of studies as scholars or interns of the Fulbright educational exchange program are not obliged to show proof of travel medical insurance as stipulated by § 180j of the Act on the residence of Foreign Nationals - not when receiving a long-term visa for the purpose of collecting a residence permit issued by a Czech embassy nor when applying in the territory. When applying for a long-term visa or long-term residency, the Czech Fulbright Commission will issue a “Confirmation of funds for stay and of the purpose of stay”, which will be attached to the visa/residence application. Nonetheless, family members of Fulbright Program scholars are not exempt from the requirement to show proof of travel medical insurance.
"Youth in Action" European Commission Former Programme
- travel medical insurance provided by the AXA insurance company for the European Voluntary Service action participants
The European Commission (The Education, Audiovisual and Culture Agency Executive Agency (EACEA)) signed a collective insurance contract for the participants of the European Voluntary Service action with the Belgian AXA insurance company. If an applicant is a participant of the European Voluntary Service action of the Youth in Action Programme and attaches proof of the above-mentioned health insurance, no other proof of travel medical insurance will be requested. Medical insurance of these participants also covers a spouse and, under certain conditions, a partner, children and children of a spouse or a partner.