0A4F4F9BD490A749D5437F821CF06DF1
Law on Mandatory Health Insurance (2013)
http://www.hzzo.hr/wp-content/uploads/2013/10/ZOZO_PROCISCENI_TEKSTv2.pdf?6d8ad4
http://leaux.net/URLS/ConvertAPI Text Files/1F4D267BEDF78729AE2E9171C43D459C.en.txt
Examining the file media/Synopses/1F4D267BEDF78729AE2E9171C43D459C.html:
This file was generated: 2020-07-14 08:09:55
| Indicators in focus are typically shown highlighted in yellow; |
Peer Indicators (that share the same Vulnerability association) are shown highlighted in pink; |
"Outside" Indicators (those that do NOT share the same Vulnerability association) are shown highlighted in green; |
Trigger Words/Phrases are shown highlighted in gray. |
Link to Orphaned Trigger Words (Appendix (Indicator List, Indicator Peers, Trigger Words, Type/Vulnerability/Indicator Overlay)
Applicable Type / Vulnerability / Indicator Overlay for this Input
Political / Illegal Activity
Searching for indicator unlawful:
(return to top)
p.(None): (2) The Director of the Institute shall be appointed and dismissed by the Government of the Republic of Croatia, at the proposal of the Minister responsible for health.
p.(None): (3) The Director of the Institute shall be appointed for a term of four years.
p.(None): Article 107
p.(None): (1) The Director of the Institute shall be responsible for the financial operations of the Institute.
p.(None): (2) The Director of the Institute shall be responsible for balancing expenditures with the revenues of the Institute and shall be obliged to the Minister
p.(None): submit a quarterly financial report to the Minister responsible for health and the Minister responsible for finance
p.(None): the operations of the Institute.
p.(None): Article 108
p.(None): (1) The Director of the Institute may be dismissed even before the expiration of the term for which he / she has been appointed.
p.(None): (2) Proposal for dismissal of the Director before the expiration of the time for which he was appointed to the Government of the Republic of Croatia
p.(None): may be submitted by at least one third of the members of the Governing Council and the minister responsible for health.
p.(None): Article 109
p.(None): (1) The Management Board of the Institute shall submit a proposal to the Minister responsible for health and the Government of the Republic of Croatia
p.(None): dismissal of the Director even before the expiration of the term for which he was elected if:
p.(None): 1. the principal personally requests it,
p.(None): 2. some of the reasons arise which, by special regulations or regulations governing employment, give rise to termination
p.(None): employment contracts,
p.(None): 3. in the operations of the Institute, in the six-month period, the excess of expenses over revenues was reported,
p.(None): 4. through his unscrupulous or unlawful work causes the Institute more damage, neglects or negligently performs it
p.(None): violates its duty so that there are or may be more obstacles in performing the activities of the Institute, in its work violates
p.(None): the provisions of this Act and regulations adopted pursuant to this Act, other statutory and sub-statutory regulations
p.(None): and the general acts of the Institute or unjustifiably does not execute the decisions of the Administrative Council of the Institute, that is, acts on
p.(None): opposites with them.
p.(None): (2) The Administrative Board of the Institute must notify the proposal for dismissal before reaching a decision
p.(None): the Director on the reasons for the dismissal and give him the opportunity to comment on them in writing.
p.(None): Article 110
p.(None): (1) The Deputy Director must have completed undergraduate studies and have at least five years of work experience in
p.(None): management.
p.(None): (2) The Deputy Director of the Institute shall be appointed on the basis of a public competition.
p.(None): (3) The Deputy Director of the Institute shall be appointed and dismissed by the Government of the Republic of Croatia, at the proposal of the Minister competent for the
p.(None): health.
p.(None): (4) The Deputy Director of the Institute shall be appointed for a term of four years.
p.(None): Article 111
p.(None): (1) The Deputy Director of the Institute may be dismissed even before the expiry of the term for which he was appointed for reasons
p.(None): established by Article 109, paragraph 1 of this Law.
p.(None): (2) Motion for dismissal of the Deputy Director before the expiration of the term to which he has been appointed to the Government of the Republic
p.(None): Croatia may be submitted by the Minister responsible for health, at least one third of the members of the Governing Board of the Institute and
p.(None): director of the Institute.
p.(None): Article 112
...
p.(None): occurred before the maturity date, the payment request shall be deemed to have expired at the end of the period referred to in paragraph 1 of this
p.(None): Article.
p.(None): Article 134
p.(None): (1) The request for exercising the right to financial compensation established by this Act shall expire upon the expiry of the period from
p.(None): three years from the date of incurring the expense for the insured person, ie from the date of acquiring the right from the obligatory
p.(None): health insurance under the provisions of this Act.
p.(None): (2) The request for reimbursement of the salary payment referred to in Article 41, paragraphs 3 and 4 of this Act shall be time-barred
p.(None): at the expiry of a period of three years from the date on which the salary payment referred to in Article 132 (2) is due
p.(None): 1 of this Law.
p.(None): X. DAMAGES
p.(None): Article 135
p.(None): (1) The insured person shall be obliged to report to the Institute any change, within eight days from the occurrence of circumstances that
p.(None): affects the use of a recognized right under this Act.
p.(None): (2) The insured person shall be obliged to compensate the Institute or the state budget for the damage:
p.(None): 1. if it has received income from the funds of the Institute or the state budget due to its non-compliance with the paragraph
p.(None): 1 of this Article, reported a change affecting the loss or scope of compulsory health insurance rights, a
p.(None): she knew or had to know about the change,
p.(None): 2. if she has received income from the funds of the Institute, that is, state budget funds on the basis of false or
p.(None): inaccurate information that she knew or should have known was false, that is, incorrect or received
p.(None): accomplished in another unlawful way, that is, to a greater extent than it belongs to.
p.(None): Article 136
p.(None): (1) The Institute shall be obliged to claim compensation for the damage caused by the person who caused the disease, injury or
p.(None): death of the insured person.
p.(None): (2) In the cases referred to in paragraph 1 of this Article, the work done by the worker or in connection with the work shall be liable for the damage
p.(None): legal or natural person - employer.
p.(None): (3) In the cases referred to in paragraph 2 of this Article, the Institute is obliged to demand compensation for damage directly from
p.(None): workers if the damage was caused by intentional or gross negligence.
p.(None): (4) When the Institute requests compensation for damage from a legal person, that is, a natural person, they are responsible for the damage from workers
p.(None): jointly and severally.
p.(None): Article 137
p.(None): Insured person who was paid a sum of money from the funds of the Institute or the state budget to which he did not have
p.(None): right, it is obliged to repay the amount received plus the statutory default interest and to pay it to the Institute's account, ie
p.(None): the state budget within eight days from the day the written notification of the Office on established circumstances was received.
p.(None): Article 138
p.(None): (1) The Institute is obliged to claim compensation for damage caused by a legal or natural person:
p.(None): 1. if the damage occurred because no information was given or that false or inaccurate information about the facts was provided
p.(None): the acquisition or scope of compulsory health insurance entitlement depends,
p.(None): 2. if the payment has been made on the basis of false or inaccurate information stated in the entry application
p.(None): workers to work,
p.(None): 3. if the payment is made because no application has been filed for changes affecting the loss or
...
Political / criminal
Searching for indicator criminal:
(return to top)
p.(None): permanent or permanent residence in the Republic of Croatia,
p.(None): 11. beneficiaries of the right to vocational rehabilitation under the regulations on pension insurance of the Republic of Croatia,
p.(None): if they are domiciled or granted permanent residence in the Republic of Croatia,
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
p.(None): insured on another basis and reported to the Institute within:
p.(None): a) 30 days from the date of termination of employment, that is, performing the activity or from the date of termination of employment
p.(None): compensation of the salary to which they are entitled under this Act or under regulations made pursuant to this Act,
p.(None): b) 30 days from the date of early termination of military service, ie voluntary military service
p.(None): term, ie from the date of expiry of the prescribed period for military service, ie voluntary military service
p.(None): deadline
p.(None): c) 30 days from the date of discharge from the institution for the execution of criminal and misdemeanor sanctions, from the medical institution
p.(None): or other specialized institutions if the mandatory psychiatric psychiatric safety measure was applied
p.(None): treatment or mandatory treatment for addiction in a healthcare facility,
p.(None): d) 30 days from the age of 18, if they are not insured on another basis,
p.(None): e) 90 days after the end of the school year in which they completed their regular education in accordance with the regulations on
p.(None): full-time education in the Republic of Croatia or another Member State, or within 30 days from the date of placement
p.(None): final exam,
p.(None): 14. full-time high school students and full-time college students over 18 who are nationals
p.(None): Republic of Croatia and have their place of residence or residence in the Republic of Croatia, ie citizens of the Republic of Croatia
p.(None): domiciled in another Member State having a temporary residence permit in the Republic of Croatia, sub
p.(None): provided that they are not compulsorily insured in another Member State and in a party with an approved permanent establishment
p.(None): stay in the Republic of Croatia, but they may use this right for the longest time until the end of the school year,
p.(None): that is, at the end of the academic year in which they completed their full-time education, the longest total
p.(None): eight years on that basis, if they do not exercise the right to compulsory health insurance on another basis
p.(None): 15. Full-time high school students and full-time college students in other Member States above
...
p.(None): obtaining a remuneration to which he was not entitled or a higher remuneration contrary to the provisions of this
p.(None): law,
p.(None): 2. medical institutions whose specialist doctor acted contrary to the provisions of Article 21, paragraph
p.(None): 4 of this Law, and the Institute has by a decision determined the insured person the right to reimbursement of the cost of the purchased medicine recommended
p.(None): from that specialist.
p.(None): Article 146
p.(None): In determining the right to compensation for damage caused to the Institute or the state budget, they shall apply
p.(None): the relevant provisions of the Law on Obligations, as well as special regulations on compensation.
p.(None): Article 147
p.(None): (1) Claims of compensation for damages, within the meaning of the provisions of this Act, shall become obsolete after the expiry of the time limits specified by the
p.(None): relationships.
p.(None): (2) The limitation periods for claims for damages within the meaning of the provisions of this Act shall start to run:
p.(None): 1. in the cases referred to in Article 135 and Article 138 (1) of this Act, from the date on which the decision whereby
p.(None): determined that the payment received did not or did not belong to a smaller extent,
p.(None): 2. in the cases referred to in Articles 137 and 139 of this Law, from the day on which it became enforceable the decision whereby
p.(None): recognized right to receive from the Institute's funds,
p.(None): 3. in other cases where compensation is required for the individual benefits paid from the article
p.(None): 142 of this Law, from the date of payment of each individual benefit.
p.(None): (3) By way of derogation from paragraph 2 of this Article, they shall apply the statute of limitations for damages caused by a criminal offense.
p.(None): the deadlines provided for in the Law on Obligations.
p.(None): Article 148
p.(None): (1) When it is established that damage has occurred, the Office shall call the insured person, legal or natural person, citing the evidence,
p.(None): a legal person for insurance of property and a person or other person who is obliged to compensate for damage, to compensate within a specified period
p.(None): damage.
p.(None): (2) If the damage is not compensated within the set deadline, the Office shall pursue the claim with the competent court.
p.(None): (3) The Institute shall be entitled to default interest at the rate prescribed by the Law on Default Interest, from the day of the damage.
p.(None): (4) The Institute shall not have the right, without the express consent of the insured person, to obtain compensation for damages by suspending payment or
p.(None): by withdrawing from the financial compensation to which the insured person is entitled in connection with the use of the compulsory health right
p.(None): insurance.
p.(None): XI. INFRINGEMENTAL PROVISIONS
p.(None): Article 149
p.(None): (1) A fine in the amount of HRK 500,000.00 to HRK 1,000,000.00 shall be imposed on the insurance company who, in
p.(None): within the prescribed period does not pay 4% of the income on the total amount of the paid functional insurance premium of
p.(None): compulsory motor third party liability insurance (Article 72 (3) and (4)).
p.(None): (2) A fine in the amount of HRK 30,000.00 to HRK 50,000.00 for the offense referred to in paragraph 1 of this Article shall be punishable by a fine.
p.(None): so will the responsible person at the insurance company.
...
Political / political affiliation
Searching for indicator party:
(return to top)
p.(None): Council of 9 March 2011 on the application of patients' rights in cross-border healthcare (OJ L
p.(None): 88, 4 April 2011) - hereinafter referred to as Directive 2011/24 / EU.
p.(None): Article 3
p.(None): (1) Compulsory health insurance is provided by the Croatian Health Insurance Institute (hereinafter:
p.(None): Institute).
p.(None): (2) Compulsory health insurance is provided to all insured persons of the Institute (hereinafter: insured
p.(None): persons) rights and obligations arising from compulsory health insurance on the principles of reciprocity, solidarity and equality,
p.(None): in the manner and under the conditions laid down in Regulation (EC) No. 883/2004 as last amended by EU Regulation no. 1224/2012
p.(None): (hereinafter referred to as EU regulations), Directive 2011/24 / EU, this Act, a separate law and regulations
p.(None): passed pursuant to this Act.
p.(None): (3) The rights arising from compulsory health insurance shall also provide for rights in the event of an occupational injury
p.(None): and occupational diseases, which include measures to implement specific health care for workers; and
p.(None): diagnostic procedures for suspected occupational disease in accordance with the Law on Health Care and Special
p.(None): laws and ordinances issued pursuant to those laws.
p.(None): (4) The scope of compulsory health insurance rights, which is provided on equal terms to all
p.(None): to insured persons, is determined by the provisions of this Act and the regulations adopted pursuant to this Act.
p.(None): II. MANDATORY HEALTH INSURANCE
p.(None): Article 4
p.(None): (1) Compulsory health insurance under one of the insurance bases established by this Act shall be obligatory
p.(None): to provide for all persons residing in the Republic of Croatia and a party authorized to reside in the Republic of Croatia,
p.(None): unless otherwise stipulated by an international treaty or special law.
p.(None): (2) Insured persons securing the rights and obligations arising from compulsory health insurance in the sense
p.(None): of this Law shall be considered insured persons, children up to the age of 18, members of the family of the insured and
p.(None): other insured persons compulsorily insured in certain circumstances.
p.(None): Article 5
p.(None): Compulsory health insurance under the provisions of this Act is also compulsory for nationals of other countries
p.(None): Member of the European Union (hereinafter: Member States) and nationals of a non-Member State
p.(None): (hereinafter: third country) granted temporary residence in the Republic of Croatia on the basis of a working
p.(None): relations with the employer based in the Republic of Croatia, ie on the basis of performing economic, ie
p.(None): professional activities in the Republic of Croatia, if the conditions are fulfilled according to special regulations which
p.(None): regulate the issue of the residence and work of foreigners in the Republic of Croatia and in accordance with EU regulations, ie international ones
p.(None): the contract does not specify otherwise.
p.(None): Article 6
p.(None): (1) The rights and obligations belonging to the insured persons referred to in Article 4, paragraph 2 of this Act and the regulations adopted on
p.(None): they cannot be transferred to, or inherited by, any other person under this Act.
p.(None): (2) By way of derogation from the provision of paragraph 1 of this Article, the rights to cash benefits which are
...
p.(None): b) 30 days from the date of early termination of military service, ie voluntary military service
p.(None): term, ie from the date of expiry of the prescribed period for military service, ie voluntary military service
p.(None): deadline
p.(None): c) 30 days from the date of discharge from the institution for the execution of criminal and misdemeanor sanctions, from the medical institution
p.(None): or other specialized institutions if the mandatory psychiatric psychiatric safety measure was applied
p.(None): treatment or mandatory treatment for addiction in a healthcare facility,
p.(None): d) 30 days from the age of 18, if they are not insured on another basis,
p.(None): e) 90 days after the end of the school year in which they completed their regular education in accordance with the regulations on
p.(None): full-time education in the Republic of Croatia or another Member State, or within 30 days from the date of placement
p.(None): final exam,
p.(None): 14. full-time high school students and full-time college students over 18 who are nationals
p.(None): Republic of Croatia and have their place of residence or residence in the Republic of Croatia, ie citizens of the Republic of Croatia
p.(None): domiciled in another Member State having a temporary residence permit in the Republic of Croatia, sub
p.(None): provided that they are not compulsorily insured in another Member State and in a party with an approved permanent establishment
p.(None): stay in the Republic of Croatia, but they may use this right for the longest time until the end of the school year,
p.(None): that is, at the end of the academic year in which they completed their full-time education, the longest total
p.(None): eight years on that basis, if they do not exercise the right to compulsory health insurance on another basis
p.(None): 15. Full-time high school students and full-time college students in other Member States above
p.(None): 18 years of age, who are citizens of the Republic of Croatia and reside in the Republic of Croatia, and foreigners with
p.(None): granted permanent residence in the Republic of Croatia, but they may use this right for the longest time until the end of the school year
p.(None): year, that is, the end of the academic year in which they completed their regular education according to the regulations of the state
p.(None): education, and for a maximum of eight years on that basis, if the right to compulsory health
p.(None): they do not realize insurance on another basis
p.(None): 16. Persons with a residence or approved permanent residence in the Republic of Croatia over 18 years of age who
p.(None): have lost their full-time status in accordance with the regulations on education in the Republic of Croatia or in another Member State
p.(None): students, or full-time students if they have applied to the Institute within 30 days from the date of loss of status
...
p.(None): 5. determined to care for a sick member of the immediate family (child and spouse) under the conditions prescribed by this Law,
p.(None): 6. temporarily unable to work due to illness and complications related to pregnancy and childbirth,
p.(None): 7. temporarily prevented from work due to the use of maternity leave and the right to work in half of full-time work
p.(None): time, in accordance with the regulations on maternity and parental support,
p.(None): 8. temporarily unable to work due to the use of leave in the case of the death of a child in the case of stillbirth
p.(None): the child or the death of the child during maternity leave,
p.(None): 9. temporarily unable to work due to a wound, injury or illness that is a direct consequence of participating in Homeland
p.(None): war.
p.(None): 10. temporarily unable to work due to a recognized occupational injury or occupational disease.
p.(None): Article 40
p.(None): Salary compensation in connection with the use of health care referred to in Article 39 items 1 and 2 of this Act
p.(None): pays the insured from its funds:
p.(None): 1. legal or natural person - employer for the first 42 days of temporary incapacity, as well as for as long as
p.(None): the insured person is employed in a third country by a legal or natural person or is employed by a third party
p.(None): country.
p.(None): 2. legal person for professional rehabilitation and employment of persons with disabilities, ie legal or natural person
p.(None): - employer for the insured worker - disabled worker for the first seven days of temporary incapacity.
p.(None): Article 41
p.(None): (1) Salary compensation for temporary incapacity referred to in Article 39, items 3 to 8, and item
p.(None): 10 of this Law shall be paid to the insured person at the expense of the Institute's funds from the first day of exercising the right.
p.(None): (2) The Institute shall pay the compensation of the salary referred to in Article 39, item 9 of this Act to the insured at the expense of state funds.
p.(None): budget.
p.(None): (3) Salary compensation for temporary incapacity referred to in Article 39, items 1 and 2 of this Act of 43.
p.(None): days or eight days of temporary incapacity are calculated and paid by a legal or natural person -
p.(None): the employer, with the Employment Service being obliged to repay the paid salary within 45 days from the date of receipt
p.(None): request for a refund.
p.(None): (4) Salary compensation for temporary incapacity referred to in Article 39, items 4, 5 and 10 of this Act from the first day
p.(None): temporary incapacity is calculated and paid by the legal, respectively
p.(None): natural person - employer, with the Employment Service being obliged to return the paid salary in the case referred to in Article
...
p.(None): 142 of this Law, from the date of payment of each individual benefit.
p.(None): (3) By way of derogation from paragraph 2 of this Article, they shall apply the statute of limitations for damages caused by a criminal offense.
p.(None): the deadlines provided for in the Law on Obligations.
p.(None): Article 148
p.(None): (1) When it is established that damage has occurred, the Office shall call the insured person, legal or natural person, citing the evidence,
p.(None): a legal person for insurance of property and a person or other person who is obliged to compensate for damage, to compensate within a specified period
p.(None): damage.
p.(None): (2) If the damage is not compensated within the set deadline, the Office shall pursue the claim with the competent court.
p.(None): (3) The Institute shall be entitled to default interest at the rate prescribed by the Law on Default Interest, from the day of the damage.
p.(None): (4) The Institute shall not have the right, without the express consent of the insured person, to obtain compensation for damages by suspending payment or
p.(None): by withdrawing from the financial compensation to which the insured person is entitled in connection with the use of the compulsory health right
p.(None): insurance.
p.(None): XI. INFRINGEMENTAL PROVISIONS
p.(None): Article 149
p.(None): (1) A fine in the amount of HRK 500,000.00 to HRK 1,000,000.00 shall be imposed on the insurance company who, in
p.(None): within the prescribed period does not pay 4% of the income on the total amount of the paid functional insurance premium of
p.(None): compulsory motor third party liability insurance (Article 72 (3) and (4)).
p.(None): (2) A fine in the amount of HRK 30,000.00 to HRK 50,000.00 for the offense referred to in paragraph 1 of this Article shall be punishable by a fine.
p.(None): so will the responsible person at the insurance company.
p.(None): (3) A fine in the amount of HRK 5,000.00 to HRK 100,000.00 shall be imposed on the company for the offense.
p.(None): insurance which fails to submit the monthly report referred to in Article 72, paragraph 5 of this Act within the prescribed period.
p.(None): (4) A fine in the amount of HRK 5,000.00 to HRK 100,000.00 shall be imposed on the company for the offense.
p.(None): insurance which fails to submit the annual report referred to in Article 72, paragraph 6 of this Act within the prescribed period.
p.(None): (5) A fine in the amount of HRK 5,000.00 to HRK 20,000.00 for the misdemeanor referred to in paragraphs 3 and 4 of this Article shall also be imposed on a fine.
p.(None): responsible person at the insurance company.
p.(None): Article 150
p.(None): (1) A legal person who fines between HRK 70,000.00 and HRK 100,000.00 shall be fined for the offense.
p.(None): Failure to submit the application for compulsory health insurance to the Institute within the prescribed deadline (Article 120, paragraph 3).
p.(None): (2) A legal person submitting a mandatory application shall be fined from paragraph (1) of this Article.
p.(None): health insurance based on a contract of employment the purpose of which was not to do the job accordingly
p.(None): the contract is the sole exercise of compulsory health insurance (Article 122 (4)).
p.(None): (3) A responsible person in a legal person shall also be fined in the amount of HRK 8,000.00 to HRK 15,000.00.
p.(None): and the natural person for the offense referred to in paragraphs 1 and 2 of this Article.
...
Health / Cognitive Impairment
Searching for indicator impaired:
(return to top)
p.(None): the basic and supplementary list of medicines of the Institute may exercise the right to a medicine not established by those lists of medicines,
p.(None): provided that the need for use of the drug has been approved by the Medicines Committee of the hospital
p.(None): to whom the insured person is being treated, at the expense of the hospital's healthcare facility, which is obliged to secure the procurement
p.(None): drug.
p.(None): (3) Under the conditions and in the manner laid down in paragraph 2 of this Article, the insured person may also exercise the right to the medicine which he is
p.(None): established by the basic and supplementary list of medicines of the Institute, but for the realization of which the insured person does not
p.(None): meets the medical indications established by the lists of medicines referred to in paragraph 1 of this Article.
p.(None): (4) Doctor specialist in a hospital health care institution who has proposed treatment to the insured person with a medication from
p.(None): Paragraphs 2 and 3 of this Article shall be obliged to submit a proposal to the committee for medicines of the hospital health care institution.
p.(None): 2. Orthopedic and other aids and dental aids
p.(None): Article 22
p.(None): (1) An insured person under the right to health care from compulsory health insurance is entitled to
p.(None): orthopedic and other aids (hereinafter referred to as: aids) as defined in the basic and additional list of orthopedic and
p.(None): other aids of the Institute.
p.(None): (2) The basic and additional lists of the Institute's aids shall include aids intended to be provided
p.(None): improvements in impaired function, that is, to alleviate or eliminate the physical
p.(None): damage or deficiency of organs and organ systems, or replacement of the anatomical or physiological functions of organs, which are
p.(None): resulting from illness or injury.
p.(None): (3) The manner of listing the aids on the basic and additional list of aids of the Institute and the method of determining prices
p.(None): aids are prescribed by the proper minister responsible for health, in accordance with a separate law.
p.(None): (4) The additional list of aids contains aids with a higher price level than the prices in the basic list
p.(None): aids whereby the Institute provides a cost cover in the amount of compulsory health insurance funds
p.(None): of an equivalent utility from the basic list of supplies, less the amount of participation in the price of the supplies from the basic list
p.(None): supplies provided by the insured person directly or through supplementary health insurance in accordance with the Law on
p.(None): voluntary health insurance.
p.(None): (5) In contrast to the price of aids from the supplementary list of aids compared to the price of the equivalent aids from the basic list
p.(None): The insured person's supplies may be supplementary health insurance in accordance with the Voluntary Health Insurance Act.
p.(None): Article 23
p.(None): (1) An insured person under the right to health care from compulsory health insurance is entitled
p.(None): on dental aids as defined in the basic and additional list of dental aids of the Institute.
p.(None): (2) The basic and additional list of dental aids of the Institute shall contain the dental aids intended
p.(None): provision of dental prosthetic, surgical prosthetic, orthodontic and periodontal rehabilitation.
...
Health / Drug Usage
Searching for indicator drug:
(return to top)
p.(None): hospitals, excluding ambulatory physical medicine and rehabilitation - 0.75% of the budget base,
p.(None): 2. specialist diagnostics not at the level of primary health care - 1.50% of the budget
p.(None): base,
p.(None): 3. orthopedic and other aids determined by the basic list of orthopedic and other aids - 1.50% of the budget base,
p.(None): 4. specialist-consiliary health care in outpatient physical medicine and rehabilitation
p.(None): and for physical medicine and home rehabilitation - 0.75% of the budget base per day,
p.(None): 5. treatment in other Member States and third countries in accordance with international regulations of the European Union
p.(None): treaty, Directive 2011/24 / EU, this Act and the general act of the Institute, if by European Union or international law
p.(None): the contract does not specify otherwise,
p.(None): 6. hospital health care costs - 3.01% of the budget base per day,
p.(None): 7. Dental aids established by the basic list of dental aids for adults 18 to 65 years of age - 30.07%
p.(None): budgetary bases,
p.(None): 8. Dental aids as defined in the basic list of dental aids for adults 65 years and older - 15.03%
p.(None): budgetary bases.
p.(None): 4) Insured persons are obliged to participate in the amount of 0.30% of the budget base for:
p.(None): 1. the health care provided by the chosen doctor of primary health care: family (general) medicine,
p.(None): gynecology and dental medicine, in accordance with the general act of the Institute,
p.(None): 2. prescription drug delivery.
p.(None): (5) The maximum amount of participation in the health care costs referred to in paragraphs 3 and 4 of this Article, which is obligatory to bear
p.(None): the insured person can account for a maximum of 60.13% per invoice for completed health care
p.(None): budgetary bases.
p.(None): (6) List of types and number of therapeutic and diagnostic procedures to be provided to insured persons within the framework
p.(None): Health care referred to in paragraphs 2, 3 and 4 of this Article shall be determined by a general act of the Institute referred to in Article 33 of this Act.
p.(None): 1. Medicines
p.(None): Article 20
p.(None): (1) The basic and supplementary list of medicines of the Institute referred to in Article 18, paragraph 1, item 4 of this Act shall contain medicines which have
p.(None): marketing authorization in the Republic of Croatia.
p.(None): (2) The lists of medicinal products of the Institute referred to in paragraph 1 of this Article shall contain medicinal products according to the code of anatomical-therapeutic-chemical
p.(None): (ATK) classification of medicines of the World Health Organization, commonly referred to as (unprotected) name
p.(None): the (protected) name of the medicine, the name of the manufacturer, the name of the marketing authorization holder,
p.(None): the dosage form and the method of administration, the price of the drug for a defined daily dose, the price of the package and the unit dosage form
p.(None): medicines and prescribing rules for medicines that can be used in health care
p.(None): protection from compulsory health insurance.
p.(None): (3) The basic list of medicines of the Institute shall contain the most economically economical medicines for the treatment of all
p.(None): disease.
p.(None): (4) The Supplemental List of Medicinal Products contains medicines with a higher price level than the prices in the basic list
p.(None): of medicines, whereby the Institute provides coverage of costs in the amount of the lowest price of the equivalent medicine determined
p.(None): basic medication list.
p.(None): (5) In addition to the full price of the medicinal product, the Supplementary List of Medicinal Products of the Institute shall contain the amount of participation in
p.(None): the price of the medication provided by the insured person of the Institute directly or through supplementary health care
p.(None): insurance under the Voluntary Health Insurance Act.
p.(None): (6) The manner of listing medicinal products on the basic and supplementary list of medicinal products and the method of determining the price of medicinal products shall be prescribed by
p.(None): by ordinance, the minister responsible for health, in accordance with a separate law.
p.(None): (7) The basic and supplementary list of medicines, with the previously obtained opinion of the Croatian Medical Chamber, shall be adopted by the Administrative Board.
p.(None): the Council of the Institute.
p.(None): (8) If the chamber referred to in paragraph 7 of this Article within 8 days from the day it received the request for an opinion, the Office
p.(None): does not submit an opinion on the basic or supplementary list of medicines, it is considered that a positive opinion is given.
p.(None): (9) The form and content of prescriptions for medicinal products from the basic and supplementary list of medicines of the Institute shall be determined by a general act of the Institute in
p.(None): in accordance with the ordinance of the Minister of Health.
p.(None): Article 21
p.(None): (1) An insured person under the right to health care from compulsory health insurance is entitled to
p.(None): the burden of the Institute's resources to obtain the medicines determined by the basic and supplementary list of the Institute's medicines, under the conditions and
p.(None): in the manner determined by the general acts of the Institute.
p.(None): (2) Exceptionally, an insured person for whom medical treatment cannot be carried out with the medicines prescribed
p.(None): the basic and supplementary list of medicines of the Institute may exercise the right to a medicine not established by those lists of medicines,
p.(None): provided that the need for use of the drug has been approved by the Medicines Committee of the hospital
p.(None): to whom the insured person is being treated, at the expense of the hospital's healthcare facility, which is obliged to secure the procurement
p.(None): drug.
p.(None): (3) Under the conditions and in the manner laid down in paragraph 2 of this Article, the insured person may also exercise the right to the medicine which he is
p.(None): established by the basic and supplementary list of medicines of the Institute, but for the realization of which the insured person does not
p.(None): meets the medical indications established by the lists of medicines referred to in paragraph 1 of this Article.
p.(None): (4) Doctor specialist in a hospital health care institution who has proposed treatment to the insured person with a medication from
p.(None): Paragraphs 2 and 3 of this Article shall be obliged to submit a proposal to the committee for medicines of the hospital health care institution.
p.(None): 2. Orthopedic and other aids and dental aids
p.(None): Article 22
p.(None): (1) An insured person under the right to health care from compulsory health insurance is entitled to
p.(None): orthopedic and other aids (hereinafter referred to as: aids) as defined in the basic and additional list of orthopedic and
p.(None): other aids of the Institute.
p.(None): (2) The basic and additional lists of the Institute's aids shall include aids intended to be provided
p.(None): improvements in impaired function, that is, to alleviate or eliminate the physical
p.(None): damage or deficiency of organs and organ systems, or replacement of the anatomical or physiological functions of organs, which are
p.(None): resulting from illness or injury.
p.(None): (3) The manner of listing the aids on the basic and additional list of aids of the Institute and the method of determining prices
p.(None): aids are prescribed by the proper minister responsible for health, in accordance with a separate law.
...
Searching for indicator influence:
(return to top)
p.(None): during the mandatory fitness training related to maintaining psychophysical fitness to perform certain tasks,
p.(None): in accordance with special regulations,
p.(None): 2. a disease that has arisen directly and exclusively as a result of an accident or force majeure during work, that is
p.(None): the performance of an activity or in connection with the performance of that activity on the basis of which the insured person is insured under compulsory insurance
p.(None): health insurance,
p.(None): 3. an injury incurred in the manner referred to in item 1 of this Article which the insured person receives on a regular basis from
p.(None): the apartment to the place of work and vice versa and on the path taken to enter the work provided to her, that is, to
p.(None): work on the basis of which it is insured in compulsory health insurance,
p.(None): 4. the injury or illness referred to in points 1 and 2 of this Article arising out of the insured person in the circumstances referred to in Article 16.
p.(None): of this Act.
p.(None): Article 67
p.(None): For the purposes of this Law, an injury at work shall not be considered an injury or illness, which occurred due to:
p.(None): 1. hidden, negligent or irresponsible behavior in the workplace, or while performing
p.(None): activities, as well as on a regular commute from the apartment to the place of work and vice versa (e.g., a fight at work or
p.(None): at the time of the day's rest, deliberately causing harm to himself or to others, performing alcohol-related activities, or
p.(None): narcotics, driving a vehicle under the influence of alcohol or narcotic drugs, etc.),
p.(None): 2. activities not related to the performance of work activities (eg work leave not used in
p.(None): prescribed time, work leave not used for the purpose of restoring psychophysical and working ability necessarily
p.(None): necessary for the continuation of the work process, physical activities not related to employment, etc.),
p.(None): 3. the intentional infliction of injury by another person caused by a personal relationship with an insured person who
p.(None): cannot bring it into the context of labor law activity,
p.(None): 4. attacks of chronic illness,
p.(None): 5. congenital or acquired health predispositions that may result in illness.
p.(None): Article 68
p.(None): (1) Occupational diseases under this Act are diseases caused by the longer direct impact of the work process and
p.(None): working conditions in certain jobs.
p.(None): (2) List of occupational diseases and jobs on which those diseases occur and the conditions under which they are considered
p.(None): occupational diseases are determined by a separate law.
p.(None): Article 69
p.(None): (1) To the insured persons referred to in Article 7, paragraph 1, item 10 of this Act, and to the insured persons referred to in Article 7, paragraph 1, items 13,
p.(None): Articles 16, 17 and 19 of this Law shall also be covered by compulsory health insurance in the case of occupational disease
p.(None): if exposed to fibrogenic dusts or carcinogens as workers in legal or natural persons with
p.(None): registered activity in the Republic of Croatia.
p.(None): (2) Insured persons referred to in paragraph 1 of this Article, within the scope of compulsory health insurance rights,
p.(None): health checks are also provided after termination of work in the event of exposure to fibrogenic dust or
...
Health / HIV/AIDS
Searching for indicator HIV:
(return to top)
p.(None): by an act of the Institute, concluded a contract on the delivery of orthopedic and other aids to insured persons (hereinafter:
p.(None): contract supplies of supplies).
p.(None): Article 19
p.(None): (1) The right to health care referred to in Article 18 of this Act shall be ensured under equal conditions for all
p.(None): insured persons.
p.(None): (2) Insured persons in exercising their right to health care from compulsory health care
p.(None): of the insurance referred to in Article 18 of this Law, the Institute shall ensure payment of health services in full for:
p.(None): 1. comprehensive health care for children up to the age of 18, insured persons referred to in Article 12.
p.(None): paragraphs 2 and 3 and Article 15 of this Law,
p.(None): 2. preventive and specific health care for school children and students,
p.(None): 3. preventive health care for women,
p.(None): 4. the health care of women in connection with the monitoring of pregnancy and childbirth,
p.(None): 5. health care in connection with medically assisted fertilization, in accordance with a special law,
p.(None): 6. preventive health care for persons over 65 years of age,
p.(None): 7. preventive health care for persons with disabilities from the register of persons with disabilities established
p.(None): a special regulation,
p.(None): 8. comprehensive healthcare related to HIV infections and other communicable diseases prescribed by law
p.(None): implementing measures to prevent their spread,
p.(None): 9. compulsory vaccination, immunoprophylaxis and chemoprophylaxis,
p.(None): 10. overall treatment of chronic psychiatric illnesses,
p.(None): 11. overall treatment of malignancies,
p.(None): 12. all treatment resulting from a recognized occupational injury or occupational disease,
p.(None): 13. hemodialysis and peritoneal dialysis,
p.(None): 14. health care related to the taking and transplantation of parts of the human body for medical purposes,
p.(None): 15. outpatient emergency medical assistance in the emergency medical service involving emergency transport (by land,
p.(None): by water and by air), in accordance with the ordinance of the minister responsible for health,
p.(None): 16. home visits and home treatment,
p.(None): 17. home health care,
p.(None): 18. medical transport for special categories of patients, in accordance with the ordinance of the minister responsible for
p.(None): health,
p.(None): 19. medicines from the basic list of prescription medicines of the Institute
p.(None): 20. health care in the home of the insured person,
p.(None): 21. laboratory diagnostics at primary health care level,
p.(None): 22. palliative health care.
p.(None): (3) Insured persons shall be obliged to participate in the cost of health care in the amount of 20% of the full cost of health care
...
Health / Mentally Disabled
Searching for indicator disabled:
(return to top)
p.(None): year, that is, the end of the academic year in which they completed their regular education according to the regulations of the state
p.(None): education, and for a maximum of eight years on that basis, if the right to compulsory health
p.(None): they do not realize insurance on another basis
p.(None): 16. Persons with a residence or approved permanent residence in the Republic of Croatia over 18 years of age who
p.(None): have lost their full-time status in accordance with the regulations on education in the Republic of Croatia or in another Member State
p.(None): students, or full-time students if they have applied to the Institute within 30 days from the date of loss of status
p.(None): full-time student or full-time student and if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 17. spouse of a deceased insured person who, after the death of the spouse, did not acquire the right to family pension, if the Office
p.(None): reported within 30 days of the death of the spouse, and the right to compulsory health insurance can not exercise by
p.(None): on another basis,
p.(None): 18. domiciled persons and foreigners with a permanent residence permit in the Republic of Croatia to which he / she is resident
p.(None): a recognized attribute of a military military or civilian disabled war veteran and peacetime military
p.(None): disabled persons, ie status of beneficiaries of family disability benefits in accordance with the Law on Protection of Military and Civilian Persons
p.(None): disabled war veterans, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 19. Croatian defenders of the Homeland War, if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 20. persons providing care and assistance to the Croatian war veteran of the Homeland War in accordance with the regulations on rights
p.(None): Croatian Homeland War veterans and their family members, if entitled to compulsory health care
p.(None): they do not get insurance on another basis,
p.(None): 21. persons on military service, ie voluntary military service (conscripts), cadets and
p.(None): reservists during the service in the Armed Forces of the Republic of Croatia, if the right to compulsory health
p.(None): they do not get insurance on another basis,
p.(None): 22. persons who interrupted their work because they were referred by a legal or natural person to education or
p.(None): vocational training, while continuing education or vocational training,
p.(None): 23. persons who have been referred by their legal or natural persons as their scholarship holders before entering into employment
p.(None): practical work in another legal entity or with another natural person for professional training or further training, while
p.(None): takes practical work,
p.(None): 24. Persons sent to another Member State or to a third country within the framework of international technical, educational and cultural training
...
p.(None): 6. temporarily unable to work due to illness and complications related to pregnancy and childbirth,
p.(None): 7. temporarily prevented from work due to the use of maternity leave and the right to work in half of full-time work
p.(None): time, in accordance with the regulations on maternity and parental support,
p.(None): 8. temporarily unable to work due to the use of leave in the case of the death of a child in the case of stillbirth
p.(None): the child or the death of the child during maternity leave,
p.(None): 9. temporarily unable to work due to a wound, injury or illness that is a direct consequence of participating in Homeland
p.(None): war.
p.(None): 10. temporarily unable to work due to a recognized occupational injury or occupational disease.
p.(None): Article 40
p.(None): Salary compensation in connection with the use of health care referred to in Article 39 items 1 and 2 of this Act
p.(None): pays the insured from its funds:
p.(None): 1. legal or natural person - employer for the first 42 days of temporary incapacity, as well as for as long as
p.(None): the insured person is employed in a third country by a legal or natural person or is employed by a third party
p.(None): country.
p.(None): 2. legal person for professional rehabilitation and employment of persons with disabilities, ie legal or natural person
p.(None): - employer for the insured worker - disabled worker for the first seven days of temporary incapacity.
p.(None): Article 41
p.(None): (1) Salary compensation for temporary incapacity referred to in Article 39, items 3 to 8, and item
p.(None): 10 of this Law shall be paid to the insured person at the expense of the Institute's funds from the first day of exercising the right.
p.(None): (2) The Institute shall pay the compensation of the salary referred to in Article 39, item 9 of this Act to the insured at the expense of state funds.
p.(None): budget.
p.(None): (3) Salary compensation for temporary incapacity referred to in Article 39, items 1 and 2 of this Act of 43.
p.(None): days or eight days of temporary incapacity are calculated and paid by a legal or natural person -
p.(None): the employer, with the Employment Service being obliged to repay the paid salary within 45 days from the date of receipt
p.(None): request for a refund.
p.(None): (4) Salary compensation for temporary incapacity referred to in Article 39, items 4, 5 and 10 of this Act from the first day
p.(None): temporary incapacity is calculated and paid by the legal, respectively
p.(None): natural person - employer, with the Employment Service being obliged to return the paid salary in the case referred to in Article
p.(None): 39, items 4 and 5 of this Act, within 30 days, and in the case referred to in Article 39, item 10 of this Act, within 45 days
p.(None): from the date of receipt of the refund request.
...
Searching for indicator disability:
(return to top)
p.(None): 7. farmers engaged in agricultural activity in the Republic of Croatia as their sole or principal occupation if
p.(None): are the owners, landlords or tenants, and if they are not subject to income tax or income tax and if they are not
p.(None): insured on the basis of work or beneficiaries of the right to a pension,
p.(None): 8. persons engaged in agricultural activity as their sole or principal occupation and who have been entered in the family register
p.(None): of the holding as the holder or member of the family holding, if they are not
p.(None): are health insured on the basis of work or are beneficiaries of the right to retirement or are in full-time education,
p.(None): 9. priests and other religious officials of a religious community registered in the records of the religious communities he maintains
p.(None): competent national authority, if not insured on the basis of work,
p.(None): 10. pension beneficiaries according to the regulations on pension insurance of the Republic of Croatia, if any
p.(None): permanent or permanent residence in the Republic of Croatia,
p.(None): 11. beneficiaries of the right to vocational rehabilitation under the regulations on pension insurance of the Republic of Croatia,
p.(None): if they are domiciled or granted permanent residence in the Republic of Croatia,
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
p.(None): insured on another basis and reported to the Institute within:
p.(None): a) 30 days from the date of termination of employment, that is, performing the activity or from the date of termination of employment
p.(None): compensation of the salary to which they are entitled under this Act or under regulations made pursuant to this Act,
p.(None): b) 30 days from the date of early termination of military service, ie voluntary military service
p.(None): term, ie from the date of expiry of the prescribed period for military service, ie voluntary military service
p.(None): deadline
p.(None): c) 30 days from the date of discharge from the institution for the execution of criminal and misdemeanor sanctions, from the medical institution
p.(None): or other specialized institutions if the mandatory psychiatric psychiatric safety measure was applied
p.(None): treatment or mandatory treatment for addiction in a healthcare facility,
p.(None): d) 30 days from the age of 18, if they are not insured on another basis,
p.(None): e) 90 days after the end of the school year in which they completed their regular education in accordance with the regulations on
...
p.(None): 16. Persons with a residence or approved permanent residence in the Republic of Croatia over 18 years of age who
p.(None): have lost their full-time status in accordance with the regulations on education in the Republic of Croatia or in another Member State
p.(None): students, or full-time students if they have applied to the Institute within 30 days from the date of loss of status
p.(None): full-time student or full-time student and if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 17. spouse of a deceased insured person who, after the death of the spouse, did not acquire the right to family pension, if the Office
p.(None): reported within 30 days of the death of the spouse, and the right to compulsory health insurance can not exercise by
p.(None): on another basis,
p.(None): 18. domiciled persons and foreigners with a permanent residence permit in the Republic of Croatia to which he / she is resident
p.(None): a recognized attribute of a military military or civilian disabled war veteran and peacetime military
p.(None): disabled persons, ie status of beneficiaries of family disability benefits in accordance with the Law on Protection of Military and Civilian Persons
p.(None): disabled war veterans, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 19. Croatian defenders of the Homeland War, if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 20. persons providing care and assistance to the Croatian war veteran of the Homeland War in accordance with the regulations on rights
p.(None): Croatian Homeland War veterans and their family members, if entitled to compulsory health care
p.(None): they do not get insurance on another basis,
p.(None): 21. persons on military service, ie voluntary military service (conscripts), cadets and
p.(None): reservists during the service in the Armed Forces of the Republic of Croatia, if the right to compulsory health
p.(None): they do not get insurance on another basis,
p.(None): 22. persons who interrupted their work because they were referred by a legal or natural person to education or
p.(None): vocational training, while continuing education or vocational training,
p.(None): 23. persons who have been referred by their legal or natural persons as their scholarship holders before entering into employment
...
p.(None): are compulsory from the compulsory health insurance provided by the insured person pursuant to the decision of the Institute
p.(None): enforcement.
p.(None): Article 37
p.(None): (1) The right to financial compensation in the case of a recognized occupational injury or occupational disease shall include:
p.(None): 1. compensation of salary during temporary incapacity for work caused by a recognized occupational injury, respectively
p.(None): occupational disease,
p.(None): 2. compensation for transport costs related to the use of health care from compulsory health care
p.(None): insurance resulting from a recognized occupational injury or occupational disease,
p.(None): 3. compensation for funeral expenses in the event of the death of the insured person, if the death is a direct consequence of a recognized one
p.(None): occupational injuries or occupational diseases.
p.(None): (2) The right to compensation of the salary referred to in paragraph 1, item 1 of this Article shall be exercised by the insured persons referred to in Article
p.(None): 7, paragraph 1, items 1 to 4, and items 6, 8, 9, 20 and 25 of this Act.
p.(None): (3) The right to compensation for transport costs and compensation for funeral expenses referred to in paragraph (1)
p.(None): 2 and 3 of this Article shall be realized by the insured persons referred to in paragraph 2 of this Article and the insured persons referred to in Article 16 i
p.(None): the insured persons referred to in Article 69 of this Act.
p.(None): 1. The right to remuneration
p.(None): Article 38
p.(None): (1) The right to remuneration for salary due to temporary incapacity and / or disability to work for the benefit of health care
p.(None): protection or other circumstances referred to in Article 39 of this Law (hereinafter: temporary incapacity)
p.(None): belongs to the insured persons referred to in Article 7, paragraph 1, items 1 to 4, and items 6, 8, 9, 20 and 25 of this
p.(None): Of the Act, unless otherwise provided by a special regulation.
p.(None): (2) Under the temporary incapacity referred to in paragraph 1 of this Article, during which the insured person is entitled to compensation
p.(None): salaries within the meaning of this Act shall be considered absent from work due to illness or injury, or other circumstances
p.(None): determined by Article 39 of this Law which prevents the insured person from fulfilling his obligation to work in accordance with Art
p.(None): by an employment contract, other contract or act.
p.(None): (3) The period of temporary incapacity referred to in paragraph 2 of this Article for which the insured person is entitled to
p.(None): remuneration in accordance with this Act shall be evidenced by the report on temporary inability to work which he issues
p.(None): elected doctor of primary care medicine in a healthcare institution, ie in private practice (u
p.(None): hereinafter referred to as "the elected Doctor").
p.(None): (4) Period of temporary incapacity for which the insured person, in accordance with the provisions of this Act, is not entitled to
...
p.(None): 2 and items 4, 5 and 10 of this Law, when the salary compensation is paid at the expense of the Institute's funds, to the insured
p.(None): paid by the Institute.
p.(None): Article 43
p.(None): (1) In case when the insured legal or natural person - the employer has not determined the salary compensation on
p.(None): manner and to the extent established by this Act and the implementing regulation adopted pursuant to this Act within 30
p.(None): days from the date of payment of the salary with the employer, the insured has the right to submit to the Institute a request for calculation
p.(None): the associated salary compensation.
p.(None): (2) Upon receipt of the request referred to in paragraph 1 of this Article, the Office shall calculate the salary compensation and submit the calculation
p.(None): the insured person and the employer within 15 days from the day of receipt of the request.
p.(None): (3) The employer is obliged to pay the insured person a salary compensation in accordance with the calculation provided by the Institute
p.(None): not later than 15 days from the date of receipt of the payroll calculation.
p.(None): Article 44
p.(None): (1) The compensation of salary for temporary incapacity shall belong to the insured person for all time of temporary incapacity, and
p.(None): for the longest period prescribed by this Act.
p.(None): (2) The remuneration shall be payable to the Insured only for the days or hours for which the Insured would be entitled to pay
p.(None): according to labor regulations, unless otherwise provided by this Law.
p.(None): Article 45
p.(None): (1) The insured referred to in Article 39, item 5 of this Act shall have the right to remuneration for the period of temporary disability for
p.(None): work for the care of the insured person - child up to the age of seven
p.(None): years up to a maximum of 60 days for each identified disease, and for a child between seven and
p.(None): 18 years up to 40 days maximum.
p.(None): (2) By way of derogation from paragraph 1 of this Article, if, in the opinion of the doctor of medicine, primary health care
p.(None): health status of a family member - child under 18 years of age such that the length of care specified in paragraph 1.
p.(None): of this article will not be sufficient, the required duration of care is determined by the medical committee of the Institute.
p.(None): (3) The child referred to in paragraphs 1 and 2 of this Article shall be considered in addition to his own child and adopted child, stepson, and
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
p.(None): continuously for at least six months, improved also that half-time full-time work would be useful for faster
p.(None): the establishment of the full working capacity of the insured, the elected doctor may stipulate that the insured is designated
p.(None): time works half full time, but no longer than 60 days.
p.(None): (4) The elected doctor shall be obliged to determine the termination of temporary incapacity for the insured person, whose finding and
p.(None): the opinion of the competent authority of the expert opinion of the pension insurance established
p.(None): disability due to general inability to work or professional inability to work, with the day the notice is received
p.(None): the competent body of the pension insurance referred to in Article 48, paragraph 2 of this Act, and the insured person is entitled to the salary compensation
p.(None): during this temporary incapacity he shall exercise in accordance with Article 48, paragraph 1 of this Law.
p.(None): (5) Elected doctor after having established the termination of temporary incapacity in accordance with paragraph 4 of this
p.(None): Article can only temporarily re-establish temporary inability to an insured person with a disability due to
p.(None): professional inability to work, in the event of a worsening of the disease on the basis established by him
p.(None): disability or onset of illness based on another diagnosis of the disease.
p.(None): (6) Supervision of the use of the temporary incapacity of the insured, ie determination of the existence of medical
p.(None): indications or other reasons for temporary incapacity, in accordance with the provisions of this Act and the regulations issued on
p.(None): pursuant to this Act, shall be performed by the Institute.
p.(None): (7) Supervision of the use of temporary incompetence shall include control at the office of the chosen doctor
p.(None): and immediate control of the insured within or outside the doctor's office, including a home visit.
p.(None): (8) The employer of the insured person may require the Office to control the justification of temporary incapacity for all
p.(None): the duration of the temporary disability of the insured.
p.(None): (9) The ordinance on the control of temporary incapacity for work of the insured shall be adopted by the minister competent for health.
p.(None): Article 47
p.(None): (1) Insured by dissatisfied decision of the chosen doctor to determine the termination of the temporary
p.(None): incompetence, in order to protect the rights arising from compulsory health insurance, will be issued at his request a decision in
p.(None): administrative procedure, based on the previously obtained reasoned findings, opinions and medical evaluation
p.(None): Bureau of the Institute, which is obliged to carry out a review of the insured before making the findings, opinions and evaluation.
p.(None): (2) The request referred to in paragraph 1 of this Article shall be resolved by an urgent procedure.
p.(None): Article 48
p.(None): (1) During the temporary incapacity referred to in Article 39, items 1 to 6, and items 9 and 10 of this Act, the Insured shall have
p.(None): the right to reimbursement of salary at the expense of the funds of the Institute or the state budget until the elected doctor determines that
p.(None): capable of working, or until he / she has the opinion and opinion of the competent authority of the pension insurance expert code
p.(None): Insured disability due to general inability to work or professional inability to work.
p.(None): (2) When, according to the assessment of the doctor selected, after treatment and medical rehabilitation have been completed
p.(None): the health status of the insured is such that further treatment cannot be improved and is with the insured
p.(None): permanent inability to work in the affairs performed by the insured occurs, as in the case when
p.(None): the temporary inability of the insured to last for a continuous 12 months due to the same diagnosis of illness, selected
p.(None): the doctor is obliged to treat the insured person for a reference to the assessment of working ability and disability and
p.(None): send it with all the required documentation to the competent authority of the pension insurance expert
p.(None): which is obligatory to provide a finding and opinion on the working capacity and disability of the insured at the latest at
p.(None): within 60 days from the date of receipt of the proposal of the selected doctor and inform the selected doctor thereof,
p.(None): the employer of the insured person and the Institute within eight days from the date of issuing the findings and opinion.
p.(None): (3) When the competent body of the pension insurance expert's assessment establishes that it has occurred with the insured person
p.(None): occupational inability to work, that is, an imminent risk of disability, is mandatory in the finding i
p.(None): an opinion to indicate the jobs and tasks that the insured person may perform with respect to his or her remaining work capacity,
p.(None): that is, what jobs and tasks he cannot perform.
p.(None): (4) If the competent body of the expert evaluation of the pension insurance does not issue a finding and opinion and does not inform the elected one
p.(None): doctor, employer of the insured person and the Institute within the period referred to in paragraph 2 of this Article, compensation of the salary for that insured person from
p.(None): on the first day following the expiry of the 60-day time limit referred to in paragraph 2 of this Article, it shall charge the funds of the Croatian Institute
p.(None): for pension insurance.
p.(None): (5) The processing of the insured person for reference to the assessment of working ability and disability shall be charged by the Institute's funds
p.(None): only in cases where the selected doctor has referred the insured person to a work and disability assessment at
p.(None): in accordance with paragraph 2 of this Article.
p.(None): Article 49
p.(None): (1) During the re-established temporary incompetence of the insured person whose finding and opinion is of the competent authority
p.(None): Expertise of the pension insurance determined disability due to professional inability to work, regardless
p.(None): whether it is a temporary incapacity resulting from the aggravation of the disease on the basis established for him
p.(None): disability or onset of illness due to another diagnosis of the disease, which was not offered and contracted by the employer
p.(None): on work in writing for the performance of the duties for which he is able to comply with labor regulations, wage compensation
p.(None): the insured person is paid by the employer out of his own funds.
p.(None): (2) Compensation of salary during temporary incapacity shall be charged to the employer even if the insured person
p.(None): identified an imminent risk of disability, and the employer is not insured in accordance with the labor regulations
p.(None): offered and entered into a contract of employment with him in writing for the performance of the tasks for which he is capable, from the day
p.(None): identified imminent dangers of disability. Salary compensation charges the employer’s funds until the day
p.(None): entering into a written employment contract for the performance of the tasks for which he is capable.
p.(None): (3) The insured who does not accept the offer of the employer referred to in paragraphs 1 and 2 of this Article and does not with the employer
p.(None): enter into an employment contract for the performance of the activities for which he is capable of not entitled to remuneration under this Law
p.(None): the time of temporary incapacity from the date of receipt of the employer’s offer.
p.(None): (4) The insured referred to in Article 7, Paragraph 1, Items 6, 8 and 9 of this Act, in which
p.(None): disability insurance bodies determined disability due to professional inability to work,
p.(None): that is, the imminent danger of disability does not have the right to compensation of the salary at the expense of the assets of the obligatory
p.(None): health insurance from the date of established disability, that is, identified imminent danger of occurrence of disability.
p.(None): Article 50
p.(None): A policyholder who has attained 65 years of age and 15 years of pensionable service on an insurance basis
p.(None): self-employed or self-employed person is not entitled to reimbursement of salary at the expense of compulsory health insurance funds
p.(None): during temporary incapacity, but at the expense of the employer, or at the expense of the insured
p.(None): the payer of the contribution.
p.(None): Article 51
p.(None): (1) To an insured person whose employment or performance has ceased during the period of temporary incapacity
p.(None): In the case of personal work, the remuneration of wages shall be for a maximum of 30 days from the date of termination of service
p.(None): relationships, that is, performing his activity by personal work, provided that his chosen doctor is temporary
p.(None): the incapacity determined at least eight days before the date of termination of employment, that is, carrying out the activity of personal
p.(None): that he was entitled to remuneration at the time of termination of employment, that is, carrying out his activity by personal work
p.(None): salaries in accordance with the provisions of this Act.
p.(None): (2) Exceptionally, under the conditions referred to in paragraph 1 of this Article, to the insured person, who is temporary
p.(None): incapacity that is a direct consequence of participating in the Homeland War, or the consequence of a recognized injury to
p.(None): termination of employment or occupational disease, or the pursuit of an activity by personal work belongs
p.(None): the right to remuneration after the termination of employment, or the pursuit of the activity by personal work, as long as
p.(None): he will not be able to work again, that is, until he is found and opinion of a competent body of pension expert evaluation
p.(None): disability is not determined in accordance with Article 48 of this Law.
p.(None): (3) During temporary inability to work due to illness and complications related to pregnancy and childbirth from
p.(None): Article 39, item 6 of this Act, the use of the right to maternity leave and the right to work part-time
p.(None): referred to in Article 39, point 7 of this Act, and the right to leave in the case of death of a child referred to in Article 39, point 8 of this Act
p.(None): an insured person who uses one of the above rights is entitled to a salary remuneration after termination of employment,
p.(None): that is, performing an activity by personal work until the expiration of the exercise of the same right.
p.(None): (4) To an insured person who, while exercising the rights referred to in paragraphs 1, 2 and 3 of this Article, has a full or
p.(None): part-time or has started performing his / her activity by personal work the right to remuneration of the salary earned
p.(None): in accordance with this article.
p.(None): Article 52
p.(None): (1) The Insured shall have the right to reimbursement of the funds of the Institute or the state budget
p.(None): salaries for temporary incapacity referred to in Article 39 items 1 to 5 and items 9 and 10 of this Act to the maximum
p.(None): for a period of 18 months after the same diagnosis of the disease, without interruption, in the amount determined in accordance with this Law and the general
p.(None): acts of the Institute.
p.(None): (2) After the expiry of the period referred to in paragraph 1 of this Article, the insured person shall be entitled to a salary payment in the amount of 50% of the last
...
p.(None): 5. does not respond to the call for medical examination of the selected doctor or doctor without a justified reason
p.(None): the controller of the Bureau or a body of the Bureau authorized to control temporary incapacity,
p.(None): 6. an elected doctor, controller or doctor of the Institute authorized to control the temporary incapacity of the fort
p.(None): not to follow the instructions for treatment, ie leave the place of residence without the consent of the chosen doctor,
p.(None): that is, residence or abuse of temporary incapacity otherwise.
p.(None): (2) In the cases referred to in paragraph (1) of this Article, the insured person shall not be entitled to reimbursement of salary from the day of occurrence of such cases until
p.(None): the day of their termination, that is, the termination of the consequences caused by them.
p.(None): Article 54
p.(None): (1) Salary compensation shall be determined from the basis of compensation, which is the average amount of salary paid to the insured person in
p.(None): in the last six months before the month in which the right to remuneration was obtained,
p.(None): irrespective of the burden on which it is payable, unless otherwise provided by special law.
p.(None): (2) Salary on the basis of which the salary compensation basis is determined shall be understood, within the meaning of this Act,
p.(None): the regular monthly salary of the insured person determined in accordance with the provisions of the labor regulations and the salary compensation
p.(None): paid during absence from work (annual leave, paid leave and temporary disability) which
p.(None): it pays at the expense of the legal or natural person with whom the insured is employed.
p.(None): (3) For the insured referred to in Article 7, paragraph 1, items 3, 4, 6, 8 and 9 of this Act, the basis for the salary compensation shall be
p.(None): the monthly basis for the calculation and payment of compulsory health insurance contributions for the last six months
p.(None): months prior to the month in which the insured event occurred on the basis of which the right to remuneration is acquired,
p.(None): minus statutory contributions, taxes and surtaxes.
p.(None): (4) Exceptionally, to insured persons who exercise the right to compensation of salary during temporary incapacity
p.(None): the funds of the Institute or the state budget are included in the salary compensation base referred to in paragraph 1 of this Article
p.(None): income earned on receipts of which,
p.(None): according to the regulations on income tax, determines the second income, and in accordance with the regulations on contributions for compulsory
p.(None): insurance, provided that they have been paid out over a six - month period, on the basis of which the basis for the
p.(None): compensation and that they have completed the insurance service at the Institute prescribed by Article 56, paragraph 1 of this Act.
p.(None): (5) In the case where the salary compensation base cannot be determined according to paragraph 1 of this Article, the salary base
p.(None): for remuneration, the salary is paid up to the date of occurrence of the case on the basis of which the right to remuneration is acquired,
p.(None): that is, the corresponding salary for the month for which the salary is determined, with the base being determined, when
p.(None): the compensation paid at the expense of the Institute's funds may not be higher than the lowest insurance base used for
...
p.(None): an insured event occurred.
p.(None): (6) By way of derogation from paragraph 5 of this Article, when the basis for payment of salary, which belongs to the insured person in
p.(None): In the case of temporary incapacity due to a recognized injury at work or occupational disease, he cannot
p.(None): to determine, in accordance with paragraph 1 of this Article, the basis for remuneration is the corresponding salary for the month for which it is determined
p.(None): salary compensation.
p.(None): (7) When the insured person receives a salary remuneration continuously for more than three months, the basis for determining the compensation from
p.(None): paragraph 1 of this Article shall increase in accordance with the increase in the salary of employees in the Republic of Croatia, if this increase is greater than
p.(None): 5%.
p.(None): (8) The remuneration under paragraph 7 of this Article shall be payable to the insured person from the first day of the following month after the expiration of three months
p.(None): continuous temporary incapacity, if the requirement to increase pay is fulfilled.
p.(None): (9) The Office shall by a general act determine the manner of determining the basis for the salary compensation referred to in paragraph 3 of this Article.
p.(None): Article 55
p.(None): (1) Salary compensation may not be less than 70% of the salary compensation base, unless otherwise provided by this Law,
p.(None): that as a full-time monthly amount cannot be less than 25% of the budget base.
p.(None): (2) Salary compensation shall be 100% of the salary compensation base during:
p.(None): 1. temporary disability due to a wound, injury or illness that is a direct consequence of participating in
p.(None): The Homeland War,
p.(None): 2. temporary disability due to illness and complications related to pregnancy and childbirth,
p.(None): 3. the use of maternity leave and the right to work in part-time work referred to in Article 39, item 7 of this Act,
p.(None): 4. use of leave for the death of a child referred to in Article 39, item 8 of this Act,
p.(None): 5. care of a sick child under the age of three,
p.(None): 6. temporary disability due to transplantation of living tissue and organs for the benefit of another person,
p.(None): 7. while the insured person is isolated as a carrier or because of an infection in his surroundings,
p.(None): 8. temporary disability due to a recognized occupational injury or occupational disease.
p.(None): (3) The amount of remuneration paid to be charged to the funds of the Institute shall be determined by the Institute, with the maximum monthly
p.(None): the amount of salary compensation, calculated in accordance with the provisions of this Act and regulations adopted pursuant to this Act, does not
p.(None): may, for full-time employment, exceed the budgetary base plus 28%, with the exception of the salary referred to in the paragraph
p.(None): 2 points 3, 4 and 8 of this Article.
p.(None): (4) Full-time work within the meaning of this Act shall be considered to be 40 hours a week, if a special regulation,
p.(None): the rules of procedure, the collective agreement, the agreement concluded between the works council and the employer, or
p.(None): the employment contract does not specify otherwise.
p.(None): Article 56
p.(None): (1) The remuneration of the salary paid at the expense of the Institute's funds shall belong to the insured person in the amount prescribed by this
p.(None): Law or regulations and general acts adopted pursuant to this Act, provided that before the date of its occurrence
p.(None): the insured case on the basis of which the right to remuneration is acquired has a completed period of insurance in
p.(None): The Institute on the basis of employment, economic activity or professional activity
p.(None): independently in the form of an occupation, that is, on the basis of receiving salary compensation after termination of employment,
p.(None): that is, the termination of the performance of activities by personal work accomplished under this Law for at least nine months
p.(None): continuous or 12 months with interruptions in the last two years (prior insurance), if by special law
p.(None): not otherwise stated.
...
p.(None): stay in a third country, unless otherwise provided by a general act of the Institute, shall not be entitled to a burden of funds
p.(None): compulsory health insurance to recover the costs of that health care.
p.(None): (5) The basis and rate and the method of calculating and paying the special contribution for the use of health care in a third country
p.(None): for insured persons residing in a third country by private business, the Institute shall determine by a general act, if special
p.(None): the law does not specify otherwise.
p.(None): Article 80
p.(None): (1) For the purpose of determining the accuracy of the information and facts on which the exercise of the right from the obligatory depends
p.(None): The Health Insurance Institute has the right to control business books, financial records and other records
p.(None): the payer of the contribution.
p.(None): (2) The Tax Administration, the Central Registry of Insured Persons, state authorities and other competent bodies are obliged to the Institute
p.(None): submit information at their disposal and maintained by the official records necessary for exercising compulsory rights
p.(None): health insurance.
p.(None): (3) If the Office establishes irregularities in the verification procedure referred to in paragraph 1 of this Article, it shall compile it
p.(None): the minutes which it submits to the Tax Administration for the competent procedure established by the regulation of the minister responsible for finance.
p.(None): (4) The method of control referred to in paragraph 1 of this Article shall be determined by the Office by a general act.
p.(None): Article 81
p.(None): (1) Insured persons referred to in Article 7, paragraph 1, items 3, 4, 6, 7, 8 and 9 of this Act, pension beneficiaries and
p.(None): disability benefits exercised exclusively by the foreign pension and disability insurance provider referred to in Article 7.
p.(None): paragraph 1 item 12 of this Act, to the insured persons referred to in Article
p.(None): 13 of this Law and other insureds insured for compulsory health insurance in accordance with the special
p.(None): the law - payers of the calculation and payment of compulsory health insurance contributions, who have not paid
p.(None): contributions for a minimum of 30 days of compulsory health insurance entitlement are limited to the right to emergency medical insurance
p.(None): help.
p.(None): (2) Urgent medical assistance shall mean the provision of diagnostic and therapeutic procedures necessary in
p.(None): eliminating imminent danger to life and health.
p.(None): (3) The full scope of the rights referred to in paragraph 1 of this Article shall be established in advance, from the date of settlement of the due contribution amount
p.(None): interest thereon.
p.(None): 3. Securing funds in the state budget
p.(None): Article 82
p.(None): (1) The Republic of Croatia shall provide in the state budget special funds for compulsory health care rights
p.(None): insurance for:
p.(None): 1. remuneration for the period of temporary incapacity referred to in Article 39 (9) and Article 52.
p.(None): paragraph 2 of this Law,
p.(None): 2. health care costs for:
p.(None): a. the insured persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 and Article 11, paragraph 1, item 3 of this Act, for which
p.(None): the contribution shall not be paid in accordance with Article 72, paragraph 1, item 3 of this Act, and for the insured persons referred to in Article 7, paragraph
p.(None): 1. items 14., 15., 18., 20., 21., 25., 26. i
p.(None): 27 of this Law,
p.(None): b. the insured persons referred to in Article 15 of this Law;
...
p.(None): Act.
p.(None): Article 159
p.(None): All legal and natural persons are obliged to exercise their rights and obligations under compulsory health insurance
p.(None): to harmonize their business with the provisions of this Law within 180 days from the day this law enters into force
p.(None): Act.
p.(None): Article 160
p.(None): (1) Insured persons who have started exercising the rights arising from compulsory health insurance under the provisions of the Law on
p.(None): compulsory health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11,
p.(None): 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12) from the effective date
p.(None): of this Law, they continue to use compulsory health insurance rights under its provisions.
p.(None): (2) Insured persons who, on the day this Act enters into force, have the status of a family member of the insured person pursuant to
p.(None): Article 10, Paragraph 1 of the Compulsory Health Insurance Act (Official Gazette 150/08, 94/09, 153/09,
p.(None): 71/10., 139/10., 49/11., 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.),
p.(None): retain this status until the end of the current academic or academic year.
p.(None): Article 161
p.(None): Insured persons whose temporary incapacity is determined from the day the Law on Obligatory Act enters into force
p.(None): health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11, 22/12,
p.(None): 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.), and which until the date of entry into
p.(None): the strength of this law established disability due to general, or professional inability to work, selected doctor to determine
p.(None): shall cease temporary incapacity from the date this Law enters into force.
p.(None): Article 162
p.(None): Administrative proceedings instituted by the date this Act enters into force shall be completed in accordance with the provisions of the Law on
p.(None): compulsory health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11,
p.(None): 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.) and regulations and general regulations
p.(None): acts enacted under this Act.
p.(None): Article 163
p.(None): Contributions and other compulsory health insurance income determined in the provision of Article 72, paragraph 1 of this Law,
p.(None): these funds referred to in Article 137 of this Act shall be paid in favor of the state budget of the Republic of Croatia until 31 December.
p.(None): December 2014, and as of January 1, 2015, they will be credited to the Institute's accounts and the revenue is the Institute's.
p.(None): Article 164
p.(None): The Law on Compulsory Health Insurance (»Narodne
p.(None): Gazette «, no. 150/08, 94/09, 153/09, 71/10, 139/10, 49/11, 22/12, 57/12, 90/12. - Constitutional Court decision
p.(None): Of the Republic of Croatia, 123/12. and 144/12).
p.(None): Article 165
p.(None): This Law shall be published in the Official Gazette and shall enter into force on the date of accession of the Republic of Croatia
p.(None): Except for the provisions of the European Union:
p.(None): - Articles 2 and 3 and Article 34, in so far as it concerns the application of Directive 2011/24 / EU and Articles 26.
p.(None): to 32, effective October 25, 2013,
...
Health / Mentally Incapacitated
Searching for indicator incapable:
(return to top)
p.(None): contributions to other receipts have a monthly paid contribution for compulsory health insurance at least at
p.(None): the lowest contribution basis.
p.(None): 2. Children up to the age of 18 and family members of the insured
p.(None): Article 9
p.(None): Children up to the age of 18 who have a permanent or permanent residence in the Republic of Croatia
p.(None): they are insured for compulsory health insurance and acquire the status of insured person.
p.(None): Article 10
p.(None): (1) According to this Law, the status of the insured person - a member of the family of the insured, as the holder of the compulsory one
p.(None): health insurance, can acquire:
p.(None): 1. spouse (marital and extra-marital, in accordance with the regulations on family relations),
p.(None): 2. children (born, unmarried or adopted, stepchildren) and other children without parents, if insured
p.(None): maintains, at the request of the insured,
p.(None): 3. parents (father, mother, stepfather, stepmother and adoptive parent), if they are incapable of independent living and work, if they do not have
p.(None): means of subsistence and, if supported by the insured,
p.(None): 4. grandchildren, brothers, sisters, grandparents, if they are incapable of independent living and work, if they have no means of support
p.(None): and if the insured maintains them.
p.(None): (2) The members of the family of the insured referred to in paragraph 1 of this Article shall acquire the status of the insured person in accordance with
p.(None): paragraph 1 of this Article provided that they cannot obtain compulsory health insurance status by any
p.(None): from the insurance bases referred to in Article 7 of this Law and that they have a permanent residence or a permanent residence permit in the
p.(None): To the Republic of Croatia, unless otherwise provided by EU regulations or international treaty.
p.(None): (3) The Office shall determine by general act the conditions under which it is considered that the person referred to in paragraph 1 of this Article is incapable of
p.(None): independent living and work and no means of subsistence and insured maintenance.
p.(None): Article 11
p.(None): (1) The spouse with the divorce retains the status of the insured person of the CES as a member of the spouse's family from which he or she
p.(None): divorced:
p.(None): 1. if, by a court decision, he or she has acquired the right to alimony while abstaining,
p.(None): 2. if, at the time of the divorce, he was completely and permanently incapable of working in accordance with the regulations on pension insurance,
p.(None): 3. if, by a court decision on divorce, the children have been entrusted with custody and upbringing, provided that
p.(None): report to the CES within 30 days from the day the court decision becomes final, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (2) The persons referred to in paragraph 1, item 1 of this Article shall retain the status of insured person as family members even upon termination
p.(None): support provided that they apply to the CES within 30 days from the day the court decision becomes final, if the right to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): Article 12
p.(None): (1) The children of the insured referred to in Article 10, paragraph 1, item 2 of this Act who have acquired the status of insured person as members
p.(None): Insured families may retain this status for up to 18 years.
p.(None): (2) Children of the insured referred to in paragraph 1 of this Article who become completely and permanently incapable of independent living and work,
p.(None): in accordance with special regulations, before the age of 18, retain the status of insured person as a member
p.(None): the family of the insured for the duration of that incapacity, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (3) The right to compulsory health insurance as members of the family of the insured may also be acquired by children
p.(None): insured persons who, after attaining the age of 18 years, have become completely and permanently incapable of independence
p.(None): life and work, in accordance with special regulations, if the insured maintains them and if they are entitled to compulsory health insurance
p.(None): they cannot obtain insurance on another basis.
p.(None): 3. Other insured persons
p.(None): Article 13
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are entitled to compulsory residence
p.(None): they cannot obtain health insurance under one of the insurance bases laid down in Articles 7 to 12.
p.(None): and Articles 14 and 15 of this Act are obliged to insure against compulsory health insurance as insured
p.(None): persons.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall acquire the rights and obligations under compulsory health insurance under
p.(None): provided that they have previously made a one-off payment for their compulsory health insurance contribution to the lowest basis for
p.(None): calculation of contributions for compulsory health insurance from the date of termination of the earlier status of the insured person, whichever is longer
p.(None): a period of 12 months.
p.(None): Article 14
p.(None): Holders of compulsory health insurance referred to in Article 10, paragraph 1 of this Act who are at work in
p.(None): third countries with which the Republic of Croatia does not have an international agreement or an international agreement
p.(None): the issue of health insurance is not regulated, they are obliged to insure on compulsory health insurance and
p.(None): make a statutory compulsory health insurance contribution for each family member s
p.(None): residence, or permanent residence in the Republic of Croatia, which is not covered by a health insurance code
p.(None): of the health insurance carrier in the country of work of the insurance carrier and was before his departure for work
p.(None): to a third country compulsorily insured in the Republic of Croatia as a member of his family in accordance with Article 10 of this
p.(None): Act.
p.(None): Article 15
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are incapable of self-employment
p.(None): life and work and no means of support are entitled to compulsory health insurance as insured persons
p.(None): on the basis of a decision issued by the state administration office in charge of social welfare, if entitled to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): (2) Criteria for determining the incapacity for independent living and working and the lack of means of subsistence referred to in paragraph 1.
p.(None): of this Article shall be prescribed by ordinance by the minister responsible for social welfare.
p.(None): (3) The right to compulsory health insurance on the basis of insurance determined by the provision of paragraph 1 of this Article
p.(None): lasts for as long as the circumstances on the basis of which the person has been granted the right have changed.
p.(None): Article 16
p.(None): (1) Compulsory health insurance under this Act for occupational injury and occupational injuries
p.(None): diseases other than the insured referred to in Article 7, paragraph 4 of this Act shall also be compulsory for the following insured persons
p.(None): persons:
p.(None): 1. full-time students according to regulations on regular education in the Republic of Croatia
p.(None): during practical classes, during professional practice, professional trips, or while working through
p.(None): mediators in the recruitment of students,
p.(None): 2. persons referred by the Croatian Employment Service to the education it organizes or for which
p.(None): costs are borne by the Croatian Employment Service,
...
p.(None): of determining prices for dental aids shall be determined by the Office by a general act in accordance with Article 19, paragraph 6, Article 33, and
p.(None): Article 88 of this Law.
p.(None): (4) The additional list of dental aids contains dental aids with a higher price level than the prices
p.(None): from the basic list of dental supplies whereby the Institute is charged with compulsory health insurance funds
p.(None): provides cost coverage equivalent to the cost of the equivalent dental supplies from the basic dental supplies list,
p.(None): minus the cost of participating in the cost of dental supplies from the basic list of dental supplies he provides
p.(None): insured person directly or through supplementary health insurance in accordance with the Voluntary Health Act
p.(None): Insurance.
p.(None): (5) Unlike the price of dental supplies from the additional list of dental supplies compared to the equivalent price
p.(None): dental supplies from the basic list of dental supplies the insured person can take out additional health insurance
p.(None): under the Voluntary Health Insurance Act.
p.(None): Article 24
p.(None): (1) Insured persons shall be entitled to the aids referred to in Article 22 of this Act and the dental aids referred to in this Article
p.(None): 23 of this Act if they fulfill the requirement of the previous mandatory
p.(None): health insurance at the Institute for a period of at least nine months continuously, or 12 months with interruptions in
p.(None): the last two years before the occurrence of the insured event.
p.(None): (2) The provision of paragraph 1 of this Article does not apply to insured persons under the age of 18, insured persons
p.(None): referred to in Article 12, paragraphs 2 and 3 of this Act and other insured persons completely and permanently incapable of independent living and
p.(None): work according to the decision of the competent authority and the insured persons in need of this health care
p.(None): recognized occupational injuries or occupational diseases.
p.(None): (3) Insured persons shall exercise the health care referred to in Articles 22 and 23 of this Act in accordance with the general act of the Institute.
p.(None): Article 25
p.(None): The form and content of certificates for aids and dental aids referred to in Articles 22 and 23 of this Act shall be determined by a general act of the Institute.
p.(None): 3. Cross-border healthcare
p.(None): Article 26
p.(None): (1) The insured person shall have the right to use the health care in the compulsory health insurance funds
p.(None): other Member States and third countries.
p.(None): (2) The health care referred to in paragraph 1 of this Article means the right to refer to
p.(None): medical treatment, the right to use healthcare during the temporary stay in the States referred to in paragraph 1 of this
p.(None): Article 2 and the right to other healthcare in accordance with the provisions of European Union legislation, Directive 2011/24 / EU,
p.(None): of this Law of international treaties and general acts of the Institute.
p.(None): (3) The insured person can exercise the right to refer to treatment only if it is a need for treatment
p.(None): which is not carried out in contractual healthcare institutions in the Republic of Croatia and which can be successfully implemented at
p.(None): the States referred to in paragraph 1 of this Article.
p.(None): (4) The rights, conditions and manner of using the health care referred to in paragraphs 2 and 3 of this Article shall be determined by a general act of the Institute,
...
p.(None): remuneration in accordance with this Act shall be evidenced by the report on temporary inability to work which he issues
p.(None): elected doctor of primary care medicine in a healthcare institution, ie in private practice (u
p.(None): hereinafter referred to as "the elected Doctor").
p.(None): (4) Period of temporary incapacity for which the insured person, in accordance with the provisions of this Act, is not entitled to
p.(None): The chosen doctor is obliged to mark the remuneration of the salary in the special section of the report on temporary incapacity for work.
p.(None): (5) The content and format of the stationery of the report on temporary inability to work referred to in paragraph 3 of this Article shall be determined by the general
p.(None): by the act of the Institute.
p.(None): Article 39
p.(None): The right to reimbursement of salary is vested in the insured person in connection with the use of compulsory health care
p.(None): health insurance, or other circumstances established by this Law, if:
p.(None): 1. temporarily incapacitated for work due to illness or injury, or for medical or medical reasons
p.(None): tests placed in a healthcare facility,
p.(None): 2. temporarily prevented from performing work due to certain treatment or medical examination which cannot be done
p.(None): to work outside the working hours of the insured,
p.(None): 3. Isolated as a carrier, or because of an infection in his environment, that is, temporarily incapable of working
p.(None): due to transplantation of living tissue and organs for the benefit of another insured person of the Institute,
p.(None): 4. designated as an escort of an insured person referred for treatment or medical examination to a contracting entity of the Institute outside
p.(None): the place of residence or residence of the insured referring person,
p.(None): 5. determined to care for a sick member of the immediate family (child and spouse) under the conditions prescribed by this Law,
p.(None): 6. temporarily unable to work due to illness and complications related to pregnancy and childbirth,
p.(None): 7. temporarily prevented from work due to the use of maternity leave and the right to work in half of full-time work
p.(None): time, in accordance with the regulations on maternity and parental support,
p.(None): 8. temporarily unable to work due to the use of leave in the case of the death of a child in the case of stillbirth
p.(None): the child or the death of the child during maternity leave,
p.(None): 9. temporarily unable to work due to a wound, injury or illness that is a direct consequence of participating in Homeland
p.(None): war.
p.(None): 10. temporarily unable to work due to a recognized occupational injury or occupational disease.
p.(None): Article 40
p.(None): Salary compensation in connection with the use of health care referred to in Article 39 items 1 and 2 of this Act
p.(None): pays the insured from its funds:
...
p.(None): throughout the duration of temporary incapacity, it amounts to 25% of the full-time budget base.
p.(None): 2. Remuneration for the inability to carry out the business on which the receipts from which it is determined are obtained
p.(None): other income in accordance with the regulations on
p.(None): compulsory insurance contributions
p.(None): Article 57
p.(None): (1) Remuneration due to the inability to perform the activities on the basis of which the proceeds of which are obtained
p.(None): the second income is determined in accordance with the regulations on contributions for compulsory insurance is determined from the average
p.(None): bases for payment of compulsory health insurance contributions.
p.(None): (2) The average basis referred to in paragraph 1 of this Article shall be understood as the average of the insurance bases to which it has been paid
p.(None): compulsory health insurance contribution in the last six months before the month in which the impossibility occurred
p.(None): insured persons for carrying out the business on the basis of which the receipts from which other income is determined are obtained.
p.(None): Article 58
p.(None): The remuneration referred to in Article 57, paragraph 1 of this Act shall be 70% of the average basis, with the monthly amount of compensation
p.(None): cannot be higher than the maximum amount of wage compensation from the article
p.(None): 55, paragraph 3 of this Law, and shall be paid from the first day of exercising the right to charge the funds of the Institute, in the duration
p.(None): for a maximum of six months continuously.
p.(None): Article 59
p.(None): The insured person shall receive the financial compensation referred to in Article 57, paragraph 1 of this Act, provided that he is temporarily incapable of
p.(None): performing contracted tasks due to illness, as determined by the Institute's medical committee.
p.(None): Article 60
p.(None): Insured person who receives financial compensation due to the inability to perform the activities on the basis of which they are realized
p.(None): receipts from which other income is determined in accordance with the regulations on contributions for compulsory insurance, to which it has ceased
p.(None): the status of the insured in accordance with Article 8, paragraph 2 of this Law, realizes the right to financial compensation even more
p.(None): 30 days after the termination of the status of the insured, provided that the medical committee of the Institute has determined that due to
p.(None): health condition is not able to perform the contracted tasks at least eight days before the date of termination
p.(None): insured.
p.(None): Article 61
p.(None): General act on the manner of exercising the right to financial compensation due to the inability to perform business on the basis of
p.(None): which derives receipts from which other income is determined in accordance with the regulations on contributions for compulsory insurance
p.(None): will bring the Bureau.
p.(None): 3. Compensation for transport costs related to the use of the right to health care from compulsory health insurance
p.(None): Article 62
p.(None): (1) In order to exercise the right to health care from compulsory health insurance, an insured person is entitled to
p.(None): reimbursement for transport costs provided that it is sent out of place for the use of health care
p.(None): residence or residence and that it does not qualify for the use of medical transport prescribed
p.(None): by the ordinance of the minister competent for health referred to in Article 19, paragraph 2, item 18 of this Act and established by a general act
p.(None): Institute.
...
Health / Motherhood/Family
Searching for indicator family:
(return to top)
p.(None): persons) rights and obligations arising from compulsory health insurance on the principles of reciprocity, solidarity and equality,
p.(None): in the manner and under the conditions laid down in Regulation (EC) No. 883/2004 as last amended by EU Regulation no. 1224/2012
p.(None): (hereinafter referred to as EU regulations), Directive 2011/24 / EU, this Act, a separate law and regulations
p.(None): passed pursuant to this Act.
p.(None): (3) The rights arising from compulsory health insurance shall also provide for rights in the event of an occupational injury
p.(None): and occupational diseases, which include measures to implement specific health care for workers; and
p.(None): diagnostic procedures for suspected occupational disease in accordance with the Law on Health Care and Special
p.(None): laws and ordinances issued pursuant to those laws.
p.(None): (4) The scope of compulsory health insurance rights, which is provided on equal terms to all
p.(None): to insured persons, is determined by the provisions of this Act and the regulations adopted pursuant to this Act.
p.(None): II. MANDATORY HEALTH INSURANCE
p.(None): Article 4
p.(None): (1) Compulsory health insurance under one of the insurance bases established by this Act shall be obligatory
p.(None): to provide for all persons residing in the Republic of Croatia and a party authorized to reside in the Republic of Croatia,
p.(None): unless otherwise stipulated by an international treaty or special law.
p.(None): (2) Insured persons securing the rights and obligations arising from compulsory health insurance in the sense
p.(None): of this Law shall be considered insured persons, children up to the age of 18, members of the family of the insured and
p.(None): other insured persons compulsorily insured in certain circumstances.
p.(None): Article 5
p.(None): Compulsory health insurance under the provisions of this Act is also compulsory for nationals of other countries
p.(None): Member of the European Union (hereinafter: Member States) and nationals of a non-Member State
p.(None): (hereinafter: third country) granted temporary residence in the Republic of Croatia on the basis of a working
p.(None): relations with the employer based in the Republic of Croatia, ie on the basis of performing economic, ie
p.(None): professional activities in the Republic of Croatia, if the conditions are fulfilled according to special regulations which
p.(None): regulate the issue of the residence and work of foreigners in the Republic of Croatia and in accordance with EU regulations, ie international ones
p.(None): the contract does not specify otherwise.
p.(None): Article 6
p.(None): (1) The rights and obligations belonging to the insured persons referred to in Article 4, paragraph 2 of this Act and the regulations adopted on
p.(None): they cannot be transferred to, or inherited by, any other person under this Act.
p.(None): (2) By way of derogation from the provision of paragraph 1 of this Article, the rights to cash benefits which are
p.(None): are due for payment and remain unpaid due to the death of the insured person.
p.(None): III. INSURED PERSONS
p.(None): 1. Insureds
p.(None): Article 7
p.(None): (1) Compulsory health insurance under this Act shall be compulsorily insured and shall acquire the status of insured person:
p.(None): 1. persons in employment with a legal or natural person having their seat in the Republic of Croatia,
p.(None): 2. persons who have been elected or appointed to permanent positions in certain bodies of state government, respectively
...
p.(None): 4. members of the board of directors of companies and CEOs of companies, if not compulsory health
p.(None): insured on the basis of work with another legal or natural person in the Republic of Croatia or in another Member State,
p.(None): 5. persons who are professionally trained to work without employment, that is, who are professionally trained for
p.(None): work with the possibility of using active employment policy measures, in accordance with special regulations,
p.(None): 6. persons engaged in the economic activity of crafts and crafts in the territory of the Republic of Croatia
p.(None): equal activities, persons who independently perform their professional occupation in the form of a free occupation
p.(None): activity and persons engaged in agriculture and forestry as the sole activity in the Republic of Croatia
p.(None): or principal occupation, if they are liable to income tax or income tax and are not insured by
p.(None): basis of work or beneficiaries of the right to a pension,
p.(None): 7. farmers engaged in agricultural activity in the Republic of Croatia as their sole or principal occupation if
p.(None): are the owners, landlords or tenants, and if they are not subject to income tax or income tax and if they are not
p.(None): insured on the basis of work or beneficiaries of the right to a pension,
p.(None): 8. persons engaged in agricultural activity as their sole or principal occupation and who have been entered in the family register
p.(None): of the holding as the holder or member of the family holding, if they are not
p.(None): are health insured on the basis of work or are beneficiaries of the right to retirement or are in full-time education,
p.(None): 9. priests and other religious officials of a religious community registered in the records of the religious communities he maintains
p.(None): competent national authority, if not insured on the basis of work,
p.(None): 10. pension beneficiaries according to the regulations on pension insurance of the Republic of Croatia, if any
p.(None): permanent or permanent residence in the Republic of Croatia,
p.(None): 11. beneficiaries of the right to vocational rehabilitation under the regulations on pension insurance of the Republic of Croatia,
p.(None): if they are domiciled or granted permanent residence in the Republic of Croatia,
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
p.(None): insured on another basis and reported to the Institute within:
p.(None): a) 30 days from the date of termination of employment, that is, performing the activity or from the date of termination of employment
...
p.(None): eight years on that basis, if they do not exercise the right to compulsory health insurance on another basis
p.(None): 15. Full-time high school students and full-time college students in other Member States above
p.(None): 18 years of age, who are citizens of the Republic of Croatia and reside in the Republic of Croatia, and foreigners with
p.(None): granted permanent residence in the Republic of Croatia, but they may use this right for the longest time until the end of the school year
p.(None): year, that is, the end of the academic year in which they completed their regular education according to the regulations of the state
p.(None): education, and for a maximum of eight years on that basis, if the right to compulsory health
p.(None): they do not realize insurance on another basis
p.(None): 16. Persons with a residence or approved permanent residence in the Republic of Croatia over 18 years of age who
p.(None): have lost their full-time status in accordance with the regulations on education in the Republic of Croatia or in another Member State
p.(None): students, or full-time students if they have applied to the Institute within 30 days from the date of loss of status
p.(None): full-time student or full-time student and if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 17. spouse of a deceased insured person who, after the death of the spouse, did not acquire the right to family pension, if the Office
p.(None): reported within 30 days of the death of the spouse, and the right to compulsory health insurance can not exercise by
p.(None): on another basis,
p.(None): 18. domiciled persons and foreigners with a permanent residence permit in the Republic of Croatia to which he / she is resident
p.(None): a recognized attribute of a military military or civilian disabled war veteran and peacetime military
p.(None): disabled persons, ie status of beneficiaries of family disability benefits in accordance with the Law on Protection of Military and Civilian Persons
p.(None): disabled war veterans, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 19. Croatian defenders of the Homeland War, if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 20. persons providing care and assistance to the Croatian war veteran of the Homeland War in accordance with the regulations on rights
p.(None): Croatian Homeland War veterans and their family members, if entitled to compulsory health care
p.(None): they do not get insurance on another basis,
p.(None): 21. persons on military service, ie voluntary military service (conscripts), cadets and
p.(None): reservists during the service in the Armed Forces of the Republic of Croatia, if the right to compulsory health
p.(None): they do not get insurance on another basis,
p.(None): 22. persons who interrupted their work because they were referred by a legal or natural person to education or
p.(None): vocational training, while continuing education or vocational training,
p.(None): 23. persons who have been referred by their legal or natural persons as their scholarship holders before entering into employment
p.(None): practical work in another legal entity or with another natural person for professional training or further training, while
p.(None): takes practical work,
p.(None): 24. Persons sent to another Member State or to a third country within the framework of international technical, educational and cultural training
p.(None): collaborations, while on that basis,
p.(None): 25. persons who have been recognized the right to the status of carer parents under a special law,
p.(None): 26. members of the family of a killed, imprisoned or missing Croatian defense attorney while receiving cash
p.(None): fees in accordance with the regulations on the rights of Croatian war veterans and their members
p.(None): families, if they do not exercise their entitlement to compulsory health insurance on another basis,
p.(None): 27. family members of the injured, detained or missing Croatian veterans residing
p.(None): or granted a permanent residence in the Republic of Croatia, if they applied to the Institute within 30 days from the day
p.(None): cessation of receiving financial compensation in accordance with the regulations on the rights of Croatian war veterans; and
p.(None): members of their families, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 28. persons with permanent or temporary residence in the Republic of Croatia by decision
p.(None): of the competent court deprived of their liberty and are in organizational units of the Ministry of Justice, according to the application
p.(None): Of the Ministry of Justice.
p.(None): (2) Employment in accordance with paragraph 1, item 1 of this Article shall be understood as the relation between the employer and the worker towards
p.(None): labor regulations and other regulations governing employment matters.
p.(None): (3) The activities of the persons referred to in paragraph 1, item 6 of this Article shall be: the registered activity of crafts and agriculture
p.(None): and forestry, freelance (professional activity) and other self-employed activities
p.(None): the authorization was issued by the competent authority for the independent exercise of the activity of a natural person, registered in the appropriate
p.(None): the register of that body and the activity with the characteristic
p.(None): independence, durability and intention to create a permanent source of taxpayer's income recorded in the register
...
p.(None): (6) For persons referred to in paragraph 5 of this Article who are not kept in the records of the Croatian Employment Service
p.(None): as unemployed persons, the status of the insured will be determined by applying to the Institute.
p.(None): (7) The Office shall determine the conditions and manner of acquiring the status of the insured in accordance with paragraph 1 of this Article.
p.(None): by a general act.
p.(None): Article 8
p.(None): (1) Compulsory health insurance rights to the extent that they belong to the insured, unless otherwise provided by this Law
p.(None): In particular, there are persons who have a permanent or permanent residence in the Republic of Croatia based on them
p.(None): receipts of which, according to the regulations on income tax, the second income is determined, and in accordance with the regulations on contributions
p.(None): for compulsory insurance payments made on a one-time or multiple payments basis over the last five years, a compulsory contribution
p.(None): health insurance at least equal to the contribution calculated on the lowest basis for calculating the contribution to
p.(None): compulsory health insurance for a period of six months if they do not qualify for compulsory health insurance
p.(None): insurance on another basis.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall retain the status of the insured person of the Institute for the duration of the payment
p.(None): contributions to other receipts have a monthly paid contribution for compulsory health insurance at least at
p.(None): the lowest contribution basis.
p.(None): 2. Children up to the age of 18 and family members of the insured
p.(None): Article 9
p.(None): Children up to the age of 18 who have a permanent or permanent residence in the Republic of Croatia
p.(None): they are insured for compulsory health insurance and acquire the status of insured person.
p.(None): Article 10
p.(None): (1) According to this Law, the status of the insured person - a member of the family of the insured, as the holder of the compulsory one
p.(None): health insurance, can acquire:
p.(None): 1. spouse (marital and extra-marital, in accordance with the regulations on family relations),
p.(None): 2. children (born, unmarried or adopted, stepchildren) and other children without parents, if insured
p.(None): maintains, at the request of the insured,
p.(None): 3. parents (father, mother, stepfather, stepmother and adoptive parent), if they are incapable of independent living and work, if they do not have
p.(None): means of subsistence and, if supported by the insured,
p.(None): 4. grandchildren, brothers, sisters, grandparents, if they are incapable of independent living and work, if they have no means of support
p.(None): and if the insured maintains them.
p.(None): (2) The members of the family of the insured referred to in paragraph 1 of this Article shall acquire the status of the insured person in accordance with
p.(None): paragraph 1 of this Article provided that they cannot obtain compulsory health insurance status by any
p.(None): from the insurance bases referred to in Article 7 of this Law and that they have a permanent residence or a permanent residence permit in the
p.(None): To the Republic of Croatia, unless otherwise provided by EU regulations or international treaty.
p.(None): (3) The Office shall determine by general act the conditions under which it is considered that the person referred to in paragraph 1 of this Article is incapable of
p.(None): independent living and work and no means of subsistence and insured maintenance.
p.(None): Article 11
p.(None): (1) The spouse with the divorce retains the status of the insured person of the CES as a member of the spouse's family from which he or she
p.(None): divorced:
p.(None): 1. if, by a court decision, he or she has acquired the right to alimony while abstaining,
p.(None): 2. if, at the time of the divorce, he was completely and permanently incapable of working in accordance with the regulations on pension insurance,
p.(None): 3. if, by a court decision on divorce, the children have been entrusted with custody and upbringing, provided that
p.(None): report to the CES within 30 days from the day the court decision becomes final, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (2) The persons referred to in paragraph 1, item 1 of this Article shall retain the status of insured person as family members even upon termination
p.(None): support provided that they apply to the CES within 30 days from the day the court decision becomes final, if the right to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): Article 12
p.(None): (1) The children of the insured referred to in Article 10, paragraph 1, item 2 of this Act who have acquired the status of insured person as members
p.(None): Insured families may retain this status for up to 18 years.
p.(None): (2) Children of the insured referred to in paragraph 1 of this Article who become completely and permanently incapable of independent living and work,
p.(None): in accordance with special regulations, before the age of 18, retain the status of insured person as a member
p.(None): the family of the insured for the duration of that incapacity, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (3) The right to compulsory health insurance as members of the family of the insured may also be acquired by children
p.(None): insured persons who, after attaining the age of 18 years, have become completely and permanently incapable of independence
p.(None): life and work, in accordance with special regulations, if the insured maintains them and if they are entitled to compulsory health insurance
p.(None): they cannot obtain insurance on another basis.
p.(None): 3. Other insured persons
p.(None): Article 13
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are entitled to compulsory residence
p.(None): they cannot obtain health insurance under one of the insurance bases laid down in Articles 7 to 12.
p.(None): and Articles 14 and 15 of this Act are obliged to insure against compulsory health insurance as insured
p.(None): persons.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall acquire the rights and obligations under compulsory health insurance under
p.(None): provided that they have previously made a one-off payment for their compulsory health insurance contribution to the lowest basis for
p.(None): calculation of contributions for compulsory health insurance from the date of termination of the earlier status of the insured person, whichever is longer
p.(None): a period of 12 months.
p.(None): Article 14
p.(None): Holders of compulsory health insurance referred to in Article 10, paragraph 1 of this Act who are at work in
p.(None): third countries with which the Republic of Croatia does not have an international agreement or an international agreement
p.(None): the issue of health insurance is not regulated, they are obliged to insure on compulsory health insurance and
p.(None): make a statutory compulsory health insurance contribution for each family member s
p.(None): residence, or permanent residence in the Republic of Croatia, which is not covered by a health insurance code
p.(None): of the health insurance carrier in the country of work of the insurance carrier and was before his departure for work
p.(None): to a third country compulsorily insured in the Republic of Croatia as a member of his family in accordance with Article 10 of this
p.(None): Act.
p.(None): Article 15
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are incapable of self-employment
p.(None): life and work and no means of support are entitled to compulsory health insurance as insured persons
p.(None): on the basis of a decision issued by the state administration office in charge of social welfare, if entitled to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): (2) Criteria for determining the incapacity for independent living and working and the lack of means of subsistence referred to in paragraph 1.
p.(None): of this Article shall be prescribed by ordinance by the minister responsible for social welfare.
p.(None): (3) The right to compulsory health insurance on the basis of insurance determined by the provision of paragraph 1 of this Article
p.(None): lasts for as long as the circumstances on the basis of which the person has been granted the right have changed.
p.(None): Article 16
p.(None): (1) Compulsory health insurance under this Act for occupational injury and occupational injuries
p.(None): diseases other than the insured referred to in Article 7, paragraph 4 of this Act shall also be compulsory for the following insured persons
p.(None): persons:
p.(None): 1. full-time students according to regulations on regular education in the Republic of Croatia
p.(None): during practical classes, during professional practice, professional trips, or while working through
p.(None): mediators in the recruitment of students,
...
p.(None): item for:
p.(None): 1. Specialist-consiliary health care, including day hospital and day surgery
p.(None): hospitals, excluding ambulatory physical medicine and rehabilitation - 0.75% of the budget base,
p.(None): 2. specialist diagnostics not at the level of primary health care - 1.50% of the budget
p.(None): base,
p.(None): 3. orthopedic and other aids determined by the basic list of orthopedic and other aids - 1.50% of the budget base,
p.(None): 4. specialist-consiliary health care in outpatient physical medicine and rehabilitation
p.(None): and for physical medicine and home rehabilitation - 0.75% of the budget base per day,
p.(None): 5. treatment in other Member States and third countries in accordance with international regulations of the European Union
p.(None): treaty, Directive 2011/24 / EU, this Act and the general act of the Institute, if by European Union or international law
p.(None): the contract does not specify otherwise,
p.(None): 6. hospital health care costs - 3.01% of the budget base per day,
p.(None): 7. Dental aids established by the basic list of dental aids for adults 18 to 65 years of age - 30.07%
p.(None): budgetary bases,
p.(None): 8. Dental aids as defined in the basic list of dental aids for adults 65 years and older - 15.03%
p.(None): budgetary bases.
p.(None): 4) Insured persons are obliged to participate in the amount of 0.30% of the budget base for:
p.(None): 1. the health care provided by the chosen doctor of primary health care: family (general) medicine,
p.(None): gynecology and dental medicine, in accordance with the general act of the Institute,
p.(None): 2. prescription drug delivery.
p.(None): (5) The maximum amount of participation in the health care costs referred to in paragraphs 3 and 4 of this Article, which is obligatory to bear
p.(None): the insured person can account for a maximum of 60.13% per invoice for completed health care
p.(None): budgetary bases.
p.(None): (6) List of types and number of therapeutic and diagnostic procedures to be provided to insured persons within the framework
p.(None): Health care referred to in paragraphs 2, 3 and 4 of this Article shall be determined by a general act of the Institute referred to in Article 33 of this Act.
p.(None): 1. Medicines
p.(None): Article 20
p.(None): (1) The basic and supplementary list of medicines of the Institute referred to in Article 18, paragraph 1, item 4 of this Act shall contain medicines which have
p.(None): marketing authorization in the Republic of Croatia.
p.(None): (2) The lists of medicinal products of the Institute referred to in paragraph 1 of this Article shall contain medicinal products according to the code of anatomical-therapeutic-chemical
p.(None): (ATK) classification of medicines of the World Health Organization, commonly referred to as (unprotected) name
p.(None): the (protected) name of the medicine, the name of the manufacturer, the name of the marketing authorization holder,
p.(None): the dosage form and the method of administration, the price of the drug for a defined daily dose, the price of the package and the unit dosage form
p.(None): medicines and prescribing rules for medicines that can be used in health care
p.(None): protection from compulsory health insurance.
...
p.(None): The chosen doctor is obliged to mark the remuneration of the salary in the special section of the report on temporary incapacity for work.
p.(None): (5) The content and format of the stationery of the report on temporary inability to work referred to in paragraph 3 of this Article shall be determined by the general
p.(None): by the act of the Institute.
p.(None): Article 39
p.(None): The right to reimbursement of salary is vested in the insured person in connection with the use of compulsory health care
p.(None): health insurance, or other circumstances established by this Law, if:
p.(None): 1. temporarily incapacitated for work due to illness or injury, or for medical or medical reasons
p.(None): tests placed in a healthcare facility,
p.(None): 2. temporarily prevented from performing work due to certain treatment or medical examination which cannot be done
p.(None): to work outside the working hours of the insured,
p.(None): 3. Isolated as a carrier, or because of an infection in his environment, that is, temporarily incapable of working
p.(None): due to transplantation of living tissue and organs for the benefit of another insured person of the Institute,
p.(None): 4. designated as an escort of an insured person referred for treatment or medical examination to a contracting entity of the Institute outside
p.(None): the place of residence or residence of the insured referring person,
p.(None): 5. determined to care for a sick member of the immediate family (child and spouse) under the conditions prescribed by this Law,
p.(None): 6. temporarily unable to work due to illness and complications related to pregnancy and childbirth,
p.(None): 7. temporarily prevented from work due to the use of maternity leave and the right to work in half of full-time work
p.(None): time, in accordance with the regulations on maternity and parental support,
p.(None): 8. temporarily unable to work due to the use of leave in the case of the death of a child in the case of stillbirth
p.(None): the child or the death of the child during maternity leave,
p.(None): 9. temporarily unable to work due to a wound, injury or illness that is a direct consequence of participating in Homeland
p.(None): war.
p.(None): 10. temporarily unable to work due to a recognized occupational injury or occupational disease.
p.(None): Article 40
p.(None): Salary compensation in connection with the use of health care referred to in Article 39 items 1 and 2 of this Act
p.(None): pays the insured from its funds:
p.(None): 1. legal or natural person - employer for the first 42 days of temporary incapacity, as well as for as long as
p.(None): the insured person is employed in a third country by a legal or natural person or is employed by a third party
p.(None): country.
p.(None): 2. legal person for professional rehabilitation and employment of persons with disabilities, ie legal or natural person
...
p.(None): the insured person and the employer within 15 days from the day of receipt of the request.
p.(None): (3) The employer is obliged to pay the insured person a salary compensation in accordance with the calculation provided by the Institute
p.(None): not later than 15 days from the date of receipt of the payroll calculation.
p.(None): Article 44
p.(None): (1) The compensation of salary for temporary incapacity shall belong to the insured person for all time of temporary incapacity, and
p.(None): for the longest period prescribed by this Act.
p.(None): (2) The remuneration shall be payable to the Insured only for the days or hours for which the Insured would be entitled to pay
p.(None): according to labor regulations, unless otherwise provided by this Law.
p.(None): Article 45
p.(None): (1) The insured referred to in Article 39, item 5 of this Act shall have the right to remuneration for the period of temporary disability for
p.(None): work for the care of the insured person - child up to the age of seven
p.(None): years up to a maximum of 60 days for each identified disease, and for a child between seven and
p.(None): 18 years up to 40 days maximum.
p.(None): (2) By way of derogation from paragraph 1 of this Article, if, in the opinion of the doctor of medicine, primary health care
p.(None): health status of a family member - child under 18 years of age such that the length of care specified in paragraph 1.
p.(None): of this article will not be sufficient, the required duration of care is determined by the medical committee of the Institute.
p.(None): (3) The child referred to in paragraphs 1 and 2 of this Article shall be considered in addition to his own child and adopted child, stepson, and
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
p.(None): continuously for at least six months, improved also that half-time full-time work would be useful for faster
p.(None): the establishment of the full working capacity of the insured, the elected doctor may stipulate that the insured is designated
p.(None): time works half full time, but no longer than 60 days.
p.(None): (4) The elected doctor shall be obliged to determine the termination of temporary incapacity for the insured person, whose finding and
...
p.(None): an insured person who uses one of the above rights is entitled to a salary remuneration after termination of employment,
p.(None): that is, performing an activity by personal work until the expiration of the exercise of the same right.
p.(None): (4) To an insured person who, while exercising the rights referred to in paragraphs 1, 2 and 3 of this Article, has a full or
p.(None): part-time or has started performing his / her activity by personal work the right to remuneration of the salary earned
p.(None): in accordance with this article.
p.(None): Article 52
p.(None): (1) The Insured shall have the right to reimbursement of the funds of the Institute or the state budget
p.(None): salaries for temporary incapacity referred to in Article 39 items 1 to 5 and items 9 and 10 of this Act to the maximum
p.(None): for a period of 18 months after the same diagnosis of the disease, without interruption, in the amount determined in accordance with this Law and the general
p.(None): acts of the Institute.
p.(None): (2) After the expiry of the period referred to in paragraph 1 of this Article, the insured person shall be entitled to a salary payment in the amount of 50% of the last
p.(None): paid salaries in the name of that temporary incapacity, while for the temporary incapacity there is a medical one
p.(None): indication.
p.(None): (3) The provision of paragraph 2 of this Article does not apply to the insured person who has been found to be temporarily incapacitated due to
p.(None): treatment of malignant diseases, the insured person who has been granted care by a family member - a child suffering from malignancy
p.(None): diseases, insured persons whose temporary inability to perform hemodialysis or peritoneal dialysis, and
p.(None): whose temporary inability is related to the taking and transplantation of parts of the human body.
p.(None): Article 53
p.(None): (1) The insured person shall not be entitled to salary compensation if:
p.(None): 1. knowingly caused temporary incapacity,
p.(None): 2. does not inform the chosen doctor that he became ill within three days from the day the disease started, that is, in
p.(None): within three days of the end of the reason that prevented him from doing so,
p.(None): 3. deliberately prevents healing, ie training for work,
p.(None): 4. during temporary incapacity, work or perform tasks on the basis of which he is obligatory health
p.(None): insured, performs contracted work on the basis of a work contract and any other business (eg agricultural work and
p.(None): FIG.),
p.(None): 5. does not respond to the call for medical examination of the selected doctor or doctor without a justified reason
p.(None): the controller of the Bureau or a body of the Bureau authorized to control temporary incapacity,
p.(None): 6. an elected doctor, controller or doctor of the Institute authorized to control the temporary incapacity of the fort
p.(None): not to follow the instructions for treatment, ie leave the place of residence without the consent of the chosen doctor,
...
p.(None): 8. implementation of compulsory health insurance,
p.(None): 9. the work of the Institute's governing body,
p.(None): 10. other expenditures.
p.(None): Article 74
p.(None): Compulsory health insurance expenditure in one calendar year is covered by revenue in the same year
p.(None): calendar year.
p.(None): 2. Contributors and contributors
p.(None): Article 75
p.(None): (1) Bases and rates, method of calculation and payment terms, amount, and payers of calculation and payment of contributions for
p.(None): compulsory health insurance and compulsory occupational health and professional health insurance
p.(None): diseases shall be regulated by a separate law, unless otherwise provided by this Law.
p.(None): (2) The Tax Administration shall, by the 20th day of the month for the previous month, submit to the Institute all records pertaining to
p.(None): on payment of contributions and other income of compulsory health insurance and compulsory health insurance for
p.(None): a case of occupational injury and occupational disease for which it is competent and for which it maintains records.
p.(None): (3) Contribution rates for compulsory health insurance and compulsory health insurance in case of occupational injury i
p.(None): occupational diseases, and according to the Institute's data, are determined in such a way that the expected income from contributions and others
p.(None): revenues cover expected expenditures.
p.(None): Article 76
p.(None): Unless otherwise stipulated by this or special law, the bases, the method of calculation and payment, the amount, and the payers
p.(None): calculation and payment of compulsory health insurance and compulsory health insurance contributions
p.(None): injuries and occupational diseases shall be determined by a general act of the Institute.
p.(None): Article 77
p.(None): Funds for compulsory health insurance of family members of the insured persons referred to in Article 10 of this Act shall be insured from
p.(None): of the same sources of funds from which the insured person's compulsory health insurance funds are provided, unless
p.(None): is not otherwise prescribed by this Act or a separate law.
p.(None): Article 78
p.(None): The farmer referred to in Article 7, paragraph 1, item 7 of this Act, who has reached the age of 65, shall be exempt from payment
p.(None): the compulsory health insurance contribution if it fulfills the conditions laid down by the ordinance laid down by the minister responsible for
p.(None): health, with the consent of the Minister responsible for social affairs.
p.(None): Article 79
p.(None): (1) Persons liable to pay a special contribution for the use of health care abroad established under
p.(None): a special law may be exempted from paying this contribution for an insured person who is not insured with the holder
p.(None): health insurance in the country of work provided that the business is carried out in the third country with which the Republic
p.(None): Croatia does not have an international treaty or is otherwise stipulated by an international treaty if health care is in the
p.(None): to secure the country of labor at their own expense.
p.(None): (2) At the request of the person liable for payment of the contribution referred to in paragraph 1 of this Article, the exemption shall be determined
p.(None): Institute by decision.
p.(None): (3) Insured person who travels by private business to third countries with which the Republic of Croatia does not exist
p.(None): concluded international treaty or concluded international treaty does not regulate the issue of health care, can
...
p.(None): from compulsory health insurance, and make decisions in the form of findings, opinions and ratings.
p.(None): (3) Powers and manner of work of medical commissions, their area of competence and appearance and content
p.(None): the stationery of findings, opinions and assessments shall be determined by a general act of the Institute with the consent of the minister responsible for health.
p.(None): Article 128
p.(None): (1) The procedure for determining and acknowledging an injury or illness for an occupational injury or occupational disease
p.(None): is initiated by a legal or natural person and a government body as an employer, organizer of certain activities and activities from
p.(None): Article 16 of this Act, that is, a person who independently carries out an activity by submitting an injury report
p.(None): at work, that is, occupational disease.
p.(None): (2) The application referred to in paragraph 1 of this Article shall be legal or natural person, that is, the body of state government as an employer, and
p.(None): the organizer of certain jobs and activities is obliged to submit ex officio or on request
p.(None): an injured or ill worker, or an insured person to whom rights under this Act are secured
p.(None): occupational injury or occupational disease.
p.(None): (3) If the employer or the organizer of certain activities and activities fails to comply with paragraph 2 of this
p.(None): Article, the application must be submitted by the chosen doctor of general / family medicine at the request of the injured
p.(None): or a sick insured person or at the suggestion of a competent doctor of occupational medicine specialist s
p.(None): whereby the Institute has a contract on the implementation of specific health care for workers, which is in accordance with
p.(None): by a general act of the Institute responsible for the implementation of specific health protection of workers according to the seat of the employer,
p.(None): that is, the organizer of certain activities and jobs.
p.(None): (4) The contents and form of the stationery of the report on occupational injury or professional illness shall be determined by a general act of the Institute.
p.(None): Article 129
p.(None): (1) As a rule, the Institute shall decide on the recognition of an occupational injury or occupational disease without passing a written
p.(None): solutions, by notifying the stationery of a report on occupational injury or occupational disease.
p.(None): (2) By way of derogation from paragraph 1 of this Article, the Office shall compulsorily issue a decision in case of non-recognition
p.(None): injuries or illnesses as injuries at work or occupational diseases and when deciding on the recognition of the injury
p.(None): at work, or occupational disease upon request of the insured person or family member of the insured
p.(None): persons in the event of the death of the insured person.
p.(None): Article 130
p.(None): (1) The report on occupational injury or occupational disease shall be submitted to:
p.(None): 1. in the case of an occupational injury - within eight days of the occurrence of the occupational injury,
p.(None): 2. for occupational disease - within eight days from the day the insured person received the health certificate
p.(None): institutions or doctor's offices of private occupational medicine practitioners involved in the network
p.(None): contracting parties to occupational medicine who have been diagnosed with occupational disease.
p.(None): (2) Insured person for whom no report on occupational or professional injury was filed with the Institute
p.(None): within three years from the expiry of the time limits referred to in paragraph 1 of this Article, he shall lose the right to initiate proceedings
p.(None): identification and recognition of occupational injury or occupational disease by the Institute.
p.(None): Article 131
p.(None): Obligations and obligations arising from compulsory health insurance against accidents at work and occupational diseases, including i
p.(None): measures of specific health protection of workers, procedure for determining and acknowledging occupational injury, ie occupational
p.(None): diseases, as well as the scope of rights, conditions and manner of their realization, the Institute will determine in more detail the general act,
p.(None): with the consent of the Minister in charge of Health.
p.(None): Maturity of rights and deadlines
p.(None): Article 132
p.(None): (1) To the insured employee employed by a legal or natural person - the employer, a request for payment of compensation
...
p.(None): 31. Decision on standards and norms of the right to health care from compulsory health care
p.(None): insurance against accidents at work and occupational diseases with grounds for contracting (»Narodne
p.(None): Gazette «, no. 1/211., 6/211., 31/211., 78/11, 153/11., 38/12., 61/12., 118/12., 147/12. and 38/13.),
p.(None): 32. Decision on the specific standard and the criteria for its application in the implementation of specific health care
p.(None): (Official Gazette 126/12 and 38/13),
p.(None): 33. Decision on the base and rate of the special contribution for the use of health care abroad by the insured
p.(None): persons of the Croatian Health Insurance Institute who are abroad for private business (Official Gazette, no.
p.(None): 93/11.).
p.(None): Article 158
p.(None): The Office is obliged to harmonize its operations with the provisions of this Law within 180 days from the day this Act enters into force
p.(None): Act.
p.(None): Article 159
p.(None): All legal and natural persons are obliged to exercise their rights and obligations under compulsory health insurance
p.(None): to harmonize their business with the provisions of this Law within 180 days from the day this law enters into force
p.(None): Act.
p.(None): Article 160
p.(None): (1) Insured persons who have started exercising the rights arising from compulsory health insurance under the provisions of the Law on
p.(None): compulsory health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11,
p.(None): 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12) from the effective date
p.(None): of this Law, they continue to use compulsory health insurance rights under its provisions.
p.(None): (2) Insured persons who, on the day this Act enters into force, have the status of a family member of the insured person pursuant to
p.(None): Article 10, Paragraph 1 of the Compulsory Health Insurance Act (Official Gazette 150/08, 94/09, 153/09,
p.(None): 71/10., 139/10., 49/11., 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.),
p.(None): retain this status until the end of the current academic or academic year.
p.(None): Article 161
p.(None): Insured persons whose temporary incapacity is determined from the day the Law on Obligatory Act enters into force
p.(None): health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11, 22/12,
p.(None): 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.), and which until the date of entry into
p.(None): the strength of this law established disability due to general, or professional inability to work, selected doctor to determine
p.(None): shall cease temporary incapacity from the date this Law enters into force.
p.(None): Article 162
p.(None): Administrative proceedings instituted by the date this Act enters into force shall be completed in accordance with the provisions of the Law on
p.(None): compulsory health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11,
p.(None): 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.) and regulations and general regulations
p.(None): acts enacted under this Act.
p.(None): Article 163
p.(None): Contributions and other compulsory health insurance income determined in the provision of Article 72, paragraph 1 of this Law,
...
Health / Physically Disabled
Searching for indicator illness:
(return to top)
p.(None): to whom the insured person is being treated, at the expense of the hospital's healthcare facility, which is obliged to secure the procurement
p.(None): drug.
p.(None): (3) Under the conditions and in the manner laid down in paragraph 2 of this Article, the insured person may also exercise the right to the medicine which he is
p.(None): established by the basic and supplementary list of medicines of the Institute, but for the realization of which the insured person does not
p.(None): meets the medical indications established by the lists of medicines referred to in paragraph 1 of this Article.
p.(None): (4) Doctor specialist in a hospital health care institution who has proposed treatment to the insured person with a medication from
p.(None): Paragraphs 2 and 3 of this Article shall be obliged to submit a proposal to the committee for medicines of the hospital health care institution.
p.(None): 2. Orthopedic and other aids and dental aids
p.(None): Article 22
p.(None): (1) An insured person under the right to health care from compulsory health insurance is entitled to
p.(None): orthopedic and other aids (hereinafter referred to as: aids) as defined in the basic and additional list of orthopedic and
p.(None): other aids of the Institute.
p.(None): (2) The basic and additional lists of the Institute's aids shall include aids intended to be provided
p.(None): improvements in impaired function, that is, to alleviate or eliminate the physical
p.(None): damage or deficiency of organs and organ systems, or replacement of the anatomical or physiological functions of organs, which are
p.(None): resulting from illness or injury.
p.(None): (3) The manner of listing the aids on the basic and additional list of aids of the Institute and the method of determining prices
p.(None): aids are prescribed by the proper minister responsible for health, in accordance with a separate law.
p.(None): (4) The additional list of aids contains aids with a higher price level than the prices in the basic list
p.(None): aids whereby the Institute provides a cost cover in the amount of compulsory health insurance funds
p.(None): of an equivalent utility from the basic list of supplies, less the amount of participation in the price of the supplies from the basic list
p.(None): supplies provided by the insured person directly or through supplementary health insurance in accordance with the Law on
p.(None): voluntary health insurance.
p.(None): (5) In contrast to the price of aids from the supplementary list of aids compared to the price of the equivalent aids from the basic list
p.(None): The insured person's supplies may be supplementary health insurance in accordance with the Voluntary Health Insurance Act.
p.(None): Article 23
p.(None): (1) An insured person under the right to health care from compulsory health insurance is entitled
p.(None): on dental aids as defined in the basic and additional list of dental aids of the Institute.
p.(None): (2) The basic and additional list of dental aids of the Institute shall contain the dental aids intended
p.(None): provision of dental prosthetic, surgical prosthetic, orthodontic and periodontal rehabilitation.
p.(None): (3) The manner of listing dental aids in the basic and additional list of dental aids of the Institute and the method
p.(None): of determining prices for dental aids shall be determined by the Office by a general act in accordance with Article 19, paragraph 6, Article 33, and
p.(None): Article 88 of this Law.
...
p.(None): qualities in her area.
p.(None): (3) The list of types of health care referred to in paragraphs 1 and 2 of this Article, as well as the list
p.(None): highly specialized and expensive medical infrastructure or medical equipment referred to in paragraph 1, subparagraph 2 of this
p.(None): Article is determined by a general act of the Institute.
p.(None): (4) During the procedure on the request of the insured person for prior authorization, the authorized person
p.(None): The Office conducting the procedure is obliged to check whether the applicant meets the requirements for the
p.(None): granting prior authorization in accordance with EU regulations and if the conditions laid down in the regulations are met
p.(None): European Union prior authorization is granted under these regulations, unless the insured person requires otherwise.
p.(None): (5) The Office shall decide on the request of the insured person for prior approval by a decision.
p.(None): Article 29
p.(None): The Institute is entitled to withhold prior authorization for cross-border healthcare if:
p.(None): - the insured person will be unequivocally exposed to a safety risk that does not
p.(None): may consider it acceptable, taking into account the potential benefit of the cross-border healthcare sought
p.(None): for the insured person,
p.(None): - the citizens of the Republic of Croatia will be unambiguously exposed to a high security risk due to the subject matter
p.(None): cross-border healthcare,
p.(None): - this health care may be provided to the contracting entities of the Institute within the medical period
p.(None): justified, taking into account the present state of health and probable course of illness in the insured person.
p.(None): Article 30
p.(None): (1) Planned specialist and consular health care not covered by articles
p.(None): On 28 and 29 of this Act, the insured person may exercise in other Member States without prior authorization
p.(None): Institute.
p.(None): (2) In the manner specified in paragraph (1) of this Article, the insured person may also obtain health care that is medical
p.(None): positions necessary and cannot be postponed until the planned return to the Republic of Croatia (necessary health care).
p.(None): Article 31
p.(None): (1) Insured person who has used health care in accordance with Articles 27, 28 and 30 of this Law
p.(None): is entitled to reimbursement of personal expenses and health care.
p.(None): (2) The reimbursement of costs referred to in paragraph 1 of this Article may not exceed the amount stipulated by the general act of the Institute for this purpose.
p.(None): health care determined for the contracting entities of the Institute referred to in Article 18 of this Law.
p.(None): (3) The Office shall decide on the right to reimbursement of health care costs referred to in paragraph 1 of this Article by a decision.
p.(None): (4) An insured person who has used the health care referred to in paragraph 1 of this Article shall not be entitled to a burden of funds
p.(None): compulsory health insurance to receive the right to reimbursement of transport costs as well as the right to other expenses
p.(None): related to the use of that healthcare.
p.(None): Article 32
p.(None): The Bureau is the National Contact Point for providing information on the rights of insured persons to healthcare in another
p.(None): Member State in accordance with European Union regulations and Directive 2011/24 / EU.
p.(None): 4. Health care standards and norms
p.(None): Article 33
...
p.(None): 3. compensation for funeral expenses in the event of the death of the insured person, if the death is a direct consequence of a recognized one
p.(None): occupational injuries or occupational diseases.
p.(None): (2) The right to compensation of the salary referred to in paragraph 1, item 1 of this Article shall be exercised by the insured persons referred to in Article
p.(None): 7, paragraph 1, items 1 to 4, and items 6, 8, 9, 20 and 25 of this Act.
p.(None): (3) The right to compensation for transport costs and compensation for funeral expenses referred to in paragraph (1)
p.(None): 2 and 3 of this Article shall be realized by the insured persons referred to in paragraph 2 of this Article and the insured persons referred to in Article 16 i
p.(None): the insured persons referred to in Article 69 of this Act.
p.(None): 1. The right to remuneration
p.(None): Article 38
p.(None): (1) The right to remuneration for salary due to temporary incapacity and / or disability to work for the benefit of health care
p.(None): protection or other circumstances referred to in Article 39 of this Law (hereinafter: temporary incapacity)
p.(None): belongs to the insured persons referred to in Article 7, paragraph 1, items 1 to 4, and items 6, 8, 9, 20 and 25 of this
p.(None): Of the Act, unless otherwise provided by a special regulation.
p.(None): (2) Under the temporary incapacity referred to in paragraph 1 of this Article, during which the insured person is entitled to compensation
p.(None): salaries within the meaning of this Act shall be considered absent from work due to illness or injury, or other circumstances
p.(None): determined by Article 39 of this Law which prevents the insured person from fulfilling his obligation to work in accordance with Art
p.(None): by an employment contract, other contract or act.
p.(None): (3) The period of temporary incapacity referred to in paragraph 2 of this Article for which the insured person is entitled to
p.(None): remuneration in accordance with this Act shall be evidenced by the report on temporary inability to work which he issues
p.(None): elected doctor of primary care medicine in a healthcare institution, ie in private practice (u
p.(None): hereinafter referred to as "the elected Doctor").
p.(None): (4) Period of temporary incapacity for which the insured person, in accordance with the provisions of this Act, is not entitled to
p.(None): The chosen doctor is obliged to mark the remuneration of the salary in the special section of the report on temporary incapacity for work.
p.(None): (5) The content and format of the stationery of the report on temporary inability to work referred to in paragraph 3 of this Article shall be determined by the general
p.(None): by the act of the Institute.
p.(None): Article 39
p.(None): The right to reimbursement of salary is vested in the insured person in connection with the use of compulsory health care
p.(None): health insurance, or other circumstances established by this Law, if:
p.(None): 1. temporarily incapacitated for work due to illness or injury, or for medical or medical reasons
p.(None): tests placed in a healthcare facility,
p.(None): 2. temporarily prevented from performing work due to certain treatment or medical examination which cannot be done
p.(None): to work outside the working hours of the insured,
p.(None): 3. Isolated as a carrier, or because of an infection in his environment, that is, temporarily incapable of working
p.(None): due to transplantation of living tissue and organs for the benefit of another insured person of the Institute,
p.(None): 4. designated as an escort of an insured person referred for treatment or medical examination to a contracting entity of the Institute outside
p.(None): the place of residence or residence of the insured referring person,
p.(None): 5. determined to care for a sick member of the immediate family (child and spouse) under the conditions prescribed by this Law,
p.(None): 6. temporarily unable to work due to illness and complications related to pregnancy and childbirth,
p.(None): 7. temporarily prevented from work due to the use of maternity leave and the right to work in half of full-time work
p.(None): time, in accordance with the regulations on maternity and parental support,
p.(None): 8. temporarily unable to work due to the use of leave in the case of the death of a child in the case of stillbirth
p.(None): the child or the death of the child during maternity leave,
p.(None): 9. temporarily unable to work due to a wound, injury or illness that is a direct consequence of participating in Homeland
p.(None): war.
p.(None): 10. temporarily unable to work due to a recognized occupational injury or occupational disease.
p.(None): Article 40
p.(None): Salary compensation in connection with the use of health care referred to in Article 39 items 1 and 2 of this Act
p.(None): pays the insured from its funds:
p.(None): 1. legal or natural person - employer for the first 42 days of temporary incapacity, as well as for as long as
p.(None): the insured person is employed in a third country by a legal or natural person or is employed by a third party
p.(None): country.
p.(None): 2. legal person for professional rehabilitation and employment of persons with disabilities, ie legal or natural person
p.(None): - employer for the insured worker - disabled worker for the first seven days of temporary incapacity.
p.(None): Article 41
p.(None): (1) Salary compensation for temporary incapacity referred to in Article 39, items 3 to 8, and item
p.(None): 10 of this Law shall be paid to the insured person at the expense of the Institute's funds from the first day of exercising the right.
p.(None): (2) The Institute shall pay the compensation of the salary referred to in Article 39, item 9 of this Act to the insured at the expense of state funds.
p.(None): budget.
p.(None): (3) Salary compensation for temporary incapacity referred to in Article 39, items 1 and 2 of this Act of 43.
p.(None): days or eight days of temporary incapacity are calculated and paid by a legal or natural person -
...
p.(None): years up to a maximum of 60 days for each identified disease, and for a child between seven and
p.(None): 18 years up to 40 days maximum.
p.(None): (2) By way of derogation from paragraph 1 of this Article, if, in the opinion of the doctor of medicine, primary health care
p.(None): health status of a family member - child under 18 years of age such that the length of care specified in paragraph 1.
p.(None): of this article will not be sufficient, the required duration of care is determined by the medical committee of the Institute.
p.(None): (3) The child referred to in paragraphs 1 and 2 of this Article shall be considered in addition to his own child and adopted child, stepson, and
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
...
p.(None): the establishment of the full working capacity of the insured, the elected doctor may stipulate that the insured is designated
p.(None): time works half full time, but no longer than 60 days.
p.(None): (4) The elected doctor shall be obliged to determine the termination of temporary incapacity for the insured person, whose finding and
p.(None): the opinion of the competent authority of the expert opinion of the pension insurance established
p.(None): disability due to general inability to work or professional inability to work, with the day the notice is received
p.(None): the competent body of the pension insurance referred to in Article 48, paragraph 2 of this Act, and the insured person is entitled to the salary compensation
p.(None): during this temporary incapacity he shall exercise in accordance with Article 48, paragraph 1 of this Law.
p.(None): (5) Elected doctor after having established the termination of temporary incapacity in accordance with paragraph 4 of this
p.(None): Article can only temporarily re-establish temporary inability to an insured person with a disability due to
p.(None): professional inability to work, in the event of a worsening of the disease on the basis established by him
p.(None): disability or onset of illness based on another diagnosis of the disease.
p.(None): (6) Supervision of the use of the temporary incapacity of the insured, ie determination of the existence of medical
p.(None): indications or other reasons for temporary incapacity, in accordance with the provisions of this Act and the regulations issued on
p.(None): pursuant to this Act, shall be performed by the Institute.
p.(None): (7) Supervision of the use of temporary incompetence shall include control at the office of the chosen doctor
p.(None): and immediate control of the insured within or outside the doctor's office, including a home visit.
p.(None): (8) The employer of the insured person may require the Office to control the justification of temporary incapacity for all
p.(None): the duration of the temporary disability of the insured.
p.(None): (9) The ordinance on the control of temporary incapacity for work of the insured shall be adopted by the minister competent for health.
p.(None): Article 47
p.(None): (1) Insured by dissatisfied decision of the chosen doctor to determine the termination of the temporary
p.(None): incompetence, in order to protect the rights arising from compulsory health insurance, will be issued at his request a decision in
p.(None): administrative procedure, based on the previously obtained reasoned findings, opinions and medical evaluation
p.(None): Bureau of the Institute, which is obliged to carry out a review of the insured before making the findings, opinions and evaluation.
p.(None): (2) The request referred to in paragraph 1 of this Article shall be resolved by an urgent procedure.
p.(None): Article 48
p.(None): (1) During the temporary incapacity referred to in Article 39, items 1 to 6, and items 9 and 10 of this Act, the Insured shall have
p.(None): the right to reimbursement of salary at the expense of the funds of the Institute or the state budget until the elected doctor determines that
p.(None): capable of working, or until he / she has the opinion and opinion of the competent authority of the pension insurance expert code
p.(None): Insured disability due to general inability to work or professional inability to work.
p.(None): (2) When, according to the assessment of the doctor selected, after treatment and medical rehabilitation have been completed
p.(None): the health status of the insured is such that further treatment cannot be improved and is with the insured
p.(None): permanent inability to work in the affairs performed by the insured occurs, as in the case when
p.(None): the temporary inability of the insured to last for a continuous 12 months due to the same diagnosis of illness, selected
p.(None): the doctor is obliged to treat the insured person for a reference to the assessment of working ability and disability and
p.(None): send it with all the required documentation to the competent authority of the pension insurance expert
p.(None): which is obligatory to provide a finding and opinion on the working capacity and disability of the insured at the latest at
p.(None): within 60 days from the date of receipt of the proposal of the selected doctor and inform the selected doctor thereof,
p.(None): the employer of the insured person and the Institute within eight days from the date of issuing the findings and opinion.
p.(None): (3) When the competent body of the pension insurance expert's assessment establishes that it has occurred with the insured person
p.(None): occupational inability to work, that is, an imminent risk of disability, is mandatory in the finding i
p.(None): an opinion to indicate the jobs and tasks that the insured person may perform with respect to his or her remaining work capacity,
p.(None): that is, what jobs and tasks he cannot perform.
p.(None): (4) If the competent body of the expert evaluation of the pension insurance does not issue a finding and opinion and does not inform the elected one
p.(None): doctor, employer of the insured person and the Institute within the period referred to in paragraph 2 of this Article, compensation of the salary for that insured person from
p.(None): on the first day following the expiry of the 60-day time limit referred to in paragraph 2 of this Article, it shall charge the funds of the Croatian Institute
p.(None): for pension insurance.
p.(None): (5) The processing of the insured person for reference to the assessment of working ability and disability shall be charged by the Institute's funds
p.(None): only in cases where the selected doctor has referred the insured person to a work and disability assessment at
p.(None): in accordance with paragraph 2 of this Article.
p.(None): Article 49
p.(None): (1) During the re-established temporary incompetence of the insured person whose finding and opinion is of the competent authority
p.(None): Expertise of the pension insurance determined disability due to professional inability to work, regardless
p.(None): whether it is a temporary incapacity resulting from the aggravation of the disease on the basis established for him
p.(None): disability or onset of illness due to another diagnosis of the disease, which was not offered and contracted by the employer
p.(None): on work in writing for the performance of the duties for which he is able to comply with labor regulations, wage compensation
p.(None): the insured person is paid by the employer out of his own funds.
p.(None): (2) Compensation of salary during temporary incapacity shall be charged to the employer even if the insured person
p.(None): identified an imminent risk of disability, and the employer is not insured in accordance with the labor regulations
p.(None): offered and entered into a contract of employment with him in writing for the performance of the tasks for which he is capable, from the day
p.(None): identified imminent dangers of disability. Salary compensation charges the employer’s funds until the day
p.(None): entering into a written employment contract for the performance of the tasks for which he is capable.
p.(None): (3) The insured who does not accept the offer of the employer referred to in paragraphs 1 and 2 of this Article and does not with the employer
p.(None): enter into an employment contract for the performance of the activities for which he is capable of not entitled to remuneration under this Law
p.(None): the time of temporary incapacity from the date of receipt of the employer’s offer.
p.(None): (4) The insured referred to in Article 7, Paragraph 1, Items 6, 8 and 9 of this Act, in which
p.(None): disability insurance bodies determined disability due to professional inability to work,
...
p.(None): the payer of the contribution.
p.(None): Article 51
p.(None): (1) To an insured person whose employment or performance has ceased during the period of temporary incapacity
p.(None): In the case of personal work, the remuneration of wages shall be for a maximum of 30 days from the date of termination of service
p.(None): relationships, that is, performing his activity by personal work, provided that his chosen doctor is temporary
p.(None): the incapacity determined at least eight days before the date of termination of employment, that is, carrying out the activity of personal
p.(None): that he was entitled to remuneration at the time of termination of employment, that is, carrying out his activity by personal work
p.(None): salaries in accordance with the provisions of this Act.
p.(None): (2) Exceptionally, under the conditions referred to in paragraph 1 of this Article, to the insured person, who is temporary
p.(None): incapacity that is a direct consequence of participating in the Homeland War, or the consequence of a recognized injury to
p.(None): termination of employment or occupational disease, or the pursuit of an activity by personal work belongs
p.(None): the right to remuneration after the termination of employment, or the pursuit of the activity by personal work, as long as
p.(None): he will not be able to work again, that is, until he is found and opinion of a competent body of pension expert evaluation
p.(None): disability is not determined in accordance with Article 48 of this Law.
p.(None): (3) During temporary inability to work due to illness and complications related to pregnancy and childbirth from
p.(None): Article 39, item 6 of this Act, the use of the right to maternity leave and the right to work part-time
p.(None): referred to in Article 39, point 7 of this Act, and the right to leave in the case of death of a child referred to in Article 39, point 8 of this Act
p.(None): an insured person who uses one of the above rights is entitled to a salary remuneration after termination of employment,
p.(None): that is, performing an activity by personal work until the expiration of the exercise of the same right.
p.(None): (4) To an insured person who, while exercising the rights referred to in paragraphs 1, 2 and 3 of this Article, has a full or
p.(None): part-time or has started performing his / her activity by personal work the right to remuneration of the salary earned
p.(None): in accordance with this article.
p.(None): Article 52
p.(None): (1) The Insured shall have the right to reimbursement of the funds of the Institute or the state budget
p.(None): salaries for temporary incapacity referred to in Article 39 items 1 to 5 and items 9 and 10 of this Act to the maximum
p.(None): for a period of 18 months after the same diagnosis of the disease, without interruption, in the amount determined in accordance with this Law and the general
p.(None): acts of the Institute.
p.(None): (2) After the expiry of the period referred to in paragraph 1 of this Article, the insured person shall be entitled to a salary payment in the amount of 50% of the last
p.(None): paid salaries in the name of that temporary incapacity, while for the temporary incapacity there is a medical one
p.(None): indication.
...
p.(None): (6) By way of derogation from paragraph 5 of this Article, when the basis for payment of salary, which belongs to the insured person in
p.(None): In the case of temporary incapacity due to a recognized injury at work or occupational disease, he cannot
p.(None): to determine, in accordance with paragraph 1 of this Article, the basis for remuneration is the corresponding salary for the month for which it is determined
p.(None): salary compensation.
p.(None): (7) When the insured person receives a salary remuneration continuously for more than three months, the basis for determining the compensation from
p.(None): paragraph 1 of this Article shall increase in accordance with the increase in the salary of employees in the Republic of Croatia, if this increase is greater than
p.(None): 5%.
p.(None): (8) The remuneration under paragraph 7 of this Article shall be payable to the insured person from the first day of the following month after the expiration of three months
p.(None): continuous temporary incapacity, if the requirement to increase pay is fulfilled.
p.(None): (9) The Office shall by a general act determine the manner of determining the basis for the salary compensation referred to in paragraph 3 of this Article.
p.(None): Article 55
p.(None): (1) Salary compensation may not be less than 70% of the salary compensation base, unless otherwise provided by this Law,
p.(None): that as a full-time monthly amount cannot be less than 25% of the budget base.
p.(None): (2) Salary compensation shall be 100% of the salary compensation base during:
p.(None): 1. temporary disability due to a wound, injury or illness that is a direct consequence of participating in
p.(None): The Homeland War,
p.(None): 2. temporary disability due to illness and complications related to pregnancy and childbirth,
p.(None): 3. the use of maternity leave and the right to work in part-time work referred to in Article 39, item 7 of this Act,
p.(None): 4. use of leave for the death of a child referred to in Article 39, item 8 of this Act,
p.(None): 5. care of a sick child under the age of three,
p.(None): 6. temporary disability due to transplantation of living tissue and organs for the benefit of another person,
p.(None): 7. while the insured person is isolated as a carrier or because of an infection in his surroundings,
p.(None): 8. temporary disability due to a recognized occupational injury or occupational disease.
p.(None): (3) The amount of remuneration paid to be charged to the funds of the Institute shall be determined by the Institute, with the maximum monthly
p.(None): the amount of salary compensation, calculated in accordance with the provisions of this Act and regulations adopted pursuant to this Act, does not
p.(None): may, for full-time employment, exceed the budgetary base plus 28%, with the exception of the salary referred to in the paragraph
p.(None): 2 points 3, 4 and 8 of this Article.
p.(None): (4) Full-time work within the meaning of this Act shall be considered to be 40 hours a week, if a special regulation,
p.(None): the rules of procedure, the collective agreement, the agreement concluded between the works council and the employer, or
p.(None): the employment contract does not specify otherwise.
p.(None): Article 56
...
p.(None): 2. Remuneration for the inability to carry out the business on which the receipts from which it is determined are obtained
p.(None): other income in accordance with the regulations on
p.(None): compulsory insurance contributions
p.(None): Article 57
p.(None): (1) Remuneration due to the inability to perform the activities on the basis of which the proceeds of which are obtained
p.(None): the second income is determined in accordance with the regulations on contributions for compulsory insurance is determined from the average
p.(None): bases for payment of compulsory health insurance contributions.
p.(None): (2) The average basis referred to in paragraph 1 of this Article shall be understood as the average of the insurance bases to which it has been paid
p.(None): compulsory health insurance contribution in the last six months before the month in which the impossibility occurred
p.(None): insured persons for carrying out the business on the basis of which the receipts from which other income is determined are obtained.
p.(None): Article 58
p.(None): The remuneration referred to in Article 57, paragraph 1 of this Act shall be 70% of the average basis, with the monthly amount of compensation
p.(None): cannot be higher than the maximum amount of wage compensation from the article
p.(None): 55, paragraph 3 of this Law, and shall be paid from the first day of exercising the right to charge the funds of the Institute, in the duration
p.(None): for a maximum of six months continuously.
p.(None): Article 59
p.(None): The insured person shall receive the financial compensation referred to in Article 57, paragraph 1 of this Act, provided that he is temporarily incapable of
p.(None): performing contracted tasks due to illness, as determined by the Institute's medical committee.
p.(None): Article 60
p.(None): Insured person who receives financial compensation due to the inability to perform the activities on the basis of which they are realized
p.(None): receipts from which other income is determined in accordance with the regulations on contributions for compulsory insurance, to which it has ceased
p.(None): the status of the insured in accordance with Article 8, paragraph 2 of this Law, realizes the right to financial compensation even more
p.(None): 30 days after the termination of the status of the insured, provided that the medical committee of the Institute has determined that due to
p.(None): health condition is not able to perform the contracted tasks at least eight days before the date of termination
p.(None): insured.
p.(None): Article 61
p.(None): General act on the manner of exercising the right to financial compensation due to the inability to perform business on the basis of
p.(None): which derives receipts from which other income is determined in accordance with the regulations on contributions for compulsory insurance
p.(None): will bring the Bureau.
p.(None): 3. Compensation for transport costs related to the use of the right to health care from compulsory health insurance
p.(None): Article 62
p.(None): (1) In order to exercise the right to health care from compulsory health insurance, an insured person is entitled to
p.(None): reimbursement for transport costs provided that it is sent out of place for the use of health care
p.(None): residence or residence and that it does not qualify for the use of medical transport prescribed
p.(None): by the ordinance of the minister competent for health referred to in Article 19, paragraph 2, item 18 of this Act and established by a general act
p.(None): Institute.
...
p.(None): Of the Act, that is, on the basis of a certificate from the health institution on the performed hemodialysis.
p.(None): (5) The contents and form of the stationery of the travel order referred to in paragraph 4 of this Article shall be determined by a general act of the Office.
p.(None): V. INJURY AT WORK AND PROFESSIONAL DISEASE
p.(None): Article 66 An injury at work under this Law shall be considered:
p.(None): 1. injury caused by direct and short-term mechanical, physical or chemical action, and
p.(None): injury caused by sudden changes in body position, sudden loading of the body or other
p.(None): changes in the physiological state of the organism, if it is causally related to the performance of activities or activities
p.(None): on the basis that the injured person is insured under compulsory health insurance as well as the injury incurred
p.(None): during the mandatory fitness training related to maintaining psychophysical fitness to perform certain tasks,
p.(None): in accordance with special regulations,
p.(None): 2. a disease that has arisen directly and exclusively as a result of an accident or force majeure during work, that is
p.(None): the performance of an activity or in connection with the performance of that activity on the basis of which the insured person is insured under compulsory insurance
p.(None): health insurance,
p.(None): 3. an injury incurred in the manner referred to in item 1 of this Article which the insured person receives on a regular basis from
p.(None): the apartment to the place of work and vice versa and on the path taken to enter the work provided to her, that is, to
p.(None): work on the basis of which it is insured in compulsory health insurance,
p.(None): 4. the injury or illness referred to in points 1 and 2 of this Article arising out of the insured person in the circumstances referred to in Article 16.
p.(None): of this Act.
p.(None): Article 67
p.(None): For the purposes of this Law, an injury at work shall not be considered an injury or illness, which occurred due to:
p.(None): 1. hidden, negligent or irresponsible behavior in the workplace, or while performing
p.(None): activities, as well as on a regular commute from the apartment to the place of work and vice versa (e.g., a fight at work or
p.(None): at the time of the day's rest, deliberately causing harm to himself or to others, performing alcohol-related activities, or
p.(None): narcotics, driving a vehicle under the influence of alcohol or narcotic drugs, etc.),
p.(None): 2. activities not related to the performance of work activities (eg work leave not used in
p.(None): prescribed time, work leave not used for the purpose of restoring psychophysical and working ability necessarily
p.(None): necessary for the continuation of the work process, physical activities not related to employment, etc.),
p.(None): 3. the intentional infliction of injury by another person caused by a personal relationship with an insured person who
p.(None): cannot bring it into the context of labor law activity,
p.(None): 4. attacks of chronic illness,
p.(None): 5. congenital or acquired health predispositions that may result in illness.
p.(None): Article 68
p.(None): (1) Occupational diseases under this Act are diseases caused by the longer direct impact of the work process and
p.(None): working conditions in certain jobs.
p.(None): (2) List of occupational diseases and jobs on which those diseases occur and the conditions under which they are considered
p.(None): occupational diseases are determined by a separate law.
p.(None): Article 69
p.(None): (1) To the insured persons referred to in Article 7, paragraph 1, item 10 of this Act, and to the insured persons referred to in Article 7, paragraph 1, items 13,
p.(None): Articles 16, 17 and 19 of this Law shall also be covered by compulsory health insurance in the case of occupational disease
p.(None): if exposed to fibrogenic dusts or carcinogens as workers in legal or natural persons with
p.(None): registered activity in the Republic of Croatia.
p.(None): (2) Insured persons referred to in paragraph 1 of this Article, within the scope of compulsory health insurance rights,
p.(None): health checks are also provided after termination of work in the event of exposure to fibrogenic dust or
p.(None): carcinogens.
p.(None): 1. The right to reimbursement for funeral expenses
p.(None): Article 70
p.(None): (1) In the event of the death of the insured referred to in Article 7, paragraph 1, points 1 to 6, 8, 9, 20 and 25, and
p.(None): the insured persons referred to in Article 16 and the insured persons referred to in Article 69 of this Act shall be entitled to
p.(None): compensation for funeral expenses if the death of the insured person or the insured person is a direct consequence of a recognized injury to
p.(None): work or occupational disease.
p.(None): (2) Funeral expenses in the amount of one budget base may be paid by a legal or natural person
p.(None): who has borne the costs of burial of the insured person referred to in paragraph 1 of this Article.
p.(None): 2. Specific health care
...
p.(None): 1. reviewing and verifying financial, medical and other documentation at the health institution and code
p.(None): a private health care provider, or a contractual supplier of supplies,
p.(None): 2. examination and verification of the submitted documentation in the organizational units of the Institute.
p.(None): (3) The supervision procedure referred to in paragraph 1 of this Article shall in particular supervise whether an elected doctor of medicine,
p.(None): that is, dental medicine, health care worker employed by a health care institution or a private health care professional:
p.(None): 1. implements health insurance measures from compulsory health insurance at its level of health care activity
p.(None): determined by the scope of the right to health care referred to in Articles 19, 20, 22 and 23 of this Law,
p.(None): 2. apply the rules of the profession, and when prescribing therapy, recommendations regarding pharmacotherapy, clinical
p.(None): guidelines and principles of pharmacoeconomics, taking into account interactions and contraindications for
p.(None): individual case,
p.(None): 3. acts contrary to the provisions of this Law, the Health Care Act, other laws, special regulations,
p.(None): by-laws and by-laws of the Institute,
p.(None): 4. purposefully uses the funds obtained on the basis of a contract with the Institute for health care implementation
p.(None): protection from compulsory health insurance,
p.(None): 5. determines the temporary incapacity of the insured in accordance with the provisions of Article 46 of this Law, ie whether
p.(None): the provisions of Article 52, paragraph 1 of the Act are complied with when determining the diagnosis of the insured person's illness.
p.(None): (4) If the control referred to in paragraph 3, points 4 and 5 of this Article establishes that the contracting entity of the Institute
p.(None): uses funds earmarked for the implementation of health care from compulsory health care
p.(None): insurance, that is, the elected doctor determines the temporary inability of the insured contrary
p.(None): the provisions of Article 46 of this Act, and that by changing the diagnoses of the insured person's illness, and
p.(None): by unjustifiably concluding a temporary incapacity shall act contrary to the provisions of Article 52 of this Law
p.(None): In order to avoid the application of paragraph 2 of the same Article of the Law, the Office may initiate the procedure of termination of the contract with it
p.(None): contracting entity.
p.(None): Article 95
p.(None): In order to supervise the fulfillment of contractual obligations, contracting entities of the Institute are obliged to submit
p.(None): business reports in accordance with the general act of the Institute referred to in Article 87 of this Act.
p.(None): Article 96
p.(None): A way of exercising control over the performance of contractual obligations by health care institutions and private health care institutions
p.(None): The Office shall determine the workers and contractual suppliers of aids by a separate act, ie the contract itself.
p.(None): VIII. CROATIAN INSTITUTE FOR HEALTH INSURANCE
p.(None): Article 97
p.(None): (1) The activities performed by the Croatian Institute for Compulsory Health Insurance under this Law shall be performed by the Croatian Institute for Health Insurance
p.(None): health insurance.
p.(None): (2) The Institute is a public institution to which the regulations on institutions apply, unless otherwise provided by this Law.
p.(None): established.
p.(None): (3) The Institute shall have the capacity of a legal person with rights, obligations and responsibilities established by this Act and the Statute.
p.(None): (4) In deciding on the rights and obligations of insured persons from compulsory health insurance, the Institute shall have public
p.(None): powers.
p.(None): (5) The seat of the Institute shall be in Zagreb.
p.(None): Article 98
...
p.(None): (2) An appeal against the decision rendered in the first instance shall not delay the execution of the decision.
p.(None): Article 126
p.(None): (1) In exercising the right to health care from compulsory health insurance under the provisions of this Act
p.(None): the insured person has the right to choose freely doctors of medicine and doctors of dental medicine of primary health care.
p.(None): (2) The insured person shall elect a doctor of medicine and a doctor of dental medicine of primary health care for the period from
p.(None): at least one year.
p.(None): (3) The manner of exercising the right to choose freely the doctors of medicine and the doctor of dental medicine of primary health care
p.(None): the protection referred to in paragraph 1 of this Article and the method of selecting a doctor of occupational medicine specialist to conduct specific
p.(None): Health care will be determined by the Institute by a general act.
p.(None): Article 127
p.(None): (1) Medical commissions of the Institute shall participate in the procedures on the rights from compulsory health insurance.
p.(None): (2) The medical commissions referred to in paragraph 1 of this Article shall carry out expert-medical expert evaluation on the right of the insured person
p.(None): from compulsory health insurance, and make decisions in the form of findings, opinions and ratings.
p.(None): (3) Powers and manner of work of medical commissions, their area of competence and appearance and content
p.(None): the stationery of findings, opinions and assessments shall be determined by a general act of the Institute with the consent of the minister responsible for health.
p.(None): Article 128
p.(None): (1) The procedure for determining and acknowledging an injury or illness for an occupational injury or occupational disease
p.(None): is initiated by a legal or natural person and a government body as an employer, organizer of certain activities and activities from
p.(None): Article 16 of this Act, that is, a person who independently carries out an activity by submitting an injury report
p.(None): at work, that is, occupational disease.
p.(None): (2) The application referred to in paragraph 1 of this Article shall be legal or natural person, that is, the body of state government as an employer, and
p.(None): the organizer of certain jobs and activities is obliged to submit ex officio or on request
p.(None): an injured or ill worker, or an insured person to whom rights under this Act are secured
p.(None): occupational injury or occupational disease.
p.(None): (3) If the employer or the organizer of certain activities and activities fails to comply with paragraph 2 of this
p.(None): Article, the application must be submitted by the chosen doctor of general / family medicine at the request of the injured
p.(None): or a sick insured person or at the suggestion of a competent doctor of occupational medicine specialist s
p.(None): whereby the Institute has a contract on the implementation of specific health care for workers, which is in accordance with
p.(None): by a general act of the Institute responsible for the implementation of specific health protection of workers according to the seat of the employer,
p.(None): that is, the organizer of certain activities and jobs.
p.(None): (4) The contents and form of the stationery of the report on occupational injury or professional illness shall be determined by a general act of the Institute.
p.(None): Article 129
p.(None): (1) As a rule, the Institute shall decide on the recognition of an occupational injury or occupational disease without passing a written
p.(None): solutions, by notifying the stationery of a report on occupational injury or occupational disease.
p.(None): (2) By way of derogation from paragraph 1 of this Article, the Office shall compulsorily issue a decision in case of non-recognition
p.(None): injuries or illnesses as injuries at work or occupational diseases and when deciding on the recognition of the injury
p.(None): at work, or occupational disease upon request of the insured person or family member of the insured
p.(None): persons in the event of the death of the insured person.
p.(None): Article 130
p.(None): (1) The report on occupational injury or occupational disease shall be submitted to:
p.(None): 1. in the case of an occupational injury - within eight days of the occurrence of the occupational injury,
p.(None): 2. for occupational disease - within eight days from the day the insured person received the health certificate
p.(None): institutions or doctor's offices of private occupational medicine practitioners involved in the network
p.(None): contracting parties to occupational medicine who have been diagnosed with occupational disease.
p.(None): (2) Insured person for whom no report on occupational or professional injury was filed with the Institute
p.(None): within three years from the expiry of the time limits referred to in paragraph 1 of this Article, he shall lose the right to initiate proceedings
p.(None): identification and recognition of occupational injury or occupational disease by the Institute.
p.(None): Article 131
...
p.(None): (1) A fine in the amount of HRK 10,000.00 to HRK 15,000.00 shall be imposed on a legal person who,
p.(None): does not submit to the Institute within the prescribed period all information regarding the registration and deregistration of the insured person, for work
p.(None): the exercise of rights and obligations under compulsory health insurance (Article 122, paragraph 2).
p.(None): (2) A fine in the amount of HRK 8,000.00 to HRK 13,000.00 shall be imposed for the misdemeanor referred to in paragraph 1 of this Article.
p.(None): natural person obliged to apply for compulsory health insurance
p.(None): (3) A fine in the amount of HRK 3,000.00 to HRK 5,000.00 shall be imposed for the misdemeanor referred to in paragraph 1 of this Article, and
p.(None): responsible person in a legal entity.
p.(None): Article 152
p.(None): (1) A fine in the amount of HRK 50,000.00 to HRK 250,000.00 shall be imposed for a breach of contractual health
p.(None): an institution that uses funds earmarked for the purpose of providing compulsory health care
p.(None): health insurance (Article 94, paragraph 3, item 4).
p.(None): (2) For a misdemeanor referred to in paragraph 1 of this Article, he shall be fined in the amount of 10,000.00 up to
p.(None): HRK 50,000.00 and responsible person in a health care institution and contracted private health practitioner,
p.(None): that is, an elected doctor of medicine, that is, dental medicine of primary health care (Article 93 and Article 94.
p.(None): paragraph 3 item 4).
p.(None): (3) An elected doctor shall be fined in the amount of HRK 5,000.00 to HRK 20,000.00 for an offense.
p.(None): which establishes the temporary incapacity of the insured in contravention of the provisions of Article 46 of this Law, respectively
p.(None): who by changing the diagnoses of the insured's illness and unjustifiably concluding temporary incapacity
p.(None): acts contrary to the provisions of the article
p.(None): 52 of this Act in order to avoid the application of paragraph 2 of the same article of the Act (Article 46 paragraph
p.(None): 2 and 4 and Article 52, paragraph 1)
p.(None): (4) A specialist doctor shall be fined in the amount of HRK 5,000.00 to HRK 15,000.00 for a misdemeanor.
p.(None): at a contracting health care institution that did not submit a proposal for treatment to the hospital commission for
p.(None): medicines from a hospital health care institution (Article 21 (4)).
p.(None): Article 153
p.(None): The insured person shall be fined in the amount of HRK 8,000.00 to HRK 15,000.00 for the offense:
p.(None): 1. if she knowingly caused temporary incapacity, if she did not report within three days after the onset of illness
p.(None): an elected primary care doctor that she was ill,
p.(None): that is, within three days from the date of termination of the reason that prevented her from doing so, if intentionally
p.(None): prevents healing or training, if during temporary incapacitation, if not
p.(None): does not respond to the call for medical examination of the selected doctor or controller, or justified reason
p.(None): bodies of the Institute authorized for the control of temporary incapacity, if they do not adhere to the instructions for treatment,
p.(None): that is, without the consent of the chosen doctor, he or she leaves the place of residence or residence or abuses the right to
p.(None): the use of temporary incapacity otherwise (Article 53),
p.(None): 2. if she has been entitled to reimbursement for the cost of transport in connection with the use of the right to health care
p.(None): protection from compulsory health insurance, which had no legal basis (Article 62),
p.(None): 3. if he uses a document proving the status of the insured person in a manner contrary to the provisions of this Law and regulations
p.(None): issued pursuant to this Act, that is, to obtain health care using another's document (Article 119.
p.(None): paragraphs 3 and 6).
p.(None): XII. TRANSITIONAL AND FINAL PROVISIONS
p.(None): Article 154
p.(None): (1) The minister responsible for health shall pass the ordinances referred to in Article 19, paragraph 2, items 15 and 18, Article 46, paragraph 2.
p.(None): and 9, Article 78 and Article 90 paragraph 1 of this Act within 90 days from the day this Law enters into force.
...
p.(None): medical rehabilitation and physical therapy at home (Official Gazette 26/96, 79/97, 31/99,
p.(None): 51/99., 73/99., 40/07., 46/07. - consolidated text, 64/08, 91/09. and 118/09),
p.(None): 6. Ordinance on the powers and manner of work of authorized doctors and medical commissions of the Croatian
p.(None): Health Insurance Institute (Official Gazette 113/09, 126/09, 4/10, 88/10, 1/11, 50/11 and 87/211),
p.(None): 7. Ordinance on the method of prescribing and dispensing prescription medicines (Official Gazette 17/09, 46/09,
p.(None): 4/10, 110/10, 131/10, 1/11. and 52/11),
p.(None): 8. Ordinance on orthopedic and other aids (Official Gazette, No. 7/12, 14/12, 23/12, 25/12, 45/12, 69/12,
p.(None): 85/12., 92/12., 119/12., 147/12., 21/13. and 38/13.),
p.(None): 9. Ordinance on dental health care from compulsory health insurance (Official Gazette 38/13 and
p.(None): 49/13.)
p.(None): 10. Ordinance on the Rights, Conditions and Manner of Use of Health Care Abroad (Official Gazette,
p.(None): no. 50/09, 118/09, 4/10, 13/10, 14/10, 1/11, 16/11, 31/11, 93/11, 145/11, 41/12., 76/12. and 129/12.)
p.(None): 11. Rulebook on the manner of reporting and deregistration and obtaining the status of insured person in compulsory
p.(None): health insurance (Official Gazette 31/07, 56/07, 96/07, 130/07, 33/08, 91/09, 4/10, 69/10, 1/11 i
p.(None): 48/11.)
p.(None): 12. Rulebook on conditions and manner of exercising the right from compulsory health insurance to home health care
p.(None): insured persons (Official Gazette 88/10, 1/11, 87/11, 38/13 and 49/13),
p.(None): 13. Ordinance on the deadlines for the longest duration of sickness depending on the type of illness (Official Gazette, no.
p.(None): 153/09.)
p.(None): 14. Ordinance on the powers and method of operation of the Comptroller of the Croatian Health Insurance Institute
p.(None): (Official Gazette 59/09 and 48/11),
p.(None): 15. Rulebook on criteria and procedure for determining incapacity for independent living and work and lack of resources for
p.(None): support for persons residing in the Republic of Croatia who are not provided with health care on another basis
p.(None): (Official Gazette 39/02.),
p.(None): 16. Rulebook on conditions for exemption from payment of basic health insurance contributions
p.(None): farmers over 65 years of age (Official Gazette 122/02),
p.(None): 17. Ordinance on sickness control (Official Gazette 123/11),
p.(None): 18. Ordinance on medical transport (Official Gazette 123/09),
p.(None): 19. Ordinance on the European Health Insurance Card (Official Gazette 153/11),
p.(None): 20. Decision on Establishing the Basic Medicinal Products List of the Croatian Health Insurance Institute (Official Gazette, No.
p.(None): 47/13., 49/13., 50/13. and 54/13.),
p.(None): 21. Decision on establishing the Supplementary List of Medicines of the Croatian Health Insurance Institute
p.(None): (Official Gazette 47/13 and 49/13),
p.(None): 22. Decision to establish the list of particularly expensive medicines established by the Decision on the establishment of the Basic Medicinal Products List
p.(None): Of the Croatian Health Insurance Institute (Official Gazette 67/13),
p.(None): 23. Decision on the content and form of the document proving the status of the insured person of the Croatian Institute for Health
p.(None): insurance (Official Gazette 4/07, 91/09, 113/09, 140/09, 4/10, 13/10, 43/10 and 29/11),
...
Health / Physically Ill
Searching for indicator sick:
(return to top)
p.(None): (4) Period of temporary incapacity for which the insured person, in accordance with the provisions of this Act, is not entitled to
p.(None): The chosen doctor is obliged to mark the remuneration of the salary in the special section of the report on temporary incapacity for work.
p.(None): (5) The content and format of the stationery of the report on temporary inability to work referred to in paragraph 3 of this Article shall be determined by the general
p.(None): by the act of the Institute.
p.(None): Article 39
p.(None): The right to reimbursement of salary is vested in the insured person in connection with the use of compulsory health care
p.(None): health insurance, or other circumstances established by this Law, if:
p.(None): 1. temporarily incapacitated for work due to illness or injury, or for medical or medical reasons
p.(None): tests placed in a healthcare facility,
p.(None): 2. temporarily prevented from performing work due to certain treatment or medical examination which cannot be done
p.(None): to work outside the working hours of the insured,
p.(None): 3. Isolated as a carrier, or because of an infection in his environment, that is, temporarily incapable of working
p.(None): due to transplantation of living tissue and organs for the benefit of another insured person of the Institute,
p.(None): 4. designated as an escort of an insured person referred for treatment or medical examination to a contracting entity of the Institute outside
p.(None): the place of residence or residence of the insured referring person,
p.(None): 5. determined to care for a sick member of the immediate family (child and spouse) under the conditions prescribed by this Law,
p.(None): 6. temporarily unable to work due to illness and complications related to pregnancy and childbirth,
p.(None): 7. temporarily prevented from work due to the use of maternity leave and the right to work in half of full-time work
p.(None): time, in accordance with the regulations on maternity and parental support,
p.(None): 8. temporarily unable to work due to the use of leave in the case of the death of a child in the case of stillbirth
p.(None): the child or the death of the child during maternity leave,
p.(None): 9. temporarily unable to work due to a wound, injury or illness that is a direct consequence of participating in Homeland
p.(None): war.
p.(None): 10. temporarily unable to work due to a recognized occupational injury or occupational disease.
p.(None): Article 40
p.(None): Salary compensation in connection with the use of health care referred to in Article 39 items 1 and 2 of this Act
p.(None): pays the insured from its funds:
p.(None): 1. legal or natural person - employer for the first 42 days of temporary incapacity, as well as for as long as
p.(None): the insured person is employed in a third country by a legal or natural person or is employed by a third party
p.(None): country.
...
p.(None): paragraph 1 of this Article shall increase in accordance with the increase in the salary of employees in the Republic of Croatia, if this increase is greater than
p.(None): 5%.
p.(None): (8) The remuneration under paragraph 7 of this Article shall be payable to the insured person from the first day of the following month after the expiration of three months
p.(None): continuous temporary incapacity, if the requirement to increase pay is fulfilled.
p.(None): (9) The Office shall by a general act determine the manner of determining the basis for the salary compensation referred to in paragraph 3 of this Article.
p.(None): Article 55
p.(None): (1) Salary compensation may not be less than 70% of the salary compensation base, unless otherwise provided by this Law,
p.(None): that as a full-time monthly amount cannot be less than 25% of the budget base.
p.(None): (2) Salary compensation shall be 100% of the salary compensation base during:
p.(None): 1. temporary disability due to a wound, injury or illness that is a direct consequence of participating in
p.(None): The Homeland War,
p.(None): 2. temporary disability due to illness and complications related to pregnancy and childbirth,
p.(None): 3. the use of maternity leave and the right to work in part-time work referred to in Article 39, item 7 of this Act,
p.(None): 4. use of leave for the death of a child referred to in Article 39, item 8 of this Act,
p.(None): 5. care of a sick child under the age of three,
p.(None): 6. temporary disability due to transplantation of living tissue and organs for the benefit of another person,
p.(None): 7. while the insured person is isolated as a carrier or because of an infection in his surroundings,
p.(None): 8. temporary disability due to a recognized occupational injury or occupational disease.
p.(None): (3) The amount of remuneration paid to be charged to the funds of the Institute shall be determined by the Institute, with the maximum monthly
p.(None): the amount of salary compensation, calculated in accordance with the provisions of this Act and regulations adopted pursuant to this Act, does not
p.(None): may, for full-time employment, exceed the budgetary base plus 28%, with the exception of the salary referred to in the paragraph
p.(None): 2 points 3, 4 and 8 of this Article.
p.(None): (4) Full-time work within the meaning of this Act shall be considered to be 40 hours a week, if a special regulation,
p.(None): the rules of procedure, the collective agreement, the agreement concluded between the works council and the employer, or
p.(None): the employment contract does not specify otherwise.
p.(None): Article 56
p.(None): (1) The remuneration of the salary paid at the expense of the Institute's funds shall belong to the insured person in the amount prescribed by this
p.(None): Law or regulations and general acts adopted pursuant to this Act, provided that before the date of its occurrence
p.(None): the insured case on the basis of which the right to remuneration is acquired has a completed period of insurance in
p.(None): The Institute on the basis of employment, economic activity or professional activity
...
p.(None): (3) Powers and manner of work of medical commissions, their area of competence and appearance and content
p.(None): the stationery of findings, opinions and assessments shall be determined by a general act of the Institute with the consent of the minister responsible for health.
p.(None): Article 128
p.(None): (1) The procedure for determining and acknowledging an injury or illness for an occupational injury or occupational disease
p.(None): is initiated by a legal or natural person and a government body as an employer, organizer of certain activities and activities from
p.(None): Article 16 of this Act, that is, a person who independently carries out an activity by submitting an injury report
p.(None): at work, that is, occupational disease.
p.(None): (2) The application referred to in paragraph 1 of this Article shall be legal or natural person, that is, the body of state government as an employer, and
p.(None): the organizer of certain jobs and activities is obliged to submit ex officio or on request
p.(None): an injured or ill worker, or an insured person to whom rights under this Act are secured
p.(None): occupational injury or occupational disease.
p.(None): (3) If the employer or the organizer of certain activities and activities fails to comply with paragraph 2 of this
p.(None): Article, the application must be submitted by the chosen doctor of general / family medicine at the request of the injured
p.(None): or a sick insured person or at the suggestion of a competent doctor of occupational medicine specialist s
p.(None): whereby the Institute has a contract on the implementation of specific health care for workers, which is in accordance with
p.(None): by a general act of the Institute responsible for the implementation of specific health protection of workers according to the seat of the employer,
p.(None): that is, the organizer of certain activities and jobs.
p.(None): (4) The contents and form of the stationery of the report on occupational injury or professional illness shall be determined by a general act of the Institute.
p.(None): Article 129
p.(None): (1) As a rule, the Institute shall decide on the recognition of an occupational injury or occupational disease without passing a written
p.(None): solutions, by notifying the stationery of a report on occupational injury or occupational disease.
p.(None): (2) By way of derogation from paragraph 1 of this Article, the Office shall compulsorily issue a decision in case of non-recognition
p.(None): injuries or illnesses as injuries at work or occupational diseases and when deciding on the recognition of the injury
p.(None): at work, or occupational disease upon request of the insured person or family member of the insured
p.(None): persons in the event of the death of the insured person.
p.(None): Article 130
p.(None): (1) The report on occupational injury or occupational disease shall be submitted to:
p.(None): 1. in the case of an occupational injury - within eight days of the occurrence of the occupational injury,
p.(None): 2. for occupational disease - within eight days from the day the insured person received the health certificate
...
Health / ill
Searching for indicator ill:
(return to top)
p.(None): salaries for temporary incapacity referred to in Article 39 items 1 to 5 and items 9 and 10 of this Act to the maximum
p.(None): for a period of 18 months after the same diagnosis of the disease, without interruption, in the amount determined in accordance with this Law and the general
p.(None): acts of the Institute.
p.(None): (2) After the expiry of the period referred to in paragraph 1 of this Article, the insured person shall be entitled to a salary payment in the amount of 50% of the last
p.(None): paid salaries in the name of that temporary incapacity, while for the temporary incapacity there is a medical one
p.(None): indication.
p.(None): (3) The provision of paragraph 2 of this Article does not apply to the insured person who has been found to be temporarily incapacitated due to
p.(None): treatment of malignant diseases, the insured person who has been granted care by a family member - a child suffering from malignancy
p.(None): diseases, insured persons whose temporary inability to perform hemodialysis or peritoneal dialysis, and
p.(None): whose temporary inability is related to the taking and transplantation of parts of the human body.
p.(None): Article 53
p.(None): (1) The insured person shall not be entitled to salary compensation if:
p.(None): 1. knowingly caused temporary incapacity,
p.(None): 2. does not inform the chosen doctor that he became ill within three days from the day the disease started, that is, in
p.(None): within three days of the end of the reason that prevented him from doing so,
p.(None): 3. deliberately prevents healing, ie training for work,
p.(None): 4. during temporary incapacity, work or perform tasks on the basis of which he is obligatory health
p.(None): insured, performs contracted work on the basis of a work contract and any other business (eg agricultural work and
p.(None): FIG.),
p.(None): 5. does not respond to the call for medical examination of the selected doctor or doctor without a justified reason
p.(None): the controller of the Bureau or a body of the Bureau authorized to control temporary incapacity,
p.(None): 6. an elected doctor, controller or doctor of the Institute authorized to control the temporary incapacity of the fort
p.(None): not to follow the instructions for treatment, ie leave the place of residence without the consent of the chosen doctor,
p.(None): that is, residence or abuse of temporary incapacity otherwise.
p.(None): (2) In the cases referred to in paragraph (1) of this Article, the insured person shall not be entitled to reimbursement of salary from the day of occurrence of such cases until
p.(None): the day of their termination, that is, the termination of the consequences caused by them.
p.(None): Article 54
p.(None): (1) Salary compensation shall be determined from the basis of compensation, which is the average amount of salary paid to the insured person in
p.(None): in the last six months before the month in which the right to remuneration was obtained,
...
p.(None): Health care will be determined by the Institute by a general act.
p.(None): Article 127
p.(None): (1) Medical commissions of the Institute shall participate in the procedures on the rights from compulsory health insurance.
p.(None): (2) The medical commissions referred to in paragraph 1 of this Article shall carry out expert-medical expert evaluation on the right of the insured person
p.(None): from compulsory health insurance, and make decisions in the form of findings, opinions and ratings.
p.(None): (3) Powers and manner of work of medical commissions, their area of competence and appearance and content
p.(None): the stationery of findings, opinions and assessments shall be determined by a general act of the Institute with the consent of the minister responsible for health.
p.(None): Article 128
p.(None): (1) The procedure for determining and acknowledging an injury or illness for an occupational injury or occupational disease
p.(None): is initiated by a legal or natural person and a government body as an employer, organizer of certain activities and activities from
p.(None): Article 16 of this Act, that is, a person who independently carries out an activity by submitting an injury report
p.(None): at work, that is, occupational disease.
p.(None): (2) The application referred to in paragraph 1 of this Article shall be legal or natural person, that is, the body of state government as an employer, and
p.(None): the organizer of certain jobs and activities is obliged to submit ex officio or on request
p.(None): an injured or ill worker, or an insured person to whom rights under this Act are secured
p.(None): occupational injury or occupational disease.
p.(None): (3) If the employer or the organizer of certain activities and activities fails to comply with paragraph 2 of this
p.(None): Article, the application must be submitted by the chosen doctor of general / family medicine at the request of the injured
p.(None): or a sick insured person or at the suggestion of a competent doctor of occupational medicine specialist s
p.(None): whereby the Institute has a contract on the implementation of specific health care for workers, which is in accordance with
p.(None): by a general act of the Institute responsible for the implementation of specific health protection of workers according to the seat of the employer,
p.(None): that is, the organizer of certain activities and jobs.
p.(None): (4) The contents and form of the stationery of the report on occupational injury or professional illness shall be determined by a general act of the Institute.
p.(None): Article 129
p.(None): (1) As a rule, the Institute shall decide on the recognition of an occupational injury or occupational disease without passing a written
p.(None): solutions, by notifying the stationery of a report on occupational injury or occupational disease.
p.(None): (2) By way of derogation from paragraph 1 of this Article, the Office shall compulsorily issue a decision in case of non-recognition
p.(None): injuries or illnesses as injuries at work or occupational diseases and when deciding on the recognition of the injury
...
p.(None): HRK 50,000.00 and responsible person in a health care institution and contracted private health practitioner,
p.(None): that is, an elected doctor of medicine, that is, dental medicine of primary health care (Article 93 and Article 94.
p.(None): paragraph 3 item 4).
p.(None): (3) An elected doctor shall be fined in the amount of HRK 5,000.00 to HRK 20,000.00 for an offense.
p.(None): which establishes the temporary incapacity of the insured in contravention of the provisions of Article 46 of this Law, respectively
p.(None): who by changing the diagnoses of the insured's illness and unjustifiably concluding temporary incapacity
p.(None): acts contrary to the provisions of the article
p.(None): 52 of this Act in order to avoid the application of paragraph 2 of the same article of the Act (Article 46 paragraph
p.(None): 2 and 4 and Article 52, paragraph 1)
p.(None): (4) A specialist doctor shall be fined in the amount of HRK 5,000.00 to HRK 15,000.00 for a misdemeanor.
p.(None): at a contracting health care institution that did not submit a proposal for treatment to the hospital commission for
p.(None): medicines from a hospital health care institution (Article 21 (4)).
p.(None): Article 153
p.(None): The insured person shall be fined in the amount of HRK 8,000.00 to HRK 15,000.00 for the offense:
p.(None): 1. if she knowingly caused temporary incapacity, if she did not report within three days after the onset of illness
p.(None): an elected primary care doctor that she was ill,
p.(None): that is, within three days from the date of termination of the reason that prevented her from doing so, if intentionally
p.(None): prevents healing or training, if during temporary incapacitation, if not
p.(None): does not respond to the call for medical examination of the selected doctor or controller, or justified reason
p.(None): bodies of the Institute authorized for the control of temporary incapacity, if they do not adhere to the instructions for treatment,
p.(None): that is, without the consent of the chosen doctor, he or she leaves the place of residence or residence or abuses the right to
p.(None): the use of temporary incapacity otherwise (Article 53),
p.(None): 2. if she has been entitled to reimbursement for the cost of transport in connection with the use of the right to health care
p.(None): protection from compulsory health insurance, which had no legal basis (Article 62),
p.(None): 3. if he uses a document proving the status of the insured person in a manner contrary to the provisions of this Law and regulations
p.(None): issued pursuant to this Act, that is, to obtain health care using another's document (Article 119.
p.(None): paragraphs 3 and 6).
p.(None): XII. TRANSITIONAL AND FINAL PROVISIONS
p.(None): Article 154
p.(None): (1) The minister responsible for health shall pass the ordinances referred to in Article 19, paragraph 2, items 15 and 18, Article 46, paragraph 2.
p.(None): and 9, Article 78 and Article 90 paragraph 1 of this Act within 90 days from the day this Law enters into force.
...
Health / injured
Searching for indicator injured:
(return to top)
p.(None): reservists during the service in the Armed Forces of the Republic of Croatia, if the right to compulsory health
p.(None): they do not get insurance on another basis,
p.(None): 22. persons who interrupted their work because they were referred by a legal or natural person to education or
p.(None): vocational training, while continuing education or vocational training,
p.(None): 23. persons who have been referred by their legal or natural persons as their scholarship holders before entering into employment
p.(None): practical work in another legal entity or with another natural person for professional training or further training, while
p.(None): takes practical work,
p.(None): 24. Persons sent to another Member State or to a third country within the framework of international technical, educational and cultural training
p.(None): collaborations, while on that basis,
p.(None): 25. persons who have been recognized the right to the status of carer parents under a special law,
p.(None): 26. members of the family of a killed, imprisoned or missing Croatian defense attorney while receiving cash
p.(None): fees in accordance with the regulations on the rights of Croatian war veterans and their members
p.(None): families, if they do not exercise their entitlement to compulsory health insurance on another basis,
p.(None): 27. family members of the injured, detained or missing Croatian veterans residing
p.(None): or granted a permanent residence in the Republic of Croatia, if they applied to the Institute within 30 days from the day
p.(None): cessation of receiving financial compensation in accordance with the regulations on the rights of Croatian war veterans; and
p.(None): members of their families, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 28. persons with permanent or temporary residence in the Republic of Croatia by decision
p.(None): of the competent court deprived of their liberty and are in organizational units of the Ministry of Justice, according to the application
p.(None): Of the Ministry of Justice.
p.(None): (2) Employment in accordance with paragraph 1, item 1 of this Article shall be understood as the relation between the employer and the worker towards
p.(None): labor regulations and other regulations governing employment matters.
p.(None): (3) The activities of the persons referred to in paragraph 1, item 6 of this Article shall be: the registered activity of crafts and agriculture
p.(None): and forestry, freelance (professional activity) and other self-employed activities
p.(None): the authorization was issued by the competent authority for the independent exercise of the activity of a natural person, registered in the appropriate
p.(None): the register of that body and the activity with the characteristic
p.(None): independence, durability and intention to create a permanent source of taxpayer's income recorded in the register
p.(None): of taxpayers of income tax, in accordance with the regulations on income tax when it comes to independent activity for whose
...
p.(None): treatment in another Member State or third country in accordance with Article 26, paragraph 3 of this Law, and
p.(None): on the basis of the findings, opinion and evaluation of the Institute's medical committee, due to the medical condition, transportation was approved
p.(None): by air, is entitled to a reimbursement for the cost of transportation in the amount of the lowest price of an economy class air ticket.
p.(None): (4) The insured person shall exercise the right to compensation for transport costs on the basis of a letter of travel order which
p.(None): is issued by an elected primary care physician or an elected dental doctor, respectively
p.(None): an employee of the Institute when an insured person has been summoned by the Office to exercise his / her compulsory health care entitlement
p.(None): insurance and on the basis of the decision of the Institute for referral to treatment in accordance with Article 26, paragraph 3 of this
p.(None): Of the Act, that is, on the basis of a certificate from the health institution on the performed hemodialysis.
p.(None): (5) The contents and form of the stationery of the travel order referred to in paragraph 4 of this Article shall be determined by a general act of the Office.
p.(None): V. INJURY AT WORK AND PROFESSIONAL DISEASE
p.(None): Article 66 An injury at work under this Law shall be considered:
p.(None): 1. injury caused by direct and short-term mechanical, physical or chemical action, and
p.(None): injury caused by sudden changes in body position, sudden loading of the body or other
p.(None): changes in the physiological state of the organism, if it is causally related to the performance of activities or activities
p.(None): on the basis that the injured person is insured under compulsory health insurance as well as the injury incurred
p.(None): during the mandatory fitness training related to maintaining psychophysical fitness to perform certain tasks,
p.(None): in accordance with special regulations,
p.(None): 2. a disease that has arisen directly and exclusively as a result of an accident or force majeure during work, that is
p.(None): the performance of an activity or in connection with the performance of that activity on the basis of which the insured person is insured under compulsory insurance
p.(None): health insurance,
p.(None): 3. an injury incurred in the manner referred to in item 1 of this Article which the insured person receives on a regular basis from
p.(None): the apartment to the place of work and vice versa and on the path taken to enter the work provided to her, that is, to
p.(None): work on the basis of which it is insured in compulsory health insurance,
p.(None): 4. the injury or illness referred to in points 1 and 2 of this Article arising out of the insured person in the circumstances referred to in Article 16.
p.(None): of this Act.
p.(None): Article 67
p.(None): For the purposes of this Law, an injury at work shall not be considered an injury or illness, which occurred due to:
p.(None): 1. hidden, negligent or irresponsible behavior in the workplace, or while performing
p.(None): activities, as well as on a regular commute from the apartment to the place of work and vice versa (e.g., a fight at work or
p.(None): at the time of the day's rest, deliberately causing harm to himself or to others, performing alcohol-related activities, or
...
p.(None): the protection referred to in paragraph 1 of this Article and the method of selecting a doctor of occupational medicine specialist to conduct specific
p.(None): Health care will be determined by the Institute by a general act.
p.(None): Article 127
p.(None): (1) Medical commissions of the Institute shall participate in the procedures on the rights from compulsory health insurance.
p.(None): (2) The medical commissions referred to in paragraph 1 of this Article shall carry out expert-medical expert evaluation on the right of the insured person
p.(None): from compulsory health insurance, and make decisions in the form of findings, opinions and ratings.
p.(None): (3) Powers and manner of work of medical commissions, their area of competence and appearance and content
p.(None): the stationery of findings, opinions and assessments shall be determined by a general act of the Institute with the consent of the minister responsible for health.
p.(None): Article 128
p.(None): (1) The procedure for determining and acknowledging an injury or illness for an occupational injury or occupational disease
p.(None): is initiated by a legal or natural person and a government body as an employer, organizer of certain activities and activities from
p.(None): Article 16 of this Act, that is, a person who independently carries out an activity by submitting an injury report
p.(None): at work, that is, occupational disease.
p.(None): (2) The application referred to in paragraph 1 of this Article shall be legal or natural person, that is, the body of state government as an employer, and
p.(None): the organizer of certain jobs and activities is obliged to submit ex officio or on request
p.(None): an injured or ill worker, or an insured person to whom rights under this Act are secured
p.(None): occupational injury or occupational disease.
p.(None): (3) If the employer or the organizer of certain activities and activities fails to comply with paragraph 2 of this
p.(None): Article, the application must be submitted by the chosen doctor of general / family medicine at the request of the injured
p.(None): or a sick insured person or at the suggestion of a competent doctor of occupational medicine specialist s
p.(None): whereby the Institute has a contract on the implementation of specific health care for workers, which is in accordance with
p.(None): by a general act of the Institute responsible for the implementation of specific health protection of workers according to the seat of the employer,
p.(None): that is, the organizer of certain activities and jobs.
p.(None): (4) The contents and form of the stationery of the report on occupational injury or professional illness shall be determined by a general act of the Institute.
p.(None): Article 129
p.(None): (1) As a rule, the Institute shall decide on the recognition of an occupational injury or occupational disease without passing a written
p.(None): solutions, by notifying the stationery of a report on occupational injury or occupational disease.
p.(None): (2) By way of derogation from paragraph 1 of this Article, the Office shall compulsorily issue a decision in case of non-recognition
p.(None): injuries or illnesses as injuries at work or occupational diseases and when deciding on the recognition of the injury
p.(None): at work, or occupational disease upon request of the insured person or family member of the insured
p.(None): persons in the event of the death of the insured person.
p.(None): Article 130
p.(None): (1) The report on occupational injury or occupational disease shall be submitted to:
p.(None): 1. in the case of an occupational injury - within eight days of the occurrence of the occupational injury,
...
Social / Access to Social Goods
Searching for indicator social welfare:
(return to top)
p.(None): provided that they have previously made a one-off payment for their compulsory health insurance contribution to the lowest basis for
p.(None): calculation of contributions for compulsory health insurance from the date of termination of the earlier status of the insured person, whichever is longer
p.(None): a period of 12 months.
p.(None): Article 14
p.(None): Holders of compulsory health insurance referred to in Article 10, paragraph 1 of this Act who are at work in
p.(None): third countries with which the Republic of Croatia does not have an international agreement or an international agreement
p.(None): the issue of health insurance is not regulated, they are obliged to insure on compulsory health insurance and
p.(None): make a statutory compulsory health insurance contribution for each family member s
p.(None): residence, or permanent residence in the Republic of Croatia, which is not covered by a health insurance code
p.(None): of the health insurance carrier in the country of work of the insurance carrier and was before his departure for work
p.(None): to a third country compulsorily insured in the Republic of Croatia as a member of his family in accordance with Article 10 of this
p.(None): Act.
p.(None): Article 15
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are incapable of self-employment
p.(None): life and work and no means of support are entitled to compulsory health insurance as insured persons
p.(None): on the basis of a decision issued by the state administration office in charge of social welfare, if entitled to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): (2) Criteria for determining the incapacity for independent living and working and the lack of means of subsistence referred to in paragraph 1.
p.(None): of this Article shall be prescribed by ordinance by the minister responsible for social welfare.
p.(None): (3) The right to compulsory health insurance on the basis of insurance determined by the provision of paragraph 1 of this Article
p.(None): lasts for as long as the circumstances on the basis of which the person has been granted the right have changed.
p.(None): Article 16
p.(None): (1) Compulsory health insurance under this Act for occupational injury and occupational injuries
p.(None): diseases other than the insured referred to in Article 7, paragraph 4 of this Act shall also be compulsory for the following insured persons
p.(None): persons:
p.(None): 1. full-time students according to regulations on regular education in the Republic of Croatia
p.(None): during practical classes, during professional practice, professional trips, or while working through
p.(None): mediators in the recruitment of students,
p.(None): 2. persons referred by the Croatian Employment Service to the education it organizes or for which
p.(None): costs are borne by the Croatian Employment Service,
p.(None): 3. children with physical and mental disabilities in practical training or compulsory practical work in legal education
p.(None): to the training person,
p.(None): 4. persons who assist the police services in the performance of their tasks,
p.(None): 5. persons participating in rescue operations or in protection and rescue in the event of natural and other disasters,
p.(None): 6. persons who, at the invitation of state and other authorized bodies, perform duties in the interest of the Republic
p.(None): Croatian,
...
p.(None): that is, within three days from the date of termination of the reason that prevented her from doing so, if intentionally
p.(None): prevents healing or training, if during temporary incapacitation, if not
p.(None): does not respond to the call for medical examination of the selected doctor or controller, or justified reason
p.(None): bodies of the Institute authorized for the control of temporary incapacity, if they do not adhere to the instructions for treatment,
p.(None): that is, without the consent of the chosen doctor, he or she leaves the place of residence or residence or abuses the right to
p.(None): the use of temporary incapacity otherwise (Article 53),
p.(None): 2. if she has been entitled to reimbursement for the cost of transport in connection with the use of the right to health care
p.(None): protection from compulsory health insurance, which had no legal basis (Article 62),
p.(None): 3. if he uses a document proving the status of the insured person in a manner contrary to the provisions of this Law and regulations
p.(None): issued pursuant to this Act, that is, to obtain health care using another's document (Article 119.
p.(None): paragraphs 3 and 6).
p.(None): XII. TRANSITIONAL AND FINAL PROVISIONS
p.(None): Article 154
p.(None): (1) The minister responsible for health shall pass the ordinances referred to in Article 19, paragraph 2, items 15 and 18, Article 46, paragraph 2.
p.(None): and 9, Article 78 and Article 90 paragraph 1 of this Act within 90 days from the day this Law enters into force.
p.(None): (2) The minister competent for social welfare affairs shall pass the ordinances referred to in Article 15, paragraph 2 of this Act within the period of
p.(None): 90 days from the day this Law enters into force.
p.(None): (3) The minister responsible for finance shall adopt the ordinance referred to in Article 72, paragraph 8 of this Act within 90 days from
p.(None): the entry into force of this Act.
p.(None): Article 155
p.(None): (1) The Office shall adopt the general acts referred to in Article 19, paragraph 4, Article 36, paragraph 1, item 4, Article 38, paragraph 3, Article 41.
p.(None): paragraph 7, Article 45, paragraph 6, Article 54, paragraph 9, Article 61, Article 79, paragraph 5, Article 119
p.(None): paragraph 6, Article 122, paragraph 5, Article 126, paragraph. 3, Article 127 (3), Article 128 (4) i
p.(None): enact Article 131 of this Act within 90 days from the day this Law enters into force.
p.(None): (2) The Office shall adopt the general acts referred to in Article 7, paragraph 7, Article 10, paragraph 3, Article 19, paragraph 6, Article
p.(None): 20, paragraphs 7 and 9, Article 33, Article 76, Article 86, paragraph 2, Article 87, paragraphs 1 and 2 of this Act
p.(None): within 180 days from the day this Law enters into force, and at the same time harmonize other general acts with the provisions of this Law.
p.(None): Act.
p.(None): (3) The Office shall adopt the general acts referred to in Article 26 (4) and Article 28 (3) of this Act by October 25 at the latest.
p.(None): 2013.
p.(None): (4) The Office shall adopt the general acts referred to in Article 23, paragraph 3, Article 24, paragraph 3 and Article 25 of this Act by no later than
p.(None): January 1, 2014
p.(None): Article 156
p.(None): Content and format of prescriptions referred to in Article 20 (9), reports on temporary inability to work referred to in Article 38 (5), and
...
Social / Age
Searching for indicator age:
(return to top)
p.(None): persons) rights and obligations arising from compulsory health insurance on the principles of reciprocity, solidarity and equality,
p.(None): in the manner and under the conditions laid down in Regulation (EC) No. 883/2004 as last amended by EU Regulation no. 1224/2012
p.(None): (hereinafter referred to as EU regulations), Directive 2011/24 / EU, this Act, a separate law and regulations
p.(None): passed pursuant to this Act.
p.(None): (3) The rights arising from compulsory health insurance shall also provide for rights in the event of an occupational injury
p.(None): and occupational diseases, which include measures to implement specific health care for workers; and
p.(None): diagnostic procedures for suspected occupational disease in accordance with the Law on Health Care and Special
p.(None): laws and ordinances issued pursuant to those laws.
p.(None): (4) The scope of compulsory health insurance rights, which is provided on equal terms to all
p.(None): to insured persons, is determined by the provisions of this Act and the regulations adopted pursuant to this Act.
p.(None): II. MANDATORY HEALTH INSURANCE
p.(None): Article 4
p.(None): (1) Compulsory health insurance under one of the insurance bases established by this Act shall be obligatory
p.(None): to provide for all persons residing in the Republic of Croatia and a party authorized to reside in the Republic of Croatia,
p.(None): unless otherwise stipulated by an international treaty or special law.
p.(None): (2) Insured persons securing the rights and obligations arising from compulsory health insurance in the sense
p.(None): of this Law shall be considered insured persons, children up to the age of 18, members of the family of the insured and
p.(None): other insured persons compulsorily insured in certain circumstances.
p.(None): Article 5
p.(None): Compulsory health insurance under the provisions of this Act is also compulsory for nationals of other countries
p.(None): Member of the European Union (hereinafter: Member States) and nationals of a non-Member State
p.(None): (hereinafter: third country) granted temporary residence in the Republic of Croatia on the basis of a working
p.(None): relations with the employer based in the Republic of Croatia, ie on the basis of performing economic, ie
p.(None): professional activities in the Republic of Croatia, if the conditions are fulfilled according to special regulations which
p.(None): regulate the issue of the residence and work of foreigners in the Republic of Croatia and in accordance with EU regulations, ie international ones
p.(None): the contract does not specify otherwise.
p.(None): Article 6
p.(None): (1) The rights and obligations belonging to the insured persons referred to in Article 4, paragraph 2 of this Act and the regulations adopted on
p.(None): they cannot be transferred to, or inherited by, any other person under this Act.
p.(None): (2) By way of derogation from the provision of paragraph 1 of this Article, the rights to cash benefits which are
p.(None): are due for payment and remain unpaid due to the death of the insured person.
p.(None): III. INSURED PERSONS
p.(None): 1. Insureds
p.(None): Article 7
p.(None): (1) Compulsory health insurance under this Act shall be compulsorily insured and shall acquire the status of insured person:
p.(None): 1. persons in employment with a legal or natural person having their seat in the Republic of Croatia,
...
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
p.(None): insured on another basis and reported to the Institute within:
p.(None): a) 30 days from the date of termination of employment, that is, performing the activity or from the date of termination of employment
p.(None): compensation of the salary to which they are entitled under this Act or under regulations made pursuant to this Act,
p.(None): b) 30 days from the date of early termination of military service, ie voluntary military service
p.(None): term, ie from the date of expiry of the prescribed period for military service, ie voluntary military service
p.(None): deadline
p.(None): c) 30 days from the date of discharge from the institution for the execution of criminal and misdemeanor sanctions, from the medical institution
p.(None): or other specialized institutions if the mandatory psychiatric psychiatric safety measure was applied
p.(None): treatment or mandatory treatment for addiction in a healthcare facility,
p.(None): d) 30 days from the age of 18, if they are not insured on another basis,
p.(None): e) 90 days after the end of the school year in which they completed their regular education in accordance with the regulations on
p.(None): full-time education in the Republic of Croatia or another Member State, or within 30 days from the date of placement
p.(None): final exam,
p.(None): 14. full-time high school students and full-time college students over 18 who are nationals
p.(None): Republic of Croatia and have their place of residence or residence in the Republic of Croatia, ie citizens of the Republic of Croatia
p.(None): domiciled in another Member State having a temporary residence permit in the Republic of Croatia, sub
p.(None): provided that they are not compulsorily insured in another Member State and in a party with an approved permanent establishment
p.(None): stay in the Republic of Croatia, but they may use this right for the longest time until the end of the school year,
p.(None): that is, at the end of the academic year in which they completed their full-time education, the longest total
p.(None): eight years on that basis, if they do not exercise the right to compulsory health insurance on another basis
p.(None): 15. Full-time high school students and full-time college students in other Member States above
p.(None): 18 years of age, who are citizens of the Republic of Croatia and reside in the Republic of Croatia, and foreigners with
p.(None): granted permanent residence in the Republic of Croatia, but they may use this right for the longest time until the end of the school year
p.(None): year, that is, the end of the academic year in which they completed their regular education according to the regulations of the state
p.(None): education, and for a maximum of eight years on that basis, if the right to compulsory health
p.(None): they do not realize insurance on another basis
p.(None): 16. Persons with a residence or approved permanent residence in the Republic of Croatia over 18 years of age who
p.(None): have lost their full-time status in accordance with the regulations on education in the Republic of Croatia or in another Member State
p.(None): students, or full-time students if they have applied to the Institute within 30 days from the date of loss of status
p.(None): full-time student or full-time student and if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 17. spouse of a deceased insured person who, after the death of the spouse, did not acquire the right to family pension, if the Office
p.(None): reported within 30 days of the death of the spouse, and the right to compulsory health insurance can not exercise by
p.(None): on another basis,
p.(None): 18. domiciled persons and foreigners with a permanent residence permit in the Republic of Croatia to which he / she is resident
p.(None): a recognized attribute of a military military or civilian disabled war veteran and peacetime military
p.(None): disabled persons, ie status of beneficiaries of family disability benefits in accordance with the Law on Protection of Military and Civilian Persons
...
p.(None): are kept in the records of the Croatian Employment Service.
p.(None): (6) For persons referred to in paragraph 5 of this Article who are not kept in the records of the Croatian Employment Service
p.(None): as unemployed persons, the status of the insured will be determined by applying to the Institute.
p.(None): (7) The Office shall determine the conditions and manner of acquiring the status of the insured in accordance with paragraph 1 of this Article.
p.(None): by a general act.
p.(None): Article 8
p.(None): (1) Compulsory health insurance rights to the extent that they belong to the insured, unless otherwise provided by this Law
p.(None): In particular, there are persons who have a permanent or permanent residence in the Republic of Croatia based on them
p.(None): receipts of which, according to the regulations on income tax, the second income is determined, and in accordance with the regulations on contributions
p.(None): for compulsory insurance payments made on a one-time or multiple payments basis over the last five years, a compulsory contribution
p.(None): health insurance at least equal to the contribution calculated on the lowest basis for calculating the contribution to
p.(None): compulsory health insurance for a period of six months if they do not qualify for compulsory health insurance
p.(None): insurance on another basis.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall retain the status of the insured person of the Institute for the duration of the payment
p.(None): contributions to other receipts have a monthly paid contribution for compulsory health insurance at least at
p.(None): the lowest contribution basis.
p.(None): 2. Children up to the age of 18 and family members of the insured
p.(None): Article 9
p.(None): Children up to the age of 18 who have a permanent or permanent residence in the Republic of Croatia
p.(None): they are insured for compulsory health insurance and acquire the status of insured person.
p.(None): Article 10
p.(None): (1) According to this Law, the status of the insured person - a member of the family of the insured, as the holder of the compulsory one
p.(None): health insurance, can acquire:
p.(None): 1. spouse (marital and extra-marital, in accordance with the regulations on family relations),
p.(None): 2. children (born, unmarried or adopted, stepchildren) and other children without parents, if insured
p.(None): maintains, at the request of the insured,
p.(None): 3. parents (father, mother, stepfather, stepmother and adoptive parent), if they are incapable of independent living and work, if they do not have
p.(None): means of subsistence and, if supported by the insured,
p.(None): 4. grandchildren, brothers, sisters, grandparents, if they are incapable of independent living and work, if they have no means of support
p.(None): and if the insured maintains them.
p.(None): (2) The members of the family of the insured referred to in paragraph 1 of this Article shall acquire the status of the insured person in accordance with
...
p.(None): divorced:
p.(None): 1. if, by a court decision, he or she has acquired the right to alimony while abstaining,
p.(None): 2. if, at the time of the divorce, he was completely and permanently incapable of working in accordance with the regulations on pension insurance,
p.(None): 3. if, by a court decision on divorce, the children have been entrusted with custody and upbringing, provided that
p.(None): report to the CES within 30 days from the day the court decision becomes final, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (2) The persons referred to in paragraph 1, item 1 of this Article shall retain the status of insured person as family members even upon termination
p.(None): support provided that they apply to the CES within 30 days from the day the court decision becomes final, if the right to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): Article 12
p.(None): (1) The children of the insured referred to in Article 10, paragraph 1, item 2 of this Act who have acquired the status of insured person as members
p.(None): Insured families may retain this status for up to 18 years.
p.(None): (2) Children of the insured referred to in paragraph 1 of this Article who become completely and permanently incapable of independent living and work,
p.(None): in accordance with special regulations, before the age of 18, retain the status of insured person as a member
p.(None): the family of the insured for the duration of that incapacity, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (3) The right to compulsory health insurance as members of the family of the insured may also be acquired by children
p.(None): insured persons who, after attaining the age of 18 years, have become completely and permanently incapable of independence
p.(None): life and work, in accordance with special regulations, if the insured maintains them and if they are entitled to compulsory health insurance
p.(None): they cannot obtain insurance on another basis.
p.(None): 3. Other insured persons
p.(None): Article 13
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are entitled to compulsory residence
p.(None): they cannot obtain health insurance under one of the insurance bases laid down in Articles 7 to 12.
p.(None): and Articles 14 and 15 of this Act are obliged to insure against compulsory health insurance as insured
p.(None): persons.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall acquire the rights and obligations under compulsory health insurance under
p.(None): provided that they have previously made a one-off payment for their compulsory health insurance contribution to the lowest basis for
p.(None): calculation of contributions for compulsory health insurance from the date of termination of the earlier status of the insured person, whichever is longer
p.(None): a period of 12 months.
p.(None): Article 14
p.(None): Holders of compulsory health insurance referred to in Article 10, paragraph 1 of this Act who are at work in
p.(None): third countries with which the Republic of Croatia does not have an international agreement or an international agreement
p.(None): the issue of health insurance is not regulated, they are obliged to insure on compulsory health insurance and
p.(None): make a statutory compulsory health insurance contribution for each family member s
p.(None): residence, or permanent residence in the Republic of Croatia, which is not covered by a health insurance code
...
p.(None): health care, with the prior opinion of the relevant chambers, in accordance with the financial resources provided
p.(None): and the available health facilities.
p.(None): (4) Insured persons may, at the expense of the Institute, pay the health care referred to in paragraph 1, items 1 to 5 of this Article,
p.(None): to be achieved in health care institutions and in private health care workers with whom the Institute has contracted
p.(None): on the provision of health care (hereinafter referred to as the Institute 's contracting entities) in the manner and under the conditions which
p.(None): established by this Law and by the general acts of the Institute.
p.(None): (5) The insured persons shall exercise the health care referred to in paragraph 1, item 6 of this Article at the expense of the Institute's funds
p.(None): legal or natural persons authorized to manufacture or retail orthopedic and other
p.(None): devices in accordance with a special regulation and in pharmacies with which the Institute, in accordance with the conditions and in the manner determined by the general
p.(None): by an act of the Institute, concluded a contract on the delivery of orthopedic and other aids to insured persons (hereinafter:
p.(None): contract supplies of supplies).
p.(None): Article 19
p.(None): (1) The right to health care referred to in Article 18 of this Act shall be ensured under equal conditions for all
p.(None): insured persons.
p.(None): (2) Insured persons in exercising their right to health care from compulsory health care
p.(None): of the insurance referred to in Article 18 of this Law, the Institute shall ensure payment of health services in full for:
p.(None): 1. comprehensive health care for children up to the age of 18, insured persons referred to in Article 12.
p.(None): paragraphs 2 and 3 and Article 15 of this Law,
p.(None): 2. preventive and specific health care for school children and students,
p.(None): 3. preventive health care for women,
p.(None): 4. the health care of women in connection with the monitoring of pregnancy and childbirth,
p.(None): 5. health care in connection with medically assisted fertilization, in accordance with a special law,
p.(None): 6. preventive health care for persons over 65 years of age,
p.(None): 7. preventive health care for persons with disabilities from the register of persons with disabilities established
p.(None): a special regulation,
p.(None): 8. comprehensive healthcare related to HIV infections and other communicable diseases prescribed by law
p.(None): implementing measures to prevent their spread,
p.(None): 9. compulsory vaccination, immunoprophylaxis and chemoprophylaxis,
p.(None): 10. overall treatment of chronic psychiatric illnesses,
p.(None): 11. overall treatment of malignancies,
p.(None): 12. all treatment resulting from a recognized occupational injury or occupational disease,
p.(None): 13. hemodialysis and peritoneal dialysis,
p.(None): 14. health care related to the taking and transplantation of parts of the human body for medical purposes,
p.(None): 15. outpatient emergency medical assistance in the emergency medical service involving emergency transport (by land,
p.(None): by water and by air), in accordance with the ordinance of the minister responsible for health,
p.(None): 16. home visits and home treatment,
p.(None): 17. home health care,
p.(None): 18. medical transport for special categories of patients, in accordance with the ordinance of the minister responsible for
p.(None): health,
p.(None): 19. medicines from the basic list of prescription medicines of the Institute
p.(None): 20. health care in the home of the insured person,
p.(None): 21. laboratory diagnostics at primary health care level,
p.(None): 22. palliative health care.
p.(None): (3) Insured persons shall be obliged to participate in the cost of health care in the amount of 20% of the full cost of health care
p.(None): protection, which may not be less than the percentages of the budgetary base set out in points 1 to 8 of this
p.(None): item for:
p.(None): 1. Specialist-consiliary health care, including day hospital and day surgery
p.(None): hospitals, excluding ambulatory physical medicine and rehabilitation - 0.75% of the budget base,
p.(None): 2. specialist diagnostics not at the level of primary health care - 1.50% of the budget
p.(None): base,
p.(None): 3. orthopedic and other aids determined by the basic list of orthopedic and other aids - 1.50% of the budget base,
p.(None): 4. specialist-consiliary health care in outpatient physical medicine and rehabilitation
p.(None): and for physical medicine and home rehabilitation - 0.75% of the budget base per day,
p.(None): 5. treatment in other Member States and third countries in accordance with international regulations of the European Union
p.(None): treaty, Directive 2011/24 / EU, this Act and the general act of the Institute, if by European Union or international law
p.(None): the contract does not specify otherwise,
p.(None): 6. hospital health care costs - 3.01% of the budget base per day,
p.(None): 7. Dental aids established by the basic list of dental aids for adults 18 to 65 years of age - 30.07%
p.(None): budgetary bases,
p.(None): 8. Dental aids as defined in the basic list of dental aids for adults 65 years and older - 15.03%
p.(None): budgetary bases.
p.(None): 4) Insured persons are obliged to participate in the amount of 0.30% of the budget base for:
p.(None): 1. the health care provided by the chosen doctor of primary health care: family (general) medicine,
p.(None): gynecology and dental medicine, in accordance with the general act of the Institute,
p.(None): 2. prescription drug delivery.
p.(None): (5) The maximum amount of participation in the health care costs referred to in paragraphs 3 and 4 of this Article, which is obligatory to bear
p.(None): the insured person can account for a maximum of 60.13% per invoice for completed health care
p.(None): budgetary bases.
p.(None): (6) List of types and number of therapeutic and diagnostic procedures to be provided to insured persons within the framework
p.(None): Health care referred to in paragraphs 2, 3 and 4 of this Article shall be determined by a general act of the Institute referred to in Article 33 of this Act.
p.(None): 1. Medicines
p.(None): Article 20
p.(None): (1) The basic and supplementary list of medicines of the Institute referred to in Article 18, paragraph 1, item 4 of this Act shall contain medicines which have
p.(None): marketing authorization in the Republic of Croatia.
p.(None): (2) The lists of medicinal products of the Institute referred to in paragraph 1 of this Article shall contain medicinal products according to the code of anatomical-therapeutic-chemical
p.(None): (ATK) classification of medicines of the World Health Organization, commonly referred to as (unprotected) name
p.(None): the (protected) name of the medicine, the name of the manufacturer, the name of the marketing authorization holder,
...
p.(None): (3) The manner of listing dental aids in the basic and additional list of dental aids of the Institute and the method
p.(None): of determining prices for dental aids shall be determined by the Office by a general act in accordance with Article 19, paragraph 6, Article 33, and
p.(None): Article 88 of this Law.
p.(None): (4) The additional list of dental aids contains dental aids with a higher price level than the prices
p.(None): from the basic list of dental supplies whereby the Institute is charged with compulsory health insurance funds
p.(None): provides cost coverage equivalent to the cost of the equivalent dental supplies from the basic dental supplies list,
p.(None): minus the cost of participating in the cost of dental supplies from the basic list of dental supplies he provides
p.(None): insured person directly or through supplementary health insurance in accordance with the Voluntary Health Act
p.(None): Insurance.
p.(None): (5) Unlike the price of dental supplies from the additional list of dental supplies compared to the equivalent price
p.(None): dental supplies from the basic list of dental supplies the insured person can take out additional health insurance
p.(None): under the Voluntary Health Insurance Act.
p.(None): Article 24
p.(None): (1) Insured persons shall be entitled to the aids referred to in Article 22 of this Act and the dental aids referred to in this Article
p.(None): 23 of this Act if they fulfill the requirement of the previous mandatory
p.(None): health insurance at the Institute for a period of at least nine months continuously, or 12 months with interruptions in
p.(None): the last two years before the occurrence of the insured event.
p.(None): (2) The provision of paragraph 1 of this Article does not apply to insured persons under the age of 18, insured persons
p.(None): referred to in Article 12, paragraphs 2 and 3 of this Act and other insured persons completely and permanently incapable of independent living and
p.(None): work according to the decision of the competent authority and the insured persons in need of this health care
p.(None): recognized occupational injuries or occupational diseases.
p.(None): (3) Insured persons shall exercise the health care referred to in Articles 22 and 23 of this Act in accordance with the general act of the Institute.
p.(None): Article 25
p.(None): The form and content of certificates for aids and dental aids referred to in Articles 22 and 23 of this Act shall be determined by a general act of the Institute.
p.(None): 3. Cross-border healthcare
p.(None): Article 26
p.(None): (1) The insured person shall have the right to use the health care in the compulsory health insurance funds
p.(None): other Member States and third countries.
p.(None): (2) The health care referred to in paragraph 1 of this Article means the right to refer to
p.(None): medical treatment, the right to use healthcare during the temporary stay in the States referred to in paragraph 1 of this
p.(None): Article 2 and the right to other healthcare in accordance with the provisions of European Union legislation, Directive 2011/24 / EU,
p.(None): of this Law of international treaties and general acts of the Institute.
p.(None): (3) The insured person can exercise the right to refer to treatment only if it is a need for treatment
p.(None): which is not carried out in contractual healthcare institutions in the Republic of Croatia and which can be successfully implemented at
p.(None): the States referred to in paragraph 1 of this Article.
...
p.(None): statements
p.(None): 7. surgical treatment of obesity, except in the case of pathological obesity when the body mass index (BMI) exceeds 40,
p.(None): that is, when the BMI exceeds 35, provided that the insured person also suffers from other associated diseases,
p.(None): 8. the treatment of medical complications resulting from the use of healthcare outside
p.(None): compulsory health insurance,
p.(None): 9. health care provided by employers, Republic of Croatia, on the basis of laws and regulations
p.(None): or local and regional self-government units.
p.(None): 6. Participation in health care costs
p.(None): Article 35
p.(None): (1) Insured persons shall be obliged to participate in the health care costs referred to in Article 19, paragraphs 3 and 4,
p.(None): Article 20 (5), Article 22 (4) and Article 23 (4) of this Act.
p.(None): (2) The insured person shall pay for the health care costs referred to in paragraph 1 of this Article in person upon use
p.(None): health care, ie through supplementary health insurance, in accordance with the Law on Voluntary Health
p.(None): Insurance.
p.(None): (3) Funds generated by the participation of the insured person in the health care costs referred to in Article 19, paragraph
p.(None): 3, Article 20 (5), Article 22 (4) and Article 23 (4) of this Act shall be the revenue of the contracting entities
p.(None): Institutes, contracting providers of aids, or healthcare institutions in other Member States or third countries
p.(None): to the countries in which the insured persons used health care in accordance with Article 26 of this Law, and the funds from
p.(None): of Article 19, paragraph 4, are the revenue of the Institute.
p.(None): (4) In the health care costs referred to in Article 19 (3) and (4), Article 22 (4) and Article
p.(None): Children under the age of 18 and the insured persons referred to in Article 12 shall not be obliged to participate in paragraph 23 of this Act.
p.(None): paragraphs 2 and 3 and Article 15 of this Law.
p.(None): 2. RIGHT TO FEES
p.(None): Article 36
p.(None): (1) Insured persons under the right to compulsory health insurance are entitled to:
p.(None): 1. compensation for wages during temporary incapacity, ie inability to work due to use
p.(None): health care or other circumstances referred to in Article 39 of this Law (hereinafter referred to as: salary compensation),
p.(None): 2. financial compensation due to the inability to carry out business on the basis of which other receipts from
p.(None): determining other income, in accordance with the regulations on contributions for compulsory insurance,
p.(None): 3. compensation for transport costs related to the use of health care from compulsory health care
p.(None): insurance
p.(None): 4. compensation for the costs of accommodation for one of the parents or the person taking care of the child during the time
p.(None): hospital treatment of the child, in the amount and under the conditions laid down in the general act of the Institute,
p.(None): (2) The right referred to in paragraph 1, items 3 and 4 of this Article shall also belong to other insured persons.
p.(None): (3) The monetary compensation referred to in paragraph 1 of this Article, as well as the monetary compensation for the reimbursement of rights costs
p.(None): are compulsory from the compulsory health insurance provided by the insured person pursuant to the decision of the Institute
p.(None): enforcement.
p.(None): Article 37
...
p.(None): Article 43
p.(None): (1) In case when the insured legal or natural person - the employer has not determined the salary compensation on
p.(None): manner and to the extent established by this Act and the implementing regulation adopted pursuant to this Act within 30
p.(None): days from the date of payment of the salary with the employer, the insured has the right to submit to the Institute a request for calculation
p.(None): the associated salary compensation.
p.(None): (2) Upon receipt of the request referred to in paragraph 1 of this Article, the Office shall calculate the salary compensation and submit the calculation
p.(None): the insured person and the employer within 15 days from the day of receipt of the request.
p.(None): (3) The employer is obliged to pay the insured person a salary compensation in accordance with the calculation provided by the Institute
p.(None): not later than 15 days from the date of receipt of the payroll calculation.
p.(None): Article 44
p.(None): (1) The compensation of salary for temporary incapacity shall belong to the insured person for all time of temporary incapacity, and
p.(None): for the longest period prescribed by this Act.
p.(None): (2) The remuneration shall be payable to the Insured only for the days or hours for which the Insured would be entitled to pay
p.(None): according to labor regulations, unless otherwise provided by this Law.
p.(None): Article 45
p.(None): (1) The insured referred to in Article 39, item 5 of this Act shall have the right to remuneration for the period of temporary disability for
p.(None): work for the care of the insured person - child up to the age of seven
p.(None): years up to a maximum of 60 days for each identified disease, and for a child between seven and
p.(None): 18 years up to 40 days maximum.
p.(None): (2) By way of derogation from paragraph 1 of this Article, if, in the opinion of the doctor of medicine, primary health care
p.(None): health status of a family member - child under 18 years of age such that the length of care specified in paragraph 1.
p.(None): of this article will not be sufficient, the required duration of care is determined by the medical committee of the Institute.
p.(None): (3) The child referred to in paragraphs 1 and 2 of this Article shall be considered in addition to his own child and adopted child, stepson, and
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
...
p.(None): offered and entered into a contract of employment with him in writing for the performance of the tasks for which he is capable, from the day
p.(None): identified imminent dangers of disability. Salary compensation charges the employer’s funds until the day
p.(None): entering into a written employment contract for the performance of the tasks for which he is capable.
p.(None): (3) The insured who does not accept the offer of the employer referred to in paragraphs 1 and 2 of this Article and does not with the employer
p.(None): enter into an employment contract for the performance of the activities for which he is capable of not entitled to remuneration under this Law
p.(None): the time of temporary incapacity from the date of receipt of the employer’s offer.
p.(None): (4) The insured referred to in Article 7, Paragraph 1, Items 6, 8 and 9 of this Act, in which
p.(None): disability insurance bodies determined disability due to professional inability to work,
p.(None): that is, the imminent danger of disability does not have the right to compensation of the salary at the expense of the assets of the obligatory
p.(None): health insurance from the date of established disability, that is, identified imminent danger of occurrence of disability.
p.(None): Article 50
p.(None): A policyholder who has attained 65 years of age and 15 years of pensionable service on an insurance basis
p.(None): self-employed or self-employed person is not entitled to reimbursement of salary at the expense of compulsory health insurance funds
p.(None): during temporary incapacity, but at the expense of the employer, or at the expense of the insured
p.(None): the payer of the contribution.
p.(None): Article 51
p.(None): (1) To an insured person whose employment or performance has ceased during the period of temporary incapacity
p.(None): In the case of personal work, the remuneration of wages shall be for a maximum of 30 days from the date of termination of service
p.(None): relationships, that is, performing his activity by personal work, provided that his chosen doctor is temporary
p.(None): the incapacity determined at least eight days before the date of termination of employment, that is, carrying out the activity of personal
p.(None): that he was entitled to remuneration at the time of termination of employment, that is, carrying out his activity by personal work
p.(None): salaries in accordance with the provisions of this Act.
p.(None): (2) Exceptionally, under the conditions referred to in paragraph 1 of this Article, to the insured person, who is temporary
p.(None): incapacity that is a direct consequence of participating in the Homeland War, or the consequence of a recognized injury to
p.(None): termination of employment or occupational disease, or the pursuit of an activity by personal work belongs
p.(None): the right to remuneration after the termination of employment, or the pursuit of the activity by personal work, as long as
...
p.(None): 5%.
p.(None): (8) The remuneration under paragraph 7 of this Article shall be payable to the insured person from the first day of the following month after the expiration of three months
p.(None): continuous temporary incapacity, if the requirement to increase pay is fulfilled.
p.(None): (9) The Office shall by a general act determine the manner of determining the basis for the salary compensation referred to in paragraph 3 of this Article.
p.(None): Article 55
p.(None): (1) Salary compensation may not be less than 70% of the salary compensation base, unless otherwise provided by this Law,
p.(None): that as a full-time monthly amount cannot be less than 25% of the budget base.
p.(None): (2) Salary compensation shall be 100% of the salary compensation base during:
p.(None): 1. temporary disability due to a wound, injury or illness that is a direct consequence of participating in
p.(None): The Homeland War,
p.(None): 2. temporary disability due to illness and complications related to pregnancy and childbirth,
p.(None): 3. the use of maternity leave and the right to work in part-time work referred to in Article 39, item 7 of this Act,
p.(None): 4. use of leave for the death of a child referred to in Article 39, item 8 of this Act,
p.(None): 5. care of a sick child under the age of three,
p.(None): 6. temporary disability due to transplantation of living tissue and organs for the benefit of another person,
p.(None): 7. while the insured person is isolated as a carrier or because of an infection in his surroundings,
p.(None): 8. temporary disability due to a recognized occupational injury or occupational disease.
p.(None): (3) The amount of remuneration paid to be charged to the funds of the Institute shall be determined by the Institute, with the maximum monthly
p.(None): the amount of salary compensation, calculated in accordance with the provisions of this Act and regulations adopted pursuant to this Act, does not
p.(None): may, for full-time employment, exceed the budgetary base plus 28%, with the exception of the salary referred to in the paragraph
p.(None): 2 points 3, 4 and 8 of this Article.
p.(None): (4) Full-time work within the meaning of this Act shall be considered to be 40 hours a week, if a special regulation,
p.(None): the rules of procedure, the collective agreement, the agreement concluded between the works council and the employer, or
p.(None): the employment contract does not specify otherwise.
p.(None): Article 56
p.(None): (1) The remuneration of the salary paid at the expense of the Institute's funds shall belong to the insured person in the amount prescribed by this
p.(None): Law or regulations and general acts adopted pursuant to this Act, provided that before the date of its occurrence
p.(None): the insured case on the basis of which the right to remuneration is acquired has a completed period of insurance in
p.(None): The Institute on the basis of employment, economic activity or professional activity
...
p.(None): 3. Compensation for transport costs related to the use of the right to health care from compulsory health insurance
p.(None): Article 62
p.(None): (1) In order to exercise the right to health care from compulsory health insurance, an insured person is entitled to
p.(None): reimbursement for transport costs provided that it is sent out of place for the use of health care
p.(None): residence or residence and that it does not qualify for the use of medical transport prescribed
p.(None): by the ordinance of the minister competent for health referred to in Article 19, paragraph 2, item 18 of this Act and established by a general act
p.(None): Institute.
p.(None): (2) The insured person referred to in paragraph 1 of this Article shall be entitled to reimbursement for transport costs if he is in use
p.(None): health care referred to a contractual healthcare institution, that is, an office of a contract doctor of private practice or
p.(None): to the contractor delivering the supplies to a location 50 miles or more from her place
p.(None): residence or residence because they do not have adequate health care, in accordance with their health status
p.(None): can be exercised at a close contractual health institution, that is, an office of a contract doctor of private practice
p.(None): with a contracted activity for that type of healthcare or with a nearby contracted provider of supplies.
p.(None): (3) Subject to paragraph 2 of this Article, relating to distance, the right to compensation for transport costs shall be eligible
p.(None): and the insured person summoned by the Institute in the case of determining the right from compulsory health
p.(None): insurance.
p.(None): (4) The insured person shall have the right to compensation for transport costs, irrespective of the distance referred to in paragraph 2 of this Article.
p.(None): 18 years of age, insured person referred to in Article 12, paragraphs 2 and 3 of this Act, insured person in connection with use
p.(None): radiotherapy and chemotherapy and hemodialysis as a chronic kidney patient, insured person in a relationship
p.(None): health insurance due to a recognized occupational injury or occupational disease, insured person
p.(None): a donor of an organ, tissue or cell that uses health care in connection with the donation of an organ, tissue or cell,
p.(None): and an insured person referred for treatment to another Member State or third country in accordance with this Act and a general act
p.(None): Institute.
p.(None): (5) The insured person who works for him in accordance with paragraph 2 of this Article shall also be entitled to compensation for transport costs.
p.(None): reducing the waiting list accepted the use of healthcare in the contracting healthcare institution, respectively
p.(None): the practice of a contract doctor of private practice who is not in, or closest to, his place of residence,
p.(None): that is, residence.
p.(None): (6) Insured person who wishes to use health care in another contracted health institution, ie
p.(None): to a private practitioner's doctor's office, or to another contracting supplies provider in the area
p.(None): The Republic of Croatia, and not where it is addressed, has the right to obtain this health care at the expense of the compulsory funds
p.(None): health insurance, but without the right to reimbursement for transport costs and the right to medical transport.
p.(None): Article 63
p.(None): (1) The Institute shall bear the real costs of transporting the remains of an insured person who has been referred for treatment
p.(None): outside the place of residence or residence in accordance with Article 62 of this Law.
p.(None): (2) The Institute shall bear the costs of transporting the remains of the insured person to the place of his / her residence,
p.(None): that is, the place of residence if that person underwent an organ exploration for contractual transplantation
p.(None): to a health care institution outside the place of residence or residence.
p.(None): (3) The right to reimbursement of the transport costs referred to in paragraphs 1 and 2 of this Article shall be paid to a legal or natural person who
p.(None): has borne the cost of transport on the basis of her request and proof of paid transport.
p.(None): Article 64
p.(None): (1) The right to reimbursement for transport costs shall also have one person designated as an escort of the insured person referred to in Article 62.
p.(None): of this Act, provided that the elected primary care physician has identified the need for an escort and is insured
p.(None): the person to whom the escort is designated does not qualify for the use of medical transport prescribed by the ordinance
p.(None): the minister responsible for health referred to in Article 19, paragraph 2, item 18 of this Act and established by a general act of the Institute.
p.(None): (2) It is considered that children up to the age of 18, as well as insured persons referred to in Article 12, paragraphs
p.(None): 2 and 3 of this Law is required escort regardless of whether they fulfill the conditions for using the medical facility
p.(None): transportation.
p.(None): Article 65
p.(None): (1) Reimbursement for transport costs referred to in Article 62 of this Act shall mean reimbursement for costs
p.(None): public transport at the lowest price and the shortest distance to the official
p.(None): public transport rangefinder.
p.(None): (2) By way of derogation from paragraph 1 of this Article, the insured person shall be insured due to his / her health status, as previously stated
p.(None): with the approval of the Institute's medical committee, and at the suggestion of an elected doctor, may authorize the use of more expensive ones
p.(None): public transport (sleeping on the train, aircraft).
p.(None): (3) Insured person who is in accordance with paragraph 2 of this Article or the decision of the Office on referral to
p.(None): treatment in another Member State or third country in accordance with Article 26, paragraph 3 of this Law, and
p.(None): on the basis of the findings, opinion and evaluation of the Institute's medical committee, due to the medical condition, transportation was approved
p.(None): by air, is entitled to a reimbursement for the cost of transportation in the amount of the lowest price of an economy class air ticket.
p.(None): (4) The insured person shall exercise the right to compensation for transport costs on the basis of a letter of travel order which
p.(None): is issued by an elected primary care physician or an elected dental doctor, respectively
p.(None): an employee of the Institute when an insured person has been summoned by the Office to exercise his / her compulsory health care entitlement
...
p.(None): compulsory health insurance and compulsory occupational health and professional health insurance
p.(None): diseases shall be regulated by a separate law, unless otherwise provided by this Law.
p.(None): (2) The Tax Administration shall, by the 20th day of the month for the previous month, submit to the Institute all records pertaining to
p.(None): on payment of contributions and other income of compulsory health insurance and compulsory health insurance for
p.(None): a case of occupational injury and occupational disease for which it is competent and for which it maintains records.
p.(None): (3) Contribution rates for compulsory health insurance and compulsory health insurance in case of occupational injury i
p.(None): occupational diseases, and according to the Institute's data, are determined in such a way that the expected income from contributions and others
p.(None): revenues cover expected expenditures.
p.(None): Article 76
p.(None): Unless otherwise stipulated by this or special law, the bases, the method of calculation and payment, the amount, and the payers
p.(None): calculation and payment of compulsory health insurance and compulsory health insurance contributions
p.(None): injuries and occupational diseases shall be determined by a general act of the Institute.
p.(None): Article 77
p.(None): Funds for compulsory health insurance of family members of the insured persons referred to in Article 10 of this Act shall be insured from
p.(None): of the same sources of funds from which the insured person's compulsory health insurance funds are provided, unless
p.(None): is not otherwise prescribed by this Act or a separate law.
p.(None): Article 78
p.(None): The farmer referred to in Article 7, paragraph 1, item 7 of this Act, who has reached the age of 65, shall be exempt from payment
p.(None): the compulsory health insurance contribution if it fulfills the conditions laid down by the ordinance laid down by the minister responsible for
p.(None): health, with the consent of the Minister responsible for social affairs.
p.(None): Article 79
p.(None): (1) Persons liable to pay a special contribution for the use of health care abroad established under
p.(None): a special law may be exempted from paying this contribution for an insured person who is not insured with the holder
p.(None): health insurance in the country of work provided that the business is carried out in the third country with which the Republic
p.(None): Croatia does not have an international treaty or is otherwise stipulated by an international treaty if health care is in the
p.(None): to secure the country of labor at their own expense.
p.(None): (2) At the request of the person liable for payment of the contribution referred to in paragraph 1 of this Article, the exemption shall be determined
p.(None): Institute by decision.
p.(None): (3) Insured person who travels by private business to third countries with which the Republic of Croatia does not exist
p.(None): concluded international treaty or concluded international treaty does not regulate the issue of health care, can
p.(None): submit a residence application to a third-country institution and pay a special contribution for the use of health care
p.(None): in third countries at the expense of the Office's resources.
p.(None): (4) The insured person referred to in paragraph 3 of this Article who does not submit to the Institute a residence application in a third country and
p.(None): does not pay a special contribution for the use of healthcare in a third country for the entire period previously planned
...
p.(None): contributions for a minimum of 30 days of compulsory health insurance entitlement are limited to the right to emergency medical insurance
p.(None): help.
p.(None): (2) Urgent medical assistance shall mean the provision of diagnostic and therapeutic procedures necessary in
p.(None): eliminating imminent danger to life and health.
p.(None): (3) The full scope of the rights referred to in paragraph 1 of this Article shall be established in advance, from the date of settlement of the due contribution amount
p.(None): interest thereon.
p.(None): 3. Securing funds in the state budget
p.(None): Article 82
p.(None): (1) The Republic of Croatia shall provide in the state budget special funds for compulsory health care rights
p.(None): insurance for:
p.(None): 1. remuneration for the period of temporary incapacity referred to in Article 39 (9) and Article 52.
p.(None): paragraph 2 of this Law,
p.(None): 2. health care costs for:
p.(None): a. the insured persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 and Article 11, paragraph 1, item 3 of this Act, for which
p.(None): the contribution shall not be paid in accordance with Article 72, paragraph 1, item 3 of this Act, and for the insured persons referred to in Article 7, paragraph
p.(None): 1. items 14., 15., 18., 20., 21., 25., 26. i
p.(None): 27 of this Law,
p.(None): b. the insured persons referred to in Article 15 of this Law;
p.(None): c. insured persons referred to in Article 78 of this Law,
p.(None): d. preventive and specific health care for school children and students,
p.(None): e. preventive health care for insured persons over 65 years of age;
p.(None): f. preventive health care of insured persons with disabilities from the register established by a special regulation,
p.(None): g. a difference in the cost of primary care organization beyond the prescribed demographic norms
p.(None): characteristics (islands, population density),
p.(None): h. the difference in health care costs that are contracted and paid according to the population, not the number of insured
p.(None): persons (emergency medicine, home health care, hygienic-epidemiological health care),
p.(None): i. the implementation of health care under international social security treaties.
p.(None): (2) The funds referred to in paragraph 1 of this Article shall be paid into the Institute's account by the 10th day of the month for the previous month and income.
p.(None): are of the Bureau.
p.(None): Article 83
p.(None): The Institute has business funds for:
p.(None): 1. compulsory health insurance rights,
p.(None): 2. the rights arising from compulsory health insurance against accidents at work and occupational diseases,
p.(None): 3. supplementary health insurance in accordance with a special law,
p.(None): 4. additional health insurance in accordance with a special law.
p.(None): Article 84
p.(None): (1) The Institute shall have a reserve for the implementation of compulsory health insurance rights.
p.(None): (2) If a surplus of revenue is determined in the final account, that surplus shall be entered in the reserve by allocating at least 50% of the surplus
p.(None): income.
p.(None): (3) The Management Board of the Institute shall supervise the use of the reserve.
p.(None): Article 85
p.(None): (1) The reserve referred to in Article 84 of this Law may amount to a maximum of one twelfth of the planned expenditure in the current
...
p.(None): 85/12., 92/12., 119/12., 147/12., 21/13. and 38/13.),
p.(None): 9. Ordinance on dental health care from compulsory health insurance (Official Gazette 38/13 and
p.(None): 49/13.)
p.(None): 10. Ordinance on the Rights, Conditions and Manner of Use of Health Care Abroad (Official Gazette,
p.(None): no. 50/09, 118/09, 4/10, 13/10, 14/10, 1/11, 16/11, 31/11, 93/11, 145/11, 41/12., 76/12. and 129/12.)
p.(None): 11. Rulebook on the manner of reporting and deregistration and obtaining the status of insured person in compulsory
p.(None): health insurance (Official Gazette 31/07, 56/07, 96/07, 130/07, 33/08, 91/09, 4/10, 69/10, 1/11 i
p.(None): 48/11.)
p.(None): 12. Rulebook on conditions and manner of exercising the right from compulsory health insurance to home health care
p.(None): insured persons (Official Gazette 88/10, 1/11, 87/11, 38/13 and 49/13),
p.(None): 13. Ordinance on the deadlines for the longest duration of sickness depending on the type of illness (Official Gazette, no.
p.(None): 153/09.)
p.(None): 14. Ordinance on the powers and method of operation of the Comptroller of the Croatian Health Insurance Institute
p.(None): (Official Gazette 59/09 and 48/11),
p.(None): 15. Rulebook on criteria and procedure for determining incapacity for independent living and work and lack of resources for
p.(None): support for persons residing in the Republic of Croatia who are not provided with health care on another basis
p.(None): (Official Gazette 39/02.),
p.(None): 16. Rulebook on conditions for exemption from payment of basic health insurance contributions
p.(None): farmers over 65 years of age (Official Gazette 122/02),
p.(None): 17. Ordinance on sickness control (Official Gazette 123/11),
p.(None): 18. Ordinance on medical transport (Official Gazette 123/09),
p.(None): 19. Ordinance on the European Health Insurance Card (Official Gazette 153/11),
p.(None): 20. Decision on Establishing the Basic Medicinal Products List of the Croatian Health Insurance Institute (Official Gazette, No.
p.(None): 47/13., 49/13., 50/13. and 54/13.),
p.(None): 21. Decision on establishing the Supplementary List of Medicines of the Croatian Health Insurance Institute
p.(None): (Official Gazette 47/13 and 49/13),
p.(None): 22. Decision to establish the list of particularly expensive medicines established by the Decision on the establishment of the Basic Medicinal Products List
p.(None): Of the Croatian Health Insurance Institute (Official Gazette 67/13),
p.(None): 23. Decision on the content and form of the document proving the status of the insured person of the Croatian Institute for Health
p.(None): insurance (Official Gazette 4/07, 91/09, 113/09, 140/09, 4/10, 13/10, 43/10 and 29/11),
p.(None): 24. Decision on Determining the Amount of Fee for the Issuance of the Health Insurance Person's Card from
p.(None): compulsory health insurance (Document 2) (Official Gazette 113/09),
p.(None): 25. Decision on the basis for the conclusion of the contract on health care provision from compulsory health insurance
p.(None): (Official Gazette 23/13, 38/13, 50/13 and 51/13),
p.(None): 26. Decision on special standards and criteria for their application in the implementation of primary health care from
p.(None): compulsory health insurance (Official Gazette 38/13),
p.(None): 27. General terms of the contract on primary health care provision from compulsory health insurance (»Narodne
p.(None): Gazette «, no. 34/13.)
...
p.(None): these funds referred to in Article 137 of this Act shall be paid in favor of the state budget of the Republic of Croatia until 31 December.
p.(None): December 2014, and as of January 1, 2015, they will be credited to the Institute's accounts and the revenue is the Institute's.
p.(None): Article 164
p.(None): The Law on Compulsory Health Insurance (»Narodne
p.(None): Gazette «, no. 150/08, 94/09, 153/09, 71/10, 139/10, 49/11, 22/12, 57/12, 90/12. - Constitutional Court decision
p.(None): Of the Republic of Croatia, 123/12. and 144/12).
p.(None): Article 165
p.(None): This Law shall be published in the Official Gazette and shall enter into force on the date of accession of the Republic of Croatia
p.(None): Except for the provisions of the European Union:
p.(None): - Articles 2 and 3 and Article 34, in so far as it concerns the application of Directive 2011/24 / EU and Articles 26.
p.(None): to 32, effective October 25, 2013,
p.(None): - Article 18, points 5 and 6, and Articles 19, 22, 23 and 25, in the part relating to the basic and additional lists
p.(None): orthopedic and other aids, and dental aids, effective January 1, 2014,
p.(None): - Article 82, paragraph 2, which shall take effect on 1 January 2015.
p.(None): Law on Amendments to the Law on Compulsory Health Insurance (“OG” No 137/13)
p.(None): Article 9
p.(None): Full-time students who, at the date of entry into force of this Act, had the status of compulsory insured persons
p.(None): health insurance based on the status of full-time student, from the day this Law enters into force
p.(None): continue to exercise that right under its provisions.
p.(None): Article 10
p.(None): Full-time students who have reached the age of 26 by the date of entry into force of this Act are eligible for compulsory health care
p.(None): they may acquire insurance under the provisions of this Act provided that they have not availed themselves of the duration of the status of the insured under
...
Social / Child
Searching for indicator child:
(return to top)
p.(None): Institutes, contracting providers of aids, or healthcare institutions in other Member States or third countries
p.(None): to the countries in which the insured persons used health care in accordance with Article 26 of this Law, and the funds from
p.(None): of Article 19, paragraph 4, are the revenue of the Institute.
p.(None): (4) In the health care costs referred to in Article 19 (3) and (4), Article 22 (4) and Article
p.(None): Children under the age of 18 and the insured persons referred to in Article 12 shall not be obliged to participate in paragraph 23 of this Act.
p.(None): paragraphs 2 and 3 and Article 15 of this Law.
p.(None): 2. RIGHT TO FEES
p.(None): Article 36
p.(None): (1) Insured persons under the right to compulsory health insurance are entitled to:
p.(None): 1. compensation for wages during temporary incapacity, ie inability to work due to use
p.(None): health care or other circumstances referred to in Article 39 of this Law (hereinafter referred to as: salary compensation),
p.(None): 2. financial compensation due to the inability to carry out business on the basis of which other receipts from
p.(None): determining other income, in accordance with the regulations on contributions for compulsory insurance,
p.(None): 3. compensation for transport costs related to the use of health care from compulsory health care
p.(None): insurance
p.(None): 4. compensation for the costs of accommodation for one of the parents or the person taking care of the child during the time
p.(None): hospital treatment of the child, in the amount and under the conditions laid down in the general act of the Institute,
p.(None): (2) The right referred to in paragraph 1, items 3 and 4 of this Article shall also belong to other insured persons.
p.(None): (3) The monetary compensation referred to in paragraph 1 of this Article, as well as the monetary compensation for the reimbursement of rights costs
p.(None): are compulsory from the compulsory health insurance provided by the insured person pursuant to the decision of the Institute
p.(None): enforcement.
p.(None): Article 37
p.(None): (1) The right to financial compensation in the case of a recognized occupational injury or occupational disease shall include:
p.(None): 1. compensation of salary during temporary incapacity for work caused by a recognized occupational injury, respectively
p.(None): occupational disease,
p.(None): 2. compensation for transport costs related to the use of health care from compulsory health care
p.(None): insurance resulting from a recognized occupational injury or occupational disease,
p.(None): 3. compensation for funeral expenses in the event of the death of the insured person, if the death is a direct consequence of a recognized one
p.(None): occupational injuries or occupational diseases.
p.(None): (2) The right to compensation of the salary referred to in paragraph 1, item 1 of this Article shall be exercised by the insured persons referred to in Article
p.(None): 7, paragraph 1, items 1 to 4, and items 6, 8, 9, 20 and 25 of this Act.
p.(None): (3) The right to compensation for transport costs and compensation for funeral expenses referred to in paragraph (1)
p.(None): 2 and 3 of this Article shall be realized by the insured persons referred to in paragraph 2 of this Article and the insured persons referred to in Article 16 i
p.(None): the insured persons referred to in Article 69 of this Act.
...
p.(None): The chosen doctor is obliged to mark the remuneration of the salary in the special section of the report on temporary incapacity for work.
p.(None): (5) The content and format of the stationery of the report on temporary inability to work referred to in paragraph 3 of this Article shall be determined by the general
p.(None): by the act of the Institute.
p.(None): Article 39
p.(None): The right to reimbursement of salary is vested in the insured person in connection with the use of compulsory health care
p.(None): health insurance, or other circumstances established by this Law, if:
p.(None): 1. temporarily incapacitated for work due to illness or injury, or for medical or medical reasons
p.(None): tests placed in a healthcare facility,
p.(None): 2. temporarily prevented from performing work due to certain treatment or medical examination which cannot be done
p.(None): to work outside the working hours of the insured,
p.(None): 3. Isolated as a carrier, or because of an infection in his environment, that is, temporarily incapable of working
p.(None): due to transplantation of living tissue and organs for the benefit of another insured person of the Institute,
p.(None): 4. designated as an escort of an insured person referred for treatment or medical examination to a contracting entity of the Institute outside
p.(None): the place of residence or residence of the insured referring person,
p.(None): 5. determined to care for a sick member of the immediate family (child and spouse) under the conditions prescribed by this Law,
p.(None): 6. temporarily unable to work due to illness and complications related to pregnancy and childbirth,
p.(None): 7. temporarily prevented from work due to the use of maternity leave and the right to work in half of full-time work
p.(None): time, in accordance with the regulations on maternity and parental support,
p.(None): 8. temporarily unable to work due to the use of leave in the case of the death of a child in the case of stillbirth
p.(None): the child or the death of the child during maternity leave,
p.(None): 9. temporarily unable to work due to a wound, injury or illness that is a direct consequence of participating in Homeland
p.(None): war.
p.(None): 10. temporarily unable to work due to a recognized occupational injury or occupational disease.
p.(None): Article 40
p.(None): Salary compensation in connection with the use of health care referred to in Article 39 items 1 and 2 of this Act
p.(None): pays the insured from its funds:
p.(None): 1. legal or natural person - employer for the first 42 days of temporary incapacity, as well as for as long as
p.(None): the insured person is employed in a third country by a legal or natural person or is employed by a third party
p.(None): country.
p.(None): 2. legal person for professional rehabilitation and employment of persons with disabilities, ie legal or natural person
p.(None): - employer for the insured worker - disabled worker for the first seven days of temporary incapacity.
p.(None): Article 41
p.(None): (1) Salary compensation for temporary incapacity referred to in Article 39, items 3 to 8, and item
p.(None): 10 of this Law shall be paid to the insured person at the expense of the Institute's funds from the first day of exercising the right.
p.(None): (2) The Institute shall pay the compensation of the salary referred to in Article 39, item 9 of this Act to the insured at the expense of state funds.
p.(None): budget.
p.(None): (3) Salary compensation for temporary incapacity referred to in Article 39, items 1 and 2 of this Act of 43.
...
p.(None): paid by the Institute.
p.(None): Article 43
p.(None): (1) In case when the insured legal or natural person - the employer has not determined the salary compensation on
p.(None): manner and to the extent established by this Act and the implementing regulation adopted pursuant to this Act within 30
p.(None): days from the date of payment of the salary with the employer, the insured has the right to submit to the Institute a request for calculation
p.(None): the associated salary compensation.
p.(None): (2) Upon receipt of the request referred to in paragraph 1 of this Article, the Office shall calculate the salary compensation and submit the calculation
p.(None): the insured person and the employer within 15 days from the day of receipt of the request.
p.(None): (3) The employer is obliged to pay the insured person a salary compensation in accordance with the calculation provided by the Institute
p.(None): not later than 15 days from the date of receipt of the payroll calculation.
p.(None): Article 44
p.(None): (1) The compensation of salary for temporary incapacity shall belong to the insured person for all time of temporary incapacity, and
p.(None): for the longest period prescribed by this Act.
p.(None): (2) The remuneration shall be payable to the Insured only for the days or hours for which the Insured would be entitled to pay
p.(None): according to labor regulations, unless otherwise provided by this Law.
p.(None): Article 45
p.(None): (1) The insured referred to in Article 39, item 5 of this Act shall have the right to remuneration for the period of temporary disability for
p.(None): work for the care of the insured person - child up to the age of seven
p.(None): years up to a maximum of 60 days for each identified disease, and for a child between seven and
p.(None): 18 years up to 40 days maximum.
p.(None): (2) By way of derogation from paragraph 1 of this Article, if, in the opinion of the doctor of medicine, primary health care
p.(None): health status of a family member - child under 18 years of age such that the length of care specified in paragraph 1.
p.(None): of this article will not be sufficient, the required duration of care is determined by the medical committee of the Institute.
p.(None): (3) The child referred to in paragraphs 1 and 2 of this Article shall be considered in addition to his own child and adopted child, stepson, and
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
p.(None): continuously for at least six months, improved also that half-time full-time work would be useful for faster
p.(None): the establishment of the full working capacity of the insured, the elected doctor may stipulate that the insured is designated
p.(None): time works half full time, but no longer than 60 days.
...
p.(None): relationships, that is, performing his activity by personal work, provided that his chosen doctor is temporary
p.(None): the incapacity determined at least eight days before the date of termination of employment, that is, carrying out the activity of personal
p.(None): that he was entitled to remuneration at the time of termination of employment, that is, carrying out his activity by personal work
p.(None): salaries in accordance with the provisions of this Act.
p.(None): (2) Exceptionally, under the conditions referred to in paragraph 1 of this Article, to the insured person, who is temporary
p.(None): incapacity that is a direct consequence of participating in the Homeland War, or the consequence of a recognized injury to
p.(None): termination of employment or occupational disease, or the pursuit of an activity by personal work belongs
p.(None): the right to remuneration after the termination of employment, or the pursuit of the activity by personal work, as long as
p.(None): he will not be able to work again, that is, until he is found and opinion of a competent body of pension expert evaluation
p.(None): disability is not determined in accordance with Article 48 of this Law.
p.(None): (3) During temporary inability to work due to illness and complications related to pregnancy and childbirth from
p.(None): Article 39, item 6 of this Act, the use of the right to maternity leave and the right to work part-time
p.(None): referred to in Article 39, point 7 of this Act, and the right to leave in the case of death of a child referred to in Article 39, point 8 of this Act
p.(None): an insured person who uses one of the above rights is entitled to a salary remuneration after termination of employment,
p.(None): that is, performing an activity by personal work until the expiration of the exercise of the same right.
p.(None): (4) To an insured person who, while exercising the rights referred to in paragraphs 1, 2 and 3 of this Article, has a full or
p.(None): part-time or has started performing his / her activity by personal work the right to remuneration of the salary earned
p.(None): in accordance with this article.
p.(None): Article 52
p.(None): (1) The Insured shall have the right to reimbursement of the funds of the Institute or the state budget
p.(None): salaries for temporary incapacity referred to in Article 39 items 1 to 5 and items 9 and 10 of this Act to the maximum
p.(None): for a period of 18 months after the same diagnosis of the disease, without interruption, in the amount determined in accordance with this Law and the general
p.(None): acts of the Institute.
p.(None): (2) After the expiry of the period referred to in paragraph 1 of this Article, the insured person shall be entitled to a salary payment in the amount of 50% of the last
p.(None): paid salaries in the name of that temporary incapacity, while for the temporary incapacity there is a medical one
p.(None): indication.
p.(None): (3) The provision of paragraph 2 of this Article does not apply to the insured person who has been found to be temporarily incapacitated due to
p.(None): treatment of malignant diseases, the insured person who has been granted care by a family member - a child suffering from malignancy
p.(None): diseases, insured persons whose temporary inability to perform hemodialysis or peritoneal dialysis, and
p.(None): whose temporary inability is related to the taking and transplantation of parts of the human body.
p.(None): Article 53
p.(None): (1) The insured person shall not be entitled to salary compensation if:
p.(None): 1. knowingly caused temporary incapacity,
p.(None): 2. does not inform the chosen doctor that he became ill within three days from the day the disease started, that is, in
p.(None): within three days of the end of the reason that prevented him from doing so,
p.(None): 3. deliberately prevents healing, ie training for work,
p.(None): 4. during temporary incapacity, work or perform tasks on the basis of which he is obligatory health
p.(None): insured, performs contracted work on the basis of a work contract and any other business (eg agricultural work and
p.(None): FIG.),
p.(None): 5. does not respond to the call for medical examination of the selected doctor or doctor without a justified reason
p.(None): the controller of the Bureau or a body of the Bureau authorized to control temporary incapacity,
p.(None): 6. an elected doctor, controller or doctor of the Institute authorized to control the temporary incapacity of the fort
p.(None): not to follow the instructions for treatment, ie leave the place of residence without the consent of the chosen doctor,
...
p.(None): (7) When the insured person receives a salary remuneration continuously for more than three months, the basis for determining the compensation from
p.(None): paragraph 1 of this Article shall increase in accordance with the increase in the salary of employees in the Republic of Croatia, if this increase is greater than
p.(None): 5%.
p.(None): (8) The remuneration under paragraph 7 of this Article shall be payable to the insured person from the first day of the following month after the expiration of three months
p.(None): continuous temporary incapacity, if the requirement to increase pay is fulfilled.
p.(None): (9) The Office shall by a general act determine the manner of determining the basis for the salary compensation referred to in paragraph 3 of this Article.
p.(None): Article 55
p.(None): (1) Salary compensation may not be less than 70% of the salary compensation base, unless otherwise provided by this Law,
p.(None): that as a full-time monthly amount cannot be less than 25% of the budget base.
p.(None): (2) Salary compensation shall be 100% of the salary compensation base during:
p.(None): 1. temporary disability due to a wound, injury or illness that is a direct consequence of participating in
p.(None): The Homeland War,
p.(None): 2. temporary disability due to illness and complications related to pregnancy and childbirth,
p.(None): 3. the use of maternity leave and the right to work in part-time work referred to in Article 39, item 7 of this Act,
p.(None): 4. use of leave for the death of a child referred to in Article 39, item 8 of this Act,
p.(None): 5. care of a sick child under the age of three,
p.(None): 6. temporary disability due to transplantation of living tissue and organs for the benefit of another person,
p.(None): 7. while the insured person is isolated as a carrier or because of an infection in his surroundings,
p.(None): 8. temporary disability due to a recognized occupational injury or occupational disease.
p.(None): (3) The amount of remuneration paid to be charged to the funds of the Institute shall be determined by the Institute, with the maximum monthly
p.(None): the amount of salary compensation, calculated in accordance with the provisions of this Act and regulations adopted pursuant to this Act, does not
p.(None): may, for full-time employment, exceed the budgetary base plus 28%, with the exception of the salary referred to in the paragraph
p.(None): 2 points 3, 4 and 8 of this Article.
p.(None): (4) Full-time work within the meaning of this Act shall be considered to be 40 hours a week, if a special regulation,
p.(None): the rules of procedure, the collective agreement, the agreement concluded between the works council and the employer, or
p.(None): the employment contract does not specify otherwise.
p.(None): Article 56
p.(None): (1) The remuneration of the salary paid at the expense of the Institute's funds shall belong to the insured person in the amount prescribed by this
p.(None): Law or regulations and general acts adopted pursuant to this Act, provided that before the date of its occurrence
p.(None): the insured case on the basis of which the right to remuneration is acquired has a completed period of insurance in
p.(None): The Institute on the basis of employment, economic activity or professional activity
...
Searching for indicator children:
(return to top)
p.(None): Institute).
p.(None): (2) Compulsory health insurance is provided to all insured persons of the Institute (hereinafter: insured
p.(None): persons) rights and obligations arising from compulsory health insurance on the principles of reciprocity, solidarity and equality,
p.(None): in the manner and under the conditions laid down in Regulation (EC) No. 883/2004 as last amended by EU Regulation no. 1224/2012
p.(None): (hereinafter referred to as EU regulations), Directive 2011/24 / EU, this Act, a separate law and regulations
p.(None): passed pursuant to this Act.
p.(None): (3) The rights arising from compulsory health insurance shall also provide for rights in the event of an occupational injury
p.(None): and occupational diseases, which include measures to implement specific health care for workers; and
p.(None): diagnostic procedures for suspected occupational disease in accordance with the Law on Health Care and Special
p.(None): laws and ordinances issued pursuant to those laws.
p.(None): (4) The scope of compulsory health insurance rights, which is provided on equal terms to all
p.(None): to insured persons, is determined by the provisions of this Act and the regulations adopted pursuant to this Act.
p.(None): II. MANDATORY HEALTH INSURANCE
p.(None): Article 4
p.(None): (1) Compulsory health insurance under one of the insurance bases established by this Act shall be obligatory
p.(None): to provide for all persons residing in the Republic of Croatia and a party authorized to reside in the Republic of Croatia,
p.(None): unless otherwise stipulated by an international treaty or special law.
p.(None): (2) Insured persons securing the rights and obligations arising from compulsory health insurance in the sense
p.(None): of this Law shall be considered insured persons, children up to the age of 18, members of the family of the insured and
p.(None): other insured persons compulsorily insured in certain circumstances.
p.(None): Article 5
p.(None): Compulsory health insurance under the provisions of this Act is also compulsory for nationals of other countries
p.(None): Member of the European Union (hereinafter: Member States) and nationals of a non-Member State
p.(None): (hereinafter: third country) granted temporary residence in the Republic of Croatia on the basis of a working
p.(None): relations with the employer based in the Republic of Croatia, ie on the basis of performing economic, ie
p.(None): professional activities in the Republic of Croatia, if the conditions are fulfilled according to special regulations which
p.(None): regulate the issue of the residence and work of foreigners in the Republic of Croatia and in accordance with EU regulations, ie international ones
p.(None): the contract does not specify otherwise.
p.(None): Article 6
p.(None): (1) The rights and obligations belonging to the insured persons referred to in Article 4, paragraph 2 of this Act and the regulations adopted on
p.(None): they cannot be transferred to, or inherited by, any other person under this Act.
p.(None): (2) By way of derogation from the provision of paragraph 1 of this Article, the rights to cash benefits which are
p.(None): are due for payment and remain unpaid due to the death of the insured person.
p.(None): III. INSURED PERSONS
p.(None): 1. Insureds
p.(None): Article 7
p.(None): (1) Compulsory health insurance under this Act shall be compulsorily insured and shall acquire the status of insured person:
p.(None): 1. persons in employment with a legal or natural person having their seat in the Republic of Croatia,
...
p.(None): are kept in the records of the Croatian Employment Service.
p.(None): (6) For persons referred to in paragraph 5 of this Article who are not kept in the records of the Croatian Employment Service
p.(None): as unemployed persons, the status of the insured will be determined by applying to the Institute.
p.(None): (7) The Office shall determine the conditions and manner of acquiring the status of the insured in accordance with paragraph 1 of this Article.
p.(None): by a general act.
p.(None): Article 8
p.(None): (1) Compulsory health insurance rights to the extent that they belong to the insured, unless otherwise provided by this Law
p.(None): In particular, there are persons who have a permanent or permanent residence in the Republic of Croatia based on them
p.(None): receipts of which, according to the regulations on income tax, the second income is determined, and in accordance with the regulations on contributions
p.(None): for compulsory insurance payments made on a one-time or multiple payments basis over the last five years, a compulsory contribution
p.(None): health insurance at least equal to the contribution calculated on the lowest basis for calculating the contribution to
p.(None): compulsory health insurance for a period of six months if they do not qualify for compulsory health insurance
p.(None): insurance on another basis.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall retain the status of the insured person of the Institute for the duration of the payment
p.(None): contributions to other receipts have a monthly paid contribution for compulsory health insurance at least at
p.(None): the lowest contribution basis.
p.(None): 2. Children up to the age of 18 and family members of the insured
p.(None): Article 9
p.(None): Children up to the age of 18 who have a permanent or permanent residence in the Republic of Croatia
p.(None): they are insured for compulsory health insurance and acquire the status of insured person.
p.(None): Article 10
p.(None): (1) According to this Law, the status of the insured person - a member of the family of the insured, as the holder of the compulsory one
p.(None): health insurance, can acquire:
p.(None): 1. spouse (marital and extra-marital, in accordance with the regulations on family relations),
p.(None): 2. children (born, unmarried or adopted, stepchildren) and other children without parents, if insured
p.(None): maintains, at the request of the insured,
p.(None): 3. parents (father, mother, stepfather, stepmother and adoptive parent), if they are incapable of independent living and work, if they do not have
p.(None): means of subsistence and, if supported by the insured,
p.(None): 4. grandchildren, brothers, sisters, grandparents, if they are incapable of independent living and work, if they have no means of support
p.(None): and if the insured maintains them.
p.(None): (2) The members of the family of the insured referred to in paragraph 1 of this Article shall acquire the status of the insured person in accordance with
p.(None): paragraph 1 of this Article provided that they cannot obtain compulsory health insurance status by any
p.(None): from the insurance bases referred to in Article 7 of this Law and that they have a permanent residence or a permanent residence permit in the
p.(None): To the Republic of Croatia, unless otherwise provided by EU regulations or international treaty.
p.(None): (3) The Office shall determine by general act the conditions under which it is considered that the person referred to in paragraph 1 of this Article is incapable of
p.(None): independent living and work and no means of subsistence and insured maintenance.
p.(None): Article 11
p.(None): (1) The spouse with the divorce retains the status of the insured person of the CES as a member of the spouse's family from which he or she
p.(None): divorced:
p.(None): 1. if, by a court decision, he or she has acquired the right to alimony while abstaining,
p.(None): 2. if, at the time of the divorce, he was completely and permanently incapable of working in accordance with the regulations on pension insurance,
p.(None): 3. if, by a court decision on divorce, the children have been entrusted with custody and upbringing, provided that
p.(None): report to the CES within 30 days from the day the court decision becomes final, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (2) The persons referred to in paragraph 1, item 1 of this Article shall retain the status of insured person as family members even upon termination
p.(None): support provided that they apply to the CES within 30 days from the day the court decision becomes final, if the right to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): Article 12
p.(None): (1) The children of the insured referred to in Article 10, paragraph 1, item 2 of this Act who have acquired the status of insured person as members
p.(None): Insured families may retain this status for up to 18 years.
p.(None): (2) Children of the insured referred to in paragraph 1 of this Article who become completely and permanently incapable of independent living and work,
p.(None): in accordance with special regulations, before the age of 18, retain the status of insured person as a member
p.(None): the family of the insured for the duration of that incapacity, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (3) The right to compulsory health insurance as members of the family of the insured may also be acquired by children
p.(None): insured persons who, after attaining the age of 18 years, have become completely and permanently incapable of independence
p.(None): life and work, in accordance with special regulations, if the insured maintains them and if they are entitled to compulsory health insurance
p.(None): they cannot obtain insurance on another basis.
p.(None): 3. Other insured persons
p.(None): Article 13
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are entitled to compulsory residence
p.(None): they cannot obtain health insurance under one of the insurance bases laid down in Articles 7 to 12.
p.(None): and Articles 14 and 15 of this Act are obliged to insure against compulsory health insurance as insured
p.(None): persons.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall acquire the rights and obligations under compulsory health insurance under
p.(None): provided that they have previously made a one-off payment for their compulsory health insurance contribution to the lowest basis for
p.(None): calculation of contributions for compulsory health insurance from the date of termination of the earlier status of the insured person, whichever is longer
p.(None): a period of 12 months.
p.(None): Article 14
p.(None): Holders of compulsory health insurance referred to in Article 10, paragraph 1 of this Act who are at work in
p.(None): third countries with which the Republic of Croatia does not have an international agreement or an international agreement
p.(None): the issue of health insurance is not regulated, they are obliged to insure on compulsory health insurance and
p.(None): make a statutory compulsory health insurance contribution for each family member s
...
p.(None): life and work and no means of support are entitled to compulsory health insurance as insured persons
p.(None): on the basis of a decision issued by the state administration office in charge of social welfare, if entitled to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): (2) Criteria for determining the incapacity for independent living and working and the lack of means of subsistence referred to in paragraph 1.
p.(None): of this Article shall be prescribed by ordinance by the minister responsible for social welfare.
p.(None): (3) The right to compulsory health insurance on the basis of insurance determined by the provision of paragraph 1 of this Article
p.(None): lasts for as long as the circumstances on the basis of which the person has been granted the right have changed.
p.(None): Article 16
p.(None): (1) Compulsory health insurance under this Act for occupational injury and occupational injuries
p.(None): diseases other than the insured referred to in Article 7, paragraph 4 of this Act shall also be compulsory for the following insured persons
p.(None): persons:
p.(None): 1. full-time students according to regulations on regular education in the Republic of Croatia
p.(None): during practical classes, during professional practice, professional trips, or while working through
p.(None): mediators in the recruitment of students,
p.(None): 2. persons referred by the Croatian Employment Service to the education it organizes or for which
p.(None): costs are borne by the Croatian Employment Service,
p.(None): 3. children with physical and mental disabilities in practical training or compulsory practical work in legal education
p.(None): to the training person,
p.(None): 4. persons who assist the police services in the performance of their tasks,
p.(None): 5. persons participating in rescue operations or in protection and rescue in the event of natural and other disasters,
p.(None): 6. persons who, at the invitation of state and other authorized bodies, perform duties in the interest of the Republic
p.(None): Croatian,
p.(None): 7. athletes, coaches or organizers as part of an organized amateur sport activity,
p.(None): 8. persons who, as members of the Croatian Mountain Rescue Service or divers, perform life-saving tasks or
p.(None): eliminating or preventing threats that directly endanger the life or property of citizens,
p.(None): 9. persons who, as members of the field teams, participate in the rescue and health care in natural and
p.(None): other disasters and accidents (floods, earthquakes, etc.),
p.(None): 10. persons on military service, ie voluntary military service (conscripts), cadets and reservists for
p.(None): time of service in the Armed Forces of the Republic of Croatia,
p.(None): 11. persons participating in organized public works in the Republic of Croatia,
p.(None): 12. persons who fulfill an obligation to participate in civil protection or an obligation to participate in the watch service
p.(None): and intelligence,
...
p.(None): health care, with the prior opinion of the relevant chambers, in accordance with the financial resources provided
p.(None): and the available health facilities.
p.(None): (4) Insured persons may, at the expense of the Institute, pay the health care referred to in paragraph 1, items 1 to 5 of this Article,
p.(None): to be achieved in health care institutions and in private health care workers with whom the Institute has contracted
p.(None): on the provision of health care (hereinafter referred to as the Institute 's contracting entities) in the manner and under the conditions which
p.(None): established by this Law and by the general acts of the Institute.
p.(None): (5) The insured persons shall exercise the health care referred to in paragraph 1, item 6 of this Article at the expense of the Institute's funds
p.(None): legal or natural persons authorized to manufacture or retail orthopedic and other
p.(None): devices in accordance with a special regulation and in pharmacies with which the Institute, in accordance with the conditions and in the manner determined by the general
p.(None): by an act of the Institute, concluded a contract on the delivery of orthopedic and other aids to insured persons (hereinafter:
p.(None): contract supplies of supplies).
p.(None): Article 19
p.(None): (1) The right to health care referred to in Article 18 of this Act shall be ensured under equal conditions for all
p.(None): insured persons.
p.(None): (2) Insured persons in exercising their right to health care from compulsory health care
p.(None): of the insurance referred to in Article 18 of this Law, the Institute shall ensure payment of health services in full for:
p.(None): 1. comprehensive health care for children up to the age of 18, insured persons referred to in Article 12.
p.(None): paragraphs 2 and 3 and Article 15 of this Law,
p.(None): 2. preventive and specific health care for school children and students,
p.(None): 3. preventive health care for women,
p.(None): 4. the health care of women in connection with the monitoring of pregnancy and childbirth,
p.(None): 5. health care in connection with medically assisted fertilization, in accordance with a special law,
p.(None): 6. preventive health care for persons over 65 years of age,
p.(None): 7. preventive health care for persons with disabilities from the register of persons with disabilities established
p.(None): a special regulation,
p.(None): 8. comprehensive healthcare related to HIV infections and other communicable diseases prescribed by law
p.(None): implementing measures to prevent their spread,
p.(None): 9. compulsory vaccination, immunoprophylaxis and chemoprophylaxis,
p.(None): 10. overall treatment of chronic psychiatric illnesses,
p.(None): 11. overall treatment of malignancies,
p.(None): 12. all treatment resulting from a recognized occupational injury or occupational disease,
p.(None): 13. hemodialysis and peritoneal dialysis,
p.(None): 14. health care related to the taking and transplantation of parts of the human body for medical purposes,
p.(None): 15. outpatient emergency medical assistance in the emergency medical service involving emergency transport (by land,
p.(None): by water and by air), in accordance with the ordinance of the minister responsible for health,
p.(None): 16. home visits and home treatment,
...
p.(None): statements
p.(None): 7. surgical treatment of obesity, except in the case of pathological obesity when the body mass index (BMI) exceeds 40,
p.(None): that is, when the BMI exceeds 35, provided that the insured person also suffers from other associated diseases,
p.(None): 8. the treatment of medical complications resulting from the use of healthcare outside
p.(None): compulsory health insurance,
p.(None): 9. health care provided by employers, Republic of Croatia, on the basis of laws and regulations
p.(None): or local and regional self-government units.
p.(None): 6. Participation in health care costs
p.(None): Article 35
p.(None): (1) Insured persons shall be obliged to participate in the health care costs referred to in Article 19, paragraphs 3 and 4,
p.(None): Article 20 (5), Article 22 (4) and Article 23 (4) of this Act.
p.(None): (2) The insured person shall pay for the health care costs referred to in paragraph 1 of this Article in person upon use
p.(None): health care, ie through supplementary health insurance, in accordance with the Law on Voluntary Health
p.(None): Insurance.
p.(None): (3) Funds generated by the participation of the insured person in the health care costs referred to in Article 19, paragraph
p.(None): 3, Article 20 (5), Article 22 (4) and Article 23 (4) of this Act shall be the revenue of the contracting entities
p.(None): Institutes, contracting providers of aids, or healthcare institutions in other Member States or third countries
p.(None): to the countries in which the insured persons used health care in accordance with Article 26 of this Law, and the funds from
p.(None): of Article 19, paragraph 4, are the revenue of the Institute.
p.(None): (4) In the health care costs referred to in Article 19 (3) and (4), Article 22 (4) and Article
p.(None): Children under the age of 18 and the insured persons referred to in Article 12 shall not be obliged to participate in paragraph 23 of this Act.
p.(None): paragraphs 2 and 3 and Article 15 of this Law.
p.(None): 2. RIGHT TO FEES
p.(None): Article 36
p.(None): (1) Insured persons under the right to compulsory health insurance are entitled to:
p.(None): 1. compensation for wages during temporary incapacity, ie inability to work due to use
p.(None): health care or other circumstances referred to in Article 39 of this Law (hereinafter referred to as: salary compensation),
p.(None): 2. financial compensation due to the inability to carry out business on the basis of which other receipts from
p.(None): determining other income, in accordance with the regulations on contributions for compulsory insurance,
p.(None): 3. compensation for transport costs related to the use of health care from compulsory health care
p.(None): insurance
p.(None): 4. compensation for the costs of accommodation for one of the parents or the person taking care of the child during the time
p.(None): hospital treatment of the child, in the amount and under the conditions laid down in the general act of the Institute,
p.(None): (2) The right referred to in paragraph 1, items 3 and 4 of this Article shall also belong to other insured persons.
p.(None): (3) The monetary compensation referred to in paragraph 1 of this Article, as well as the monetary compensation for the reimbursement of rights costs
...
p.(None): to a private practitioner's doctor's office, or to another contracting supplies provider in the area
p.(None): The Republic of Croatia, and not where it is addressed, has the right to obtain this health care at the expense of the compulsory funds
p.(None): health insurance, but without the right to reimbursement for transport costs and the right to medical transport.
p.(None): Article 63
p.(None): (1) The Institute shall bear the real costs of transporting the remains of an insured person who has been referred for treatment
p.(None): outside the place of residence or residence in accordance with Article 62 of this Law.
p.(None): (2) The Institute shall bear the costs of transporting the remains of the insured person to the place of his / her residence,
p.(None): that is, the place of residence if that person underwent an organ exploration for contractual transplantation
p.(None): to a health care institution outside the place of residence or residence.
p.(None): (3) The right to reimbursement of the transport costs referred to in paragraphs 1 and 2 of this Article shall be paid to a legal or natural person who
p.(None): has borne the cost of transport on the basis of her request and proof of paid transport.
p.(None): Article 64
p.(None): (1) The right to reimbursement for transport costs shall also have one person designated as an escort of the insured person referred to in Article 62.
p.(None): of this Act, provided that the elected primary care physician has identified the need for an escort and is insured
p.(None): the person to whom the escort is designated does not qualify for the use of medical transport prescribed by the ordinance
p.(None): the minister responsible for health referred to in Article 19, paragraph 2, item 18 of this Act and established by a general act of the Institute.
p.(None): (2) It is considered that children up to the age of 18, as well as insured persons referred to in Article 12, paragraphs
p.(None): 2 and 3 of this Law is required escort regardless of whether they fulfill the conditions for using the medical facility
p.(None): transportation.
p.(None): Article 65
p.(None): (1) Reimbursement for transport costs referred to in Article 62 of this Act shall mean reimbursement for costs
p.(None): public transport at the lowest price and the shortest distance to the official
p.(None): public transport rangefinder.
p.(None): (2) By way of derogation from paragraph 1 of this Article, the insured person shall be insured due to his / her health status, as previously stated
p.(None): with the approval of the Institute's medical committee, and at the suggestion of an elected doctor, may authorize the use of more expensive ones
p.(None): public transport (sleeping on the train, aircraft).
p.(None): (3) Insured person who is in accordance with paragraph 2 of this Article or the decision of the Office on referral to
p.(None): treatment in another Member State or third country in accordance with Article 26, paragraph 3 of this Law, and
p.(None): on the basis of the findings, opinion and evaluation of the Institute's medical committee, due to the medical condition, transportation was approved
p.(None): by air, is entitled to a reimbursement for the cost of transportation in the amount of the lowest price of an economy class air ticket.
p.(None): (4) The insured person shall exercise the right to compensation for transport costs on the basis of a letter of travel order which
p.(None): is issued by an elected primary care physician or an elected dental doctor, respectively
p.(None): an employee of the Institute when an insured person has been summoned by the Office to exercise his / her compulsory health care entitlement
...
p.(None): the law - payers of the calculation and payment of compulsory health insurance contributions, who have not paid
p.(None): contributions for a minimum of 30 days of compulsory health insurance entitlement are limited to the right to emergency medical insurance
p.(None): help.
p.(None): (2) Urgent medical assistance shall mean the provision of diagnostic and therapeutic procedures necessary in
p.(None): eliminating imminent danger to life and health.
p.(None): (3) The full scope of the rights referred to in paragraph 1 of this Article shall be established in advance, from the date of settlement of the due contribution amount
p.(None): interest thereon.
p.(None): 3. Securing funds in the state budget
p.(None): Article 82
p.(None): (1) The Republic of Croatia shall provide in the state budget special funds for compulsory health care rights
p.(None): insurance for:
p.(None): 1. remuneration for the period of temporary incapacity referred to in Article 39 (9) and Article 52.
p.(None): paragraph 2 of this Law,
p.(None): 2. health care costs for:
p.(None): a. the insured persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 and Article 11, paragraph 1, item 3 of this Act, for which
p.(None): the contribution shall not be paid in accordance with Article 72, paragraph 1, item 3 of this Act, and for the insured persons referred to in Article 7, paragraph
p.(None): 1. items 14., 15., 18., 20., 21., 25., 26. i
p.(None): 27 of this Law,
p.(None): b. the insured persons referred to in Article 15 of this Law;
p.(None): c. insured persons referred to in Article 78 of this Law,
p.(None): d. preventive and specific health care for school children and students,
p.(None): e. preventive health care for insured persons over 65 years of age;
p.(None): f. preventive health care of insured persons with disabilities from the register established by a special regulation,
p.(None): g. a difference in the cost of primary care organization beyond the prescribed demographic norms
p.(None): characteristics (islands, population density),
p.(None): h. the difference in health care costs that are contracted and paid according to the population, not the number of insured
p.(None): persons (emergency medicine, home health care, hygienic-epidemiological health care),
p.(None): i. the implementation of health care under international social security treaties.
p.(None): (2) The funds referred to in paragraph 1 of this Article shall be paid into the Institute's account by the 10th day of the month for the previous month and income.
p.(None): are of the Bureau.
p.(None): Article 83
p.(None): The Institute has business funds for:
p.(None): 1. compulsory health insurance rights,
p.(None): 2. the rights arising from compulsory health insurance against accidents at work and occupational diseases,
p.(None): 3. supplementary health insurance in accordance with a special law,
p.(None): 4. additional health insurance in accordance with a special law.
p.(None): Article 84
p.(None): (1) The Institute shall have a reserve for the implementation of compulsory health insurance rights.
p.(None): (2) If a surplus of revenue is determined in the final account, that surplus shall be entered in the reserve by allocating at least 50% of the surplus
p.(None): income.
p.(None): (3) The Management Board of the Institute shall supervise the use of the reserve.
p.(None): Article 85
...
Social / Incarcerated
Searching for indicator liberty:
(return to top)
p.(None): practical work in another legal entity or with another natural person for professional training or further training, while
p.(None): takes practical work,
p.(None): 24. Persons sent to another Member State or to a third country within the framework of international technical, educational and cultural training
p.(None): collaborations, while on that basis,
p.(None): 25. persons who have been recognized the right to the status of carer parents under a special law,
p.(None): 26. members of the family of a killed, imprisoned or missing Croatian defense attorney while receiving cash
p.(None): fees in accordance with the regulations on the rights of Croatian war veterans and their members
p.(None): families, if they do not exercise their entitlement to compulsory health insurance on another basis,
p.(None): 27. family members of the injured, detained or missing Croatian veterans residing
p.(None): or granted a permanent residence in the Republic of Croatia, if they applied to the Institute within 30 days from the day
p.(None): cessation of receiving financial compensation in accordance with the regulations on the rights of Croatian war veterans; and
p.(None): members of their families, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 28. persons with permanent or temporary residence in the Republic of Croatia by decision
p.(None): of the competent court deprived of their liberty and are in organizational units of the Ministry of Justice, according to the application
p.(None): Of the Ministry of Justice.
p.(None): (2) Employment in accordance with paragraph 1, item 1 of this Article shall be understood as the relation between the employer and the worker towards
p.(None): labor regulations and other regulations governing employment matters.
p.(None): (3) The activities of the persons referred to in paragraph 1, item 6 of this Article shall be: the registered activity of crafts and agriculture
p.(None): and forestry, freelance (professional activity) and other self-employed activities
p.(None): the authorization was issued by the competent authority for the independent exercise of the activity of a natural person, registered in the appropriate
p.(None): the register of that body and the activity with the characteristic
p.(None): independence, durability and intention to create a permanent source of taxpayer's income recorded in the register
p.(None): of taxpayers of income tax, in accordance with the regulations on income tax when it comes to independent activity for whose
p.(None): performance is not prescribed for the granting of approval or obligation to register the activity.
p.(None): (4) The insured persons referred to in paragraph 1, points 1 to 6, 8, 9, 20 and 25 of this Article shall also be obliged to insure themselves.
p.(None): in the case of occupational injury and occupational disease.
p.(None): (5) For persons referred to in paragraph 1, items 13, 16, 17 and 19 of this Article and persons referred to in Article 11, paragraph 1, item 3 of this Act
...
p.(None): work or occupational disease.
p.(None): (2) Funeral expenses in the amount of one budget base may be paid by a legal or natural person
p.(None): who has borne the costs of burial of the insured person referred to in paragraph 1 of this Article.
p.(None): 2. Specific health care
p.(None): Article 71
p.(None): In addition to the compulsory health insurance entitlements for recognized accidents at work and occupational diseases
p.(None): established by Article 17 of this Law to the insured persons referred to in Article 7 items
p.(None): 1 to 6 and points 8, 9, 20 and 25 of this Law shall also provide measures for specific health protection of workers
p.(None): conducted by doctors of occupational medicine specialists, in accordance with the Law on Health Care and Special
p.(None): laws and ordinances issued pursuant to those laws.
p.(None): YOU. FINANCING COMPULSORY HEALTH INSURANCE
p.(None): 1. Sources of funds
p.(None): Article 72
p.(None): (1) The compulsory health insurance income shall be:
p.(None): 1. compulsory health insurance contributions,
p.(None): 2. contributions for compulsory health insurance against accidents at work and occupational diseases,
p.(None): 3. contributions for compulsory health insurance of unemployed persons referred to in Article 7, paragraph 1, items 13, 16,
p.(None): 17 and 19 and Article 11, paragraph 1, item 3 of this Law kept in the register of unemployed persons
p.(None): according to employment regulations,
p.(None): 4. Contributions for compulsory health insurance of insured persons by a decision of a competent court
p.(None): the deprivation of liberty referred to in Article 7, paragraph 1, item 28 of this Act,
p.(None): 5. compulsory health insurance contributions of other payers of the contributions determined by this and
p.(None): by another law,
p.(None): 6. special contribution for the use of healthcare abroad,
p.(None): 7. revenues from the state budget,
p.(None): 8. income from participation in the health care costs of insured persons or their insurers
p.(None): in supplementary health insurance,
p.(None): 9. income from dividends, interest and other income,
p.(None): 10. revenues from the special tax on tobacco products,
p.(None): 11. compulsory motor vehicle liability insurance revenue.
p.(None): (2) The income referred to in paragraph 1, item 10 of this Article in the amount of 32% of the total special tax revenue
p.(None): for tobacco products is transferred from the state budget to the Institute account until the fifth day of the month for
p.(None): the previous month.
p.(None): (3) The income referred to in paragraph 1, item 11 of this Article shall be paid by insurance companies in the amount of 4% of the paid functional
p.(None): motor insurance compulsory insurance premiums. The amount indicated is
p.(None): advance compensation for the damage caused to the Office in the cases referred to in Article 140 of this Law which they have caused
p.(None): the owners or users of the insured motor vehicle.
p.(None): (4) Insurance companies shall be obligatory funds for the income referred to in paragraph 1, item 11 of this Article in the manner prescribed
p.(None): paragraph 3 of this Article to pay by the 10th day of the month for the previous month on the total amount of the paid functional
p.(None): insurance premiums from compulsory motor liability insurance in favor of the Institute's accounts.
p.(None): (5) Insurance companies are obliged to submit a statement of account for each accounting period (month)
...
Searching for indicator prison:
(return to top)
p.(None): time of service in the Armed Forces of the Republic of Croatia,
p.(None): 11. persons participating in organized public works in the Republic of Croatia,
p.(None): 12. persons who fulfill an obligation to participate in civil protection or an obligation to participate in the watch service
p.(None): and intelligence,
p.(None): 13. persons who, as members of the operational units of voluntary fire organizations, perform
p.(None): tasks of firefighting, protection and rescue in the event of other incidents, securing the location of the fire
p.(None): danger, educating citizens in fire protection and performing tasks in public appearances at public events
p.(None): and a demonstration featuring exercises,
p.(None): 14. the beneficiaries of the right to a pension referred to in Article 7, paragraph 1, items 10 and 12 of this Act, which are, in accordance with a separate law
p.(None): employ temporary or temporary seasonal jobs in agriculture,
p.(None): 15. persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 of this Law, who are employed under special law on
p.(None): temporary or occasional seasonal jobs in
p.(None): agriculture, provided that they are kept in the register of unemployed persons with the Croatian Employment Service,
p.(None): 16. persons performing work for the common good in accordance with the Probation Act and persons assigned to
p.(None): jobs while serving a prison sentence, remand in custody, or correctional remittance.
p.(None): (2) Legal and natural persons and / or bodies of state government shall be obliged to provide for compulsory health insurance
p.(None): insurance against accidents at work and occupational diseases of the person referred to in paragraph 1 of this Article.
p.(None): IV. RIGHTS FROM COMPULSORY HEALTH INSURANCE
p.(None): Article 17
p.(None): Compulsory health insurance rights, including occupational injury and occupational disease rights,
p.(None): under this Law include:
p.(None): 1. the right to health care,
p.(None): 2. the right to cash benefits.
p.(None): 1. THE RIGHT TO HEALTH CARE
p.(None): Article 18
p.(None): (1) The right to health care from compulsory health insurance referred to in Article 17, item 1 of this Act to the extent
p.(None): established by this Act and regulations adopted pursuant to this Act include the right to:
p.(None): 1. primary health care,
p.(None): 2. specialist-consiliary health care,
p.(None): 3. hospital health care,
p.(None): 4. the right to medicines determined by the basic and supplementary list of medicines of the Institute,
p.(None): 5. dental aids, which are determined by the basic and additional list of dental aids of the Institute,
p.(None): 6. orthopedic and other aids that are determined by the basic and additional list of orthopedic and other aids of the Institute,
p.(None): 7. health care in other Member States and third countries.
p.(None): (2) The right of insured persons to health care referred to in paragraph 1, points 1 to 6 of this Article shall be ensured by the implementation of
p.(None): health care measure.
p.(None): (3) The health care measures referred to in paragraph 2 of this Article shall be determined on the basis of the plan and program of measures
...
Social / Marital Status
Searching for indicator single:
(return to top)
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
p.(None): continuously for at least six months, improved also that half-time full-time work would be useful for faster
...
Searching for indicator unmarried:
(return to top)
p.(None): for compulsory insurance payments made on a one-time or multiple payments basis over the last five years, a compulsory contribution
p.(None): health insurance at least equal to the contribution calculated on the lowest basis for calculating the contribution to
p.(None): compulsory health insurance for a period of six months if they do not qualify for compulsory health insurance
p.(None): insurance on another basis.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall retain the status of the insured person of the Institute for the duration of the payment
p.(None): contributions to other receipts have a monthly paid contribution for compulsory health insurance at least at
p.(None): the lowest contribution basis.
p.(None): 2. Children up to the age of 18 and family members of the insured
p.(None): Article 9
p.(None): Children up to the age of 18 who have a permanent or permanent residence in the Republic of Croatia
p.(None): they are insured for compulsory health insurance and acquire the status of insured person.
p.(None): Article 10
p.(None): (1) According to this Law, the status of the insured person - a member of the family of the insured, as the holder of the compulsory one
p.(None): health insurance, can acquire:
p.(None): 1. spouse (marital and extra-marital, in accordance with the regulations on family relations),
p.(None): 2. children (born, unmarried or adopted, stepchildren) and other children without parents, if insured
p.(None): maintains, at the request of the insured,
p.(None): 3. parents (father, mother, stepfather, stepmother and adoptive parent), if they are incapable of independent living and work, if they do not have
p.(None): means of subsistence and, if supported by the insured,
p.(None): 4. grandchildren, brothers, sisters, grandparents, if they are incapable of independent living and work, if they have no means of support
p.(None): and if the insured maintains them.
p.(None): (2) The members of the family of the insured referred to in paragraph 1 of this Article shall acquire the status of the insured person in accordance with
p.(None): paragraph 1 of this Article provided that they cannot obtain compulsory health insurance status by any
p.(None): from the insurance bases referred to in Article 7 of this Law and that they have a permanent residence or a permanent residence permit in the
p.(None): To the Republic of Croatia, unless otherwise provided by EU regulations or international treaty.
p.(None): (3) The Office shall determine by general act the conditions under which it is considered that the person referred to in paragraph 1 of this Article is incapable of
p.(None): independent living and work and no means of subsistence and insured maintenance.
p.(None): Article 11
...
Social / Occupation
Searching for indicator job:
(return to top)
p.(None): director of the Institute.
p.(None): Article 112
p.(None): (1) The Administrative Council of the Institute shall propose to the Minister responsible for health and the Government of the Republic of Croatia
p.(None): dismissal of the Deputy Director even before the expiration of the term for which he was elected for the reasons referred to in Article 109 of this Act.
p.(None): (2) The Administrative Board of the Institute must notify the proposal for dismissal before reaching a decision
p.(None): the Deputy Director on the reasons for the dismissal and give him the opportunity to make a statement in writing.
p.(None): Article 113
p.(None): (1) The number of assistant directors and the conditions they must meet shall be determined by the statute of the Institute.
p.(None): (2) The Assistant Directors shall be appointed and dismissed by the Government of the Republic of Croatia at the proposal of the Director of the Institute.
p.(None): Article 114
p.(None): The manner of appointment and dismissal of the head of the regional office of the Institute shall be regulated by the statute of the Institute.
p.(None): Article 115
p.(None): The scope, powers and responsibilities of the Director, Deputy Director, Assistant Director of the Institute and the Head
p.(None): the Regional Office of the Institute shall be determined by the Statute of the Office.
p.(None): 3. Supervision of the work of the Institute
p.(None): Article 116
p.(None): (1) Supervision of the legality of the work and general acts of the Institute shall be carried out by the ministry competent for health.
p.(None): (2) In carrying out the supervision referred to in paragraph 1 of this Article, the ministry competent for health may:
p.(None): 1. Require reports, data, and other job notices,
p.(None): 2. propose to the Government of the Republic of Croatia the initiation of proceedings before the Constitutional Court of the Republic of Croatia for the assessment of consent
p.(None): general acts of the Institute with the law and the Constitution,
p.(None): 3. to inspect the structure and the way of doing business, and to propose measures for the execution of certain tasks,
p.(None): 4. take other measures prescribed by this Law or other regulations.
p.(None): Article 117
p.(None): The Director of the Institute is obliged to submit annually to the Minister responsible for health and to the Government of the Republic of Croatia
p.(None): report on the operations of the Institute no later than March 1 of the current year for the previous year, and monthly
p.(None): report on the fulfillment of contractual obligations of the contracting entities of the Institute by the 15th of the month for the previous month.
p.(None): Article 118
p.(None): If the Government of the Republic of Croatia determines that the Institute's losses are in the implementation of compulsory health insurance
p.(None): caused by objective circumstances, the recovery of losses is covered by the state budget.
p.(None): IX. EXERCISE OF RIGHTS AND OBLIGATIONS FROM COMPULSORY HEALTH INSURANCE
p.(None): Article 119
p.(None): (1) The right to compulsory health insurance shall be determined by recognizing the status of the insured person at the Institute.
p.(None): (2) The insured person shall be terminated the status of the insured person upon termination of the circumstances on the basis of which he / she acquired this status.
p.(None): (3) The status of the insured person shall be evidenced by the ID card of the health insured person or by a certified copy of the application for compulsory insurance.
p.(None): health insurance.
...
p.(None): the extent of the rights of the worker, that is, the application for dismissal of the worker or if the application is submitted after the prescribed deadline,
p.(None): 4. if the damage is caused by submitting a compulsory health insurance application based on the concluded one
p.(None): a contract of employment the purpose of which was not to perform business under that contract but solely to exercise the rights under
p.(None): compulsory health insurance.
p.(None): (2) Insured persons who are obliged to submit applications themselves or to provide certain information in relation to their own
p.(None): In the cases referred to in paragraph 1 of this Article, the rights and obligations shall be indemnified by the Office itself for damage caused by
p.(None): the application was not filed or false information was provided.
p.(None): (3) Legal and natural persons shall be liable for damages in the cases referred to in paragraph 1 of this Article, regardless of guilt, a
p.(None): In the cases referred to in paragraph 2 of this Article, the insured persons shall be liable for damage if they knew or should have known that they had been given
p.(None): information false or inaccurate, that is, if they knew or should have known of the changes affecting the loss or
p.(None): scope of law, and these changes were not reported.
p.(None): Article 139
p.(None): (1) The Institute shall be obliged to claim compensation for the damage caused by a legal or natural person if the disease, injury or death
p.(None): insured persons arising from the failure to implement occupational safety or other measures to protect citizens.
p.(None): (2) The Institute shall be obliged to claim compensation for damage caused by a legal or natural person and when the damage occurred because
p.(None): the worker entered the job without a prescribed medical examination and subsequently underwent a medical examination
p.(None): determines that the person was unfit to work in certain jobs by medical condition.
p.(None): Article 140
p.(None): The Office shall be obliged to claim compensation for the damage caused in the cases referred to in Article 136 of this Act and immediately from
p.(None): the insurer where these persons are insured against liability for damage caused to third parties, according to the regulations on
p.(None): mandatory insurance of this risk.
p.(None): Article 141
p.(None): (1) The Institute shall be obliged to claim compensation for damage caused in the territory of the Republic of Croatia by the use of vehicles
p.(None): registered in another Member State or in a third country holding a valid international insurance instrument from
p.(None): motor liability directly from the Croatian Insurance Office.
p.(None): (2) The Office shall also be required to claim compensation for damage when the damage has occurred in another Member State or a third country in
p.(None): in accordance with the provisions of the Insurance Act and international treaties.
p.(None): Article 142
p.(None): The Institute is obliged to claim damages in the cases stipulated by this Law, regardless of the damage
p.(None): incurred by payment of benefits which, as a right, belong to the insured person from compulsory health insurance funds,
p.(None): that is, the state budget.
p.(None): Article 143
p.(None): Compensation for damages which the Institute is entitled to claim in the cases referred to in Articles 135 and 136 and Articles 138 to
p.(None): Article 142 of this Law covers costs for health and other services and amounts of financial benefits and other benefits
p.(None): paid by the Institute.
p.(None): Article 144
...
p.(None): Article 149
p.(None): (1) A fine in the amount of HRK 500,000.00 to HRK 1,000,000.00 shall be imposed on the insurance company who, in
p.(None): within the prescribed period does not pay 4% of the income on the total amount of the paid functional insurance premium of
p.(None): compulsory motor third party liability insurance (Article 72 (3) and (4)).
p.(None): (2) A fine in the amount of HRK 30,000.00 to HRK 50,000.00 for the offense referred to in paragraph 1 of this Article shall be punishable by a fine.
p.(None): so will the responsible person at the insurance company.
p.(None): (3) A fine in the amount of HRK 5,000.00 to HRK 100,000.00 shall be imposed on the company for the offense.
p.(None): insurance which fails to submit the monthly report referred to in Article 72, paragraph 5 of this Act within the prescribed period.
p.(None): (4) A fine in the amount of HRK 5,000.00 to HRK 100,000.00 shall be imposed on the company for the offense.
p.(None): insurance which fails to submit the annual report referred to in Article 72, paragraph 6 of this Act within the prescribed period.
p.(None): (5) A fine in the amount of HRK 5,000.00 to HRK 20,000.00 for the misdemeanor referred to in paragraphs 3 and 4 of this Article shall also be imposed on a fine.
p.(None): responsible person at the insurance company.
p.(None): Article 150
p.(None): (1) A legal person who fines between HRK 70,000.00 and HRK 100,000.00 shall be fined for the offense.
p.(None): Failure to submit the application for compulsory health insurance to the Institute within the prescribed deadline (Article 120, paragraph 3).
p.(None): (2) A legal person submitting a mandatory application shall be fined from paragraph (1) of this Article.
p.(None): health insurance based on a contract of employment the purpose of which was not to do the job accordingly
p.(None): the contract is the sole exercise of compulsory health insurance (Article 122 (4)).
p.(None): (3) A responsible person in a legal person shall also be fined in the amount of HRK 8,000.00 to HRK 15,000.00.
p.(None): and the natural person for the offense referred to in paragraphs 1 and 2 of this Article.
p.(None): (4) For a misdemeanor referred to in paragraph 1 of this Article, a measure of prohibition may be imposed with a fine on a legal or natural person.
p.(None): performing activities.
p.(None): Article 151
p.(None): (1) A fine in the amount of HRK 10,000.00 to HRK 15,000.00 shall be imposed on a legal person who,
p.(None): does not submit to the Institute within the prescribed period all information regarding the registration and deregistration of the insured person, for work
p.(None): the exercise of rights and obligations under compulsory health insurance (Article 122, paragraph 2).
p.(None): (2) A fine in the amount of HRK 8,000.00 to HRK 13,000.00 shall be imposed for the misdemeanor referred to in paragraph 1 of this Article.
p.(None): natural person obliged to apply for compulsory health insurance
p.(None): (3) A fine in the amount of HRK 3,000.00 to HRK 5,000.00 shall be imposed for the misdemeanor referred to in paragraph 1 of this Article, and
p.(None): responsible person in a legal entity.
p.(None): Article 152
p.(None): (1) A fine in the amount of HRK 50,000.00 to HRK 250,000.00 shall be imposed for a breach of contractual health
p.(None): an institution that uses funds earmarked for the purpose of providing compulsory health care
p.(None): health insurance (Article 94, paragraph 3, item 4).
p.(None): (2) For a misdemeanor referred to in paragraph 1 of this Article, he shall be fined in the amount of 10,000.00 up to
p.(None): HRK 50,000.00 and responsible person in a health care institution and contracted private health practitioner,
...
Searching for indicator occupation:
(return to top)
p.(None): are due for payment and remain unpaid due to the death of the insured person.
p.(None): III. INSURED PERSONS
p.(None): 1. Insureds
p.(None): Article 7
p.(None): (1) Compulsory health insurance under this Act shall be compulsorily insured and shall acquire the status of insured person:
p.(None): 1. persons in employment with a legal or natural person having their seat in the Republic of Croatia,
p.(None): 2. persons who have been elected or appointed to permanent positions in certain bodies of state government, respectively
p.(None): local and regional self-government units, if they are paid for this work,
p.(None): 3. persons residing or authorized to stay in the Republic of Croatia employed in another Member State
p.(None): or to a third country that does not have health insurance from the state's health insurance carriers
p.(None): Member States or third countries, respectively, that are not compulsorily insured under the rules of the country of employment at
p.(None): the way it is determined by the regulations of the European Union, that is, the international treaty,
p.(None): 4. members of the board of directors of companies and CEOs of companies, if not compulsory health
p.(None): insured on the basis of work with another legal or natural person in the Republic of Croatia or in another Member State,
p.(None): 5. persons who are professionally trained to work without employment, that is, who are professionally trained for
p.(None): work with the possibility of using active employment policy measures, in accordance with special regulations,
p.(None): 6. persons engaged in the economic activity of crafts and crafts in the territory of the Republic of Croatia
p.(None): equal activities, persons who independently perform their professional occupation in the form of a free occupation
p.(None): activity and persons engaged in agriculture and forestry as the sole activity in the Republic of Croatia
p.(None): or principal occupation, if they are liable to income tax or income tax and are not insured by
p.(None): basis of work or beneficiaries of the right to a pension,
p.(None): 7. farmers engaged in agricultural activity in the Republic of Croatia as their sole or principal occupation if
p.(None): are the owners, landlords or tenants, and if they are not subject to income tax or income tax and if they are not
p.(None): insured on the basis of work or beneficiaries of the right to a pension,
p.(None): 8. persons engaged in agricultural activity as their sole or principal occupation and who have been entered in the family register
p.(None): of the holding as the holder or member of the family holding, if they are not
p.(None): are health insured on the basis of work or are beneficiaries of the right to retirement or are in full-time education,
p.(None): 9. priests and other religious officials of a religious community registered in the records of the religious communities he maintains
p.(None): competent national authority, if not insured on the basis of work,
p.(None): 10. pension beneficiaries according to the regulations on pension insurance of the Republic of Croatia, if any
p.(None): permanent or permanent residence in the Republic of Croatia,
p.(None): 11. beneficiaries of the right to vocational rehabilitation under the regulations on pension insurance of the Republic of Croatia,
p.(None): if they are domiciled or granted permanent residence in the Republic of Croatia,
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
...
p.(None): 6. temporary disability due to transplantation of living tissue and organs for the benefit of another person,
p.(None): 7. while the insured person is isolated as a carrier or because of an infection in his surroundings,
p.(None): 8. temporary disability due to a recognized occupational injury or occupational disease.
p.(None): (3) The amount of remuneration paid to be charged to the funds of the Institute shall be determined by the Institute, with the maximum monthly
p.(None): the amount of salary compensation, calculated in accordance with the provisions of this Act and regulations adopted pursuant to this Act, does not
p.(None): may, for full-time employment, exceed the budgetary base plus 28%, with the exception of the salary referred to in the paragraph
p.(None): 2 points 3, 4 and 8 of this Article.
p.(None): (4) Full-time work within the meaning of this Act shall be considered to be 40 hours a week, if a special regulation,
p.(None): the rules of procedure, the collective agreement, the agreement concluded between the works council and the employer, or
p.(None): the employment contract does not specify otherwise.
p.(None): Article 56
p.(None): (1) The remuneration of the salary paid at the expense of the Institute's funds shall belong to the insured person in the amount prescribed by this
p.(None): Law or regulations and general acts adopted pursuant to this Act, provided that before the date of its occurrence
p.(None): the insured case on the basis of which the right to remuneration is acquired has a completed period of insurance in
p.(None): The Institute on the basis of employment, economic activity or professional activity
p.(None): independently in the form of an occupation, that is, on the basis of receiving salary compensation after termination of employment,
p.(None): that is, the termination of the performance of activities by personal work accomplished under this Law for at least nine months
p.(None): continuous or 12 months with interruptions in the last two years (prior insurance), if by special law
p.(None): not otherwise stated.
p.(None): (2) The provisions of paragraph 1 of this Article shall not apply to the compensation of salaries in the case of a recognized occupational injury,
p.(None): that is, occupational diseases.
p.(None): (3) Insured person who does not fulfill the condition of prior insurance referred to in paragraph 1 of this Article, compensation of salary, for
p.(None): throughout the duration of temporary incapacity, it amounts to 25% of the full-time budget base.
p.(None): 2. Remuneration for the inability to carry out the business on which the receipts from which it is determined are obtained
p.(None): other income in accordance with the regulations on
p.(None): compulsory insurance contributions
p.(None): Article 57
p.(None): (1) Remuneration due to the inability to perform the activities on the basis of which the proceeds of which are obtained
p.(None): the second income is determined in accordance with the regulations on contributions for compulsory insurance is determined from the average
p.(None): bases for payment of compulsory health insurance contributions.
p.(None): (2) The average basis referred to in paragraph 1 of this Article shall be understood as the average of the insurance bases to which it has been paid
p.(None): compulsory health insurance contribution in the last six months before the month in which the impossibility occurred
p.(None): insured persons for carrying out the business on the basis of which the receipts from which other income is determined are obtained.
...
Social / Police Officer
Searching for indicator police:
(return to top)
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): (2) Criteria for determining the incapacity for independent living and working and the lack of means of subsistence referred to in paragraph 1.
p.(None): of this Article shall be prescribed by ordinance by the minister responsible for social welfare.
p.(None): (3) The right to compulsory health insurance on the basis of insurance determined by the provision of paragraph 1 of this Article
p.(None): lasts for as long as the circumstances on the basis of which the person has been granted the right have changed.
p.(None): Article 16
p.(None): (1) Compulsory health insurance under this Act for occupational injury and occupational injuries
p.(None): diseases other than the insured referred to in Article 7, paragraph 4 of this Act shall also be compulsory for the following insured persons
p.(None): persons:
p.(None): 1. full-time students according to regulations on regular education in the Republic of Croatia
p.(None): during practical classes, during professional practice, professional trips, or while working through
p.(None): mediators in the recruitment of students,
p.(None): 2. persons referred by the Croatian Employment Service to the education it organizes or for which
p.(None): costs are borne by the Croatian Employment Service,
p.(None): 3. children with physical and mental disabilities in practical training or compulsory practical work in legal education
p.(None): to the training person,
p.(None): 4. persons who assist the police services in the performance of their tasks,
p.(None): 5. persons participating in rescue operations or in protection and rescue in the event of natural and other disasters,
p.(None): 6. persons who, at the invitation of state and other authorized bodies, perform duties in the interest of the Republic
p.(None): Croatian,
p.(None): 7. athletes, coaches or organizers as part of an organized amateur sport activity,
p.(None): 8. persons who, as members of the Croatian Mountain Rescue Service or divers, perform life-saving tasks or
p.(None): eliminating or preventing threats that directly endanger the life or property of citizens,
p.(None): 9. persons who, as members of the field teams, participate in the rescue and health care in natural and
p.(None): other disasters and accidents (floods, earthquakes, etc.),
p.(None): 10. persons on military service, ie voluntary military service (conscripts), cadets and reservists for
p.(None): time of service in the Armed Forces of the Republic of Croatia,
p.(None): 11. persons participating in organized public works in the Republic of Croatia,
p.(None): 12. persons who fulfill an obligation to participate in civil protection or an obligation to participate in the watch service
p.(None): and intelligence,
p.(None): 13. persons who, as members of the operational units of voluntary fire organizations, perform
p.(None): tasks of firefighting, protection and rescue in the event of other incidents, securing the location of the fire
...
Social / Property Ownership
Searching for indicator home:
(return to top)
p.(None): 3. preventive health care for women,
p.(None): 4. the health care of women in connection with the monitoring of pregnancy and childbirth,
p.(None): 5. health care in connection with medically assisted fertilization, in accordance with a special law,
p.(None): 6. preventive health care for persons over 65 years of age,
p.(None): 7. preventive health care for persons with disabilities from the register of persons with disabilities established
p.(None): a special regulation,
p.(None): 8. comprehensive healthcare related to HIV infections and other communicable diseases prescribed by law
p.(None): implementing measures to prevent their spread,
p.(None): 9. compulsory vaccination, immunoprophylaxis and chemoprophylaxis,
p.(None): 10. overall treatment of chronic psychiatric illnesses,
p.(None): 11. overall treatment of malignancies,
p.(None): 12. all treatment resulting from a recognized occupational injury or occupational disease,
p.(None): 13. hemodialysis and peritoneal dialysis,
p.(None): 14. health care related to the taking and transplantation of parts of the human body for medical purposes,
p.(None): 15. outpatient emergency medical assistance in the emergency medical service involving emergency transport (by land,
p.(None): by water and by air), in accordance with the ordinance of the minister responsible for health,
p.(None): 16. home visits and home treatment,
p.(None): 17. home health care,
p.(None): 18. medical transport for special categories of patients, in accordance with the ordinance of the minister responsible for
p.(None): health,
p.(None): 19. medicines from the basic list of prescription medicines of the Institute
p.(None): 20. health care in the home of the insured person,
p.(None): 21. laboratory diagnostics at primary health care level,
p.(None): 22. palliative health care.
p.(None): (3) Insured persons shall be obliged to participate in the cost of health care in the amount of 20% of the full cost of health care
p.(None): protection, which may not be less than the percentages of the budgetary base set out in points 1 to 8 of this
p.(None): item for:
p.(None): 1. Specialist-consiliary health care, including day hospital and day surgery
p.(None): hospitals, excluding ambulatory physical medicine and rehabilitation - 0.75% of the budget base,
p.(None): 2. specialist diagnostics not at the level of primary health care - 1.50% of the budget
p.(None): base,
p.(None): 3. orthopedic and other aids determined by the basic list of orthopedic and other aids - 1.50% of the budget base,
p.(None): 4. specialist-consiliary health care in outpatient physical medicine and rehabilitation
p.(None): and for physical medicine and home rehabilitation - 0.75% of the budget base per day,
p.(None): 5. treatment in other Member States and third countries in accordance with international regulations of the European Union
p.(None): treaty, Directive 2011/24 / EU, this Act and the general act of the Institute, if by European Union or international law
p.(None): the contract does not specify otherwise,
p.(None): 6. hospital health care costs - 3.01% of the budget base per day,
p.(None): 7. Dental aids established by the basic list of dental aids for adults 18 to 65 years of age - 30.07%
p.(None): budgetary bases,
p.(None): 8. Dental aids as defined in the basic list of dental aids for adults 65 years and older - 15.03%
p.(None): budgetary bases.
p.(None): 4) Insured persons are obliged to participate in the amount of 0.30% of the budget base for:
p.(None): 1. the health care provided by the chosen doctor of primary health care: family (general) medicine,
p.(None): gynecology and dental medicine, in accordance with the general act of the Institute,
p.(None): 2. prescription drug delivery.
p.(None): (5) The maximum amount of participation in the health care costs referred to in paragraphs 3 and 4 of this Article, which is obligatory to bear
p.(None): the insured person can account for a maximum of 60.13% per invoice for completed health care
p.(None): budgetary bases.
p.(None): (6) List of types and number of therapeutic and diagnostic procedures to be provided to insured persons within the framework
p.(None): Health care referred to in paragraphs 2, 3 and 4 of this Article shall be determined by a general act of the Institute referred to in Article 33 of this Act.
...
p.(None): disability due to general inability to work or professional inability to work, with the day the notice is received
p.(None): the competent body of the pension insurance referred to in Article 48, paragraph 2 of this Act, and the insured person is entitled to the salary compensation
p.(None): during this temporary incapacity he shall exercise in accordance with Article 48, paragraph 1 of this Law.
p.(None): (5) Elected doctor after having established the termination of temporary incapacity in accordance with paragraph 4 of this
p.(None): Article can only temporarily re-establish temporary inability to an insured person with a disability due to
p.(None): professional inability to work, in the event of a worsening of the disease on the basis established by him
p.(None): disability or onset of illness based on another diagnosis of the disease.
p.(None): (6) Supervision of the use of the temporary incapacity of the insured, ie determination of the existence of medical
p.(None): indications or other reasons for temporary incapacity, in accordance with the provisions of this Act and the regulations issued on
p.(None): pursuant to this Act, shall be performed by the Institute.
p.(None): (7) Supervision of the use of temporary incompetence shall include control at the office of the chosen doctor
p.(None): and immediate control of the insured within or outside the doctor's office, including a home visit.
p.(None): (8) The employer of the insured person may require the Office to control the justification of temporary incapacity for all
p.(None): the duration of the temporary disability of the insured.
p.(None): (9) The ordinance on the control of temporary incapacity for work of the insured shall be adopted by the minister competent for health.
p.(None): Article 47
p.(None): (1) Insured by dissatisfied decision of the chosen doctor to determine the termination of the temporary
p.(None): incompetence, in order to protect the rights arising from compulsory health insurance, will be issued at his request a decision in
p.(None): administrative procedure, based on the previously obtained reasoned findings, opinions and medical evaluation
p.(None): Bureau of the Institute, which is obliged to carry out a review of the insured before making the findings, opinions and evaluation.
p.(None): (2) The request referred to in paragraph 1 of this Article shall be resolved by an urgent procedure.
p.(None): Article 48
p.(None): (1) During the temporary incapacity referred to in Article 39, items 1 to 6, and items 9 and 10 of this Act, the Insured shall have
p.(None): the right to reimbursement of salary at the expense of the funds of the Institute or the state budget until the elected doctor determines that
p.(None): capable of working, or until he / she has the opinion and opinion of the competent authority of the pension insurance expert code
...
p.(None): interest thereon.
p.(None): 3. Securing funds in the state budget
p.(None): Article 82
p.(None): (1) The Republic of Croatia shall provide in the state budget special funds for compulsory health care rights
p.(None): insurance for:
p.(None): 1. remuneration for the period of temporary incapacity referred to in Article 39 (9) and Article 52.
p.(None): paragraph 2 of this Law,
p.(None): 2. health care costs for:
p.(None): a. the insured persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 and Article 11, paragraph 1, item 3 of this Act, for which
p.(None): the contribution shall not be paid in accordance with Article 72, paragraph 1, item 3 of this Act, and for the insured persons referred to in Article 7, paragraph
p.(None): 1. items 14., 15., 18., 20., 21., 25., 26. i
p.(None): 27 of this Law,
p.(None): b. the insured persons referred to in Article 15 of this Law;
p.(None): c. insured persons referred to in Article 78 of this Law,
p.(None): d. preventive and specific health care for school children and students,
p.(None): e. preventive health care for insured persons over 65 years of age;
p.(None): f. preventive health care of insured persons with disabilities from the register established by a special regulation,
p.(None): g. a difference in the cost of primary care organization beyond the prescribed demographic norms
p.(None): characteristics (islands, population density),
p.(None): h. the difference in health care costs that are contracted and paid according to the population, not the number of insured
p.(None): persons (emergency medicine, home health care, hygienic-epidemiological health care),
p.(None): i. the implementation of health care under international social security treaties.
p.(None): (2) The funds referred to in paragraph 1 of this Article shall be paid into the Institute's account by the 10th day of the month for the previous month and income.
p.(None): are of the Bureau.
p.(None): Article 83
p.(None): The Institute has business funds for:
p.(None): 1. compulsory health insurance rights,
p.(None): 2. the rights arising from compulsory health insurance against accidents at work and occupational diseases,
p.(None): 3. supplementary health insurance in accordance with a special law,
p.(None): 4. additional health insurance in accordance with a special law.
p.(None): Article 84
p.(None): (1) The Institute shall have a reserve for the implementation of compulsory health insurance rights.
p.(None): (2) If a surplus of revenue is determined in the final account, that surplus shall be entered in the reserve by allocating at least 50% of the surplus
p.(None): income.
p.(None): (3) The Management Board of the Institute shall supervise the use of the reserve.
p.(None): Article 85
p.(None): (1) The reserve referred to in Article 84 of this Law may amount to a maximum of one twelfth of the planned expenditure in the current
p.(None): year for the implementation of the defined scope of compulsory health insurance entitlements.
p.(None): (2) During the year, the reserve may be used as a working capital to settle the current liabilities of the Institute and
p.(None): as a loan with a repayment obligation at the latest by the end of next year with interest.
p.(None): (3) The reserve serves to cover surplus expenses over revenues and to recover the losses of the Institute.
p.(None): Article 86
p.(None): (1) For the purpose of providing information necessary for the implementation of compulsory health insurance and supervision
...
p.(None): January 1, 2014
p.(None): Article 156
p.(None): Content and format of prescriptions referred to in Article 20 (9), reports on temporary inability to work referred to in Article 38 (5), and
p.(None): The Office shall determine the travel order referred to in Article 65, paragraph 5 of this Act by a general act within 90 days from the date of entry
p.(None): the force of this Act.
p.(None): Article 157
p.(None): Until the ordinances and general acts referred to in Articles 154, 155 and 156 of this Act enter into force, they shall remain in force.
p.(None): in so far as they do not contravene the provisions of this Act:
p.(None): 1. Ordinance on the rights, conditions and manner of exercising compulsory health insurance rights (»Narodne
p.(None): Gazette «, no. 67/09., 116/09., 4/10., 13/10., 88/10., 131/10., 01/11., 16/11., 87/11., 137/11., 39/12., 69/12.,
p.(None): 126/12. and 38/13.),
p.(None): 2. Rulebook on the rights, conditions and manner of exercising compulsory health insurance rights in the case
p.(None): occupational injuries and occupational diseases (Official Gazette 1/11, 153/11, 51/12, 126/12, 147/12,
p.(None): 38/13. and 67/13.),
p.(None): 3. Rulebook on the manner of exercising the right to choose freely doctors of medicine and doctors of dentistry
p.(None): primary health care (Official Gazette 41/07, 4/10, 13/10, 41/12 and 50/13),
p.(None): 4. Ordinance on the manner and procedure for the election of a doctor of occupational medicine specialist (Official Gazette 48/11, 51/12 and
p.(None): 147/12.)
p.(None): 5. Ordinance on the conditions and manner of exercising the rights arising from compulsory health insurance for hospital treatment
p.(None): medical rehabilitation and physical therapy at home (Official Gazette 26/96, 79/97, 31/99,
p.(None): 51/99., 73/99., 40/07., 46/07. - consolidated text, 64/08, 91/09. and 118/09),
p.(None): 6. Ordinance on the powers and manner of work of authorized doctors and medical commissions of the Croatian
p.(None): Health Insurance Institute (Official Gazette 113/09, 126/09, 4/10, 88/10, 1/11, 50/11 and 87/211),
p.(None): 7. Ordinance on the method of prescribing and dispensing prescription medicines (Official Gazette 17/09, 46/09,
p.(None): 4/10, 110/10, 131/10, 1/11. and 52/11),
p.(None): 8. Ordinance on orthopedic and other aids (Official Gazette, No. 7/12, 14/12, 23/12, 25/12, 45/12, 69/12,
p.(None): 85/12., 92/12., 119/12., 147/12., 21/13. and 38/13.),
p.(None): 9. Ordinance on dental health care from compulsory health insurance (Official Gazette 38/13 and
p.(None): 49/13.)
p.(None): 10. Ordinance on the Rights, Conditions and Manner of Use of Health Care Abroad (Official Gazette,
p.(None): no. 50/09, 118/09, 4/10, 13/10, 14/10, 1/11, 16/11, 31/11, 93/11, 145/11, 41/12., 76/12. and 129/12.)
p.(None): 11. Rulebook on the manner of reporting and deregistration and obtaining the status of insured person in compulsory
p.(None): health insurance (Official Gazette 31/07, 56/07, 96/07, 130/07, 33/08, 91/09, 4/10, 69/10, 1/11 i
p.(None): 48/11.)
p.(None): 12. Rulebook on conditions and manner of exercising the right from compulsory health insurance to home health care
p.(None): insured persons (Official Gazette 88/10, 1/11, 87/11, 38/13 and 49/13),
p.(None): 13. Ordinance on the deadlines for the longest duration of sickness depending on the type of illness (Official Gazette, no.
p.(None): 153/09.)
p.(None): 14. Ordinance on the powers and method of operation of the Comptroller of the Croatian Health Insurance Institute
p.(None): (Official Gazette 59/09 and 48/11),
p.(None): 15. Rulebook on criteria and procedure for determining incapacity for independent living and work and lack of resources for
p.(None): support for persons residing in the Republic of Croatia who are not provided with health care on another basis
p.(None): (Official Gazette 39/02.),
p.(None): 16. Rulebook on conditions for exemption from payment of basic health insurance contributions
p.(None): farmers over 65 years of age (Official Gazette 122/02),
p.(None): 17. Ordinance on sickness control (Official Gazette 123/11),
p.(None): 18. Ordinance on medical transport (Official Gazette 123/09),
p.(None): 19. Ordinance on the European Health Insurance Card (Official Gazette 153/11),
p.(None): 20. Decision on Establishing the Basic Medicinal Products List of the Croatian Health Insurance Institute (Official Gazette, No.
p.(None): 47/13., 49/13., 50/13. and 54/13.),
p.(None): 21. Decision on establishing the Supplementary List of Medicines of the Croatian Health Insurance Institute
p.(None): (Official Gazette 47/13 and 49/13),
p.(None): 22. Decision to establish the list of particularly expensive medicines established by the Decision on the establishment of the Basic Medicinal Products List
p.(None): Of the Croatian Health Insurance Institute (Official Gazette 67/13),
...
Searching for indicator property:
(return to top)
p.(None): (1) Compulsory health insurance under this Act for occupational injury and occupational injuries
p.(None): diseases other than the insured referred to in Article 7, paragraph 4 of this Act shall also be compulsory for the following insured persons
p.(None): persons:
p.(None): 1. full-time students according to regulations on regular education in the Republic of Croatia
p.(None): during practical classes, during professional practice, professional trips, or while working through
p.(None): mediators in the recruitment of students,
p.(None): 2. persons referred by the Croatian Employment Service to the education it organizes or for which
p.(None): costs are borne by the Croatian Employment Service,
p.(None): 3. children with physical and mental disabilities in practical training or compulsory practical work in legal education
p.(None): to the training person,
p.(None): 4. persons who assist the police services in the performance of their tasks,
p.(None): 5. persons participating in rescue operations or in protection and rescue in the event of natural and other disasters,
p.(None): 6. persons who, at the invitation of state and other authorized bodies, perform duties in the interest of the Republic
p.(None): Croatian,
p.(None): 7. athletes, coaches or organizers as part of an organized amateur sport activity,
p.(None): 8. persons who, as members of the Croatian Mountain Rescue Service or divers, perform life-saving tasks or
p.(None): eliminating or preventing threats that directly endanger the life or property of citizens,
p.(None): 9. persons who, as members of the field teams, participate in the rescue and health care in natural and
p.(None): other disasters and accidents (floods, earthquakes, etc.),
p.(None): 10. persons on military service, ie voluntary military service (conscripts), cadets and reservists for
p.(None): time of service in the Armed Forces of the Republic of Croatia,
p.(None): 11. persons participating in organized public works in the Republic of Croatia,
p.(None): 12. persons who fulfill an obligation to participate in civil protection or an obligation to participate in the watch service
p.(None): and intelligence,
p.(None): 13. persons who, as members of the operational units of voluntary fire organizations, perform
p.(None): tasks of firefighting, protection and rescue in the event of other incidents, securing the location of the fire
p.(None): danger, educating citizens in fire protection and performing tasks in public appearances at public events
p.(None): and a demonstration featuring exercises,
p.(None): 14. the beneficiaries of the right to a pension referred to in Article 7, paragraph 1, items 10 and 12 of this Act, which are, in accordance with a separate law
p.(None): employ temporary or temporary seasonal jobs in agriculture,
p.(None): 15. persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 of this Law, who are employed under special law on
p.(None): temporary or occasional seasonal jobs in
...
p.(None): from that specialist.
p.(None): Article 146
p.(None): In determining the right to compensation for damage caused to the Institute or the state budget, they shall apply
p.(None): the relevant provisions of the Law on Obligations, as well as special regulations on compensation.
p.(None): Article 147
p.(None): (1) Claims of compensation for damages, within the meaning of the provisions of this Act, shall become obsolete after the expiry of the time limits specified by the
p.(None): relationships.
p.(None): (2) The limitation periods for claims for damages within the meaning of the provisions of this Act shall start to run:
p.(None): 1. in the cases referred to in Article 135 and Article 138 (1) of this Act, from the date on which the decision whereby
p.(None): determined that the payment received did not or did not belong to a smaller extent,
p.(None): 2. in the cases referred to in Articles 137 and 139 of this Law, from the day on which it became enforceable the decision whereby
p.(None): recognized right to receive from the Institute's funds,
p.(None): 3. in other cases where compensation is required for the individual benefits paid from the article
p.(None): 142 of this Law, from the date of payment of each individual benefit.
p.(None): (3) By way of derogation from paragraph 2 of this Article, they shall apply the statute of limitations for damages caused by a criminal offense.
p.(None): the deadlines provided for in the Law on Obligations.
p.(None): Article 148
p.(None): (1) When it is established that damage has occurred, the Office shall call the insured person, legal or natural person, citing the evidence,
p.(None): a legal person for insurance of property and a person or other person who is obliged to compensate for damage, to compensate within a specified period
p.(None): damage.
p.(None): (2) If the damage is not compensated within the set deadline, the Office shall pursue the claim with the competent court.
p.(None): (3) The Institute shall be entitled to default interest at the rate prescribed by the Law on Default Interest, from the day of the damage.
p.(None): (4) The Institute shall not have the right, without the express consent of the insured person, to obtain compensation for damages by suspending payment or
p.(None): by withdrawing from the financial compensation to which the insured person is entitled in connection with the use of the compulsory health right
p.(None): insurance.
p.(None): XI. INFRINGEMENTAL PROVISIONS
p.(None): Article 149
p.(None): (1) A fine in the amount of HRK 500,000.00 to HRK 1,000,000.00 shall be imposed on the insurance company who, in
p.(None): within the prescribed period does not pay 4% of the income on the total amount of the paid functional insurance premium of
p.(None): compulsory motor third party liability insurance (Article 72 (3) and (4)).
p.(None): (2) A fine in the amount of HRK 30,000.00 to HRK 50,000.00 for the offense referred to in paragraph 1 of this Article shall be punishable by a fine.
p.(None): so will the responsible person at the insurance company.
p.(None): (3) A fine in the amount of HRK 5,000.00 to HRK 100,000.00 shall be imposed on the company for the offense.
p.(None): insurance which fails to submit the monthly report referred to in Article 72, paragraph 5 of this Act within the prescribed period.
p.(None): (4) A fine in the amount of HRK 5,000.00 to HRK 100,000.00 shall be imposed on the company for the offense.
...
Social / Religion
Searching for indicator religious:
(return to top)
p.(None): work with the possibility of using active employment policy measures, in accordance with special regulations,
p.(None): 6. persons engaged in the economic activity of crafts and crafts in the territory of the Republic of Croatia
p.(None): equal activities, persons who independently perform their professional occupation in the form of a free occupation
p.(None): activity and persons engaged in agriculture and forestry as the sole activity in the Republic of Croatia
p.(None): or principal occupation, if they are liable to income tax or income tax and are not insured by
p.(None): basis of work or beneficiaries of the right to a pension,
p.(None): 7. farmers engaged in agricultural activity in the Republic of Croatia as their sole or principal occupation if
p.(None): are the owners, landlords or tenants, and if they are not subject to income tax or income tax and if they are not
p.(None): insured on the basis of work or beneficiaries of the right to a pension,
p.(None): 8. persons engaged in agricultural activity as their sole or principal occupation and who have been entered in the family register
p.(None): of the holding as the holder or member of the family holding, if they are not
p.(None): are health insured on the basis of work or are beneficiaries of the right to retirement or are in full-time education,
p.(None): 9. priests and other religious officials of a religious community registered in the records of the religious communities he maintains
p.(None): competent national authority, if not insured on the basis of work,
p.(None): 10. pension beneficiaries according to the regulations on pension insurance of the Republic of Croatia, if any
p.(None): permanent or permanent residence in the Republic of Croatia,
p.(None): 11. beneficiaries of the right to vocational rehabilitation under the regulations on pension insurance of the Republic of Croatia,
p.(None): if they are domiciled or granted permanent residence in the Republic of Croatia,
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
p.(None): insured on another basis and reported to the Institute within:
p.(None): a) 30 days from the date of termination of employment, that is, performing the activity or from the date of termination of employment
p.(None): compensation of the salary to which they are entitled under this Act or under regulations made pursuant to this Act,
p.(None): b) 30 days from the date of early termination of military service, ie voluntary military service
...
p.(None): related to the use of that healthcare.
p.(None): Article 32
p.(None): The Bureau is the National Contact Point for providing information on the rights of insured persons to healthcare in another
p.(None): Member State in accordance with European Union regulations and Directive 2011/24 / EU.
p.(None): 4. Health care standards and norms
p.(None): Article 33
p.(None): Health care standards and norms from mandatory health insurance, including a list of types and numbers
p.(None): therapeutic and diagnostic procedures per insured person on an annual basis, the amount of funds required in
p.(None): in accordance with the insured funds, as well as the manner of exercising the rights of insured persons to health care from
p.(None): compulsory health insurance, as a rule, for each calendar year is issued by the Administrative Board of the Institute, with
p.(None): the consent of the minister responsible for health, in the opinion of the competent chambers previously obtained.
p.(None): 5. Health care not covered by compulsory health insurance
p.(None): Article 34
p.(None): Insured persons of the Institute within the scope of the right to health care from compulsory health care
p.(None): insurance is not provided for the payment of the costs of the health services provided in the manner and procedure
p.(None): not prescribed by EU regulations, Directive 2011/24 / EU, international treaty, this Act,
p.(None): that is, by-laws adopted pursuant to this Act, as well as for:
p.(None): 1. the difference for the increased costs of treatment resulting from the personal desire of the insured person because of his or her religious, other
p.(None): beliefs, or any other reason, that constitutes treatment beyond the established standard of entitlement to health
p.(None): protection from compulsory health insurance provided to all insured persons on equal terms,
p.(None): 2. Experimental treatment, experimental medical products, aids, dental aids and medicines that
p.(None): are in the clinical trial phase,
p.(None): 3. therapeutic and diagnostic procedures and medicines that have been implemented or applied at the request of the insured person
p.(None): in circumstances where these procedures and medicines are not prescribed by the treating healthcare institution or
p.(None): private contracted health practitioner as part of the exercise of compulsory health insurance rights or by
p.(None): their type and quantity are not eligible for compulsory health insurance,
p.(None): 4. Aesthetic procedures, except for aesthetic reconstruction of congenital anomalies, breast reconstruction after mastectomy,
p.(None): aesthetic reconstruction after serious injuries,
p.(None): 5. treatment of voluntarily acquired sterility,
p.(None): 6. health care used bypassing an established ordering list within health standards
p.(None): protection from compulsory health insurance according to the personal desire of the insured person, on the basis of its written
p.(None): statements
p.(None): 7. surgical treatment of obesity, except in the case of pathological obesity when the body mass index (BMI) exceeds 40,
p.(None): that is, when the BMI exceeds 35, provided that the insured person also suffers from other associated diseases,
p.(None): 8. the treatment of medical complications resulting from the use of healthcare outside
p.(None): compulsory health insurance,
...
Social / Soldier
Searching for indicator armedXforces:
(return to top)
p.(None): disabled persons, ie status of beneficiaries of family disability benefits in accordance with the Law on Protection of Military and Civilian Persons
p.(None): disabled war veterans, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 19. Croatian defenders of the Homeland War, if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 20. persons providing care and assistance to the Croatian war veteran of the Homeland War in accordance with the regulations on rights
p.(None): Croatian Homeland War veterans and their family members, if entitled to compulsory health care
p.(None): they do not get insurance on another basis,
p.(None): 21. persons on military service, ie voluntary military service (conscripts), cadets and
p.(None): reservists during the service in the Armed Forces of the Republic of Croatia, if the right to compulsory health
p.(None): they do not get insurance on another basis,
p.(None): 22. persons who interrupted their work because they were referred by a legal or natural person to education or
p.(None): vocational training, while continuing education or vocational training,
p.(None): 23. persons who have been referred by their legal or natural persons as their scholarship holders before entering into employment
p.(None): practical work in another legal entity or with another natural person for professional training or further training, while
p.(None): takes practical work,
p.(None): 24. Persons sent to another Member State or to a third country within the framework of international technical, educational and cultural training
p.(None): collaborations, while on that basis,
p.(None): 25. persons who have been recognized the right to the status of carer parents under a special law,
p.(None): 26. members of the family of a killed, imprisoned or missing Croatian defense attorney while receiving cash
p.(None): fees in accordance with the regulations on the rights of Croatian war veterans and their members
p.(None): families, if they do not exercise their entitlement to compulsory health insurance on another basis,
p.(None): 27. family members of the injured, detained or missing Croatian veterans residing
p.(None): or granted a permanent residence in the Republic of Croatia, if they applied to the Institute within 30 days from the day
...
p.(None): 2. persons referred by the Croatian Employment Service to the education it organizes or for which
p.(None): costs are borne by the Croatian Employment Service,
p.(None): 3. children with physical and mental disabilities in practical training or compulsory practical work in legal education
p.(None): to the training person,
p.(None): 4. persons who assist the police services in the performance of their tasks,
p.(None): 5. persons participating in rescue operations or in protection and rescue in the event of natural and other disasters,
p.(None): 6. persons who, at the invitation of state and other authorized bodies, perform duties in the interest of the Republic
p.(None): Croatian,
p.(None): 7. athletes, coaches or organizers as part of an organized amateur sport activity,
p.(None): 8. persons who, as members of the Croatian Mountain Rescue Service or divers, perform life-saving tasks or
p.(None): eliminating or preventing threats that directly endanger the life or property of citizens,
p.(None): 9. persons who, as members of the field teams, participate in the rescue and health care in natural and
p.(None): other disasters and accidents (floods, earthquakes, etc.),
p.(None): 10. persons on military service, ie voluntary military service (conscripts), cadets and reservists for
p.(None): time of service in the Armed Forces of the Republic of Croatia,
p.(None): 11. persons participating in organized public works in the Republic of Croatia,
p.(None): 12. persons who fulfill an obligation to participate in civil protection or an obligation to participate in the watch service
p.(None): and intelligence,
p.(None): 13. persons who, as members of the operational units of voluntary fire organizations, perform
p.(None): tasks of firefighting, protection and rescue in the event of other incidents, securing the location of the fire
p.(None): danger, educating citizens in fire protection and performing tasks in public appearances at public events
p.(None): and a demonstration featuring exercises,
p.(None): 14. the beneficiaries of the right to a pension referred to in Article 7, paragraph 1, items 10 and 12 of this Act, which are, in accordance with a separate law
p.(None): employ temporary or temporary seasonal jobs in agriculture,
p.(None): 15. persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 of this Law, who are employed under special law on
p.(None): temporary or occasional seasonal jobs in
p.(None): agriculture, provided that they are kept in the register of unemployed persons with the Croatian Employment Service,
p.(None): 16. persons performing work for the common good in accordance with the Probation Act and persons assigned to
p.(None): jobs while serving a prison sentence, remand in custody, or correctional remittance.
p.(None): (2) Legal and natural persons and / or bodies of state government shall be obliged to provide for compulsory health insurance
...
Searching for indicator military:
(return to top)
p.(None): 9. priests and other religious officials of a religious community registered in the records of the religious communities he maintains
p.(None): competent national authority, if not insured on the basis of work,
p.(None): 10. pension beneficiaries according to the regulations on pension insurance of the Republic of Croatia, if any
p.(None): permanent or permanent residence in the Republic of Croatia,
p.(None): 11. beneficiaries of the right to vocational rehabilitation under the regulations on pension insurance of the Republic of Croatia,
p.(None): if they are domiciled or granted permanent residence in the Republic of Croatia,
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
p.(None): insured on another basis and reported to the Institute within:
p.(None): a) 30 days from the date of termination of employment, that is, performing the activity or from the date of termination of employment
p.(None): compensation of the salary to which they are entitled under this Act or under regulations made pursuant to this Act,
p.(None): b) 30 days from the date of early termination of military service, ie voluntary military service
p.(None): term, ie from the date of expiry of the prescribed period for military service, ie voluntary military service
p.(None): deadline
p.(None): c) 30 days from the date of discharge from the institution for the execution of criminal and misdemeanor sanctions, from the medical institution
p.(None): or other specialized institutions if the mandatory psychiatric psychiatric safety measure was applied
p.(None): treatment or mandatory treatment for addiction in a healthcare facility,
p.(None): d) 30 days from the age of 18, if they are not insured on another basis,
p.(None): e) 90 days after the end of the school year in which they completed their regular education in accordance with the regulations on
p.(None): full-time education in the Republic of Croatia or another Member State, or within 30 days from the date of placement
p.(None): final exam,
p.(None): 14. full-time high school students and full-time college students over 18 who are nationals
p.(None): Republic of Croatia and have their place of residence or residence in the Republic of Croatia, ie citizens of the Republic of Croatia
p.(None): domiciled in another Member State having a temporary residence permit in the Republic of Croatia, sub
p.(None): provided that they are not compulsorily insured in another Member State and in a party with an approved permanent establishment
p.(None): stay in the Republic of Croatia, but they may use this right for the longest time until the end of the school year,
p.(None): that is, at the end of the academic year in which they completed their full-time education, the longest total
p.(None): eight years on that basis, if they do not exercise the right to compulsory health insurance on another basis
...
p.(None): granted permanent residence in the Republic of Croatia, but they may use this right for the longest time until the end of the school year
p.(None): year, that is, the end of the academic year in which they completed their regular education according to the regulations of the state
p.(None): education, and for a maximum of eight years on that basis, if the right to compulsory health
p.(None): they do not realize insurance on another basis
p.(None): 16. Persons with a residence or approved permanent residence in the Republic of Croatia over 18 years of age who
p.(None): have lost their full-time status in accordance with the regulations on education in the Republic of Croatia or in another Member State
p.(None): students, or full-time students if they have applied to the Institute within 30 days from the date of loss of status
p.(None): full-time student or full-time student and if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 17. spouse of a deceased insured person who, after the death of the spouse, did not acquire the right to family pension, if the Office
p.(None): reported within 30 days of the death of the spouse, and the right to compulsory health insurance can not exercise by
p.(None): on another basis,
p.(None): 18. domiciled persons and foreigners with a permanent residence permit in the Republic of Croatia to which he / she is resident
p.(None): a recognized attribute of a military military or civilian disabled war veteran and peacetime military
p.(None): disabled persons, ie status of beneficiaries of family disability benefits in accordance with the Law on Protection of Military and Civilian Persons
p.(None): disabled war veterans, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 19. Croatian defenders of the Homeland War, if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 20. persons providing care and assistance to the Croatian war veteran of the Homeland War in accordance with the regulations on rights
p.(None): Croatian Homeland War veterans and their family members, if entitled to compulsory health care
p.(None): they do not get insurance on another basis,
p.(None): 21. persons on military service, ie voluntary military service (conscripts), cadets and
p.(None): reservists during the service in the Armed Forces of the Republic of Croatia, if the right to compulsory health
p.(None): they do not get insurance on another basis,
p.(None): 22. persons who interrupted their work because they were referred by a legal or natural person to education or
p.(None): vocational training, while continuing education or vocational training,
p.(None): 23. persons who have been referred by their legal or natural persons as their scholarship holders before entering into employment
p.(None): practical work in another legal entity or with another natural person for professional training or further training, while
p.(None): takes practical work,
p.(None): 24. Persons sent to another Member State or to a third country within the framework of international technical, educational and cultural training
p.(None): collaborations, while on that basis,
p.(None): 25. persons who have been recognized the right to the status of carer parents under a special law,
p.(None): 26. members of the family of a killed, imprisoned or missing Croatian defense attorney while receiving cash
p.(None): fees in accordance with the regulations on the rights of Croatian war veterans and their members
p.(None): families, if they do not exercise their entitlement to compulsory health insurance on another basis,
...
p.(None): 1. full-time students according to regulations on regular education in the Republic of Croatia
p.(None): during practical classes, during professional practice, professional trips, or while working through
p.(None): mediators in the recruitment of students,
p.(None): 2. persons referred by the Croatian Employment Service to the education it organizes or for which
p.(None): costs are borne by the Croatian Employment Service,
p.(None): 3. children with physical and mental disabilities in practical training or compulsory practical work in legal education
p.(None): to the training person,
p.(None): 4. persons who assist the police services in the performance of their tasks,
p.(None): 5. persons participating in rescue operations or in protection and rescue in the event of natural and other disasters,
p.(None): 6. persons who, at the invitation of state and other authorized bodies, perform duties in the interest of the Republic
p.(None): Croatian,
p.(None): 7. athletes, coaches or organizers as part of an organized amateur sport activity,
p.(None): 8. persons who, as members of the Croatian Mountain Rescue Service or divers, perform life-saving tasks or
p.(None): eliminating or preventing threats that directly endanger the life or property of citizens,
p.(None): 9. persons who, as members of the field teams, participate in the rescue and health care in natural and
p.(None): other disasters and accidents (floods, earthquakes, etc.),
p.(None): 10. persons on military service, ie voluntary military service (conscripts), cadets and reservists for
p.(None): time of service in the Armed Forces of the Republic of Croatia,
p.(None): 11. persons participating in organized public works in the Republic of Croatia,
p.(None): 12. persons who fulfill an obligation to participate in civil protection or an obligation to participate in the watch service
p.(None): and intelligence,
p.(None): 13. persons who, as members of the operational units of voluntary fire organizations, perform
p.(None): tasks of firefighting, protection and rescue in the event of other incidents, securing the location of the fire
p.(None): danger, educating citizens in fire protection and performing tasks in public appearances at public events
p.(None): and a demonstration featuring exercises,
p.(None): 14. the beneficiaries of the right to a pension referred to in Article 7, paragraph 1, items 10 and 12 of this Act, which are, in accordance with a separate law
p.(None): employ temporary or temporary seasonal jobs in agriculture,
p.(None): 15. persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 of this Law, who are employed under special law on
p.(None): temporary or occasional seasonal jobs in
p.(None): agriculture, provided that they are kept in the register of unemployed persons with the Croatian Employment Service,
p.(None): 16. persons performing work for the common good in accordance with the Probation Act and persons assigned to
p.(None): jobs while serving a prison sentence, remand in custody, or correctional remittance.
...
Social / Student
Searching for indicator student:
(return to top)
p.(None): stay in the Republic of Croatia, but they may use this right for the longest time until the end of the school year,
p.(None): that is, at the end of the academic year in which they completed their full-time education, the longest total
p.(None): eight years on that basis, if they do not exercise the right to compulsory health insurance on another basis
p.(None): 15. Full-time high school students and full-time college students in other Member States above
p.(None): 18 years of age, who are citizens of the Republic of Croatia and reside in the Republic of Croatia, and foreigners with
p.(None): granted permanent residence in the Republic of Croatia, but they may use this right for the longest time until the end of the school year
p.(None): year, that is, the end of the academic year in which they completed their regular education according to the regulations of the state
p.(None): education, and for a maximum of eight years on that basis, if the right to compulsory health
p.(None): they do not realize insurance on another basis
p.(None): 16. Persons with a residence or approved permanent residence in the Republic of Croatia over 18 years of age who
p.(None): have lost their full-time status in accordance with the regulations on education in the Republic of Croatia or in another Member State
p.(None): students, or full-time students if they have applied to the Institute within 30 days from the date of loss of status
p.(None): full-time student or full-time student and if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 17. spouse of a deceased insured person who, after the death of the spouse, did not acquire the right to family pension, if the Office
p.(None): reported within 30 days of the death of the spouse, and the right to compulsory health insurance can not exercise by
p.(None): on another basis,
p.(None): 18. domiciled persons and foreigners with a permanent residence permit in the Republic of Croatia to which he / she is resident
p.(None): a recognized attribute of a military military or civilian disabled war veteran and peacetime military
p.(None): disabled persons, ie status of beneficiaries of family disability benefits in accordance with the Law on Protection of Military and Civilian Persons
p.(None): disabled war veterans, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 19. Croatian defenders of the Homeland War, if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 20. persons providing care and assistance to the Croatian war veteran of the Homeland War in accordance with the regulations on rights
...
p.(None): acts enacted under this Act.
p.(None): Article 163
p.(None): Contributions and other compulsory health insurance income determined in the provision of Article 72, paragraph 1 of this Law,
p.(None): these funds referred to in Article 137 of this Act shall be paid in favor of the state budget of the Republic of Croatia until 31 December.
p.(None): December 2014, and as of January 1, 2015, they will be credited to the Institute's accounts and the revenue is the Institute's.
p.(None): Article 164
p.(None): The Law on Compulsory Health Insurance (»Narodne
p.(None): Gazette «, no. 150/08, 94/09, 153/09, 71/10, 139/10, 49/11, 22/12, 57/12, 90/12. - Constitutional Court decision
p.(None): Of the Republic of Croatia, 123/12. and 144/12).
p.(None): Article 165
p.(None): This Law shall be published in the Official Gazette and shall enter into force on the date of accession of the Republic of Croatia
p.(None): Except for the provisions of the European Union:
p.(None): - Articles 2 and 3 and Article 34, in so far as it concerns the application of Directive 2011/24 / EU and Articles 26.
p.(None): to 32, effective October 25, 2013,
p.(None): - Article 18, points 5 and 6, and Articles 19, 22, 23 and 25, in the part relating to the basic and additional lists
p.(None): orthopedic and other aids, and dental aids, effective January 1, 2014,
p.(None): - Article 82, paragraph 2, which shall take effect on 1 January 2015.
p.(None): Law on Amendments to the Law on Compulsory Health Insurance (“OG” No 137/13)
p.(None): Article 9
p.(None): Full-time students who, at the date of entry into force of this Act, had the status of compulsory insured persons
p.(None): health insurance based on the status of full-time student, from the day this Law enters into force
p.(None): continue to exercise that right under its provisions.
p.(None): Article 10
p.(None): Full-time students who have reached the age of 26 by the date of entry into force of this Act are eligible for compulsory health care
p.(None): they may acquire insurance under the provisions of this Act provided that they have not availed themselves of the duration of the status of the insured under
...
Social / Trade Union Membership
Searching for indicator union:
(return to top)
p.(None): passed pursuant to this Act.
p.(None): (3) The rights arising from compulsory health insurance shall also provide for rights in the event of an occupational injury
p.(None): and occupational diseases, which include measures to implement specific health care for workers; and
p.(None): diagnostic procedures for suspected occupational disease in accordance with the Law on Health Care and Special
p.(None): laws and ordinances issued pursuant to those laws.
p.(None): (4) The scope of compulsory health insurance rights, which is provided on equal terms to all
p.(None): to insured persons, is determined by the provisions of this Act and the regulations adopted pursuant to this Act.
p.(None): II. MANDATORY HEALTH INSURANCE
p.(None): Article 4
p.(None): (1) Compulsory health insurance under one of the insurance bases established by this Act shall be obligatory
p.(None): to provide for all persons residing in the Republic of Croatia and a party authorized to reside in the Republic of Croatia,
p.(None): unless otherwise stipulated by an international treaty or special law.
p.(None): (2) Insured persons securing the rights and obligations arising from compulsory health insurance in the sense
p.(None): of this Law shall be considered insured persons, children up to the age of 18, members of the family of the insured and
p.(None): other insured persons compulsorily insured in certain circumstances.
p.(None): Article 5
p.(None): Compulsory health insurance under the provisions of this Act is also compulsory for nationals of other countries
p.(None): Member of the European Union (hereinafter: Member States) and nationals of a non-Member State
p.(None): (hereinafter: third country) granted temporary residence in the Republic of Croatia on the basis of a working
p.(None): relations with the employer based in the Republic of Croatia, ie on the basis of performing economic, ie
p.(None): professional activities in the Republic of Croatia, if the conditions are fulfilled according to special regulations which
p.(None): regulate the issue of the residence and work of foreigners in the Republic of Croatia and in accordance with EU regulations, ie international ones
p.(None): the contract does not specify otherwise.
p.(None): Article 6
p.(None): (1) The rights and obligations belonging to the insured persons referred to in Article 4, paragraph 2 of this Act and the regulations adopted on
p.(None): they cannot be transferred to, or inherited by, any other person under this Act.
p.(None): (2) By way of derogation from the provision of paragraph 1 of this Article, the rights to cash benefits which are
p.(None): are due for payment and remain unpaid due to the death of the insured person.
p.(None): III. INSURED PERSONS
p.(None): 1. Insureds
p.(None): Article 7
p.(None): (1) Compulsory health insurance under this Act shall be compulsorily insured and shall acquire the status of insured person:
p.(None): 1. persons in employment with a legal or natural person having their seat in the Republic of Croatia,
p.(None): 2. persons who have been elected or appointed to permanent positions in certain bodies of state government, respectively
p.(None): local and regional self-government units, if they are paid for this work,
p.(None): 3. persons residing or authorized to stay in the Republic of Croatia employed in another Member State
p.(None): or to a third country that does not have health insurance from the state's health insurance carriers
p.(None): Member States or third countries, respectively, that are not compulsorily insured under the rules of the country of employment at
p.(None): the way it is determined by the regulations of the European Union, that is, the international treaty,
p.(None): 4. members of the board of directors of companies and CEOs of companies, if not compulsory health
p.(None): insured on the basis of work with another legal or natural person in the Republic of Croatia or in another Member State,
p.(None): 5. persons who are professionally trained to work without employment, that is, who are professionally trained for
p.(None): work with the possibility of using active employment policy measures, in accordance with special regulations,
p.(None): 6. persons engaged in the economic activity of crafts and crafts in the territory of the Republic of Croatia
p.(None): equal activities, persons who independently perform their professional occupation in the form of a free occupation
p.(None): activity and persons engaged in agriculture and forestry as the sole activity in the Republic of Croatia
p.(None): or principal occupation, if they are liable to income tax or income tax and are not insured by
p.(None): basis of work or beneficiaries of the right to a pension,
p.(None): 7. farmers engaged in agricultural activity in the Republic of Croatia as their sole or principal occupation if
p.(None): are the owners, landlords or tenants, and if they are not subject to income tax or income tax and if they are not
p.(None): insured on the basis of work or beneficiaries of the right to a pension,
p.(None): 8. persons engaged in agricultural activity as their sole or principal occupation and who have been entered in the family register
p.(None): of the holding as the holder or member of the family holding, if they are not
p.(None): are health insured on the basis of work or are beneficiaries of the right to retirement or are in full-time education,
p.(None): 9. priests and other religious officials of a religious community registered in the records of the religious communities he maintains
p.(None): competent national authority, if not insured on the basis of work,
p.(None): 10. pension beneficiaries according to the regulations on pension insurance of the Republic of Croatia, if any
p.(None): permanent or permanent residence in the Republic of Croatia,
p.(None): 11. beneficiaries of the right to vocational rehabilitation under the regulations on pension insurance of the Republic of Croatia,
p.(None): if they are domiciled or granted permanent residence in the Republic of Croatia,
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
p.(None): insured on another basis and reported to the Institute within:
p.(None): a) 30 days from the date of termination of employment, that is, performing the activity or from the date of termination of employment
p.(None): compensation of the salary to which they are entitled under this Act or under regulations made pursuant to this Act,
p.(None): b) 30 days from the date of early termination of military service, ie voluntary military service
p.(None): term, ie from the date of expiry of the prescribed period for military service, ie voluntary military service
p.(None): deadline
p.(None): c) 30 days from the date of discharge from the institution for the execution of criminal and misdemeanor sanctions, from the medical institution
p.(None): or other specialized institutions if the mandatory psychiatric psychiatric safety measure was applied
p.(None): treatment or mandatory treatment for addiction in a healthcare facility,
p.(None): d) 30 days from the age of 18, if they are not insured on another basis,
p.(None): e) 90 days after the end of the school year in which they completed their regular education in accordance with the regulations on
...
p.(None): 16. home visits and home treatment,
p.(None): 17. home health care,
p.(None): 18. medical transport for special categories of patients, in accordance with the ordinance of the minister responsible for
p.(None): health,
p.(None): 19. medicines from the basic list of prescription medicines of the Institute
p.(None): 20. health care in the home of the insured person,
p.(None): 21. laboratory diagnostics at primary health care level,
p.(None): 22. palliative health care.
p.(None): (3) Insured persons shall be obliged to participate in the cost of health care in the amount of 20% of the full cost of health care
p.(None): protection, which may not be less than the percentages of the budgetary base set out in points 1 to 8 of this
p.(None): item for:
p.(None): 1. Specialist-consiliary health care, including day hospital and day surgery
p.(None): hospitals, excluding ambulatory physical medicine and rehabilitation - 0.75% of the budget base,
p.(None): 2. specialist diagnostics not at the level of primary health care - 1.50% of the budget
p.(None): base,
p.(None): 3. orthopedic and other aids determined by the basic list of orthopedic and other aids - 1.50% of the budget base,
p.(None): 4. specialist-consiliary health care in outpatient physical medicine and rehabilitation
p.(None): and for physical medicine and home rehabilitation - 0.75% of the budget base per day,
p.(None): 5. treatment in other Member States and third countries in accordance with international regulations of the European Union
p.(None): treaty, Directive 2011/24 / EU, this Act and the general act of the Institute, if by European Union or international law
p.(None): the contract does not specify otherwise,
p.(None): 6. hospital health care costs - 3.01% of the budget base per day,
p.(None): 7. Dental aids established by the basic list of dental aids for adults 18 to 65 years of age - 30.07%
p.(None): budgetary bases,
p.(None): 8. Dental aids as defined in the basic list of dental aids for adults 65 years and older - 15.03%
p.(None): budgetary bases.
p.(None): 4) Insured persons are obliged to participate in the amount of 0.30% of the budget base for:
p.(None): 1. the health care provided by the chosen doctor of primary health care: family (general) medicine,
p.(None): gynecology and dental medicine, in accordance with the general act of the Institute,
p.(None): 2. prescription drug delivery.
p.(None): (5) The maximum amount of participation in the health care costs referred to in paragraphs 3 and 4 of this Article, which is obligatory to bear
p.(None): the insured person can account for a maximum of 60.13% per invoice for completed health care
p.(None): budgetary bases.
p.(None): (6) List of types and number of therapeutic and diagnostic procedures to be provided to insured persons within the framework
p.(None): Health care referred to in paragraphs 2, 3 and 4 of this Article shall be determined by a general act of the Institute referred to in Article 33 of this Act.
p.(None): 1. Medicines
p.(None): Article 20
p.(None): (1) The basic and supplementary list of medicines of the Institute referred to in Article 18, paragraph 1, item 4 of this Act shall contain medicines which have
p.(None): marketing authorization in the Republic of Croatia.
...
p.(None): 23 of this Act if they fulfill the requirement of the previous mandatory
p.(None): health insurance at the Institute for a period of at least nine months continuously, or 12 months with interruptions in
p.(None): the last two years before the occurrence of the insured event.
p.(None): (2) The provision of paragraph 1 of this Article does not apply to insured persons under the age of 18, insured persons
p.(None): referred to in Article 12, paragraphs 2 and 3 of this Act and other insured persons completely and permanently incapable of independent living and
p.(None): work according to the decision of the competent authority and the insured persons in need of this health care
p.(None): recognized occupational injuries or occupational diseases.
p.(None): (3) Insured persons shall exercise the health care referred to in Articles 22 and 23 of this Act in accordance with the general act of the Institute.
p.(None): Article 25
p.(None): The form and content of certificates for aids and dental aids referred to in Articles 22 and 23 of this Act shall be determined by a general act of the Institute.
p.(None): 3. Cross-border healthcare
p.(None): Article 26
p.(None): (1) The insured person shall have the right to use the health care in the compulsory health insurance funds
p.(None): other Member States and third countries.
p.(None): (2) The health care referred to in paragraph 1 of this Article means the right to refer to
p.(None): medical treatment, the right to use healthcare during the temporary stay in the States referred to in paragraph 1 of this
p.(None): Article 2 and the right to other healthcare in accordance with the provisions of European Union legislation, Directive 2011/24 / EU,
p.(None): of this Law of international treaties and general acts of the Institute.
p.(None): (3) The insured person can exercise the right to refer to treatment only if it is a need for treatment
p.(None): which is not carried out in contractual healthcare institutions in the Republic of Croatia and which can be successfully implemented at
p.(None): the States referred to in paragraph 1 of this Article.
p.(None): (4) The rights, conditions and manner of using the health care referred to in paragraphs 2 and 3 of this Article shall be determined by a general act of the Institute,
p.(None): with the consent of the Minister in charge of Health.
p.(None): Article 27
p.(None): (1) In accordance with this Law, insured persons exercise the right to cross-border health care
p.(None): protection which includes the health care provided to the insured person under the rights under
p.(None): compulsory health insurance in contracted health institutions in the Republic of Croatia, which
p.(None): the insured person obtains from contractual or private healthcare providers in the territory of other countries
p.(None): member.
p.(None): (2) The health care referred to in paragraph 1 of this Article shall mean the planned health care for which it is insured
p.(None): a person must obtain the prior approval of the Institute, a planned specialist medical and consulting service
p.(None): protection that does not require prior approval of the Institute and immediate health care.
p.(None): Article 28
p.(None): (1) Under planned health care in another Member State, for use by an insured person
p.(None): obliged to obtain prior approval of the Institute, it implies health care which is conditioned on:
p.(None): - accommodation of an insured person in a hospital health facility overnight for at least one night
p.(None): or
p.(None): - using highly specialized and expensive medical infrastructure or medical equipment.
p.(None): (2) The prior approval referred to in paragraph 1 of this Article must also be requested in the case of cross-border use
p.(None): health care:
p.(None): - consisting of treatment procedures that present a particular risk to the insured person or population, or
p.(None): - provided by a healthcare provider who, as the case may be, may give rise to
p.(None): serious and particular concern regarding the quality or safety of this health care, with the exception of
p.(None): health care subject to European Union legislation ensuring a minimum level of safety and
p.(None): qualities in her area.
p.(None): (3) The list of types of health care referred to in paragraphs 1 and 2 of this Article, as well as the list
p.(None): highly specialized and expensive medical infrastructure or medical equipment referred to in paragraph 1, subparagraph 2 of this
p.(None): Article is determined by a general act of the Institute.
p.(None): (4) During the procedure on the request of the insured person for prior authorization, the authorized person
p.(None): The Office conducting the procedure is obliged to check whether the applicant meets the requirements for the
p.(None): granting prior authorization in accordance with EU regulations and if the conditions laid down in the regulations are met
p.(None): European Union prior authorization is granted under these regulations, unless the insured person requires otherwise.
p.(None): (5) The Office shall decide on the request of the insured person for prior approval by a decision.
p.(None): Article 29
p.(None): The Institute is entitled to withhold prior authorization for cross-border healthcare if:
p.(None): - the insured person will be unequivocally exposed to a safety risk that does not
p.(None): may consider it acceptable, taking into account the potential benefit of the cross-border healthcare sought
p.(None): for the insured person,
p.(None): - the citizens of the Republic of Croatia will be unambiguously exposed to a high security risk due to the subject matter
p.(None): cross-border healthcare,
p.(None): - this health care may be provided to the contracting entities of the Institute within the medical period
p.(None): justified, taking into account the present state of health and probable course of illness in the insured person.
p.(None): Article 30
p.(None): (1) Planned specialist and consular health care not covered by articles
p.(None): On 28 and 29 of this Act, the insured person may exercise in other Member States without prior authorization
p.(None): Institute.
p.(None): (2) In the manner specified in paragraph (1) of this Article, the insured person may also obtain health care that is medical
p.(None): positions necessary and cannot be postponed until the planned return to the Republic of Croatia (necessary health care).
p.(None): Article 31
p.(None): (1) Insured person who has used health care in accordance with Articles 27, 28 and 30 of this Law
p.(None): is entitled to reimbursement of personal expenses and health care.
p.(None): (2) The reimbursement of costs referred to in paragraph 1 of this Article may not exceed the amount stipulated by the general act of the Institute for this purpose.
p.(None): health care determined for the contracting entities of the Institute referred to in Article 18 of this Law.
p.(None): (3) The Office shall decide on the right to reimbursement of health care costs referred to in paragraph 1 of this Article by a decision.
p.(None): (4) An insured person who has used the health care referred to in paragraph 1 of this Article shall not be entitled to a burden of funds
p.(None): compulsory health insurance to receive the right to reimbursement of transport costs as well as the right to other expenses
p.(None): related to the use of that healthcare.
p.(None): Article 32
p.(None): The Bureau is the National Contact Point for providing information on the rights of insured persons to healthcare in another
p.(None): Member State in accordance with European Union regulations and Directive 2011/24 / EU.
p.(None): 4. Health care standards and norms
p.(None): Article 33
p.(None): Health care standards and norms from mandatory health insurance, including a list of types and numbers
p.(None): therapeutic and diagnostic procedures per insured person on an annual basis, the amount of funds required in
p.(None): in accordance with the insured funds, as well as the manner of exercising the rights of insured persons to health care from
p.(None): compulsory health insurance, as a rule, for each calendar year is issued by the Administrative Board of the Institute, with
p.(None): the consent of the minister responsible for health, in the opinion of the competent chambers previously obtained.
p.(None): 5. Health care not covered by compulsory health insurance
p.(None): Article 34
p.(None): Insured persons of the Institute within the scope of the right to health care from compulsory health care
p.(None): insurance is not provided for the payment of the costs of the health services provided in the manner and procedure
p.(None): not prescribed by EU regulations, Directive 2011/24 / EU, international treaty, this Act,
p.(None): that is, by-laws adopted pursuant to this Act, as well as for:
p.(None): 1. the difference for the increased costs of treatment resulting from the personal desire of the insured person because of his or her religious, other
p.(None): beliefs, or any other reason, that constitutes treatment beyond the established standard of entitlement to health
p.(None): protection from compulsory health insurance provided to all insured persons on equal terms,
p.(None): 2. Experimental treatment, experimental medical products, aids, dental aids and medicines that
...
p.(None): 2. performs tasks related to the exercise of the rights of insured persons, takes care of the lawful exercise of those rights
p.(None): and provides them with professional assistance in exercising their rights and protecting their interests,
p.(None): 3. plans compulsory health insurance funds and pays services to the contracting entities of the Institute
p.(None): based on bills and medical history, discharge letters, or other appropriate ones
p.(None): documentation,
p.(None): 4. propose to the minister responsible for health the scope of the right to health care referred to in Articles 19, 20, 22 and 23 of this
p.(None): law,
p.(None): 5. make a proposal to the minister responsible for health to develop a plan and program of health measures
p.(None): protection from compulsory health insurance and a plan and program of specific health measures
p.(None): protection,
p.(None): 6. give opinion to the founder of a health institution on the justification of establishing a health institution in a public network
p.(None): health service and gives an opinion to the health care professional about the justification of establishing a private practice in the network
p.(None): public health services,
p.(None): 7. performs contracting activities with health care providers,
p.(None): 8. determines the price of health care in the total amount for the full value of the individual health service from
p.(None): compulsory health insurance, with the consent of the minister responsible for health,
p.(None): 9. ensure the implementation of European Union and international treaties in the part relating to compulsory health
p.(None): insurance,
p.(None): 10. supervise the fulfillment of contractual obligations of the contracting entities of the Institute in accordance with this
p.(None): The Law, the regulations adopted pursuant to this Act, the general acts of the Institute and the contract concluded,
p.(None): 11. Conducts surveys, statistical analyzes and reports on the exercise of compulsory rights
p.(None): health insurance,
p.(None): 12. regulate other issues related to exercising compulsory health insurance rights.
p.(None): (2) In addition to the tasks referred to in paragraph 1 of this Article, the Office shall also perform certain tasks related to maintenance
p.(None): information system for the purposes of health care delivery under a special order of the minister responsible
p.(None): for health.
p.(None): 1. Organization of the Croatian Health Insurance Institute
p.(None): Article 99
p.(None): (1) The Institute shall carry out activities from its activity in the following organizational units:
p.(None): 1. the central organizational unit,
p.(None): 2. regional units.
p.(None): (2) The organizational units of the Institute shall carry out activities in the activities of the Institute under the name of the Institute and with their name, whereby
p.(None): they must indicate the seat of the Institute and their seat.
p.(None): Article 100
p.(None): (1) The central organizational unit of the Institute is the Directorate, with headquarters in Zagreb.
p.(None): (2) The regional organizational units of the Institute shall be the regional offices of the Institute.
p.(None): Article 101
p.(None): The Statute of the Institute defines the scope of organizational units, the names of internal organizational units, as well as other
p.(None): issues relevant to the work of the Institute.
p.(None): 2. Bodies of the Institute
p.(None): Article 102
...
p.(None): 3. to inspect the structure and the way of doing business, and to propose measures for the execution of certain tasks,
p.(None): 4. take other measures prescribed by this Law or other regulations.
p.(None): Article 117
p.(None): The Director of the Institute is obliged to submit annually to the Minister responsible for health and to the Government of the Republic of Croatia
p.(None): report on the operations of the Institute no later than March 1 of the current year for the previous year, and monthly
p.(None): report on the fulfillment of contractual obligations of the contracting entities of the Institute by the 15th of the month for the previous month.
p.(None): Article 118
p.(None): If the Government of the Republic of Croatia determines that the Institute's losses are in the implementation of compulsory health insurance
p.(None): caused by objective circumstances, the recovery of losses is covered by the state budget.
p.(None): IX. EXERCISE OF RIGHTS AND OBLIGATIONS FROM COMPULSORY HEALTH INSURANCE
p.(None): Article 119
p.(None): (1) The right to compulsory health insurance shall be determined by recognizing the status of the insured person at the Institute.
p.(None): (2) The insured person shall be terminated the status of the insured person upon termination of the circumstances on the basis of which he / she acquired this status.
p.(None): (3) The status of the insured person shall be evidenced by the ID card of the health insured person or by a certified copy of the application for compulsory insurance.
p.(None): health insurance.
p.(None): (4) The status of the insured person in cross-border healthcare shall be evidenced by the European Health Card
p.(None): or a certificate temporarily replacing the European Health Insurance Card, respectively
p.(None): by other appropriate certification in accordance with European Union regulations.
p.(None): (5) The document referred to in paragraph 4 of this Article shall be issued by the Office at the request of the insured person.
p.(None): (6) The general act on the content, form and compensation for the costs of issuing the documents referred to in paragraph 3 of this Article, as
p.(None): and the manner of issuing it and the conditions and manner of issuing the documents referred to in paragraph 4 of this Article shall be adopted
p.(None): Department.
p.(None): Article 120
p.(None): (1) The status of the insured person shall be determined by the Institute on the basis of the application for compulsory health insurance which according to
p.(None): the provisions of this Act shall be submitted by the payer of the contribution, the insured person when he is the payer
p.(None): contributions, ie legal or natural person for the insured person.
p.(None): (2) The Office may determine the status of the insured person ex officio on the basis of information provided by the competent person
p.(None): bodies authorized to collect and submit information to apply for compulsory health insurance.
p.(None): (3) Application for compulsory health insurance, notification of change in compulsory health insurance and deregistration of s
p.(None): compulsory health insurance shall be submitted within eight days from the date of occurrence, change or termination of the circumstances to
p.(None): the grounds on which the status of the insured person is acquired or terminated.
p.(None): (4) The person for whom the person liable to pay the contribution does not submit the application, ie the withdrawal from the compulsory health insurance
p.(None): The Institute shall by a decision determine the status or termination of the status of the insured ex officio.
p.(None): Article 121
...
p.(None): 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.), and which until the date of entry into
p.(None): the strength of this law established disability due to general, or professional inability to work, selected doctor to determine
p.(None): shall cease temporary incapacity from the date this Law enters into force.
p.(None): Article 162
p.(None): Administrative proceedings instituted by the date this Act enters into force shall be completed in accordance with the provisions of the Law on
p.(None): compulsory health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11,
p.(None): 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.) and regulations and general regulations
p.(None): acts enacted under this Act.
p.(None): Article 163
p.(None): Contributions and other compulsory health insurance income determined in the provision of Article 72, paragraph 1 of this Law,
p.(None): these funds referred to in Article 137 of this Act shall be paid in favor of the state budget of the Republic of Croatia until 31 December.
p.(None): December 2014, and as of January 1, 2015, they will be credited to the Institute's accounts and the revenue is the Institute's.
p.(None): Article 164
p.(None): The Law on Compulsory Health Insurance (»Narodne
p.(None): Gazette «, no. 150/08, 94/09, 153/09, 71/10, 139/10, 49/11, 22/12, 57/12, 90/12. - Constitutional Court decision
p.(None): Of the Republic of Croatia, 123/12. and 144/12).
p.(None): Article 165
p.(None): This Law shall be published in the Official Gazette and shall enter into force on the date of accession of the Republic of Croatia
p.(None): Except for the provisions of the European Union:
p.(None): - Articles 2 and 3 and Article 34, in so far as it concerns the application of Directive 2011/24 / EU and Articles 26.
p.(None): to 32, effective October 25, 2013,
p.(None): - Article 18, points 5 and 6, and Articles 19, 22, 23 and 25, in the part relating to the basic and additional lists
p.(None): orthopedic and other aids, and dental aids, effective January 1, 2014,
p.(None): - Article 82, paragraph 2, which shall take effect on 1 January 2015.
p.(None): Law on Amendments to the Law on Compulsory Health Insurance (“OG” No 137/13)
p.(None): Article 9
p.(None): Full-time students who, at the date of entry into force of this Act, had the status of compulsory insured persons
p.(None): health insurance based on the status of full-time student, from the day this Law enters into force
p.(None): continue to exercise that right under its provisions.
p.(None): Article 10
p.(None): Full-time students who have reached the age of 26 by the date of entry into force of this Act are eligible for compulsory health care
p.(None): they may acquire insurance under the provisions of this Act provided that they have not availed themselves of the duration of the status of the insured under
...
Social / Unemployment
Searching for indicator unemployed:
(return to top)
p.(None): Of the Ministry of Justice.
p.(None): (2) Employment in accordance with paragraph 1, item 1 of this Article shall be understood as the relation between the employer and the worker towards
p.(None): labor regulations and other regulations governing employment matters.
p.(None): (3) The activities of the persons referred to in paragraph 1, item 6 of this Article shall be: the registered activity of crafts and agriculture
p.(None): and forestry, freelance (professional activity) and other self-employed activities
p.(None): the authorization was issued by the competent authority for the independent exercise of the activity of a natural person, registered in the appropriate
p.(None): the register of that body and the activity with the characteristic
p.(None): independence, durability and intention to create a permanent source of taxpayer's income recorded in the register
p.(None): of taxpayers of income tax, in accordance with the regulations on income tax when it comes to independent activity for whose
p.(None): performance is not prescribed for the granting of approval or obligation to register the activity.
p.(None): (4) The insured persons referred to in paragraph 1, points 1 to 6, 8, 9, 20 and 25 of this Article shall also be obliged to insure themselves.
p.(None): in the case of occupational injury and occupational disease.
p.(None): (5) For persons referred to in paragraph 1, items 13, 16, 17 and 19 of this Article and persons referred to in Article 11, paragraph 1, item 3 of this Act
p.(None): The Employment Service and the Croatian Employment Service will exchange information on unemployed persons who are unemployed
p.(None): are kept in the records of the Croatian Employment Service.
p.(None): (6) For persons referred to in paragraph 5 of this Article who are not kept in the records of the Croatian Employment Service
p.(None): as unemployed persons, the status of the insured will be determined by applying to the Institute.
p.(None): (7) The Office shall determine the conditions and manner of acquiring the status of the insured in accordance with paragraph 1 of this Article.
p.(None): by a general act.
p.(None): Article 8
p.(None): (1) Compulsory health insurance rights to the extent that they belong to the insured, unless otherwise provided by this Law
p.(None): In particular, there are persons who have a permanent or permanent residence in the Republic of Croatia based on them
p.(None): receipts of which, according to the regulations on income tax, the second income is determined, and in accordance with the regulations on contributions
p.(None): for compulsory insurance payments made on a one-time or multiple payments basis over the last five years, a compulsory contribution
p.(None): health insurance at least equal to the contribution calculated on the lowest basis for calculating the contribution to
p.(None): compulsory health insurance for a period of six months if they do not qualify for compulsory health insurance
p.(None): insurance on another basis.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall retain the status of the insured person of the Institute for the duration of the payment
p.(None): contributions to other receipts have a monthly paid contribution for compulsory health insurance at least at
p.(None): the lowest contribution basis.
p.(None): 2. Children up to the age of 18 and family members of the insured
p.(None): Article 9
...
p.(None): 9. persons who, as members of the field teams, participate in the rescue and health care in natural and
p.(None): other disasters and accidents (floods, earthquakes, etc.),
p.(None): 10. persons on military service, ie voluntary military service (conscripts), cadets and reservists for
p.(None): time of service in the Armed Forces of the Republic of Croatia,
p.(None): 11. persons participating in organized public works in the Republic of Croatia,
p.(None): 12. persons who fulfill an obligation to participate in civil protection or an obligation to participate in the watch service
p.(None): and intelligence,
p.(None): 13. persons who, as members of the operational units of voluntary fire organizations, perform
p.(None): tasks of firefighting, protection and rescue in the event of other incidents, securing the location of the fire
p.(None): danger, educating citizens in fire protection and performing tasks in public appearances at public events
p.(None): and a demonstration featuring exercises,
p.(None): 14. the beneficiaries of the right to a pension referred to in Article 7, paragraph 1, items 10 and 12 of this Act, which are, in accordance with a separate law
p.(None): employ temporary or temporary seasonal jobs in agriculture,
p.(None): 15. persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 of this Law, who are employed under special law on
p.(None): temporary or occasional seasonal jobs in
p.(None): agriculture, provided that they are kept in the register of unemployed persons with the Croatian Employment Service,
p.(None): 16. persons performing work for the common good in accordance with the Probation Act and persons assigned to
p.(None): jobs while serving a prison sentence, remand in custody, or correctional remittance.
p.(None): (2) Legal and natural persons and / or bodies of state government shall be obliged to provide for compulsory health insurance
p.(None): insurance against accidents at work and occupational diseases of the person referred to in paragraph 1 of this Article.
p.(None): IV. RIGHTS FROM COMPULSORY HEALTH INSURANCE
p.(None): Article 17
p.(None): Compulsory health insurance rights, including occupational injury and occupational disease rights,
p.(None): under this Law include:
p.(None): 1. the right to health care,
p.(None): 2. the right to cash benefits.
p.(None): 1. THE RIGHT TO HEALTH CARE
p.(None): Article 18
p.(None): (1) The right to health care from compulsory health insurance referred to in Article 17, item 1 of this Act to the extent
p.(None): established by this Act and regulations adopted pursuant to this Act include the right to:
p.(None): 1. primary health care,
p.(None): 2. specialist-consiliary health care,
p.(None): 3. hospital health care,
p.(None): 4. the right to medicines determined by the basic and supplementary list of medicines of the Institute,
p.(None): 5. dental aids, which are determined by the basic and additional list of dental aids of the Institute,
p.(None): 6. orthopedic and other aids that are determined by the basic and additional list of orthopedic and other aids of the Institute,
p.(None): 7. health care in other Member States and third countries.
p.(None): (2) The right of insured persons to health care referred to in paragraph 1, points 1 to 6 of this Article shall be ensured by the implementation of
p.(None): health care measure.
...
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
...
p.(None): carcinogens.
p.(None): 1. The right to reimbursement for funeral expenses
p.(None): Article 70
p.(None): (1) In the event of the death of the insured referred to in Article 7, paragraph 1, points 1 to 6, 8, 9, 20 and 25, and
p.(None): the insured persons referred to in Article 16 and the insured persons referred to in Article 69 of this Act shall be entitled to
p.(None): compensation for funeral expenses if the death of the insured person or the insured person is a direct consequence of a recognized injury to
p.(None): work or occupational disease.
p.(None): (2) Funeral expenses in the amount of one budget base may be paid by a legal or natural person
p.(None): who has borne the costs of burial of the insured person referred to in paragraph 1 of this Article.
p.(None): 2. Specific health care
p.(None): Article 71
p.(None): In addition to the compulsory health insurance entitlements for recognized accidents at work and occupational diseases
p.(None): established by Article 17 of this Law to the insured persons referred to in Article 7 items
p.(None): 1 to 6 and points 8, 9, 20 and 25 of this Law shall also provide measures for specific health protection of workers
p.(None): conducted by doctors of occupational medicine specialists, in accordance with the Law on Health Care and Special
p.(None): laws and ordinances issued pursuant to those laws.
p.(None): YOU. FINANCING COMPULSORY HEALTH INSURANCE
p.(None): 1. Sources of funds
p.(None): Article 72
p.(None): (1) The compulsory health insurance income shall be:
p.(None): 1. compulsory health insurance contributions,
p.(None): 2. contributions for compulsory health insurance against accidents at work and occupational diseases,
p.(None): 3. contributions for compulsory health insurance of unemployed persons referred to in Article 7, paragraph 1, items 13, 16,
p.(None): 17 and 19 and Article 11, paragraph 1, item 3 of this Law kept in the register of unemployed persons
p.(None): according to employment regulations,
p.(None): 4. Contributions for compulsory health insurance of insured persons by a decision of a competent court
p.(None): the deprivation of liberty referred to in Article 7, paragraph 1, item 28 of this Act,
p.(None): 5. compulsory health insurance contributions of other payers of the contributions determined by this and
p.(None): by another law,
p.(None): 6. special contribution for the use of healthcare abroad,
p.(None): 7. revenues from the state budget,
p.(None): 8. income from participation in the health care costs of insured persons or their insurers
p.(None): in supplementary health insurance,
p.(None): 9. income from dividends, interest and other income,
p.(None): 10. revenues from the special tax on tobacco products,
p.(None): 11. compulsory motor vehicle liability insurance revenue.
p.(None): (2) The income referred to in paragraph 1, item 10 of this Article in the amount of 32% of the total special tax revenue
p.(None): for tobacco products is transferred from the state budget to the Institute account until the fifth day of the month for
p.(None): the previous month.
p.(None): (3) The income referred to in paragraph 1, item 11 of this Article shall be paid by insurance companies in the amount of 4% of the paid functional
p.(None): motor insurance compulsory insurance premiums. The amount indicated is
p.(None): advance compensation for the damage caused to the Office in the cases referred to in Article 140 of this Law which they have caused
p.(None): the owners or users of the insured motor vehicle.
p.(None): (4) Insurance companies shall be obligatory funds for the income referred to in paragraph 1, item 11 of this Article in the manner prescribed
p.(None): paragraph 3 of this Article to pay by the 10th day of the month for the previous month on the total amount of the paid functional
...
Social / Victim of Abuse
Searching for indicator abuse:
(return to top)
p.(None): diseases, insured persons whose temporary inability to perform hemodialysis or peritoneal dialysis, and
p.(None): whose temporary inability is related to the taking and transplantation of parts of the human body.
p.(None): Article 53
p.(None): (1) The insured person shall not be entitled to salary compensation if:
p.(None): 1. knowingly caused temporary incapacity,
p.(None): 2. does not inform the chosen doctor that he became ill within three days from the day the disease started, that is, in
p.(None): within three days of the end of the reason that prevented him from doing so,
p.(None): 3. deliberately prevents healing, ie training for work,
p.(None): 4. during temporary incapacity, work or perform tasks on the basis of which he is obligatory health
p.(None): insured, performs contracted work on the basis of a work contract and any other business (eg agricultural work and
p.(None): FIG.),
p.(None): 5. does not respond to the call for medical examination of the selected doctor or doctor without a justified reason
p.(None): the controller of the Bureau or a body of the Bureau authorized to control temporary incapacity,
p.(None): 6. an elected doctor, controller or doctor of the Institute authorized to control the temporary incapacity of the fort
p.(None): not to follow the instructions for treatment, ie leave the place of residence without the consent of the chosen doctor,
p.(None): that is, residence or abuse of temporary incapacity otherwise.
p.(None): (2) In the cases referred to in paragraph (1) of this Article, the insured person shall not be entitled to reimbursement of salary from the day of occurrence of such cases until
p.(None): the day of their termination, that is, the termination of the consequences caused by them.
p.(None): Article 54
p.(None): (1) Salary compensation shall be determined from the basis of compensation, which is the average amount of salary paid to the insured person in
p.(None): in the last six months before the month in which the right to remuneration was obtained,
p.(None): irrespective of the burden on which it is payable, unless otherwise provided by special law.
p.(None): (2) Salary on the basis of which the salary compensation basis is determined shall be understood, within the meaning of this Act,
p.(None): the regular monthly salary of the insured person determined in accordance with the provisions of the labor regulations and the salary compensation
p.(None): paid during absence from work (annual leave, paid leave and temporary disability) which
p.(None): it pays at the expense of the legal or natural person with whom the insured is employed.
p.(None): (3) For the insured referred to in Article 7, paragraph 1, items 3, 4, 6, 8 and 9 of this Act, the basis for the salary compensation shall be
p.(None): the monthly basis for the calculation and payment of compulsory health insurance contributions for the last six months
p.(None): months prior to the month in which the insured event occurred on the basis of which the right to remuneration is acquired,
p.(None): minus statutory contributions, taxes and surtaxes.
...
Social / Women
Searching for indicator women:
(return to top)
p.(None): to be achieved in health care institutions and in private health care workers with whom the Institute has contracted
p.(None): on the provision of health care (hereinafter referred to as the Institute 's contracting entities) in the manner and under the conditions which
p.(None): established by this Law and by the general acts of the Institute.
p.(None): (5) The insured persons shall exercise the health care referred to in paragraph 1, item 6 of this Article at the expense of the Institute's funds
p.(None): legal or natural persons authorized to manufacture or retail orthopedic and other
p.(None): devices in accordance with a special regulation and in pharmacies with which the Institute, in accordance with the conditions and in the manner determined by the general
p.(None): by an act of the Institute, concluded a contract on the delivery of orthopedic and other aids to insured persons (hereinafter:
p.(None): contract supplies of supplies).
p.(None): Article 19
p.(None): (1) The right to health care referred to in Article 18 of this Act shall be ensured under equal conditions for all
p.(None): insured persons.
p.(None): (2) Insured persons in exercising their right to health care from compulsory health care
p.(None): of the insurance referred to in Article 18 of this Law, the Institute shall ensure payment of health services in full for:
p.(None): 1. comprehensive health care for children up to the age of 18, insured persons referred to in Article 12.
p.(None): paragraphs 2 and 3 and Article 15 of this Law,
p.(None): 2. preventive and specific health care for school children and students,
p.(None): 3. preventive health care for women,
p.(None): 4. the health care of women in connection with the monitoring of pregnancy and childbirth,
p.(None): 5. health care in connection with medically assisted fertilization, in accordance with a special law,
p.(None): 6. preventive health care for persons over 65 years of age,
p.(None): 7. preventive health care for persons with disabilities from the register of persons with disabilities established
p.(None): a special regulation,
p.(None): 8. comprehensive healthcare related to HIV infections and other communicable diseases prescribed by law
p.(None): implementing measures to prevent their spread,
p.(None): 9. compulsory vaccination, immunoprophylaxis and chemoprophylaxis,
p.(None): 10. overall treatment of chronic psychiatric illnesses,
p.(None): 11. overall treatment of malignancies,
p.(None): 12. all treatment resulting from a recognized occupational injury or occupational disease,
p.(None): 13. hemodialysis and peritoneal dialysis,
p.(None): 14. health care related to the taking and transplantation of parts of the human body for medical purposes,
p.(None): 15. outpatient emergency medical assistance in the emergency medical service involving emergency transport (by land,
p.(None): by water and by air), in accordance with the ordinance of the minister responsible for health,
p.(None): 16. home visits and home treatment,
p.(None): 17. home health care,
p.(None): 18. medical transport for special categories of patients, in accordance with the ordinance of the minister responsible for
...
Social / divorcees
Searching for indicator divorced:
(return to top)
p.(None): maintains, at the request of the insured,
p.(None): 3. parents (father, mother, stepfather, stepmother and adoptive parent), if they are incapable of independent living and work, if they do not have
p.(None): means of subsistence and, if supported by the insured,
p.(None): 4. grandchildren, brothers, sisters, grandparents, if they are incapable of independent living and work, if they have no means of support
p.(None): and if the insured maintains them.
p.(None): (2) The members of the family of the insured referred to in paragraph 1 of this Article shall acquire the status of the insured person in accordance with
p.(None): paragraph 1 of this Article provided that they cannot obtain compulsory health insurance status by any
p.(None): from the insurance bases referred to in Article 7 of this Law and that they have a permanent residence or a permanent residence permit in the
p.(None): To the Republic of Croatia, unless otherwise provided by EU regulations or international treaty.
p.(None): (3) The Office shall determine by general act the conditions under which it is considered that the person referred to in paragraph 1 of this Article is incapable of
p.(None): independent living and work and no means of subsistence and insured maintenance.
p.(None): Article 11
p.(None): (1) The spouse with the divorce retains the status of the insured person of the CES as a member of the spouse's family from which he or she
p.(None): divorced:
p.(None): 1. if, by a court decision, he or she has acquired the right to alimony while abstaining,
p.(None): 2. if, at the time of the divorce, he was completely and permanently incapable of working in accordance with the regulations on pension insurance,
p.(None): 3. if, by a court decision on divorce, the children have been entrusted with custody and upbringing, provided that
p.(None): report to the CES within 30 days from the day the court decision becomes final, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (2) The persons referred to in paragraph 1, item 1 of this Article shall retain the status of insured person as family members even upon termination
p.(None): support provided that they apply to the CES within 30 days from the day the court decision becomes final, if the right to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): Article 12
p.(None): (1) The children of the insured referred to in Article 10, paragraph 1, item 2 of this Act who have acquired the status of insured person as members
p.(None): Insured families may retain this status for up to 18 years.
p.(None): (2) Children of the insured referred to in paragraph 1 of this Article who become completely and permanently incapable of independent living and work,
p.(None): in accordance with special regulations, before the age of 18, retain the status of insured person as a member
...
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
p.(None): continuously for at least six months, improved also that half-time full-time work would be useful for faster
...
Social / education
Searching for indicator education:
(return to top)
p.(None): 5. persons who are professionally trained to work without employment, that is, who are professionally trained for
p.(None): work with the possibility of using active employment policy measures, in accordance with special regulations,
p.(None): 6. persons engaged in the economic activity of crafts and crafts in the territory of the Republic of Croatia
p.(None): equal activities, persons who independently perform their professional occupation in the form of a free occupation
p.(None): activity and persons engaged in agriculture and forestry as the sole activity in the Republic of Croatia
p.(None): or principal occupation, if they are liable to income tax or income tax and are not insured by
p.(None): basis of work or beneficiaries of the right to a pension,
p.(None): 7. farmers engaged in agricultural activity in the Republic of Croatia as their sole or principal occupation if
p.(None): are the owners, landlords or tenants, and if they are not subject to income tax or income tax and if they are not
p.(None): insured on the basis of work or beneficiaries of the right to a pension,
p.(None): 8. persons engaged in agricultural activity as their sole or principal occupation and who have been entered in the family register
p.(None): of the holding as the holder or member of the family holding, if they are not
p.(None): are health insured on the basis of work or are beneficiaries of the right to retirement or are in full-time education,
p.(None): 9. priests and other religious officials of a religious community registered in the records of the religious communities he maintains
p.(None): competent national authority, if not insured on the basis of work,
p.(None): 10. pension beneficiaries according to the regulations on pension insurance of the Republic of Croatia, if any
p.(None): permanent or permanent residence in the Republic of Croatia,
p.(None): 11. beneficiaries of the right to vocational rehabilitation under the regulations on pension insurance of the Republic of Croatia,
p.(None): if they are domiciled or granted permanent residence in the Republic of Croatia,
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
p.(None): insured on another basis and reported to the Institute within:
p.(None): a) 30 days from the date of termination of employment, that is, performing the activity or from the date of termination of employment
p.(None): compensation of the salary to which they are entitled under this Act or under regulations made pursuant to this Act,
p.(None): b) 30 days from the date of early termination of military service, ie voluntary military service
p.(None): term, ie from the date of expiry of the prescribed period for military service, ie voluntary military service
p.(None): deadline
p.(None): c) 30 days from the date of discharge from the institution for the execution of criminal and misdemeanor sanctions, from the medical institution
p.(None): or other specialized institutions if the mandatory psychiatric psychiatric safety measure was applied
p.(None): treatment or mandatory treatment for addiction in a healthcare facility,
p.(None): d) 30 days from the age of 18, if they are not insured on another basis,
p.(None): e) 90 days after the end of the school year in which they completed their regular education in accordance with the regulations on
p.(None): full-time education in the Republic of Croatia or another Member State, or within 30 days from the date of placement
p.(None): final exam,
p.(None): 14. full-time high school students and full-time college students over 18 who are nationals
p.(None): Republic of Croatia and have their place of residence or residence in the Republic of Croatia, ie citizens of the Republic of Croatia
p.(None): domiciled in another Member State having a temporary residence permit in the Republic of Croatia, sub
p.(None): provided that they are not compulsorily insured in another Member State and in a party with an approved permanent establishment
p.(None): stay in the Republic of Croatia, but they may use this right for the longest time until the end of the school year,
p.(None): that is, at the end of the academic year in which they completed their full-time education, the longest total
p.(None): eight years on that basis, if they do not exercise the right to compulsory health insurance on another basis
p.(None): 15. Full-time high school students and full-time college students in other Member States above
p.(None): 18 years of age, who are citizens of the Republic of Croatia and reside in the Republic of Croatia, and foreigners with
p.(None): granted permanent residence in the Republic of Croatia, but they may use this right for the longest time until the end of the school year
p.(None): year, that is, the end of the academic year in which they completed their regular education according to the regulations of the state
p.(None): education, and for a maximum of eight years on that basis, if the right to compulsory health
p.(None): they do not realize insurance on another basis
p.(None): 16. Persons with a residence or approved permanent residence in the Republic of Croatia over 18 years of age who
p.(None): have lost their full-time status in accordance with the regulations on education in the Republic of Croatia or in another Member State
p.(None): students, or full-time students if they have applied to the Institute within 30 days from the date of loss of status
p.(None): full-time student or full-time student and if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 17. spouse of a deceased insured person who, after the death of the spouse, did not acquire the right to family pension, if the Office
p.(None): reported within 30 days of the death of the spouse, and the right to compulsory health insurance can not exercise by
p.(None): on another basis,
p.(None): 18. domiciled persons and foreigners with a permanent residence permit in the Republic of Croatia to which he / she is resident
p.(None): a recognized attribute of a military military or civilian disabled war veteran and peacetime military
p.(None): disabled persons, ie status of beneficiaries of family disability benefits in accordance with the Law on Protection of Military and Civilian Persons
p.(None): disabled war veterans, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 19. Croatian defenders of the Homeland War, if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 20. persons providing care and assistance to the Croatian war veteran of the Homeland War in accordance with the regulations on rights
p.(None): Croatian Homeland War veterans and their family members, if entitled to compulsory health care
p.(None): they do not get insurance on another basis,
p.(None): 21. persons on military service, ie voluntary military service (conscripts), cadets and
p.(None): reservists during the service in the Armed Forces of the Republic of Croatia, if the right to compulsory health
p.(None): they do not get insurance on another basis,
p.(None): 22. persons who interrupted their work because they were referred by a legal or natural person to education or
p.(None): vocational training, while continuing education or vocational training,
p.(None): 23. persons who have been referred by their legal or natural persons as their scholarship holders before entering into employment
p.(None): practical work in another legal entity or with another natural person for professional training or further training, while
p.(None): takes practical work,
p.(None): 24. Persons sent to another Member State or to a third country within the framework of international technical, educational and cultural training
p.(None): collaborations, while on that basis,
p.(None): 25. persons who have been recognized the right to the status of carer parents under a special law,
p.(None): 26. members of the family of a killed, imprisoned or missing Croatian defense attorney while receiving cash
p.(None): fees in accordance with the regulations on the rights of Croatian war veterans and their members
p.(None): families, if they do not exercise their entitlement to compulsory health insurance on another basis,
p.(None): 27. family members of the injured, detained or missing Croatian veterans residing
p.(None): or granted a permanent residence in the Republic of Croatia, if they applied to the Institute within 30 days from the day
p.(None): cessation of receiving financial compensation in accordance with the regulations on the rights of Croatian war veterans; and
p.(None): members of their families, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 28. persons with permanent or temporary residence in the Republic of Croatia by decision
...
p.(None): to a third country compulsorily insured in the Republic of Croatia as a member of his family in accordance with Article 10 of this
p.(None): Act.
p.(None): Article 15
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are incapable of self-employment
p.(None): life and work and no means of support are entitled to compulsory health insurance as insured persons
p.(None): on the basis of a decision issued by the state administration office in charge of social welfare, if entitled to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): (2) Criteria for determining the incapacity for independent living and working and the lack of means of subsistence referred to in paragraph 1.
p.(None): of this Article shall be prescribed by ordinance by the minister responsible for social welfare.
p.(None): (3) The right to compulsory health insurance on the basis of insurance determined by the provision of paragraph 1 of this Article
p.(None): lasts for as long as the circumstances on the basis of which the person has been granted the right have changed.
p.(None): Article 16
p.(None): (1) Compulsory health insurance under this Act for occupational injury and occupational injuries
p.(None): diseases other than the insured referred to in Article 7, paragraph 4 of this Act shall also be compulsory for the following insured persons
p.(None): persons:
p.(None): 1. full-time students according to regulations on regular education in the Republic of Croatia
p.(None): during practical classes, during professional practice, professional trips, or while working through
p.(None): mediators in the recruitment of students,
p.(None): 2. persons referred by the Croatian Employment Service to the education it organizes or for which
p.(None): costs are borne by the Croatian Employment Service,
p.(None): 3. children with physical and mental disabilities in practical training or compulsory practical work in legal education
p.(None): to the training person,
p.(None): 4. persons who assist the police services in the performance of their tasks,
p.(None): 5. persons participating in rescue operations or in protection and rescue in the event of natural and other disasters,
p.(None): 6. persons who, at the invitation of state and other authorized bodies, perform duties in the interest of the Republic
p.(None): Croatian,
p.(None): 7. athletes, coaches or organizers as part of an organized amateur sport activity,
p.(None): 8. persons who, as members of the Croatian Mountain Rescue Service or divers, perform life-saving tasks or
p.(None): eliminating or preventing threats that directly endanger the life or property of citizens,
p.(None): 9. persons who, as members of the field teams, participate in the rescue and health care in natural and
p.(None): other disasters and accidents (floods, earthquakes, etc.),
p.(None): 10. persons on military service, ie voluntary military service (conscripts), cadets and reservists for
p.(None): time of service in the Armed Forces of the Republic of Croatia,
p.(None): 11. persons participating in organized public works in the Republic of Croatia,
p.(None): 12. persons who fulfill an obligation to participate in civil protection or an obligation to participate in the watch service
p.(None): and intelligence,
p.(None): 13. persons who, as members of the operational units of voluntary fire organizations, perform
...
Searching for indicator educational:
(return to top)
p.(None): 19. Croatian defenders of the Homeland War, if they cannot exercise the right to compulsory health insurance by another
p.(None): basically,
p.(None): 20. persons providing care and assistance to the Croatian war veteran of the Homeland War in accordance with the regulations on rights
p.(None): Croatian Homeland War veterans and their family members, if entitled to compulsory health care
p.(None): they do not get insurance on another basis,
p.(None): 21. persons on military service, ie voluntary military service (conscripts), cadets and
p.(None): reservists during the service in the Armed Forces of the Republic of Croatia, if the right to compulsory health
p.(None): they do not get insurance on another basis,
p.(None): 22. persons who interrupted their work because they were referred by a legal or natural person to education or
p.(None): vocational training, while continuing education or vocational training,
p.(None): 23. persons who have been referred by their legal or natural persons as their scholarship holders before entering into employment
p.(None): practical work in another legal entity or with another natural person for professional training or further training, while
p.(None): takes practical work,
p.(None): 24. Persons sent to another Member State or to a third country within the framework of international technical, educational and cultural training
p.(None): collaborations, while on that basis,
p.(None): 25. persons who have been recognized the right to the status of carer parents under a special law,
p.(None): 26. members of the family of a killed, imprisoned or missing Croatian defense attorney while receiving cash
p.(None): fees in accordance with the regulations on the rights of Croatian war veterans and their members
p.(None): families, if they do not exercise their entitlement to compulsory health insurance on another basis,
p.(None): 27. family members of the injured, detained or missing Croatian veterans residing
p.(None): or granted a permanent residence in the Republic of Croatia, if they applied to the Institute within 30 days from the day
p.(None): cessation of receiving financial compensation in accordance with the regulations on the rights of Croatian war veterans; and
p.(None): members of their families, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 28. persons with permanent or temporary residence in the Republic of Croatia by decision
p.(None): of the competent court deprived of their liberty and are in organizational units of the Ministry of Justice, according to the application
p.(None): Of the Ministry of Justice.
p.(None): (2) Employment in accordance with paragraph 1, item 1 of this Article shall be understood as the relation between the employer and the worker towards
...
Social / employees
Searching for indicator employees:
(return to top)
p.(None): insurance, provided that they have been paid out over a six - month period, on the basis of which the basis for the
p.(None): compensation and that they have completed the insurance service at the Institute prescribed by Article 56, paragraph 1 of this Act.
p.(None): (5) In the case where the salary compensation base cannot be determined according to paragraph 1 of this Article, the salary base
p.(None): for remuneration, the salary is paid up to the date of occurrence of the case on the basis of which the right to remuneration is acquired,
p.(None): that is, the corresponding salary for the month for which the salary is determined, with the base being determined, when
p.(None): the compensation paid at the expense of the Institute's funds may not be higher than the lowest insurance base used for
p.(None): calculation of compulsory health insurance contributions, valid for the month preceding the month in which it is
p.(None): an insured event occurred.
p.(None): (6) By way of derogation from paragraph 5 of this Article, when the basis for payment of salary, which belongs to the insured person in
p.(None): In the case of temporary incapacity due to a recognized injury at work or occupational disease, he cannot
p.(None): to determine, in accordance with paragraph 1 of this Article, the basis for remuneration is the corresponding salary for the month for which it is determined
p.(None): salary compensation.
p.(None): (7) When the insured person receives a salary remuneration continuously for more than three months, the basis for determining the compensation from
p.(None): paragraph 1 of this Article shall increase in accordance with the increase in the salary of employees in the Republic of Croatia, if this increase is greater than
p.(None): 5%.
p.(None): (8) The remuneration under paragraph 7 of this Article shall be payable to the insured person from the first day of the following month after the expiration of three months
p.(None): continuous temporary incapacity, if the requirement to increase pay is fulfilled.
p.(None): (9) The Office shall by a general act determine the manner of determining the basis for the salary compensation referred to in paragraph 3 of this Article.
p.(None): Article 55
p.(None): (1) Salary compensation may not be less than 70% of the salary compensation base, unless otherwise provided by this Law,
p.(None): that as a full-time monthly amount cannot be less than 25% of the budget base.
p.(None): (2) Salary compensation shall be 100% of the salary compensation base during:
p.(None): 1. temporary disability due to a wound, injury or illness that is a direct consequence of participating in
p.(None): The Homeland War,
p.(None): 2. temporary disability due to illness and complications related to pregnancy and childbirth,
p.(None): 3. the use of maternity leave and the right to work in part-time work referred to in Article 39, item 7 of this Act,
p.(None): 4. use of leave for the death of a child referred to in Article 39, item 8 of this Act,
p.(None): 5. care of a sick child under the age of three,
...
p.(None): information system for the purposes of health care delivery under a special order of the minister responsible
p.(None): for health.
p.(None): 1. Organization of the Croatian Health Insurance Institute
p.(None): Article 99
p.(None): (1) The Institute shall carry out activities from its activity in the following organizational units:
p.(None): 1. the central organizational unit,
p.(None): 2. regional units.
p.(None): (2) The organizational units of the Institute shall carry out activities in the activities of the Institute under the name of the Institute and with their name, whereby
p.(None): they must indicate the seat of the Institute and their seat.
p.(None): Article 100
p.(None): (1) The central organizational unit of the Institute is the Directorate, with headquarters in Zagreb.
p.(None): (2) The regional organizational units of the Institute shall be the regional offices of the Institute.
p.(None): Article 101
p.(None): The Statute of the Institute defines the scope of organizational units, the names of internal organizational units, as well as other
p.(None): issues relevant to the work of the Institute.
p.(None): 2. Bodies of the Institute
p.(None): Article 102
p.(None): (1) The Institute shall be managed by the Administrative Council.
p.(None): (2) The Governing Board shall be composed of nine members, appointed by the Government of the Republic of Croatia at the proposal of the Minister responsible for
p.(None): health, namely:
p.(None): a) 2 representatives of the Institute's insured persons,
p.(None): b) 2 representatives of healthcare providers - healthcare professionals,
p.(None): c) 3 representatives of the Economic and Social Council,
p.(None): d) 1 representative of the ministry responsible for health,
p.(None): e) 1 representative of the employees of the Institute, appointed or elected in accordance with the labor regulations.
p.(None): (3) The chairman of the Governing Board shall be elected by the members of the Governing Board.
p.(None): (4) The term of office of the members of the Governing Council shall be four years.
p.(None): (5) The Governing Council shall take decisions by a majority of half of the total number of members.
p.(None): (6) The scope, powers and responsibilities of the Governing Council shall be determined by the statute.
p.(None): Article 103
p.(None): (1) The Administrative Board of the Institute shall perform the following tasks:
p.(None): 1. passes the Statute of the Institute,
p.(None): 2. adopt the financial plan and the final account of the Institute,
p.(None): 3. Adopts measures for balancing income and expenses when it is in business of the Institute on a quarterly basis
p.(None): the period shown a surplus of expenses over revenues,
p.(None): 4. make decisions and general acts, and perform other tasks specified by this Law and the Statute of the Institute.
p.(None): (2) The Statute of the Institute shall be approved by the Government of the Republic of Croatia.
p.(None): Article 104
p.(None): (1) The Statute of the Institute shall determine in particular: the structure of the Institute, the scope of organizational units, the names of internal
p.(None): organizational units, rights, obligations and responsibilities of the bodies of the Institute, publicity of the work of the Institute and its bodies, manner
p.(None): performing administrative-professional and other tasks, as well as other issues of importance for the work of the Institute.
p.(None): (2) Statute and general acts of the Institute governing the rights and obligations of insured persons from compulsory health insurance
p.(None): shall be published in the Official Gazette.
p.(None): Article 105
...
Social / gender
Searching for indicator gender:
(return to top)
p.(None): LAW
p.(None): ABOUT COMPULSORY HEALTH INSURANCE
p.(None): Internal consolidated text includes the Law on Compulsory Health Insurance (Official Gazette 80/13) and its
p.(None): Amendments published in Narodne novine, No. 137/13.
p.(None): in which the time of their entry into force is indicated
p.(None): I. GENERAL PROVISIONS
p.(None): Article 1.
p.(None): (1) This Law regulates compulsory health insurance in the Republic of Croatia, the scope of the right to health care and
p.(None): other rights and obligations of persons compulsorily insured under this Law, conditions and manner of their realization i
p.(None): financing, as well as the rights and obligations of holders of compulsory health insurance, including rights and obligations
p.(None): the contracting entities of the holders for the implementation of health care from compulsory health insurance.
p.(None): (2) Terms used in this Act that have gender meaning, whether used in masculine or
p.(None): female gender, encompassing male and female gender alike.
p.(None): Article 2
p.(None): This Act transposes Directive 2011/24 / EU of the European Parliament and the Republic of Croatia into the legal order of the Republic of Croatia
p.(None): Council of 9 March 2011 on the application of patients' rights in cross-border healthcare (OJ L
p.(None): 88, 4 April 2011) - hereinafter referred to as Directive 2011/24 / EU.
p.(None): Article 3
p.(None): (1) Compulsory health insurance is provided by the Croatian Health Insurance Institute (hereinafter:
p.(None): Institute).
p.(None): (2) Compulsory health insurance is provided to all insured persons of the Institute (hereinafter: insured
p.(None): persons) rights and obligations arising from compulsory health insurance on the principles of reciprocity, solidarity and equality,
p.(None): in the manner and under the conditions laid down in Regulation (EC) No. 883/2004 as last amended by EU Regulation no. 1224/2012
p.(None): (hereinafter referred to as EU regulations), Directive 2011/24 / EU, this Act, a separate law and regulations
p.(None): passed pursuant to this Act.
p.(None): (3) The rights arising from compulsory health insurance shall also provide for rights in the event of an occupational injury
p.(None): and occupational diseases, which include measures to implement specific health care for workers; and
p.(None): diagnostic procedures for suspected occupational disease in accordance with the Law on Health Care and Special
p.(None): laws and ordinances issued pursuant to those laws.
p.(None): (4) The scope of compulsory health insurance rights, which is provided on equal terms to all
p.(None): to insured persons, is determined by the provisions of this Act and the regulations adopted pursuant to this Act.
p.(None): II. MANDATORY HEALTH INSURANCE
p.(None): Article 4
p.(None): (1) Compulsory health insurance under one of the insurance bases established by this Act shall be obligatory
...
Social / parents
Searching for indicator parent:
(return to top)
p.(None): contributions to other receipts have a monthly paid contribution for compulsory health insurance at least at
p.(None): the lowest contribution basis.
p.(None): 2. Children up to the age of 18 and family members of the insured
p.(None): Article 9
p.(None): Children up to the age of 18 who have a permanent or permanent residence in the Republic of Croatia
p.(None): they are insured for compulsory health insurance and acquire the status of insured person.
p.(None): Article 10
p.(None): (1) According to this Law, the status of the insured person - a member of the family of the insured, as the holder of the compulsory one
p.(None): health insurance, can acquire:
p.(None): 1. spouse (marital and extra-marital, in accordance with the regulations on family relations),
p.(None): 2. children (born, unmarried or adopted, stepchildren) and other children without parents, if insured
p.(None): maintains, at the request of the insured,
p.(None): 3. parents (father, mother, stepfather, stepmother and adoptive parent), if they are incapable of independent living and work, if they do not have
p.(None): means of subsistence and, if supported by the insured,
p.(None): 4. grandchildren, brothers, sisters, grandparents, if they are incapable of independent living and work, if they have no means of support
p.(None): and if the insured maintains them.
p.(None): (2) The members of the family of the insured referred to in paragraph 1 of this Article shall acquire the status of the insured person in accordance with
p.(None): paragraph 1 of this Article provided that they cannot obtain compulsory health insurance status by any
p.(None): from the insurance bases referred to in Article 7 of this Law and that they have a permanent residence or a permanent residence permit in the
p.(None): To the Republic of Croatia, unless otherwise provided by EU regulations or international treaty.
p.(None): (3) The Office shall determine by general act the conditions under which it is considered that the person referred to in paragraph 1 of this Article is incapable of
p.(None): independent living and work and no means of subsistence and insured maintenance.
p.(None): Article 11
p.(None): (1) The spouse with the divorce retains the status of the insured person of the CES as a member of the spouse's family from which he or she
p.(None): divorced:
p.(None): 1. if, by a court decision, he or she has acquired the right to alimony while abstaining,
...
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
p.(None): continuously for at least six months, improved also that half-time full-time work would be useful for faster
p.(None): the establishment of the full working capacity of the insured, the elected doctor may stipulate that the insured is designated
...
Searching for indicator parents:
(return to top)
p.(None): basically,
p.(None): 20. persons providing care and assistance to the Croatian war veteran of the Homeland War in accordance with the regulations on rights
p.(None): Croatian Homeland War veterans and their family members, if entitled to compulsory health care
p.(None): they do not get insurance on another basis,
p.(None): 21. persons on military service, ie voluntary military service (conscripts), cadets and
p.(None): reservists during the service in the Armed Forces of the Republic of Croatia, if the right to compulsory health
p.(None): they do not get insurance on another basis,
p.(None): 22. persons who interrupted their work because they were referred by a legal or natural person to education or
p.(None): vocational training, while continuing education or vocational training,
p.(None): 23. persons who have been referred by their legal or natural persons as their scholarship holders before entering into employment
p.(None): practical work in another legal entity or with another natural person for professional training or further training, while
p.(None): takes practical work,
p.(None): 24. Persons sent to another Member State or to a third country within the framework of international technical, educational and cultural training
p.(None): collaborations, while on that basis,
p.(None): 25. persons who have been recognized the right to the status of carer parents under a special law,
p.(None): 26. members of the family of a killed, imprisoned or missing Croatian defense attorney while receiving cash
p.(None): fees in accordance with the regulations on the rights of Croatian war veterans and their members
p.(None): families, if they do not exercise their entitlement to compulsory health insurance on another basis,
p.(None): 27. family members of the injured, detained or missing Croatian veterans residing
p.(None): or granted a permanent residence in the Republic of Croatia, if they applied to the Institute within 30 days from the day
p.(None): cessation of receiving financial compensation in accordance with the regulations on the rights of Croatian war veterans; and
p.(None): members of their families, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 28. persons with permanent or temporary residence in the Republic of Croatia by decision
p.(None): of the competent court deprived of their liberty and are in organizational units of the Ministry of Justice, according to the application
p.(None): Of the Ministry of Justice.
p.(None): (2) Employment in accordance with paragraph 1, item 1 of this Article shall be understood as the relation between the employer and the worker towards
p.(None): labor regulations and other regulations governing employment matters.
p.(None): (3) The activities of the persons referred to in paragraph 1, item 6 of this Article shall be: the registered activity of crafts and agriculture
p.(None): and forestry, freelance (professional activity) and other self-employed activities
...
p.(None): health insurance at least equal to the contribution calculated on the lowest basis for calculating the contribution to
p.(None): compulsory health insurance for a period of six months if they do not qualify for compulsory health insurance
p.(None): insurance on another basis.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall retain the status of the insured person of the Institute for the duration of the payment
p.(None): contributions to other receipts have a monthly paid contribution for compulsory health insurance at least at
p.(None): the lowest contribution basis.
p.(None): 2. Children up to the age of 18 and family members of the insured
p.(None): Article 9
p.(None): Children up to the age of 18 who have a permanent or permanent residence in the Republic of Croatia
p.(None): they are insured for compulsory health insurance and acquire the status of insured person.
p.(None): Article 10
p.(None): (1) According to this Law, the status of the insured person - a member of the family of the insured, as the holder of the compulsory one
p.(None): health insurance, can acquire:
p.(None): 1. spouse (marital and extra-marital, in accordance with the regulations on family relations),
p.(None): 2. children (born, unmarried or adopted, stepchildren) and other children without parents, if insured
p.(None): maintains, at the request of the insured,
p.(None): 3. parents (father, mother, stepfather, stepmother and adoptive parent), if they are incapable of independent living and work, if they do not have
p.(None): means of subsistence and, if supported by the insured,
p.(None): 4. grandchildren, brothers, sisters, grandparents, if they are incapable of independent living and work, if they have no means of support
p.(None): and if the insured maintains them.
p.(None): (2) The members of the family of the insured referred to in paragraph 1 of this Article shall acquire the status of the insured person in accordance with
p.(None): paragraph 1 of this Article provided that they cannot obtain compulsory health insurance status by any
p.(None): from the insurance bases referred to in Article 7 of this Law and that they have a permanent residence or a permanent residence permit in the
p.(None): To the Republic of Croatia, unless otherwise provided by EU regulations or international treaty.
p.(None): (3) The Office shall determine by general act the conditions under which it is considered that the person referred to in paragraph 1 of this Article is incapable of
p.(None): independent living and work and no means of subsistence and insured maintenance.
p.(None): Article 11
p.(None): (1) The spouse with the divorce retains the status of the insured person of the CES as a member of the spouse's family from which he or she
p.(None): divorced:
p.(None): 1. if, by a court decision, he or she has acquired the right to alimony while abstaining,
...
p.(None): (3) Funds generated by the participation of the insured person in the health care costs referred to in Article 19, paragraph
p.(None): 3, Article 20 (5), Article 22 (4) and Article 23 (4) of this Act shall be the revenue of the contracting entities
p.(None): Institutes, contracting providers of aids, or healthcare institutions in other Member States or third countries
p.(None): to the countries in which the insured persons used health care in accordance with Article 26 of this Law, and the funds from
p.(None): of Article 19, paragraph 4, are the revenue of the Institute.
p.(None): (4) In the health care costs referred to in Article 19 (3) and (4), Article 22 (4) and Article
p.(None): Children under the age of 18 and the insured persons referred to in Article 12 shall not be obliged to participate in paragraph 23 of this Act.
p.(None): paragraphs 2 and 3 and Article 15 of this Law.
p.(None): 2. RIGHT TO FEES
p.(None): Article 36
p.(None): (1) Insured persons under the right to compulsory health insurance are entitled to:
p.(None): 1. compensation for wages during temporary incapacity, ie inability to work due to use
p.(None): health care or other circumstances referred to in Article 39 of this Law (hereinafter referred to as: salary compensation),
p.(None): 2. financial compensation due to the inability to carry out business on the basis of which other receipts from
p.(None): determining other income, in accordance with the regulations on contributions for compulsory insurance,
p.(None): 3. compensation for transport costs related to the use of health care from compulsory health care
p.(None): insurance
p.(None): 4. compensation for the costs of accommodation for one of the parents or the person taking care of the child during the time
p.(None): hospital treatment of the child, in the amount and under the conditions laid down in the general act of the Institute,
p.(None): (2) The right referred to in paragraph 1, items 3 and 4 of this Article shall also belong to other insured persons.
p.(None): (3) The monetary compensation referred to in paragraph 1 of this Article, as well as the monetary compensation for the reimbursement of rights costs
p.(None): are compulsory from the compulsory health insurance provided by the insured person pursuant to the decision of the Institute
p.(None): enforcement.
p.(None): Article 37
p.(None): (1) The right to financial compensation in the case of a recognized occupational injury or occupational disease shall include:
p.(None): 1. compensation of salary during temporary incapacity for work caused by a recognized occupational injury, respectively
p.(None): occupational disease,
p.(None): 2. compensation for transport costs related to the use of health care from compulsory health care
p.(None): insurance resulting from a recognized occupational injury or occupational disease,
p.(None): 3. compensation for funeral expenses in the event of the death of the insured person, if the death is a direct consequence of a recognized one
p.(None): occupational injuries or occupational diseases.
p.(None): (2) The right to compensation of the salary referred to in paragraph 1, item 1 of this Article shall be exercised by the insured persons referred to in Article
p.(None): 7, paragraph 1, items 1 to 4, and items 6, 8, 9, 20 and 25 of this Act.
p.(None): (3) The right to compensation for transport costs and compensation for funeral expenses referred to in paragraph (1)
...
Social / philosophical differences/differences of opinion
Searching for indicator opinion:
(return to top)
p.(None): insurance against accidents at work and occupational diseases of the person referred to in paragraph 1 of this Article.
p.(None): IV. RIGHTS FROM COMPULSORY HEALTH INSURANCE
p.(None): Article 17
p.(None): Compulsory health insurance rights, including occupational injury and occupational disease rights,
p.(None): under this Law include:
p.(None): 1. the right to health care,
p.(None): 2. the right to cash benefits.
p.(None): 1. THE RIGHT TO HEALTH CARE
p.(None): Article 18
p.(None): (1) The right to health care from compulsory health insurance referred to in Article 17, item 1 of this Act to the extent
p.(None): established by this Act and regulations adopted pursuant to this Act include the right to:
p.(None): 1. primary health care,
p.(None): 2. specialist-consiliary health care,
p.(None): 3. hospital health care,
p.(None): 4. the right to medicines determined by the basic and supplementary list of medicines of the Institute,
p.(None): 5. dental aids, which are determined by the basic and additional list of dental aids of the Institute,
p.(None): 6. orthopedic and other aids that are determined by the basic and additional list of orthopedic and other aids of the Institute,
p.(None): 7. health care in other Member States and third countries.
p.(None): (2) The right of insured persons to health care referred to in paragraph 1, points 1 to 6 of this Article shall be ensured by the implementation of
p.(None): health care measure.
p.(None): (3) The health care measures referred to in paragraph 2 of this Article shall be determined on the basis of the plan and program of measures
p.(None): health care issued by the minister responsible for health at the proposal of the Institute and the Croatian Institute for Public Health
p.(None): health care, with the prior opinion of the relevant chambers, in accordance with the financial resources provided
p.(None): and the available health facilities.
p.(None): (4) Insured persons may, at the expense of the Institute, pay the health care referred to in paragraph 1, items 1 to 5 of this Article,
p.(None): to be achieved in health care institutions and in private health care workers with whom the Institute has contracted
p.(None): on the provision of health care (hereinafter referred to as the Institute 's contracting entities) in the manner and under the conditions which
p.(None): established by this Law and by the general acts of the Institute.
p.(None): (5) The insured persons shall exercise the health care referred to in paragraph 1, item 6 of this Article at the expense of the Institute's funds
p.(None): legal or natural persons authorized to manufacture or retail orthopedic and other
p.(None): devices in accordance with a special regulation and in pharmacies with which the Institute, in accordance with the conditions and in the manner determined by the general
p.(None): by an act of the Institute, concluded a contract on the delivery of orthopedic and other aids to insured persons (hereinafter:
p.(None): contract supplies of supplies).
p.(None): Article 19
p.(None): (1) The right to health care referred to in Article 18 of this Act shall be ensured under equal conditions for all
p.(None): insured persons.
p.(None): (2) Insured persons in exercising their right to health care from compulsory health care
p.(None): of the insurance referred to in Article 18 of this Law, the Institute shall ensure payment of health services in full for:
p.(None): 1. comprehensive health care for children up to the age of 18, insured persons referred to in Article 12.
p.(None): paragraphs 2 and 3 and Article 15 of this Law,
...
p.(None): (ATK) classification of medicines of the World Health Organization, commonly referred to as (unprotected) name
p.(None): the (protected) name of the medicine, the name of the manufacturer, the name of the marketing authorization holder,
p.(None): the dosage form and the method of administration, the price of the drug for a defined daily dose, the price of the package and the unit dosage form
p.(None): medicines and prescribing rules for medicines that can be used in health care
p.(None): protection from compulsory health insurance.
p.(None): (3) The basic list of medicines of the Institute shall contain the most economically economical medicines for the treatment of all
p.(None): disease.
p.(None): (4) The Supplemental List of Medicinal Products contains medicines with a higher price level than the prices in the basic list
p.(None): of medicines, whereby the Institute provides coverage of costs in the amount of the lowest price of the equivalent medicine determined
p.(None): basic medication list.
p.(None): (5) In addition to the full price of the medicinal product, the Supplementary List of Medicinal Products of the Institute shall contain the amount of participation in
p.(None): the price of the medication provided by the insured person of the Institute directly or through supplementary health care
p.(None): insurance under the Voluntary Health Insurance Act.
p.(None): (6) The manner of listing medicinal products on the basic and supplementary list of medicinal products and the method of determining the price of medicinal products shall be prescribed by
p.(None): by ordinance, the minister responsible for health, in accordance with a separate law.
p.(None): (7) The basic and supplementary list of medicines, with the previously obtained opinion of the Croatian Medical Chamber, shall be adopted by the Administrative Board.
p.(None): the Council of the Institute.
p.(None): (8) If the chamber referred to in paragraph 7 of this Article within 8 days from the day it received the request for an opinion, the Office
p.(None): does not submit an opinion on the basic or supplementary list of medicines, it is considered that a positive opinion is given.
p.(None): (9) The form and content of prescriptions for medicinal products from the basic and supplementary list of medicines of the Institute shall be determined by a general act of the Institute in
p.(None): in accordance with the ordinance of the Minister of Health.
p.(None): Article 21
p.(None): (1) An insured person under the right to health care from compulsory health insurance is entitled to
p.(None): the burden of the Institute's resources to obtain the medicines determined by the basic and supplementary list of the Institute's medicines, under the conditions and
p.(None): in the manner determined by the general acts of the Institute.
p.(None): (2) Exceptionally, an insured person for whom medical treatment cannot be carried out with the medicines prescribed
p.(None): the basic and supplementary list of medicines of the Institute may exercise the right to a medicine not established by those lists of medicines,
p.(None): provided that the need for use of the drug has been approved by the Medicines Committee of the hospital
p.(None): to whom the insured person is being treated, at the expense of the hospital's healthcare facility, which is obliged to secure the procurement
p.(None): drug.
p.(None): (3) Under the conditions and in the manner laid down in paragraph 2 of this Article, the insured person may also exercise the right to the medicine which he is
p.(None): established by the basic and supplementary list of medicines of the Institute, but for the realization of which the insured person does not
p.(None): meets the medical indications established by the lists of medicines referred to in paragraph 1 of this Article.
p.(None): (4) Doctor specialist in a hospital health care institution who has proposed treatment to the insured person with a medication from
...
p.(None): is entitled to reimbursement of personal expenses and health care.
p.(None): (2) The reimbursement of costs referred to in paragraph 1 of this Article may not exceed the amount stipulated by the general act of the Institute for this purpose.
p.(None): health care determined for the contracting entities of the Institute referred to in Article 18 of this Law.
p.(None): (3) The Office shall decide on the right to reimbursement of health care costs referred to in paragraph 1 of this Article by a decision.
p.(None): (4) An insured person who has used the health care referred to in paragraph 1 of this Article shall not be entitled to a burden of funds
p.(None): compulsory health insurance to receive the right to reimbursement of transport costs as well as the right to other expenses
p.(None): related to the use of that healthcare.
p.(None): Article 32
p.(None): The Bureau is the National Contact Point for providing information on the rights of insured persons to healthcare in another
p.(None): Member State in accordance with European Union regulations and Directive 2011/24 / EU.
p.(None): 4. Health care standards and norms
p.(None): Article 33
p.(None): Health care standards and norms from mandatory health insurance, including a list of types and numbers
p.(None): therapeutic and diagnostic procedures per insured person on an annual basis, the amount of funds required in
p.(None): in accordance with the insured funds, as well as the manner of exercising the rights of insured persons to health care from
p.(None): compulsory health insurance, as a rule, for each calendar year is issued by the Administrative Board of the Institute, with
p.(None): the consent of the minister responsible for health, in the opinion of the competent chambers previously obtained.
p.(None): 5. Health care not covered by compulsory health insurance
p.(None): Article 34
p.(None): Insured persons of the Institute within the scope of the right to health care from compulsory health care
p.(None): insurance is not provided for the payment of the costs of the health services provided in the manner and procedure
p.(None): not prescribed by EU regulations, Directive 2011/24 / EU, international treaty, this Act,
p.(None): that is, by-laws adopted pursuant to this Act, as well as for:
p.(None): 1. the difference for the increased costs of treatment resulting from the personal desire of the insured person because of his or her religious, other
p.(None): beliefs, or any other reason, that constitutes treatment beyond the established standard of entitlement to health
p.(None): protection from compulsory health insurance provided to all insured persons on equal terms,
p.(None): 2. Experimental treatment, experimental medical products, aids, dental aids and medicines that
p.(None): are in the clinical trial phase,
p.(None): 3. therapeutic and diagnostic procedures and medicines that have been implemented or applied at the request of the insured person
p.(None): in circumstances where these procedures and medicines are not prescribed by the treating healthcare institution or
p.(None): private contracted health practitioner as part of the exercise of compulsory health insurance rights or by
p.(None): their type and quantity are not eligible for compulsory health insurance,
p.(None): 4. Aesthetic procedures, except for aesthetic reconstruction of congenital anomalies, breast reconstruction after mastectomy,
p.(None): aesthetic reconstruction after serious injuries,
p.(None): 5. treatment of voluntarily acquired sterility,
...
p.(None): the associated salary compensation.
p.(None): (2) Upon receipt of the request referred to in paragraph 1 of this Article, the Office shall calculate the salary compensation and submit the calculation
p.(None): the insured person and the employer within 15 days from the day of receipt of the request.
p.(None): (3) The employer is obliged to pay the insured person a salary compensation in accordance with the calculation provided by the Institute
p.(None): not later than 15 days from the date of receipt of the payroll calculation.
p.(None): Article 44
p.(None): (1) The compensation of salary for temporary incapacity shall belong to the insured person for all time of temporary incapacity, and
p.(None): for the longest period prescribed by this Act.
p.(None): (2) The remuneration shall be payable to the Insured only for the days or hours for which the Insured would be entitled to pay
p.(None): according to labor regulations, unless otherwise provided by this Law.
p.(None): Article 45
p.(None): (1) The insured referred to in Article 39, item 5 of this Act shall have the right to remuneration for the period of temporary disability for
p.(None): work for the care of the insured person - child up to the age of seven
p.(None): years up to a maximum of 60 days for each identified disease, and for a child between seven and
p.(None): 18 years up to 40 days maximum.
p.(None): (2) By way of derogation from paragraph 1 of this Article, if, in the opinion of the doctor of medicine, primary health care
p.(None): health status of a family member - child under 18 years of age such that the length of care specified in paragraph 1.
p.(None): of this article will not be sufficient, the required duration of care is determined by the medical committee of the Institute.
p.(None): (3) The child referred to in paragraphs 1 and 2 of this Article shall be considered in addition to his own child and adopted child, stepson, and
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
...
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
p.(None): continuously for at least six months, improved also that half-time full-time work would be useful for faster
p.(None): the establishment of the full working capacity of the insured, the elected doctor may stipulate that the insured is designated
p.(None): time works half full time, but no longer than 60 days.
p.(None): (4) The elected doctor shall be obliged to determine the termination of temporary incapacity for the insured person, whose finding and
p.(None): the opinion of the competent authority of the expert opinion of the pension insurance established
p.(None): disability due to general inability to work or professional inability to work, with the day the notice is received
p.(None): the competent body of the pension insurance referred to in Article 48, paragraph 2 of this Act, and the insured person is entitled to the salary compensation
p.(None): during this temporary incapacity he shall exercise in accordance with Article 48, paragraph 1 of this Law.
p.(None): (5) Elected doctor after having established the termination of temporary incapacity in accordance with paragraph 4 of this
p.(None): Article can only temporarily re-establish temporary inability to an insured person with a disability due to
p.(None): professional inability to work, in the event of a worsening of the disease on the basis established by him
p.(None): disability or onset of illness based on another diagnosis of the disease.
p.(None): (6) Supervision of the use of the temporary incapacity of the insured, ie determination of the existence of medical
p.(None): indications or other reasons for temporary incapacity, in accordance with the provisions of this Act and the regulations issued on
p.(None): pursuant to this Act, shall be performed by the Institute.
p.(None): (7) Supervision of the use of temporary incompetence shall include control at the office of the chosen doctor
p.(None): and immediate control of the insured within or outside the doctor's office, including a home visit.
p.(None): (8) The employer of the insured person may require the Office to control the justification of temporary incapacity for all
p.(None): the duration of the temporary disability of the insured.
p.(None): (9) The ordinance on the control of temporary incapacity for work of the insured shall be adopted by the minister competent for health.
p.(None): Article 47
p.(None): (1) Insured by dissatisfied decision of the chosen doctor to determine the termination of the temporary
p.(None): incompetence, in order to protect the rights arising from compulsory health insurance, will be issued at his request a decision in
p.(None): administrative procedure, based on the previously obtained reasoned findings, opinions and medical evaluation
p.(None): Bureau of the Institute, which is obliged to carry out a review of the insured before making the findings, opinions and evaluation.
p.(None): (2) The request referred to in paragraph 1 of this Article shall be resolved by an urgent procedure.
p.(None): Article 48
p.(None): (1) During the temporary incapacity referred to in Article 39, items 1 to 6, and items 9 and 10 of this Act, the Insured shall have
p.(None): the right to reimbursement of salary at the expense of the funds of the Institute or the state budget until the elected doctor determines that
p.(None): capable of working, or until he / she has the opinion and opinion of the competent authority of the pension insurance expert code
p.(None): Insured disability due to general inability to work or professional inability to work.
p.(None): (2) When, according to the assessment of the doctor selected, after treatment and medical rehabilitation have been completed
p.(None): the health status of the insured is such that further treatment cannot be improved and is with the insured
p.(None): permanent inability to work in the affairs performed by the insured occurs, as in the case when
p.(None): the temporary inability of the insured to last for a continuous 12 months due to the same diagnosis of illness, selected
p.(None): the doctor is obliged to treat the insured person for a reference to the assessment of working ability and disability and
p.(None): send it with all the required documentation to the competent authority of the pension insurance expert
p.(None): which is obligatory to provide a finding and opinion on the working capacity and disability of the insured at the latest at
p.(None): within 60 days from the date of receipt of the proposal of the selected doctor and inform the selected doctor thereof,
p.(None): the employer of the insured person and the Institute within eight days from the date of issuing the findings and opinion.
p.(None): (3) When the competent body of the pension insurance expert's assessment establishes that it has occurred with the insured person
p.(None): occupational inability to work, that is, an imminent risk of disability, is mandatory in the finding i
p.(None): an opinion to indicate the jobs and tasks that the insured person may perform with respect to his or her remaining work capacity,
p.(None): that is, what jobs and tasks he cannot perform.
p.(None): (4) If the competent body of the expert evaluation of the pension insurance does not issue a finding and opinion and does not inform the elected one
p.(None): doctor, employer of the insured person and the Institute within the period referred to in paragraph 2 of this Article, compensation of the salary for that insured person from
p.(None): on the first day following the expiry of the 60-day time limit referred to in paragraph 2 of this Article, it shall charge the funds of the Croatian Institute
p.(None): for pension insurance.
p.(None): (5) The processing of the insured person for reference to the assessment of working ability and disability shall be charged by the Institute's funds
p.(None): only in cases where the selected doctor has referred the insured person to a work and disability assessment at
p.(None): in accordance with paragraph 2 of this Article.
p.(None): Article 49
p.(None): (1) During the re-established temporary incompetence of the insured person whose finding and opinion is of the competent authority
p.(None): Expertise of the pension insurance determined disability due to professional inability to work, regardless
p.(None): whether it is a temporary incapacity resulting from the aggravation of the disease on the basis established for him
p.(None): disability or onset of illness due to another diagnosis of the disease, which was not offered and contracted by the employer
p.(None): on work in writing for the performance of the duties for which he is able to comply with labor regulations, wage compensation
p.(None): the insured person is paid by the employer out of his own funds.
p.(None): (2) Compensation of salary during temporary incapacity shall be charged to the employer even if the insured person
p.(None): identified an imminent risk of disability, and the employer is not insured in accordance with the labor regulations
p.(None): offered and entered into a contract of employment with him in writing for the performance of the tasks for which he is capable, from the day
p.(None): identified imminent dangers of disability. Salary compensation charges the employer’s funds until the day
p.(None): entering into a written employment contract for the performance of the tasks for which he is capable.
p.(None): (3) The insured who does not accept the offer of the employer referred to in paragraphs 1 and 2 of this Article and does not with the employer
...
p.(None): self-employed or self-employed person is not entitled to reimbursement of salary at the expense of compulsory health insurance funds
p.(None): during temporary incapacity, but at the expense of the employer, or at the expense of the insured
p.(None): the payer of the contribution.
p.(None): Article 51
p.(None): (1) To an insured person whose employment or performance has ceased during the period of temporary incapacity
p.(None): In the case of personal work, the remuneration of wages shall be for a maximum of 30 days from the date of termination of service
p.(None): relationships, that is, performing his activity by personal work, provided that his chosen doctor is temporary
p.(None): the incapacity determined at least eight days before the date of termination of employment, that is, carrying out the activity of personal
p.(None): that he was entitled to remuneration at the time of termination of employment, that is, carrying out his activity by personal work
p.(None): salaries in accordance with the provisions of this Act.
p.(None): (2) Exceptionally, under the conditions referred to in paragraph 1 of this Article, to the insured person, who is temporary
p.(None): incapacity that is a direct consequence of participating in the Homeland War, or the consequence of a recognized injury to
p.(None): termination of employment or occupational disease, or the pursuit of an activity by personal work belongs
p.(None): the right to remuneration after the termination of employment, or the pursuit of the activity by personal work, as long as
p.(None): he will not be able to work again, that is, until he is found and opinion of a competent body of pension expert evaluation
p.(None): disability is not determined in accordance with Article 48 of this Law.
p.(None): (3) During temporary inability to work due to illness and complications related to pregnancy and childbirth from
p.(None): Article 39, item 6 of this Act, the use of the right to maternity leave and the right to work part-time
p.(None): referred to in Article 39, point 7 of this Act, and the right to leave in the case of death of a child referred to in Article 39, point 8 of this Act
p.(None): an insured person who uses one of the above rights is entitled to a salary remuneration after termination of employment,
p.(None): that is, performing an activity by personal work until the expiration of the exercise of the same right.
p.(None): (4) To an insured person who, while exercising the rights referred to in paragraphs 1, 2 and 3 of this Article, has a full or
p.(None): part-time or has started performing his / her activity by personal work the right to remuneration of the salary earned
p.(None): in accordance with this article.
p.(None): Article 52
p.(None): (1) The Insured shall have the right to reimbursement of the funds of the Institute or the state budget
p.(None): salaries for temporary incapacity referred to in Article 39 items 1 to 5 and items 9 and 10 of this Act to the maximum
p.(None): for a period of 18 months after the same diagnosis of the disease, without interruption, in the amount determined in accordance with this Law and the general
p.(None): acts of the Institute.
...
p.(None): of this Act, provided that the elected primary care physician has identified the need for an escort and is insured
p.(None): the person to whom the escort is designated does not qualify for the use of medical transport prescribed by the ordinance
p.(None): the minister responsible for health referred to in Article 19, paragraph 2, item 18 of this Act and established by a general act of the Institute.
p.(None): (2) It is considered that children up to the age of 18, as well as insured persons referred to in Article 12, paragraphs
p.(None): 2 and 3 of this Law is required escort regardless of whether they fulfill the conditions for using the medical facility
p.(None): transportation.
p.(None): Article 65
p.(None): (1) Reimbursement for transport costs referred to in Article 62 of this Act shall mean reimbursement for costs
p.(None): public transport at the lowest price and the shortest distance to the official
p.(None): public transport rangefinder.
p.(None): (2) By way of derogation from paragraph 1 of this Article, the insured person shall be insured due to his / her health status, as previously stated
p.(None): with the approval of the Institute's medical committee, and at the suggestion of an elected doctor, may authorize the use of more expensive ones
p.(None): public transport (sleeping on the train, aircraft).
p.(None): (3) Insured person who is in accordance with paragraph 2 of this Article or the decision of the Office on referral to
p.(None): treatment in another Member State or third country in accordance with Article 26, paragraph 3 of this Law, and
p.(None): on the basis of the findings, opinion and evaluation of the Institute's medical committee, due to the medical condition, transportation was approved
p.(None): by air, is entitled to a reimbursement for the cost of transportation in the amount of the lowest price of an economy class air ticket.
p.(None): (4) The insured person shall exercise the right to compensation for transport costs on the basis of a letter of travel order which
p.(None): is issued by an elected primary care physician or an elected dental doctor, respectively
p.(None): an employee of the Institute when an insured person has been summoned by the Office to exercise his / her compulsory health care entitlement
p.(None): insurance and on the basis of the decision of the Institute for referral to treatment in accordance with Article 26, paragraph 3 of this
p.(None): Of the Act, that is, on the basis of a certificate from the health institution on the performed hemodialysis.
p.(None): (5) The contents and form of the stationery of the travel order referred to in paragraph 4 of this Article shall be determined by a general act of the Office.
p.(None): V. INJURY AT WORK AND PROFESSIONAL DISEASE
p.(None): Article 66 An injury at work under this Law shall be considered:
p.(None): 1. injury caused by direct and short-term mechanical, physical or chemical action, and
p.(None): injury caused by sudden changes in body position, sudden loading of the body or other
p.(None): changes in the physiological state of the organism, if it is causally related to the performance of activities or activities
p.(None): on the basis that the injured person is insured under compulsory health insurance as well as the injury incurred
p.(None): during the mandatory fitness training related to maintaining psychophysical fitness to perform certain tasks,
p.(None): in accordance with special regulations,
...
p.(None): Article 84
p.(None): (1) The Institute shall have a reserve for the implementation of compulsory health insurance rights.
p.(None): (2) If a surplus of revenue is determined in the final account, that surplus shall be entered in the reserve by allocating at least 50% of the surplus
p.(None): income.
p.(None): (3) The Management Board of the Institute shall supervise the use of the reserve.
p.(None): Article 85
p.(None): (1) The reserve referred to in Article 84 of this Law may amount to a maximum of one twelfth of the planned expenditure in the current
p.(None): year for the implementation of the defined scope of compulsory health insurance entitlements.
p.(None): (2) During the year, the reserve may be used as a working capital to settle the current liabilities of the Institute and
p.(None): as a loan with a repayment obligation at the latest by the end of next year with interest.
p.(None): (3) The reserve serves to cover surplus expenses over revenues and to recover the losses of the Institute.
p.(None): Article 86
p.(None): (1) For the purpose of providing information necessary for the implementation of compulsory health insurance and supervision
p.(None): The Institute keeps records on the exercise of compulsory health insurance rights.
p.(None): (2) General acts on the manner and place of keeping, the form, content and deadlines of records, and
p.(None): obliged to keep records will be passed by the Administrative Board of the Institute.
p.(None): VII. RELATIONSHIP OF INSTITUTIONS AND HEALTH INSTITUTIONS, HEALTH WORKERS AND PRIVATE PRACTICE SUPPLIERS
p.(None): 1. Healthcare contracting
p.(None): Article 87
p.(None): (1) The Institute by a general act with the consent of the minister responsible for health, as previously obtained
p.(None): the opinion of the competent chambers, in accordance with the established scope of the right to health care in the articles
p.(None): 19, 20 and 23 of this Law and with the established standards and norms of health care from mandatory
p.(None): health insurance in accordance with Article 33 of this Law, determines the manner of providing health care,
p.(None): elements and criteria for inviting tenders and grounds for contracting with health care institutions and
p.(None): private healthcare professionals involved in the public health service network, the emergency medicine network and
p.(None): a network of contracted occupational health entities, the full cost of a compulsory health service
p.(None): health insurance, the maximum annual amount of funds for the implementation of the contracted hospital
p.(None): health care and the manner and deadlines for payment of bills for health care provided from compulsory health care
p.(None): insurance.
p.(None): (2) The Institute by a general act with the consent of the minister competent for health, in accordance with the determined scope of the right to health care
p.(None): protection referred to in Articles 19, 20 and 22 of this Law, and the standard established for the right to orthopedic and other aids
p.(None): in accordance with the general act of the Institute, establishes grounds for entering into contracts with suppliers of orthopedic and other aids
p.(None): who are eligible for the production or delivery of supplies in accordance with the special law of that price
p.(None): supplies, methods and deadlines for paying bills for supplies delivered.
p.(None): (3) The general act referred to in paragraphs 1 and 2 of this Article shall obligatory determine the beginning and end of the contractual period for which
...
p.(None): established.
p.(None): (3) The Institute shall have the capacity of a legal person with rights, obligations and responsibilities established by this Act and the Statute.
p.(None): (4) In deciding on the rights and obligations of insured persons from compulsory health insurance, the Institute shall have public
p.(None): powers.
p.(None): (5) The seat of the Institute shall be in Zagreb.
p.(None): Article 98
p.(None): (1) In the exercise of the rights arising from compulsory health insurance, the Institute shall, in particular, perform the following tasks:
p.(None): 1. implements a policy of development and promotion of health care from compulsory health insurance,
p.(None): 2. performs tasks related to the exercise of the rights of insured persons, takes care of the lawful exercise of those rights
p.(None): and provides them with professional assistance in exercising their rights and protecting their interests,
p.(None): 3. plans compulsory health insurance funds and pays services to the contracting entities of the Institute
p.(None): based on bills and medical history, discharge letters, or other appropriate ones
p.(None): documentation,
p.(None): 4. propose to the minister responsible for health the scope of the right to health care referred to in Articles 19, 20, 22 and 23 of this
p.(None): law,
p.(None): 5. make a proposal to the minister responsible for health to develop a plan and program of health measures
p.(None): protection from compulsory health insurance and a plan and program of specific health measures
p.(None): protection,
p.(None): 6. give opinion to the founder of a health institution on the justification of establishing a health institution in a public network
p.(None): health service and gives an opinion to the health care professional about the justification of establishing a private practice in the network
p.(None): public health services,
p.(None): 7. performs contracting activities with health care providers,
p.(None): 8. determines the price of health care in the total amount for the full value of the individual health service from
p.(None): compulsory health insurance, with the consent of the minister responsible for health,
p.(None): 9. ensure the implementation of European Union and international treaties in the part relating to compulsory health
p.(None): insurance,
p.(None): 10. supervise the fulfillment of contractual obligations of the contracting entities of the Institute in accordance with this
p.(None): The Law, the regulations adopted pursuant to this Act, the general acts of the Institute and the contract concluded,
p.(None): 11. Conducts surveys, statistical analyzes and reports on the exercise of compulsory rights
p.(None): health insurance,
p.(None): 12. regulate other issues related to exercising compulsory health insurance rights.
p.(None): (2) In addition to the tasks referred to in paragraph 1 of this Article, the Office shall also perform certain tasks related to maintenance
p.(None): information system for the purposes of health care delivery under a special order of the minister responsible
p.(None): for health.
p.(None): 1. Organization of the Croatian Health Insurance Institute
p.(None): Article 99
p.(None): (1) The Institute shall carry out activities from its activity in the following organizational units:
p.(None): 1. the central organizational unit,
p.(None): 2. regional units.
p.(None): (2) The organizational units of the Institute shall carry out activities in the activities of the Institute under the name of the Institute and with their name, whereby
...
General/Other / Incapacitated
Searching for indicator incapacitated:
(return to top)
p.(None): determined by Article 39 of this Law which prevents the insured person from fulfilling his obligation to work in accordance with Art
p.(None): by an employment contract, other contract or act.
p.(None): (3) The period of temporary incapacity referred to in paragraph 2 of this Article for which the insured person is entitled to
p.(None): remuneration in accordance with this Act shall be evidenced by the report on temporary inability to work which he issues
p.(None): elected doctor of primary care medicine in a healthcare institution, ie in private practice (u
p.(None): hereinafter referred to as "the elected Doctor").
p.(None): (4) Period of temporary incapacity for which the insured person, in accordance with the provisions of this Act, is not entitled to
p.(None): The chosen doctor is obliged to mark the remuneration of the salary in the special section of the report on temporary incapacity for work.
p.(None): (5) The content and format of the stationery of the report on temporary inability to work referred to in paragraph 3 of this Article shall be determined by the general
p.(None): by the act of the Institute.
p.(None): Article 39
p.(None): The right to reimbursement of salary is vested in the insured person in connection with the use of compulsory health care
p.(None): health insurance, or other circumstances established by this Law, if:
p.(None): 1. temporarily incapacitated for work due to illness or injury, or for medical or medical reasons
p.(None): tests placed in a healthcare facility,
p.(None): 2. temporarily prevented from performing work due to certain treatment or medical examination which cannot be done
p.(None): to work outside the working hours of the insured,
p.(None): 3. Isolated as a carrier, or because of an infection in his environment, that is, temporarily incapable of working
p.(None): due to transplantation of living tissue and organs for the benefit of another insured person of the Institute,
p.(None): 4. designated as an escort of an insured person referred for treatment or medical examination to a contracting entity of the Institute outside
p.(None): the place of residence or residence of the insured referring person,
p.(None): 5. determined to care for a sick member of the immediate family (child and spouse) under the conditions prescribed by this Law,
p.(None): 6. temporarily unable to work due to illness and complications related to pregnancy and childbirth,
p.(None): 7. temporarily prevented from work due to the use of maternity leave and the right to work in half of full-time work
p.(None): time, in accordance with the regulations on maternity and parental support,
p.(None): 8. temporarily unable to work due to the use of leave in the case of the death of a child in the case of stillbirth
p.(None): the child or the death of the child during maternity leave,
...
p.(None): an insured person who uses one of the above rights is entitled to a salary remuneration after termination of employment,
p.(None): that is, performing an activity by personal work until the expiration of the exercise of the same right.
p.(None): (4) To an insured person who, while exercising the rights referred to in paragraphs 1, 2 and 3 of this Article, has a full or
p.(None): part-time or has started performing his / her activity by personal work the right to remuneration of the salary earned
p.(None): in accordance with this article.
p.(None): Article 52
p.(None): (1) The Insured shall have the right to reimbursement of the funds of the Institute or the state budget
p.(None): salaries for temporary incapacity referred to in Article 39 items 1 to 5 and items 9 and 10 of this Act to the maximum
p.(None): for a period of 18 months after the same diagnosis of the disease, without interruption, in the amount determined in accordance with this Law and the general
p.(None): acts of the Institute.
p.(None): (2) After the expiry of the period referred to in paragraph 1 of this Article, the insured person shall be entitled to a salary payment in the amount of 50% of the last
p.(None): paid salaries in the name of that temporary incapacity, while for the temporary incapacity there is a medical one
p.(None): indication.
p.(None): (3) The provision of paragraph 2 of this Article does not apply to the insured person who has been found to be temporarily incapacitated due to
p.(None): treatment of malignant diseases, the insured person who has been granted care by a family member - a child suffering from malignancy
p.(None): diseases, insured persons whose temporary inability to perform hemodialysis or peritoneal dialysis, and
p.(None): whose temporary inability is related to the taking and transplantation of parts of the human body.
p.(None): Article 53
p.(None): (1) The insured person shall not be entitled to salary compensation if:
p.(None): 1. knowingly caused temporary incapacity,
p.(None): 2. does not inform the chosen doctor that he became ill within three days from the day the disease started, that is, in
p.(None): within three days of the end of the reason that prevented him from doing so,
p.(None): 3. deliberately prevents healing, ie training for work,
p.(None): 4. during temporary incapacity, work or perform tasks on the basis of which he is obligatory health
p.(None): insured, performs contracted work on the basis of a work contract and any other business (eg agricultural work and
p.(None): FIG.),
p.(None): 5. does not respond to the call for medical examination of the selected doctor or doctor without a justified reason
p.(None): the controller of the Bureau or a body of the Bureau authorized to control temporary incapacity,
...
Searching for indicator incapacity:
(return to top)
p.(None): 2. if, at the time of the divorce, he was completely and permanently incapable of working in accordance with the regulations on pension insurance,
p.(None): 3. if, by a court decision on divorce, the children have been entrusted with custody and upbringing, provided that
p.(None): report to the CES within 30 days from the day the court decision becomes final, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (2) The persons referred to in paragraph 1, item 1 of this Article shall retain the status of insured person as family members even upon termination
p.(None): support provided that they apply to the CES within 30 days from the day the court decision becomes final, if the right to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): Article 12
p.(None): (1) The children of the insured referred to in Article 10, paragraph 1, item 2 of this Act who have acquired the status of insured person as members
p.(None): Insured families may retain this status for up to 18 years.
p.(None): (2) Children of the insured referred to in paragraph 1 of this Article who become completely and permanently incapable of independent living and work,
p.(None): in accordance with special regulations, before the age of 18, retain the status of insured person as a member
p.(None): the family of the insured for the duration of that incapacity, if the right to compulsory health insurance does not
p.(None): can accomplish on another basis.
p.(None): (3) The right to compulsory health insurance as members of the family of the insured may also be acquired by children
p.(None): insured persons who, after attaining the age of 18 years, have become completely and permanently incapable of independence
p.(None): life and work, in accordance with special regulations, if the insured maintains them and if they are entitled to compulsory health insurance
p.(None): they cannot obtain insurance on another basis.
p.(None): 3. Other insured persons
p.(None): Article 13
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are entitled to compulsory residence
p.(None): they cannot obtain health insurance under one of the insurance bases laid down in Articles 7 to 12.
p.(None): and Articles 14 and 15 of this Act are obliged to insure against compulsory health insurance as insured
p.(None): persons.
p.(None): (2) The persons referred to in paragraph 1 of this Article shall acquire the rights and obligations under compulsory health insurance under
p.(None): provided that they have previously made a one-off payment for their compulsory health insurance contribution to the lowest basis for
p.(None): calculation of contributions for compulsory health insurance from the date of termination of the earlier status of the insured person, whichever is longer
p.(None): a period of 12 months.
p.(None): Article 14
p.(None): Holders of compulsory health insurance referred to in Article 10, paragraph 1 of this Act who are at work in
p.(None): third countries with which the Republic of Croatia does not have an international agreement or an international agreement
p.(None): the issue of health insurance is not regulated, they are obliged to insure on compulsory health insurance and
p.(None): make a statutory compulsory health insurance contribution for each family member s
p.(None): residence, or permanent residence in the Republic of Croatia, which is not covered by a health insurance code
p.(None): of the health insurance carrier in the country of work of the insurance carrier and was before his departure for work
p.(None): to a third country compulsorily insured in the Republic of Croatia as a member of his family in accordance with Article 10 of this
p.(None): Act.
p.(None): Article 15
p.(None): (1) Persons with permanent or permanent residence in the Republic of Croatia who are incapable of self-employment
p.(None): life and work and no means of support are entitled to compulsory health insurance as insured persons
p.(None): on the basis of a decision issued by the state administration office in charge of social welfare, if entitled to
p.(None): they cannot obtain compulsory health insurance on another basis.
p.(None): (2) Criteria for determining the incapacity for independent living and working and the lack of means of subsistence referred to in paragraph 1.
p.(None): of this Article shall be prescribed by ordinance by the minister responsible for social welfare.
p.(None): (3) The right to compulsory health insurance on the basis of insurance determined by the provision of paragraph 1 of this Article
p.(None): lasts for as long as the circumstances on the basis of which the person has been granted the right have changed.
p.(None): Article 16
p.(None): (1) Compulsory health insurance under this Act for occupational injury and occupational injuries
p.(None): diseases other than the insured referred to in Article 7, paragraph 4 of this Act shall also be compulsory for the following insured persons
p.(None): persons:
p.(None): 1. full-time students according to regulations on regular education in the Republic of Croatia
p.(None): during practical classes, during professional practice, professional trips, or while working through
p.(None): mediators in the recruitment of students,
p.(None): 2. persons referred by the Croatian Employment Service to the education it organizes or for which
p.(None): costs are borne by the Croatian Employment Service,
p.(None): 3. children with physical and mental disabilities in practical training or compulsory practical work in legal education
p.(None): to the training person,
p.(None): 4. persons who assist the police services in the performance of their tasks,
...
p.(None): or local and regional self-government units.
p.(None): 6. Participation in health care costs
p.(None): Article 35
p.(None): (1) Insured persons shall be obliged to participate in the health care costs referred to in Article 19, paragraphs 3 and 4,
p.(None): Article 20 (5), Article 22 (4) and Article 23 (4) of this Act.
p.(None): (2) The insured person shall pay for the health care costs referred to in paragraph 1 of this Article in person upon use
p.(None): health care, ie through supplementary health insurance, in accordance with the Law on Voluntary Health
p.(None): Insurance.
p.(None): (3) Funds generated by the participation of the insured person in the health care costs referred to in Article 19, paragraph
p.(None): 3, Article 20 (5), Article 22 (4) and Article 23 (4) of this Act shall be the revenue of the contracting entities
p.(None): Institutes, contracting providers of aids, or healthcare institutions in other Member States or third countries
p.(None): to the countries in which the insured persons used health care in accordance with Article 26 of this Law, and the funds from
p.(None): of Article 19, paragraph 4, are the revenue of the Institute.
p.(None): (4) In the health care costs referred to in Article 19 (3) and (4), Article 22 (4) and Article
p.(None): Children under the age of 18 and the insured persons referred to in Article 12 shall not be obliged to participate in paragraph 23 of this Act.
p.(None): paragraphs 2 and 3 and Article 15 of this Law.
p.(None): 2. RIGHT TO FEES
p.(None): Article 36
p.(None): (1) Insured persons under the right to compulsory health insurance are entitled to:
p.(None): 1. compensation for wages during temporary incapacity, ie inability to work due to use
p.(None): health care or other circumstances referred to in Article 39 of this Law (hereinafter referred to as: salary compensation),
p.(None): 2. financial compensation due to the inability to carry out business on the basis of which other receipts from
p.(None): determining other income, in accordance with the regulations on contributions for compulsory insurance,
p.(None): 3. compensation for transport costs related to the use of health care from compulsory health care
p.(None): insurance
p.(None): 4. compensation for the costs of accommodation for one of the parents or the person taking care of the child during the time
p.(None): hospital treatment of the child, in the amount and under the conditions laid down in the general act of the Institute,
p.(None): (2) The right referred to in paragraph 1, items 3 and 4 of this Article shall also belong to other insured persons.
p.(None): (3) The monetary compensation referred to in paragraph 1 of this Article, as well as the monetary compensation for the reimbursement of rights costs
p.(None): are compulsory from the compulsory health insurance provided by the insured person pursuant to the decision of the Institute
p.(None): enforcement.
p.(None): Article 37
p.(None): (1) The right to financial compensation in the case of a recognized occupational injury or occupational disease shall include:
p.(None): 1. compensation of salary during temporary incapacity for work caused by a recognized occupational injury, respectively
p.(None): occupational disease,
p.(None): 2. compensation for transport costs related to the use of health care from compulsory health care
p.(None): insurance resulting from a recognized occupational injury or occupational disease,
p.(None): 3. compensation for funeral expenses in the event of the death of the insured person, if the death is a direct consequence of a recognized one
p.(None): occupational injuries or occupational diseases.
p.(None): (2) The right to compensation of the salary referred to in paragraph 1, item 1 of this Article shall be exercised by the insured persons referred to in Article
p.(None): 7, paragraph 1, items 1 to 4, and items 6, 8, 9, 20 and 25 of this Act.
p.(None): (3) The right to compensation for transport costs and compensation for funeral expenses referred to in paragraph (1)
p.(None): 2 and 3 of this Article shall be realized by the insured persons referred to in paragraph 2 of this Article and the insured persons referred to in Article 16 i
p.(None): the insured persons referred to in Article 69 of this Act.
p.(None): 1. The right to remuneration
p.(None): Article 38
p.(None): (1) The right to remuneration for salary due to temporary incapacity and / or disability to work for the benefit of health care
p.(None): protection or other circumstances referred to in Article 39 of this Law (hereinafter: temporary incapacity)
p.(None): belongs to the insured persons referred to in Article 7, paragraph 1, items 1 to 4, and items 6, 8, 9, 20 and 25 of this
p.(None): Of the Act, unless otherwise provided by a special regulation.
p.(None): (2) Under the temporary incapacity referred to in paragraph 1 of this Article, during which the insured person is entitled to compensation
p.(None): salaries within the meaning of this Act shall be considered absent from work due to illness or injury, or other circumstances
p.(None): determined by Article 39 of this Law which prevents the insured person from fulfilling his obligation to work in accordance with Art
p.(None): by an employment contract, other contract or act.
p.(None): (3) The period of temporary incapacity referred to in paragraph 2 of this Article for which the insured person is entitled to
p.(None): remuneration in accordance with this Act shall be evidenced by the report on temporary inability to work which he issues
p.(None): elected doctor of primary care medicine in a healthcare institution, ie in private practice (u
p.(None): hereinafter referred to as "the elected Doctor").
p.(None): (4) Period of temporary incapacity for which the insured person, in accordance with the provisions of this Act, is not entitled to
p.(None): The chosen doctor is obliged to mark the remuneration of the salary in the special section of the report on temporary incapacity for work.
p.(None): (5) The content and format of the stationery of the report on temporary inability to work referred to in paragraph 3 of this Article shall be determined by the general
p.(None): by the act of the Institute.
p.(None): Article 39
p.(None): The right to reimbursement of salary is vested in the insured person in connection with the use of compulsory health care
p.(None): health insurance, or other circumstances established by this Law, if:
p.(None): 1. temporarily incapacitated for work due to illness or injury, or for medical or medical reasons
p.(None): tests placed in a healthcare facility,
p.(None): 2. temporarily prevented from performing work due to certain treatment or medical examination which cannot be done
p.(None): to work outside the working hours of the insured,
p.(None): 3. Isolated as a carrier, or because of an infection in his environment, that is, temporarily incapable of working
p.(None): due to transplantation of living tissue and organs for the benefit of another insured person of the Institute,
p.(None): 4. designated as an escort of an insured person referred for treatment or medical examination to a contracting entity of the Institute outside
p.(None): the place of residence or residence of the insured referring person,
p.(None): 5. determined to care for a sick member of the immediate family (child and spouse) under the conditions prescribed by this Law,
p.(None): 6. temporarily unable to work due to illness and complications related to pregnancy and childbirth,
p.(None): 7. temporarily prevented from work due to the use of maternity leave and the right to work in half of full-time work
p.(None): time, in accordance with the regulations on maternity and parental support,
p.(None): 8. temporarily unable to work due to the use of leave in the case of the death of a child in the case of stillbirth
p.(None): the child or the death of the child during maternity leave,
p.(None): 9. temporarily unable to work due to a wound, injury or illness that is a direct consequence of participating in Homeland
p.(None): war.
p.(None): 10. temporarily unable to work due to a recognized occupational injury or occupational disease.
p.(None): Article 40
p.(None): Salary compensation in connection with the use of health care referred to in Article 39 items 1 and 2 of this Act
p.(None): pays the insured from its funds:
p.(None): 1. legal or natural person - employer for the first 42 days of temporary incapacity, as well as for as long as
p.(None): the insured person is employed in a third country by a legal or natural person or is employed by a third party
p.(None): country.
p.(None): 2. legal person for professional rehabilitation and employment of persons with disabilities, ie legal or natural person
p.(None): - employer for the insured worker - disabled worker for the first seven days of temporary incapacity.
p.(None): Article 41
p.(None): (1) Salary compensation for temporary incapacity referred to in Article 39, items 3 to 8, and item
p.(None): 10 of this Law shall be paid to the insured person at the expense of the Institute's funds from the first day of exercising the right.
p.(None): (2) The Institute shall pay the compensation of the salary referred to in Article 39, item 9 of this Act to the insured at the expense of state funds.
p.(None): budget.
p.(None): (3) Salary compensation for temporary incapacity referred to in Article 39, items 1 and 2 of this Act of 43.
p.(None): days or eight days of temporary incapacity are calculated and paid by a legal or natural person -
p.(None): the employer, with the Employment Service being obliged to repay the paid salary within 45 days from the date of receipt
p.(None): request for a refund.
p.(None): (4) Salary compensation for temporary incapacity referred to in Article 39, items 4, 5 and 10 of this Act from the first day
p.(None): temporary incapacity is calculated and paid by the legal, respectively
p.(None): natural person - employer, with the Employment Service being obliged to return the paid salary in the case referred to in Article
p.(None): 39, items 4 and 5 of this Act, within 30 days, and in the case referred to in Article 39, item 10 of this Act, within 45 days
p.(None): from the date of receipt of the refund request.
p.(None): (5) If, upon receipt of the request referred to in paragraphs 3 and 4 of this Article, the Office establishes that the insured person to whom it was made
p.(None): payment of salary compensation by a legal or natural person - employer, is not entitled to compensation
p.(None): salaries under the provisions of this Act, shall immediately inform the employer in writing and return the request to him.
p.(None): (6) In case the legal or natural person - the employer is unable, due to illiquidity, to pay
p.(None): the salary, or the remuneration for at least two calendar months, the payment of the remuneration referred to in paragraphs 3.
p.(None): and 4 of this Article, which debits the funds of the Institute or the state budget, shall be executed by the Institute.
p.(None): (7) The manner of exercising the right to remuneration shall be determined in more detail by a general act of the Institute.
p.(None): Article 42
p.(None): In the case of the bankruptcy of the employer, the remuneration due to the temporary incapacity referred to in Article 39 (1) and (i)
p.(None): 2 and items 4, 5 and 10 of this Law, when the salary compensation is paid at the expense of the Institute's funds, to the insured
p.(None): paid by the Institute.
p.(None): Article 43
p.(None): (1) In case when the insured legal or natural person - the employer has not determined the salary compensation on
p.(None): manner and to the extent established by this Act and the implementing regulation adopted pursuant to this Act within 30
p.(None): days from the date of payment of the salary with the employer, the insured has the right to submit to the Institute a request for calculation
p.(None): the associated salary compensation.
p.(None): (2) Upon receipt of the request referred to in paragraph 1 of this Article, the Office shall calculate the salary compensation and submit the calculation
p.(None): the insured person and the employer within 15 days from the day of receipt of the request.
p.(None): (3) The employer is obliged to pay the insured person a salary compensation in accordance with the calculation provided by the Institute
p.(None): not later than 15 days from the date of receipt of the payroll calculation.
p.(None): Article 44
p.(None): (1) The compensation of salary for temporary incapacity shall belong to the insured person for all time of temporary incapacity, and
p.(None): for the longest period prescribed by this Act.
p.(None): (2) The remuneration shall be payable to the Insured only for the days or hours for which the Insured would be entitled to pay
p.(None): according to labor regulations, unless otherwise provided by this Law.
p.(None): Article 45
p.(None): (1) The insured referred to in Article 39, item 5 of this Act shall have the right to remuneration for the period of temporary disability for
p.(None): work for the care of the insured person - child up to the age of seven
p.(None): years up to a maximum of 60 days for each identified disease, and for a child between seven and
p.(None): 18 years up to 40 days maximum.
p.(None): (2) By way of derogation from paragraph 1 of this Article, if, in the opinion of the doctor of medicine, primary health care
p.(None): health status of a family member - child under 18 years of age such that the length of care specified in paragraph 1.
p.(None): of this article will not be sufficient, the required duration of care is determined by the medical committee of the Institute.
p.(None): (3) The child referred to in paragraphs 1 and 2 of this Article shall be considered in addition to his own child and adopted child, stepson, and
...
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
p.(None): continuously for at least six months, improved also that half-time full-time work would be useful for faster
p.(None): the establishment of the full working capacity of the insured, the elected doctor may stipulate that the insured is designated
p.(None): time works half full time, but no longer than 60 days.
p.(None): (4) The elected doctor shall be obliged to determine the termination of temporary incapacity for the insured person, whose finding and
p.(None): the opinion of the competent authority of the expert opinion of the pension insurance established
p.(None): disability due to general inability to work or professional inability to work, with the day the notice is received
p.(None): the competent body of the pension insurance referred to in Article 48, paragraph 2 of this Act, and the insured person is entitled to the salary compensation
p.(None): during this temporary incapacity he shall exercise in accordance with Article 48, paragraph 1 of this Law.
p.(None): (5) Elected doctor after having established the termination of temporary incapacity in accordance with paragraph 4 of this
p.(None): Article can only temporarily re-establish temporary inability to an insured person with a disability due to
p.(None): professional inability to work, in the event of a worsening of the disease on the basis established by him
p.(None): disability or onset of illness based on another diagnosis of the disease.
p.(None): (6) Supervision of the use of the temporary incapacity of the insured, ie determination of the existence of medical
p.(None): indications or other reasons for temporary incapacity, in accordance with the provisions of this Act and the regulations issued on
p.(None): pursuant to this Act, shall be performed by the Institute.
p.(None): (7) Supervision of the use of temporary incompetence shall include control at the office of the chosen doctor
p.(None): and immediate control of the insured within or outside the doctor's office, including a home visit.
p.(None): (8) The employer of the insured person may require the Office to control the justification of temporary incapacity for all
p.(None): the duration of the temporary disability of the insured.
p.(None): (9) The ordinance on the control of temporary incapacity for work of the insured shall be adopted by the minister competent for health.
p.(None): Article 47
p.(None): (1) Insured by dissatisfied decision of the chosen doctor to determine the termination of the temporary
p.(None): incompetence, in order to protect the rights arising from compulsory health insurance, will be issued at his request a decision in
p.(None): administrative procedure, based on the previously obtained reasoned findings, opinions and medical evaluation
p.(None): Bureau of the Institute, which is obliged to carry out a review of the insured before making the findings, opinions and evaluation.
p.(None): (2) The request referred to in paragraph 1 of this Article shall be resolved by an urgent procedure.
p.(None): Article 48
p.(None): (1) During the temporary incapacity referred to in Article 39, items 1 to 6, and items 9 and 10 of this Act, the Insured shall have
p.(None): the right to reimbursement of salary at the expense of the funds of the Institute or the state budget until the elected doctor determines that
p.(None): capable of working, or until he / she has the opinion and opinion of the competent authority of the pension insurance expert code
p.(None): Insured disability due to general inability to work or professional inability to work.
p.(None): (2) When, according to the assessment of the doctor selected, after treatment and medical rehabilitation have been completed
p.(None): the health status of the insured is such that further treatment cannot be improved and is with the insured
p.(None): permanent inability to work in the affairs performed by the insured occurs, as in the case when
p.(None): the temporary inability of the insured to last for a continuous 12 months due to the same diagnosis of illness, selected
p.(None): the doctor is obliged to treat the insured person for a reference to the assessment of working ability and disability and
p.(None): send it with all the required documentation to the competent authority of the pension insurance expert
p.(None): which is obligatory to provide a finding and opinion on the working capacity and disability of the insured at the latest at
...
p.(None): an opinion to indicate the jobs and tasks that the insured person may perform with respect to his or her remaining work capacity,
p.(None): that is, what jobs and tasks he cannot perform.
p.(None): (4) If the competent body of the expert evaluation of the pension insurance does not issue a finding and opinion and does not inform the elected one
p.(None): doctor, employer of the insured person and the Institute within the period referred to in paragraph 2 of this Article, compensation of the salary for that insured person from
p.(None): on the first day following the expiry of the 60-day time limit referred to in paragraph 2 of this Article, it shall charge the funds of the Croatian Institute
p.(None): for pension insurance.
p.(None): (5) The processing of the insured person for reference to the assessment of working ability and disability shall be charged by the Institute's funds
p.(None): only in cases where the selected doctor has referred the insured person to a work and disability assessment at
p.(None): in accordance with paragraph 2 of this Article.
p.(None): Article 49
p.(None): (1) During the re-established temporary incompetence of the insured person whose finding and opinion is of the competent authority
p.(None): Expertise of the pension insurance determined disability due to professional inability to work, regardless
p.(None): whether it is a temporary incapacity resulting from the aggravation of the disease on the basis established for him
p.(None): disability or onset of illness due to another diagnosis of the disease, which was not offered and contracted by the employer
p.(None): on work in writing for the performance of the duties for which he is able to comply with labor regulations, wage compensation
p.(None): the insured person is paid by the employer out of his own funds.
p.(None): (2) Compensation of salary during temporary incapacity shall be charged to the employer even if the insured person
p.(None): identified an imminent risk of disability, and the employer is not insured in accordance with the labor regulations
p.(None): offered and entered into a contract of employment with him in writing for the performance of the tasks for which he is capable, from the day
p.(None): identified imminent dangers of disability. Salary compensation charges the employer’s funds until the day
p.(None): entering into a written employment contract for the performance of the tasks for which he is capable.
p.(None): (3) The insured who does not accept the offer of the employer referred to in paragraphs 1 and 2 of this Article and does not with the employer
p.(None): enter into an employment contract for the performance of the activities for which he is capable of not entitled to remuneration under this Law
p.(None): the time of temporary incapacity from the date of receipt of the employer’s offer.
p.(None): (4) The insured referred to in Article 7, Paragraph 1, Items 6, 8 and 9 of this Act, in which
p.(None): disability insurance bodies determined disability due to professional inability to work,
p.(None): that is, the imminent danger of disability does not have the right to compensation of the salary at the expense of the assets of the obligatory
p.(None): health insurance from the date of established disability, that is, identified imminent danger of occurrence of disability.
p.(None): Article 50
p.(None): A policyholder who has attained 65 years of age and 15 years of pensionable service on an insurance basis
p.(None): self-employed or self-employed person is not entitled to reimbursement of salary at the expense of compulsory health insurance funds
p.(None): during temporary incapacity, but at the expense of the employer, or at the expense of the insured
p.(None): the payer of the contribution.
p.(None): Article 51
p.(None): (1) To an insured person whose employment or performance has ceased during the period of temporary incapacity
p.(None): In the case of personal work, the remuneration of wages shall be for a maximum of 30 days from the date of termination of service
p.(None): relationships, that is, performing his activity by personal work, provided that his chosen doctor is temporary
p.(None): the incapacity determined at least eight days before the date of termination of employment, that is, carrying out the activity of personal
p.(None): that he was entitled to remuneration at the time of termination of employment, that is, carrying out his activity by personal work
p.(None): salaries in accordance with the provisions of this Act.
p.(None): (2) Exceptionally, under the conditions referred to in paragraph 1 of this Article, to the insured person, who is temporary
p.(None): incapacity that is a direct consequence of participating in the Homeland War, or the consequence of a recognized injury to
p.(None): termination of employment or occupational disease, or the pursuit of an activity by personal work belongs
p.(None): the right to remuneration after the termination of employment, or the pursuit of the activity by personal work, as long as
p.(None): he will not be able to work again, that is, until he is found and opinion of a competent body of pension expert evaluation
p.(None): disability is not determined in accordance with Article 48 of this Law.
p.(None): (3) During temporary inability to work due to illness and complications related to pregnancy and childbirth from
p.(None): Article 39, item 6 of this Act, the use of the right to maternity leave and the right to work part-time
p.(None): referred to in Article 39, point 7 of this Act, and the right to leave in the case of death of a child referred to in Article 39, point 8 of this Act
p.(None): an insured person who uses one of the above rights is entitled to a salary remuneration after termination of employment,
p.(None): that is, performing an activity by personal work until the expiration of the exercise of the same right.
p.(None): (4) To an insured person who, while exercising the rights referred to in paragraphs 1, 2 and 3 of this Article, has a full or
p.(None): part-time or has started performing his / her activity by personal work the right to remuneration of the salary earned
p.(None): in accordance with this article.
p.(None): Article 52
p.(None): (1) The Insured shall have the right to reimbursement of the funds of the Institute or the state budget
p.(None): salaries for temporary incapacity referred to in Article 39 items 1 to 5 and items 9 and 10 of this Act to the maximum
p.(None): for a period of 18 months after the same diagnosis of the disease, without interruption, in the amount determined in accordance with this Law and the general
p.(None): acts of the Institute.
p.(None): (2) After the expiry of the period referred to in paragraph 1 of this Article, the insured person shall be entitled to a salary payment in the amount of 50% of the last
p.(None): paid salaries in the name of that temporary incapacity, while for the temporary incapacity there is a medical one
p.(None): indication.
p.(None): (3) The provision of paragraph 2 of this Article does not apply to the insured person who has been found to be temporarily incapacitated due to
p.(None): treatment of malignant diseases, the insured person who has been granted care by a family member - a child suffering from malignancy
p.(None): diseases, insured persons whose temporary inability to perform hemodialysis or peritoneal dialysis, and
p.(None): whose temporary inability is related to the taking and transplantation of parts of the human body.
p.(None): Article 53
p.(None): (1) The insured person shall not be entitled to salary compensation if:
p.(None): 1. knowingly caused temporary incapacity,
p.(None): 2. does not inform the chosen doctor that he became ill within three days from the day the disease started, that is, in
p.(None): within three days of the end of the reason that prevented him from doing so,
p.(None): 3. deliberately prevents healing, ie training for work,
p.(None): 4. during temporary incapacity, work or perform tasks on the basis of which he is obligatory health
p.(None): insured, performs contracted work on the basis of a work contract and any other business (eg agricultural work and
p.(None): FIG.),
p.(None): 5. does not respond to the call for medical examination of the selected doctor or doctor without a justified reason
p.(None): the controller of the Bureau or a body of the Bureau authorized to control temporary incapacity,
p.(None): 6. an elected doctor, controller or doctor of the Institute authorized to control the temporary incapacity of the fort
p.(None): not to follow the instructions for treatment, ie leave the place of residence without the consent of the chosen doctor,
p.(None): that is, residence or abuse of temporary incapacity otherwise.
p.(None): (2) In the cases referred to in paragraph (1) of this Article, the insured person shall not be entitled to reimbursement of salary from the day of occurrence of such cases until
p.(None): the day of their termination, that is, the termination of the consequences caused by them.
p.(None): Article 54
p.(None): (1) Salary compensation shall be determined from the basis of compensation, which is the average amount of salary paid to the insured person in
p.(None): in the last six months before the month in which the right to remuneration was obtained,
p.(None): irrespective of the burden on which it is payable, unless otherwise provided by special law.
p.(None): (2) Salary on the basis of which the salary compensation basis is determined shall be understood, within the meaning of this Act,
p.(None): the regular monthly salary of the insured person determined in accordance with the provisions of the labor regulations and the salary compensation
p.(None): paid during absence from work (annual leave, paid leave and temporary disability) which
p.(None): it pays at the expense of the legal or natural person with whom the insured is employed.
p.(None): (3) For the insured referred to in Article 7, paragraph 1, items 3, 4, 6, 8 and 9 of this Act, the basis for the salary compensation shall be
p.(None): the monthly basis for the calculation and payment of compulsory health insurance contributions for the last six months
p.(None): months prior to the month in which the insured event occurred on the basis of which the right to remuneration is acquired,
p.(None): minus statutory contributions, taxes and surtaxes.
p.(None): (4) Exceptionally, to insured persons who exercise the right to compensation of salary during temporary incapacity
p.(None): the funds of the Institute or the state budget are included in the salary compensation base referred to in paragraph 1 of this Article
p.(None): income earned on receipts of which,
p.(None): according to the regulations on income tax, determines the second income, and in accordance with the regulations on contributions for compulsory
p.(None): insurance, provided that they have been paid out over a six - month period, on the basis of which the basis for the
p.(None): compensation and that they have completed the insurance service at the Institute prescribed by Article 56, paragraph 1 of this Act.
p.(None): (5) In the case where the salary compensation base cannot be determined according to paragraph 1 of this Article, the salary base
p.(None): for remuneration, the salary is paid up to the date of occurrence of the case on the basis of which the right to remuneration is acquired,
p.(None): that is, the corresponding salary for the month for which the salary is determined, with the base being determined, when
p.(None): the compensation paid at the expense of the Institute's funds may not be higher than the lowest insurance base used for
p.(None): calculation of compulsory health insurance contributions, valid for the month preceding the month in which it is
p.(None): an insured event occurred.
p.(None): (6) By way of derogation from paragraph 5 of this Article, when the basis for payment of salary, which belongs to the insured person in
p.(None): In the case of temporary incapacity due to a recognized injury at work or occupational disease, he cannot
p.(None): to determine, in accordance with paragraph 1 of this Article, the basis for remuneration is the corresponding salary for the month for which it is determined
p.(None): salary compensation.
p.(None): (7) When the insured person receives a salary remuneration continuously for more than three months, the basis for determining the compensation from
p.(None): paragraph 1 of this Article shall increase in accordance with the increase in the salary of employees in the Republic of Croatia, if this increase is greater than
p.(None): 5%.
p.(None): (8) The remuneration under paragraph 7 of this Article shall be payable to the insured person from the first day of the following month after the expiration of three months
p.(None): continuous temporary incapacity, if the requirement to increase pay is fulfilled.
p.(None): (9) The Office shall by a general act determine the manner of determining the basis for the salary compensation referred to in paragraph 3 of this Article.
p.(None): Article 55
p.(None): (1) Salary compensation may not be less than 70% of the salary compensation base, unless otherwise provided by this Law,
p.(None): that as a full-time monthly amount cannot be less than 25% of the budget base.
p.(None): (2) Salary compensation shall be 100% of the salary compensation base during:
p.(None): 1. temporary disability due to a wound, injury or illness that is a direct consequence of participating in
p.(None): The Homeland War,
p.(None): 2. temporary disability due to illness and complications related to pregnancy and childbirth,
p.(None): 3. the use of maternity leave and the right to work in part-time work referred to in Article 39, item 7 of this Act,
p.(None): 4. use of leave for the death of a child referred to in Article 39, item 8 of this Act,
p.(None): 5. care of a sick child under the age of three,
p.(None): 6. temporary disability due to transplantation of living tissue and organs for the benefit of another person,
p.(None): 7. while the insured person is isolated as a carrier or because of an infection in his surroundings,
...
p.(None): 2 points 3, 4 and 8 of this Article.
p.(None): (4) Full-time work within the meaning of this Act shall be considered to be 40 hours a week, if a special regulation,
p.(None): the rules of procedure, the collective agreement, the agreement concluded between the works council and the employer, or
p.(None): the employment contract does not specify otherwise.
p.(None): Article 56
p.(None): (1) The remuneration of the salary paid at the expense of the Institute's funds shall belong to the insured person in the amount prescribed by this
p.(None): Law or regulations and general acts adopted pursuant to this Act, provided that before the date of its occurrence
p.(None): the insured case on the basis of which the right to remuneration is acquired has a completed period of insurance in
p.(None): The Institute on the basis of employment, economic activity or professional activity
p.(None): independently in the form of an occupation, that is, on the basis of receiving salary compensation after termination of employment,
p.(None): that is, the termination of the performance of activities by personal work accomplished under this Law for at least nine months
p.(None): continuous or 12 months with interruptions in the last two years (prior insurance), if by special law
p.(None): not otherwise stated.
p.(None): (2) The provisions of paragraph 1 of this Article shall not apply to the compensation of salaries in the case of a recognized occupational injury,
p.(None): that is, occupational diseases.
p.(None): (3) Insured person who does not fulfill the condition of prior insurance referred to in paragraph 1 of this Article, compensation of salary, for
p.(None): throughout the duration of temporary incapacity, it amounts to 25% of the full-time budget base.
p.(None): 2. Remuneration for the inability to carry out the business on which the receipts from which it is determined are obtained
p.(None): other income in accordance with the regulations on
p.(None): compulsory insurance contributions
p.(None): Article 57
p.(None): (1) Remuneration due to the inability to perform the activities on the basis of which the proceeds of which are obtained
p.(None): the second income is determined in accordance with the regulations on contributions for compulsory insurance is determined from the average
p.(None): bases for payment of compulsory health insurance contributions.
p.(None): (2) The average basis referred to in paragraph 1 of this Article shall be understood as the average of the insurance bases to which it has been paid
p.(None): compulsory health insurance contribution in the last six months before the month in which the impossibility occurred
p.(None): insured persons for carrying out the business on the basis of which the receipts from which other income is determined are obtained.
p.(None): Article 58
p.(None): The remuneration referred to in Article 57, paragraph 1 of this Act shall be 70% of the average basis, with the monthly amount of compensation
p.(None): cannot be higher than the maximum amount of wage compensation from the article
p.(None): 55, paragraph 3 of this Law, and shall be paid from the first day of exercising the right to charge the funds of the Institute, in the duration
p.(None): for a maximum of six months continuously.
p.(None): Article 59
p.(None): The insured person shall receive the financial compensation referred to in Article 57, paragraph 1 of this Act, provided that he is temporarily incapable of
...
p.(None): determine the obligation of payment of funds by insurance companies to the Institute, ie the repayment of funds paid to companies
p.(None): for insurance by the Institute based on the Office's actual cost data.
p.(None): (8) Method of payment, calculation and reporting, method of producing annual accounts and reports of funds paid and
p.(None): the actual costs, as well as the procedure and the authority to supervise the implementation of the provisions of paragraphs 4, 5, 6 and 7 of this
p.(None): The Minister shall be determined by an ordinance by the Minister responsible for finance.
p.(None): (9) On the calculation of default interest, the limitation period of the right to determine and collect the income from compulsory motor insurance
p.(None): liability, reimbursement of more funds paid, supervision procedure, conduct of second instance and misdemeanor proceedings
p.(None): the provisions of the General Tax Law apply.
p.(None): (10) Supervision of the implementation of this Act in the part governing the compulsory health insurance income
p.(None): on the basis of the income from compulsory motor liability insurance is conducted by the Tax Administration
p.(None): Ministry of Finance.
p.(None): (11) The contributions and other income of the compulsory health insurance set out in paragraph 1 of this Article shall be paid in
p.(None): the benefit of the Institute's accounts and the income are of the Institute.
p.(None): Article 73
p.(None): Compulsory health insurance expenditures include expenditures for:
p.(None): 1. health care from compulsory health insurance,
p.(None): 2. specific health care referred to in Article 71 of this Law,
p.(None): 3. remuneration paid during temporary incapacity,
p.(None): 4. cash benefits due to the inability to carry out the business on the basis of which the proceeds of which are earned
p.(None): determines other income in accordance with the regulations on contributions for compulsory insurance,
p.(None): 5. reimbursements for transport costs related to the use of compulsory health care
p.(None): insurance
p.(None): 6. fees for accommodation costs referred to in Article 36, paragraph 1, item 4 of this Act,
p.(None): 7. compensation for funeral expenses referred to in Article 70 of this Law,
p.(None): 8. implementation of compulsory health insurance,
p.(None): 9. the work of the Institute's governing body,
p.(None): 10. other expenditures.
p.(None): Article 74
p.(None): Compulsory health insurance expenditure in one calendar year is covered by revenue in the same year
p.(None): calendar year.
p.(None): 2. Contributors and contributors
p.(None): Article 75
p.(None): (1) Bases and rates, method of calculation and payment terms, amount, and payers of calculation and payment of contributions for
p.(None): compulsory health insurance and compulsory occupational health and professional health insurance
p.(None): diseases shall be regulated by a separate law, unless otherwise provided by this Law.
p.(None): (2) The Tax Administration shall, by the 20th day of the month for the previous month, submit to the Institute all records pertaining to
p.(None): on payment of contributions and other income of compulsory health insurance and compulsory health insurance for
p.(None): a case of occupational injury and occupational disease for which it is competent and for which it maintains records.
p.(None): (3) Contribution rates for compulsory health insurance and compulsory health insurance in case of occupational injury i
p.(None): occupational diseases, and according to the Institute's data, are determined in such a way that the expected income from contributions and others
...
p.(None): (4) The method of control referred to in paragraph 1 of this Article shall be determined by the Office by a general act.
p.(None): Article 81
p.(None): (1) Insured persons referred to in Article 7, paragraph 1, items 3, 4, 6, 7, 8 and 9 of this Act, pension beneficiaries and
p.(None): disability benefits exercised exclusively by the foreign pension and disability insurance provider referred to in Article 7.
p.(None): paragraph 1 item 12 of this Act, to the insured persons referred to in Article
p.(None): 13 of this Law and other insureds insured for compulsory health insurance in accordance with the special
p.(None): the law - payers of the calculation and payment of compulsory health insurance contributions, who have not paid
p.(None): contributions for a minimum of 30 days of compulsory health insurance entitlement are limited to the right to emergency medical insurance
p.(None): help.
p.(None): (2) Urgent medical assistance shall mean the provision of diagnostic and therapeutic procedures necessary in
p.(None): eliminating imminent danger to life and health.
p.(None): (3) The full scope of the rights referred to in paragraph 1 of this Article shall be established in advance, from the date of settlement of the due contribution amount
p.(None): interest thereon.
p.(None): 3. Securing funds in the state budget
p.(None): Article 82
p.(None): (1) The Republic of Croatia shall provide in the state budget special funds for compulsory health care rights
p.(None): insurance for:
p.(None): 1. remuneration for the period of temporary incapacity referred to in Article 39 (9) and Article 52.
p.(None): paragraph 2 of this Law,
p.(None): 2. health care costs for:
p.(None): a. the insured persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 and Article 11, paragraph 1, item 3 of this Act, for which
p.(None): the contribution shall not be paid in accordance with Article 72, paragraph 1, item 3 of this Act, and for the insured persons referred to in Article 7, paragraph
p.(None): 1. items 14., 15., 18., 20., 21., 25., 26. i
p.(None): 27 of this Law,
p.(None): b. the insured persons referred to in Article 15 of this Law;
p.(None): c. insured persons referred to in Article 78 of this Law,
p.(None): d. preventive and specific health care for school children and students,
p.(None): e. preventive health care for insured persons over 65 years of age;
p.(None): f. preventive health care of insured persons with disabilities from the register established by a special regulation,
p.(None): g. a difference in the cost of primary care organization beyond the prescribed demographic norms
p.(None): characteristics (islands, population density),
p.(None): h. the difference in health care costs that are contracted and paid according to the population, not the number of insured
p.(None): persons (emergency medicine, home health care, hygienic-epidemiological health care),
p.(None): i. the implementation of health care under international social security treaties.
p.(None): (2) The funds referred to in paragraph 1 of this Article shall be paid into the Institute's account by the 10th day of the month for the previous month and income.
p.(None): are of the Bureau.
p.(None): Article 83
p.(None): The Institute has business funds for:
...
p.(None): health care providers, private health care providers and contracted supplies providers.
p.(None): (2) The supervision referred to in paragraph 1 of this Article shall be carried out in accordance with the provisions of this Act and the general acts of the Institute:
p.(None): 1. reviewing and verifying financial, medical and other documentation at the health institution and code
p.(None): a private health care provider, or a contractual supplier of supplies,
p.(None): 2. examination and verification of the submitted documentation in the organizational units of the Institute.
p.(None): (3) The supervision procedure referred to in paragraph 1 of this Article shall in particular supervise whether an elected doctor of medicine,
p.(None): that is, dental medicine, health care worker employed by a health care institution or a private health care professional:
p.(None): 1. implements health insurance measures from compulsory health insurance at its level of health care activity
p.(None): determined by the scope of the right to health care referred to in Articles 19, 20, 22 and 23 of this Law,
p.(None): 2. apply the rules of the profession, and when prescribing therapy, recommendations regarding pharmacotherapy, clinical
p.(None): guidelines and principles of pharmacoeconomics, taking into account interactions and contraindications for
p.(None): individual case,
p.(None): 3. acts contrary to the provisions of this Law, the Health Care Act, other laws, special regulations,
p.(None): by-laws and by-laws of the Institute,
p.(None): 4. purposefully uses the funds obtained on the basis of a contract with the Institute for health care implementation
p.(None): protection from compulsory health insurance,
p.(None): 5. determines the temporary incapacity of the insured in accordance with the provisions of Article 46 of this Law, ie whether
p.(None): the provisions of Article 52, paragraph 1 of the Act are complied with when determining the diagnosis of the insured person's illness.
p.(None): (4) If the control referred to in paragraph 3, points 4 and 5 of this Article establishes that the contracting entity of the Institute
p.(None): uses funds earmarked for the implementation of health care from compulsory health care
p.(None): insurance, that is, the elected doctor determines the temporary inability of the insured contrary
p.(None): the provisions of Article 46 of this Act, and that by changing the diagnoses of the insured person's illness, and
p.(None): by unjustifiably concluding a temporary incapacity shall act contrary to the provisions of Article 52 of this Law
p.(None): In order to avoid the application of paragraph 2 of the same Article of the Law, the Office may initiate the procedure of termination of the contract with it
p.(None): contracting entity.
p.(None): Article 95
p.(None): In order to supervise the fulfillment of contractual obligations, contracting entities of the Institute are obliged to submit
p.(None): business reports in accordance with the general act of the Institute referred to in Article 87 of this Act.
p.(None): Article 96
p.(None): A way of exercising control over the performance of contractual obligations by health care institutions and private health care institutions
p.(None): The Office shall determine the workers and contractual suppliers of aids by a separate act, ie the contract itself.
p.(None): VIII. CROATIAN INSTITUTE FOR HEALTH INSURANCE
p.(None): Article 97
p.(None): (1) The activities performed by the Croatian Institute for Compulsory Health Insurance under this Law shall be performed by the Croatian Institute for Health Insurance
p.(None): health insurance.
p.(None): (2) The Institute is a public institution to which the regulations on institutions apply, unless otherwise provided by this Law.
p.(None): established.
p.(None): (3) The Institute shall have the capacity of a legal person with rights, obligations and responsibilities established by this Act and the Statute.
p.(None): (4) In deciding on the rights and obligations of insured persons from compulsory health insurance, the Institute shall have public
p.(None): powers.
p.(None): (5) The seat of the Institute shall be in Zagreb.
p.(None): Article 98
p.(None): (1) In the exercise of the rights arising from compulsory health insurance, the Institute shall, in particular, perform the following tasks:
...
p.(None): mandatory insurance of this risk.
p.(None): Article 141
p.(None): (1) The Institute shall be obliged to claim compensation for damage caused in the territory of the Republic of Croatia by the use of vehicles
p.(None): registered in another Member State or in a third country holding a valid international insurance instrument from
p.(None): motor liability directly from the Croatian Insurance Office.
p.(None): (2) The Office shall also be required to claim compensation for damage when the damage has occurred in another Member State or a third country in
p.(None): in accordance with the provisions of the Insurance Act and international treaties.
p.(None): Article 142
p.(None): The Institute is obliged to claim damages in the cases stipulated by this Law, regardless of the damage
p.(None): incurred by payment of benefits which, as a right, belong to the insured person from compulsory health insurance funds,
p.(None): that is, the state budget.
p.(None): Article 143
p.(None): Compensation for damages which the Institute is entitled to claim in the cases referred to in Articles 135 and 136 and Articles 138 to
p.(None): Article 142 of this Law covers costs for health and other services and amounts of financial benefits and other benefits
p.(None): paid by the Institute.
p.(None): Article 144
p.(None): The health institution, the private health care provider and the contracted supplier of the aids are responsible to the Institute
p.(None): for damage caused by him in the course of or in connection with the performance of his business in accordance with the provisions of the Law on
p.(None): relationships.
p.(None): Article 145
p.(None): The Institute is obliged to claim compensation for the damage caused by:
p.(None): 1. a primary care doctor if he or she has established a temporary incapacity for the insured contrary to the provisions of the article
p.(None): 46 of this Law either unjustifiably interrupted the temporary incapacity, that is, unjustifiably changed the diagnosis
p.(None): diseases in order to prevent the application of Article 52, paragraph 2 of this Act, thereby enabling the insured person
p.(None): obtaining a remuneration to which he was not entitled or a higher remuneration contrary to the provisions of this
p.(None): law,
p.(None): 2. medical institutions whose specialist doctor acted contrary to the provisions of Article 21, paragraph
p.(None): 4 of this Law, and the Institute has by a decision determined the insured person the right to reimbursement of the cost of the purchased medicine recommended
p.(None): from that specialist.
p.(None): Article 146
p.(None): In determining the right to compensation for damage caused to the Institute or the state budget, they shall apply
p.(None): the relevant provisions of the Law on Obligations, as well as special regulations on compensation.
p.(None): Article 147
p.(None): (1) Claims of compensation for damages, within the meaning of the provisions of this Act, shall become obsolete after the expiry of the time limits specified by the
p.(None): relationships.
p.(None): (2) The limitation periods for claims for damages within the meaning of the provisions of this Act shall start to run:
p.(None): 1. in the cases referred to in Article 135 and Article 138 (1) of this Act, from the date on which the decision whereby
p.(None): determined that the payment received did not or did not belong to a smaller extent,
p.(None): 2. in the cases referred to in Articles 137 and 139 of this Law, from the day on which it became enforceable the decision whereby
p.(None): recognized right to receive from the Institute's funds,
p.(None): 3. in other cases where compensation is required for the individual benefits paid from the article
p.(None): 142 of this Law, from the date of payment of each individual benefit.
...
p.(None): (4) For a misdemeanor referred to in paragraph 1 of this Article, a measure of prohibition may be imposed with a fine on a legal or natural person.
p.(None): performing activities.
p.(None): Article 151
p.(None): (1) A fine in the amount of HRK 10,000.00 to HRK 15,000.00 shall be imposed on a legal person who,
p.(None): does not submit to the Institute within the prescribed period all information regarding the registration and deregistration of the insured person, for work
p.(None): the exercise of rights and obligations under compulsory health insurance (Article 122, paragraph 2).
p.(None): (2) A fine in the amount of HRK 8,000.00 to HRK 13,000.00 shall be imposed for the misdemeanor referred to in paragraph 1 of this Article.
p.(None): natural person obliged to apply for compulsory health insurance
p.(None): (3) A fine in the amount of HRK 3,000.00 to HRK 5,000.00 shall be imposed for the misdemeanor referred to in paragraph 1 of this Article, and
p.(None): responsible person in a legal entity.
p.(None): Article 152
p.(None): (1) A fine in the amount of HRK 50,000.00 to HRK 250,000.00 shall be imposed for a breach of contractual health
p.(None): an institution that uses funds earmarked for the purpose of providing compulsory health care
p.(None): health insurance (Article 94, paragraph 3, item 4).
p.(None): (2) For a misdemeanor referred to in paragraph 1 of this Article, he shall be fined in the amount of 10,000.00 up to
p.(None): HRK 50,000.00 and responsible person in a health care institution and contracted private health practitioner,
p.(None): that is, an elected doctor of medicine, that is, dental medicine of primary health care (Article 93 and Article 94.
p.(None): paragraph 3 item 4).
p.(None): (3) An elected doctor shall be fined in the amount of HRK 5,000.00 to HRK 20,000.00 for an offense.
p.(None): which establishes the temporary incapacity of the insured in contravention of the provisions of Article 46 of this Law, respectively
p.(None): who by changing the diagnoses of the insured's illness and unjustifiably concluding temporary incapacity
p.(None): acts contrary to the provisions of the article
p.(None): 52 of this Act in order to avoid the application of paragraph 2 of the same article of the Act (Article 46 paragraph
p.(None): 2 and 4 and Article 52, paragraph 1)
p.(None): (4) A specialist doctor shall be fined in the amount of HRK 5,000.00 to HRK 15,000.00 for a misdemeanor.
p.(None): at a contracting health care institution that did not submit a proposal for treatment to the hospital commission for
p.(None): medicines from a hospital health care institution (Article 21 (4)).
p.(None): Article 153
p.(None): The insured person shall be fined in the amount of HRK 8,000.00 to HRK 15,000.00 for the offense:
p.(None): 1. if she knowingly caused temporary incapacity, if she did not report within three days after the onset of illness
p.(None): an elected primary care doctor that she was ill,
p.(None): that is, within three days from the date of termination of the reason that prevented her from doing so, if intentionally
p.(None): prevents healing or training, if during temporary incapacitation, if not
p.(None): does not respond to the call for medical examination of the selected doctor or controller, or justified reason
p.(None): bodies of the Institute authorized for the control of temporary incapacity, if they do not adhere to the instructions for treatment,
p.(None): that is, without the consent of the chosen doctor, he or she leaves the place of residence or residence or abuses the right to
p.(None): the use of temporary incapacity otherwise (Article 53),
p.(None): 2. if she has been entitled to reimbursement for the cost of transport in connection with the use of the right to health care
p.(None): protection from compulsory health insurance, which had no legal basis (Article 62),
p.(None): 3. if he uses a document proving the status of the insured person in a manner contrary to the provisions of this Law and regulations
p.(None): issued pursuant to this Act, that is, to obtain health care using another's document (Article 119.
p.(None): paragraphs 3 and 6).
p.(None): XII. TRANSITIONAL AND FINAL PROVISIONS
p.(None): Article 154
p.(None): (1) The minister responsible for health shall pass the ordinances referred to in Article 19, paragraph 2, items 15 and 18, Article 46, paragraph 2.
p.(None): and 9, Article 78 and Article 90 paragraph 1 of this Act within 90 days from the day this Law enters into force.
p.(None): (2) The minister competent for social welfare affairs shall pass the ordinances referred to in Article 15, paragraph 2 of this Act within the period of
p.(None): 90 days from the day this Law enters into force.
p.(None): (3) The minister responsible for finance shall adopt the ordinance referred to in Article 72, paragraph 8 of this Act within 90 days from
p.(None): the entry into force of this Act.
p.(None): Article 155
p.(None): (1) The Office shall adopt the general acts referred to in Article 19, paragraph 4, Article 36, paragraph 1, item 4, Article 38, paragraph 3, Article 41.
p.(None): paragraph 7, Article 45, paragraph 6, Article 54, paragraph 9, Article 61, Article 79, paragraph 5, Article 119
p.(None): paragraph 6, Article 122, paragraph 5, Article 126, paragraph. 3, Article 127 (3), Article 128 (4) i
p.(None): enact Article 131 of this Act within 90 days from the day this Law enters into force.
...
p.(None): 6. Ordinance on the powers and manner of work of authorized doctors and medical commissions of the Croatian
p.(None): Health Insurance Institute (Official Gazette 113/09, 126/09, 4/10, 88/10, 1/11, 50/11 and 87/211),
p.(None): 7. Ordinance on the method of prescribing and dispensing prescription medicines (Official Gazette 17/09, 46/09,
p.(None): 4/10, 110/10, 131/10, 1/11. and 52/11),
p.(None): 8. Ordinance on orthopedic and other aids (Official Gazette, No. 7/12, 14/12, 23/12, 25/12, 45/12, 69/12,
p.(None): 85/12., 92/12., 119/12., 147/12., 21/13. and 38/13.),
p.(None): 9. Ordinance on dental health care from compulsory health insurance (Official Gazette 38/13 and
p.(None): 49/13.)
p.(None): 10. Ordinance on the Rights, Conditions and Manner of Use of Health Care Abroad (Official Gazette,
p.(None): no. 50/09, 118/09, 4/10, 13/10, 14/10, 1/11, 16/11, 31/11, 93/11, 145/11, 41/12., 76/12. and 129/12.)
p.(None): 11. Rulebook on the manner of reporting and deregistration and obtaining the status of insured person in compulsory
p.(None): health insurance (Official Gazette 31/07, 56/07, 96/07, 130/07, 33/08, 91/09, 4/10, 69/10, 1/11 i
p.(None): 48/11.)
p.(None): 12. Rulebook on conditions and manner of exercising the right from compulsory health insurance to home health care
p.(None): insured persons (Official Gazette 88/10, 1/11, 87/11, 38/13 and 49/13),
p.(None): 13. Ordinance on the deadlines for the longest duration of sickness depending on the type of illness (Official Gazette, no.
p.(None): 153/09.)
p.(None): 14. Ordinance on the powers and method of operation of the Comptroller of the Croatian Health Insurance Institute
p.(None): (Official Gazette 59/09 and 48/11),
p.(None): 15. Rulebook on criteria and procedure for determining incapacity for independent living and work and lack of resources for
p.(None): support for persons residing in the Republic of Croatia who are not provided with health care on another basis
p.(None): (Official Gazette 39/02.),
p.(None): 16. Rulebook on conditions for exemption from payment of basic health insurance contributions
p.(None): farmers over 65 years of age (Official Gazette 122/02),
p.(None): 17. Ordinance on sickness control (Official Gazette 123/11),
p.(None): 18. Ordinance on medical transport (Official Gazette 123/09),
p.(None): 19. Ordinance on the European Health Insurance Card (Official Gazette 153/11),
p.(None): 20. Decision on Establishing the Basic Medicinal Products List of the Croatian Health Insurance Institute (Official Gazette, No.
p.(None): 47/13., 49/13., 50/13. and 54/13.),
p.(None): 21. Decision on establishing the Supplementary List of Medicines of the Croatian Health Insurance Institute
p.(None): (Official Gazette 47/13 and 49/13),
p.(None): 22. Decision to establish the list of particularly expensive medicines established by the Decision on the establishment of the Basic Medicinal Products List
p.(None): Of the Croatian Health Insurance Institute (Official Gazette 67/13),
p.(None): 23. Decision on the content and form of the document proving the status of the insured person of the Croatian Institute for Health
p.(None): insurance (Official Gazette 4/07, 91/09, 113/09, 140/09, 4/10, 13/10, 43/10 and 29/11),
p.(None): 24. Decision on Determining the Amount of Fee for the Issuance of the Health Insurance Person's Card from
p.(None): compulsory health insurance (Document 2) (Official Gazette 113/09),
p.(None): 25. Decision on the basis for the conclusion of the contract on health care provision from compulsory health insurance
p.(None): (Official Gazette 23/13, 38/13, 50/13 and 51/13),
...
p.(None): 33. Decision on the base and rate of the special contribution for the use of health care abroad by the insured
p.(None): persons of the Croatian Health Insurance Institute who are abroad for private business (Official Gazette, no.
p.(None): 93/11.).
p.(None): Article 158
p.(None): The Office is obliged to harmonize its operations with the provisions of this Law within 180 days from the day this Act enters into force
p.(None): Act.
p.(None): Article 159
p.(None): All legal and natural persons are obliged to exercise their rights and obligations under compulsory health insurance
p.(None): to harmonize their business with the provisions of this Law within 180 days from the day this law enters into force
p.(None): Act.
p.(None): Article 160
p.(None): (1) Insured persons who have started exercising the rights arising from compulsory health insurance under the provisions of the Law on
p.(None): compulsory health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11,
p.(None): 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12) from the effective date
p.(None): of this Law, they continue to use compulsory health insurance rights under its provisions.
p.(None): (2) Insured persons who, on the day this Act enters into force, have the status of a family member of the insured person pursuant to
p.(None): Article 10, Paragraph 1 of the Compulsory Health Insurance Act (Official Gazette 150/08, 94/09, 153/09,
p.(None): 71/10., 139/10., 49/11., 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.),
p.(None): retain this status until the end of the current academic or academic year.
p.(None): Article 161
p.(None): Insured persons whose temporary incapacity is determined from the day the Law on Obligatory Act enters into force
p.(None): health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11, 22/12,
p.(None): 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.), and which until the date of entry into
p.(None): the strength of this law established disability due to general, or professional inability to work, selected doctor to determine
p.(None): shall cease temporary incapacity from the date this Law enters into force.
p.(None): Article 162
p.(None): Administrative proceedings instituted by the date this Act enters into force shall be completed in accordance with the provisions of the Law on
p.(None): compulsory health insurance (Official Gazette 150/08, 94/09, 153/09, 71/10, 139/10, 49/11,
p.(None): 22/12., 57/12., 90/12. - Decision of the Constitutional Court of the Republic of Croatia, 123/12. and 144/12.) and regulations and general regulations
p.(None): acts enacted under this Act.
p.(None): Article 163
p.(None): Contributions and other compulsory health insurance income determined in the provision of Article 72, paragraph 1 of this Law,
p.(None): these funds referred to in Article 137 of this Act shall be paid in favor of the state budget of the Republic of Croatia until 31 December.
p.(None): December 2014, and as of January 1, 2015, they will be credited to the Institute's accounts and the revenue is the Institute's.
p.(None): Article 164
p.(None): The Law on Compulsory Health Insurance (»Narodne
p.(None): Gazette «, no. 150/08, 94/09, 153/09, 71/10, 139/10, 49/11, 22/12, 57/12, 90/12. - Constitutional Court decision
p.(None): Of the Republic of Croatia, 123/12. and 144/12).
p.(None): Article 165
p.(None): This Law shall be published in the Official Gazette and shall enter into force on the date of accession of the Republic of Croatia
p.(None): Except for the provisions of the European Union:
p.(None): - Articles 2 and 3 and Article 34, in so far as it concerns the application of Directive 2011/24 / EU and Articles 26.
p.(None): to 32, effective October 25, 2013,
p.(None): - Article 18, points 5 and 6, and Articles 19, 22, 23 and 25, in the part relating to the basic and additional lists
p.(None): orthopedic and other aids, and dental aids, effective January 1, 2014,
...
General/Other / Public Emergency
Searching for indicator emergency:
(return to top)
p.(None): 1. comprehensive health care for children up to the age of 18, insured persons referred to in Article 12.
p.(None): paragraphs 2 and 3 and Article 15 of this Law,
p.(None): 2. preventive and specific health care for school children and students,
p.(None): 3. preventive health care for women,
p.(None): 4. the health care of women in connection with the monitoring of pregnancy and childbirth,
p.(None): 5. health care in connection with medically assisted fertilization, in accordance with a special law,
p.(None): 6. preventive health care for persons over 65 years of age,
p.(None): 7. preventive health care for persons with disabilities from the register of persons with disabilities established
p.(None): a special regulation,
p.(None): 8. comprehensive healthcare related to HIV infections and other communicable diseases prescribed by law
p.(None): implementing measures to prevent their spread,
p.(None): 9. compulsory vaccination, immunoprophylaxis and chemoprophylaxis,
p.(None): 10. overall treatment of chronic psychiatric illnesses,
p.(None): 11. overall treatment of malignancies,
p.(None): 12. all treatment resulting from a recognized occupational injury or occupational disease,
p.(None): 13. hemodialysis and peritoneal dialysis,
p.(None): 14. health care related to the taking and transplantation of parts of the human body for medical purposes,
p.(None): 15. outpatient emergency medical assistance in the emergency medical service involving emergency transport (by land,
p.(None): by water and by air), in accordance with the ordinance of the minister responsible for health,
p.(None): 16. home visits and home treatment,
p.(None): 17. home health care,
p.(None): 18. medical transport for special categories of patients, in accordance with the ordinance of the minister responsible for
p.(None): health,
p.(None): 19. medicines from the basic list of prescription medicines of the Institute
p.(None): 20. health care in the home of the insured person,
p.(None): 21. laboratory diagnostics at primary health care level,
p.(None): 22. palliative health care.
p.(None): (3) Insured persons shall be obliged to participate in the cost of health care in the amount of 20% of the full cost of health care
p.(None): protection, which may not be less than the percentages of the budgetary base set out in points 1 to 8 of this
p.(None): item for:
p.(None): 1. Specialist-consiliary health care, including day hospital and day surgery
p.(None): hospitals, excluding ambulatory physical medicine and rehabilitation - 0.75% of the budget base,
p.(None): 2. specialist diagnostics not at the level of primary health care - 1.50% of the budget
p.(None): base,
p.(None): 3. orthopedic and other aids determined by the basic list of orthopedic and other aids - 1.50% of the budget base,
p.(None): 4. specialist-consiliary health care in outpatient physical medicine and rehabilitation
p.(None): and for physical medicine and home rehabilitation - 0.75% of the budget base per day,
...
p.(None): 18 years up to 40 days maximum.
p.(None): (2) By way of derogation from paragraph 1 of this Article, if, in the opinion of the doctor of medicine, primary health care
p.(None): health status of a family member - child under 18 years of age such that the length of care specified in paragraph 1.
p.(None): of this article will not be sufficient, the required duration of care is determined by the medical committee of the Institute.
p.(None): (3) The child referred to in paragraphs 1 and 2 of this Article shall be considered in addition to his own child and adopted child, stepson, and
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
p.(None): that right for the second child and that the child in need of care does not have the recognized parental rights of the caregiver.
p.(None): (8) The insured person has the right to temporarily be prevented from working for the care of a family member and as half-full work
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
...
p.(None): The Health Insurance Institute has the right to control business books, financial records and other records
p.(None): the payer of the contribution.
p.(None): (2) The Tax Administration, the Central Registry of Insured Persons, state authorities and other competent bodies are obliged to the Institute
p.(None): submit information at their disposal and maintained by the official records necessary for exercising compulsory rights
p.(None): health insurance.
p.(None): (3) If the Office establishes irregularities in the verification procedure referred to in paragraph 1 of this Article, it shall compile it
p.(None): the minutes which it submits to the Tax Administration for the competent procedure established by the regulation of the minister responsible for finance.
p.(None): (4) The method of control referred to in paragraph 1 of this Article shall be determined by the Office by a general act.
p.(None): Article 81
p.(None): (1) Insured persons referred to in Article 7, paragraph 1, items 3, 4, 6, 7, 8 and 9 of this Act, pension beneficiaries and
p.(None): disability benefits exercised exclusively by the foreign pension and disability insurance provider referred to in Article 7.
p.(None): paragraph 1 item 12 of this Act, to the insured persons referred to in Article
p.(None): 13 of this Law and other insureds insured for compulsory health insurance in accordance with the special
p.(None): the law - payers of the calculation and payment of compulsory health insurance contributions, who have not paid
p.(None): contributions for a minimum of 30 days of compulsory health insurance entitlement are limited to the right to emergency medical insurance
p.(None): help.
p.(None): (2) Urgent medical assistance shall mean the provision of diagnostic and therapeutic procedures necessary in
p.(None): eliminating imminent danger to life and health.
p.(None): (3) The full scope of the rights referred to in paragraph 1 of this Article shall be established in advance, from the date of settlement of the due contribution amount
p.(None): interest thereon.
p.(None): 3. Securing funds in the state budget
p.(None): Article 82
p.(None): (1) The Republic of Croatia shall provide in the state budget special funds for compulsory health care rights
p.(None): insurance for:
p.(None): 1. remuneration for the period of temporary incapacity referred to in Article 39 (9) and Article 52.
p.(None): paragraph 2 of this Law,
p.(None): 2. health care costs for:
p.(None): a. the insured persons referred to in Article 7, paragraph 1, items 13, 16, 17 and 19 and Article 11, paragraph 1, item 3 of this Act, for which
p.(None): the contribution shall not be paid in accordance with Article 72, paragraph 1, item 3 of this Act, and for the insured persons referred to in Article 7, paragraph
p.(None): 1. items 14., 15., 18., 20., 21., 25., 26. i
p.(None): 27 of this Law,
p.(None): b. the insured persons referred to in Article 15 of this Law;
p.(None): c. insured persons referred to in Article 78 of this Law,
p.(None): d. preventive and specific health care for school children and students,
p.(None): e. preventive health care for insured persons over 65 years of age;
p.(None): f. preventive health care of insured persons with disabilities from the register established by a special regulation,
p.(None): g. a difference in the cost of primary care organization beyond the prescribed demographic norms
p.(None): characteristics (islands, population density),
p.(None): h. the difference in health care costs that are contracted and paid according to the population, not the number of insured
p.(None): persons (emergency medicine, home health care, hygienic-epidemiological health care),
p.(None): i. the implementation of health care under international social security treaties.
p.(None): (2) The funds referred to in paragraph 1 of this Article shall be paid into the Institute's account by the 10th day of the month for the previous month and income.
p.(None): are of the Bureau.
p.(None): Article 83
p.(None): The Institute has business funds for:
p.(None): 1. compulsory health insurance rights,
p.(None): 2. the rights arising from compulsory health insurance against accidents at work and occupational diseases,
p.(None): 3. supplementary health insurance in accordance with a special law,
p.(None): 4. additional health insurance in accordance with a special law.
p.(None): Article 84
p.(None): (1) The Institute shall have a reserve for the implementation of compulsory health insurance rights.
p.(None): (2) If a surplus of revenue is determined in the final account, that surplus shall be entered in the reserve by allocating at least 50% of the surplus
p.(None): income.
p.(None): (3) The Management Board of the Institute shall supervise the use of the reserve.
p.(None): Article 85
p.(None): (1) The reserve referred to in Article 84 of this Law may amount to a maximum of one twelfth of the planned expenditure in the current
p.(None): year for the implementation of the defined scope of compulsory health insurance entitlements.
p.(None): (2) During the year, the reserve may be used as a working capital to settle the current liabilities of the Institute and
p.(None): as a loan with a repayment obligation at the latest by the end of next year with interest.
p.(None): (3) The reserve serves to cover surplus expenses over revenues and to recover the losses of the Institute.
p.(None): Article 86
p.(None): (1) For the purpose of providing information necessary for the implementation of compulsory health insurance and supervision
p.(None): The Institute keeps records on the exercise of compulsory health insurance rights.
p.(None): (2) General acts on the manner and place of keeping, the form, content and deadlines of records, and
p.(None): obliged to keep records will be passed by the Administrative Board of the Institute.
p.(None): VII. RELATIONSHIP OF INSTITUTIONS AND HEALTH INSTITUTIONS, HEALTH WORKERS AND PRIVATE PRACTICE SUPPLIERS
p.(None): 1. Healthcare contracting
p.(None): Article 87
p.(None): (1) The Institute by a general act with the consent of the minister responsible for health, as previously obtained
p.(None): the opinion of the competent chambers, in accordance with the established scope of the right to health care in the articles
p.(None): 19, 20 and 23 of this Law and with the established standards and norms of health care from mandatory
p.(None): health insurance in accordance with Article 33 of this Law, determines the manner of providing health care,
p.(None): elements and criteria for inviting tenders and grounds for contracting with health care institutions and
p.(None): private healthcare professionals involved in the public health service network, the emergency medicine network and
p.(None): a network of contracted occupational health entities, the full cost of a compulsory health service
p.(None): health insurance, the maximum annual amount of funds for the implementation of the contracted hospital
p.(None): health care and the manner and deadlines for payment of bills for health care provided from compulsory health care
p.(None): insurance.
p.(None): (2) The Institute by a general act with the consent of the minister competent for health, in accordance with the determined scope of the right to health care
p.(None): protection referred to in Articles 19, 20 and 22 of this Law, and the standard established for the right to orthopedic and other aids
p.(None): in accordance with the general act of the Institute, establishes grounds for entering into contracts with suppliers of orthopedic and other aids
p.(None): who are eligible for the production or delivery of supplies in accordance with the special law of that price
p.(None): supplies, methods and deadlines for paying bills for supplies delivered.
p.(None): (3) The general act referred to in paragraphs 1 and 2 of this Article shall obligatory determine the beginning and end of the contractual period for which
p.(None): Calls for tenders for the award of mandatory health care contracts
p.(None): health insurance.
p.(None): Article 88
p.(None): (1) In accordance with the act referred to in Article 87, paragraph 1 of this Act, the Office shall, in accordance with the identified needs for filling
p.(None): the public health service, emergency medicine and occupational medicine contractors networks, as a rule,
p.(None): every third year, if by a general act referred to in the article
p.(None): 87, paragraph 1 of this Law does not stipulate otherwise, it announces a tender for the conclusion of contracts with health institutions
p.(None): and private health care providers for compulsory health insurance in
p.(None): primary health care activities,
p.(None): the secondary and tertiary levels of the health care industry and at the level of health institutes, if there is no special law
p.(None): determined otherwise.
p.(None): (2) In accordance with the act referred to in Article 87, paragraph 2 of this Act, the Institute shall, as a rule, every third year, if by a general act referred to in
p.(None): Article 87, paragraph 2 of this Law does not stipulate otherwise, it announces a tender for contracting with
p.(None): suppliers of orthopedic and other aids.
p.(None): (3) On the basis of tenders for implementation of health care according to the published tender referred to in paragraphs 1 and 2.
p.(None): of this Article, with the consent of the Minister responsible for health, the Institute shall decide on the selection of the most favorable ones
p.(None): bidder.
p.(None): (4) A tenderer whose tender for the tender referred to in paragraphs 1 and 2 of this Article has not been accepted shall be entitled
p.(None): to file a complaint with the Minister responsible for health within 15 days from the date of receipt of the notification of
p.(None): rejecting the offer.
p.(None): (5) The appeal referred to in paragraph 4 of this Article shall be decided by a decision against which an administrative dispute may be instituted.
p.(None): Article 89
p.(None): In accordance with the decision referred to in Article 88, paragraph 3 of this Act, respectively in accordance with the decision referred to in Article
...
General/Other / Relationship to Authority
Searching for indicator authority:
(return to top)
p.(None): equal activities, persons who independently perform their professional occupation in the form of a free occupation
p.(None): activity and persons engaged in agriculture and forestry as the sole activity in the Republic of Croatia
p.(None): or principal occupation, if they are liable to income tax or income tax and are not insured by
p.(None): basis of work or beneficiaries of the right to a pension,
p.(None): 7. farmers engaged in agricultural activity in the Republic of Croatia as their sole or principal occupation if
p.(None): are the owners, landlords or tenants, and if they are not subject to income tax or income tax and if they are not
p.(None): insured on the basis of work or beneficiaries of the right to a pension,
p.(None): 8. persons engaged in agricultural activity as their sole or principal occupation and who have been entered in the family register
p.(None): of the holding as the holder or member of the family holding, if they are not
p.(None): are health insured on the basis of work or are beneficiaries of the right to retirement or are in full-time education,
p.(None): 9. priests and other religious officials of a religious community registered in the records of the religious communities he maintains
p.(None): competent national authority, if not insured on the basis of work,
p.(None): 10. pension beneficiaries according to the regulations on pension insurance of the Republic of Croatia, if any
p.(None): permanent or permanent residence in the Republic of Croatia,
p.(None): 11. beneficiaries of the right to vocational rehabilitation under the regulations on pension insurance of the Republic of Croatia,
p.(None): if they are domiciled or granted permanent residence in the Republic of Croatia,
p.(None): 12. pension and disability pension beneficiaries who exercise this right exclusively from a foreign pension holder and
p.(None): disability insurance, unless otherwise provided by European Union legislation or international treaty, if
p.(None): have a permanent or permanent residence in the Republic of Croatia,
p.(None): 13. Persons with permanent or permanent residence in the Republic of Croatia who are not compulsory health insurance
p.(None): insured on another basis and reported to the Institute within:
p.(None): a) 30 days from the date of termination of employment, that is, performing the activity or from the date of termination of employment
p.(None): compensation of the salary to which they are entitled under this Act or under regulations made pursuant to this Act,
p.(None): b) 30 days from the date of early termination of military service, ie voluntary military service
p.(None): term, ie from the date of expiry of the prescribed period for military service, ie voluntary military service
p.(None): deadline
...
p.(None): fees in accordance with the regulations on the rights of Croatian war veterans and their members
p.(None): families, if they do not exercise their entitlement to compulsory health insurance on another basis,
p.(None): 27. family members of the injured, detained or missing Croatian veterans residing
p.(None): or granted a permanent residence in the Republic of Croatia, if they applied to the Institute within 30 days from the day
p.(None): cessation of receiving financial compensation in accordance with the regulations on the rights of Croatian war veterans; and
p.(None): members of their families, if they cannot exercise the right to compulsory health insurance on another basis,
p.(None): 28. persons with permanent or temporary residence in the Republic of Croatia by decision
p.(None): of the competent court deprived of their liberty and are in organizational units of the Ministry of Justice, according to the application
p.(None): Of the Ministry of Justice.
p.(None): (2) Employment in accordance with paragraph 1, item 1 of this Article shall be understood as the relation between the employer and the worker towards
p.(None): labor regulations and other regulations governing employment matters.
p.(None): (3) The activities of the persons referred to in paragraph 1, item 6 of this Article shall be: the registered activity of crafts and agriculture
p.(None): and forestry, freelance (professional activity) and other self-employed activities
p.(None): the authorization was issued by the competent authority for the independent exercise of the activity of a natural person, registered in the appropriate
p.(None): the register of that body and the activity with the characteristic
p.(None): independence, durability and intention to create a permanent source of taxpayer's income recorded in the register
p.(None): of taxpayers of income tax, in accordance with the regulations on income tax when it comes to independent activity for whose
p.(None): performance is not prescribed for the granting of approval or obligation to register the activity.
p.(None): (4) The insured persons referred to in paragraph 1, points 1 to 6, 8, 9, 20 and 25 of this Article shall also be obliged to insure themselves.
p.(None): in the case of occupational injury and occupational disease.
p.(None): (5) For persons referred to in paragraph 1, items 13, 16, 17 and 19 of this Article and persons referred to in Article 11, paragraph 1, item 3 of this Act
p.(None): The Employment Service and the Croatian Employment Service will exchange information on unemployed persons who are unemployed
p.(None): are kept in the records of the Croatian Employment Service.
p.(None): (6) For persons referred to in paragraph 5 of this Article who are not kept in the records of the Croatian Employment Service
p.(None): as unemployed persons, the status of the insured will be determined by applying to the Institute.
p.(None): (7) The Office shall determine the conditions and manner of acquiring the status of the insured in accordance with paragraph 1 of this Article.
p.(None): by a general act.
p.(None): Article 8
p.(None): (1) Compulsory health insurance rights to the extent that they belong to the insured, unless otherwise provided by this Law
...
p.(None): Article 88 of this Law.
p.(None): (4) The additional list of dental aids contains dental aids with a higher price level than the prices
p.(None): from the basic list of dental supplies whereby the Institute is charged with compulsory health insurance funds
p.(None): provides cost coverage equivalent to the cost of the equivalent dental supplies from the basic dental supplies list,
p.(None): minus the cost of participating in the cost of dental supplies from the basic list of dental supplies he provides
p.(None): insured person directly or through supplementary health insurance in accordance with the Voluntary Health Act
p.(None): Insurance.
p.(None): (5) Unlike the price of dental supplies from the additional list of dental supplies compared to the equivalent price
p.(None): dental supplies from the basic list of dental supplies the insured person can take out additional health insurance
p.(None): under the Voluntary Health Insurance Act.
p.(None): Article 24
p.(None): (1) Insured persons shall be entitled to the aids referred to in Article 22 of this Act and the dental aids referred to in this Article
p.(None): 23 of this Act if they fulfill the requirement of the previous mandatory
p.(None): health insurance at the Institute for a period of at least nine months continuously, or 12 months with interruptions in
p.(None): the last two years before the occurrence of the insured event.
p.(None): (2) The provision of paragraph 1 of this Article does not apply to insured persons under the age of 18, insured persons
p.(None): referred to in Article 12, paragraphs 2 and 3 of this Act and other insured persons completely and permanently incapable of independent living and
p.(None): work according to the decision of the competent authority and the insured persons in need of this health care
p.(None): recognized occupational injuries or occupational diseases.
p.(None): (3) Insured persons shall exercise the health care referred to in Articles 22 and 23 of this Act in accordance with the general act of the Institute.
p.(None): Article 25
p.(None): The form and content of certificates for aids and dental aids referred to in Articles 22 and 23 of this Act shall be determined by a general act of the Institute.
p.(None): 3. Cross-border healthcare
p.(None): Article 26
p.(None): (1) The insured person shall have the right to use the health care in the compulsory health insurance funds
p.(None): other Member States and third countries.
p.(None): (2) The health care referred to in paragraph 1 of this Article means the right to refer to
p.(None): medical treatment, the right to use healthcare during the temporary stay in the States referred to in paragraph 1 of this
p.(None): Article 2 and the right to other healthcare in accordance with the provisions of European Union legislation, Directive 2011/24 / EU,
p.(None): of this Law of international treaties and general acts of the Institute.
p.(None): (3) The insured person can exercise the right to refer to treatment only if it is a need for treatment
p.(None): which is not carried out in contractual healthcare institutions in the Republic of Croatia and which can be successfully implemented at
p.(None): the States referred to in paragraph 1 of this Article.
p.(None): (4) The rights, conditions and manner of using the health care referred to in paragraphs 2 and 3 of this Article shall be determined by a general act of the Institute,
p.(None): with the consent of the Minister in charge of Health.
p.(None): Article 27
...
p.(None): according to labor regulations, unless otherwise provided by this Law.
p.(None): Article 45
p.(None): (1) The insured referred to in Article 39, item 5 of this Act shall have the right to remuneration for the period of temporary disability for
p.(None): work for the care of the insured person - child up to the age of seven
p.(None): years up to a maximum of 60 days for each identified disease, and for a child between seven and
p.(None): 18 years up to 40 days maximum.
p.(None): (2) By way of derogation from paragraph 1 of this Article, if, in the opinion of the doctor of medicine, primary health care
p.(None): health status of a family member - child under 18 years of age such that the length of care specified in paragraph 1.
p.(None): of this article will not be sufficient, the required duration of care is determined by the medical committee of the Institute.
p.(None): (3) The child referred to in paragraphs 1 and 2 of this Article shall be considered in addition to his own child and adopted child, stepson, and
p.(None): a child entrusted to the insured person for safekeeping and upbringing by decision of the competent authority.
p.(None): (4) The right to remuneration for the period of temporary disability to work for the care of an insured person - a child over 18
p.(None): the life of the spouse or spouse is up to 20 days for each established illness.
p.(None): (5) Care of a family member referred to in paragraph 4 of this Article may be granted only in the case of a serious medical emergency
p.(None): the condition of a family member caused by illness or injury.
p.(None): (6) The health status of the family member referred to in paragraph 5 of this Article, for which he or she may be approved
p.(None): to the Insured, the Institute shall be determined in greater detail by a general act, with the consent of the Minister responsible for health.
p.(None): (7) The insured person may exercise the right referred to in paragraphs 1 and 2 of this Article provided that the other parent is not
p.(None): unemployed, ie living alone with a child (eg single or divorced parent) not to use at the same time
...
p.(None): working hours.
p.(None): Article 46
p.(None): (1) The commencement and duration of temporary incapacity shall be determined by the chosen doctor.
p.(None): (2) The elected doctor determines the length of the temporary disability of the insured, depending on the type of disease affecting
p.(None): on the temporary inability of the insured in accordance with the medical indication and the guidelines provided by the ordinance
p.(None): shall be prescribed by the minister responsible for health, in the opinion of the professional societies of Croatia previously obtained
p.(None): or, depending on other reasons for temporary disability determined by the provision
p.(None): Article 39 of this Law.
p.(None): (3) When the elected doctor determines that the health status of the insured person whose temporary incapacity lasts
p.(None): continuously for at least six months, improved also that half-time full-time work would be useful for faster
p.(None): the establishment of the full working capacity of the insured, the elected doctor may stipulate that the insured is designated
p.(None): time works half full time, but no longer than 60 days.
p.(None): (4) The elected doctor shall be obliged to determine the termination of temporary incapacity for the insured person, whose finding and
p.(None): the opinion of the competent authority of the expert opinion of the pension insurance established
p.(None): disability due to general inability to work or professional inability to work, with the day the notice is received
p.(None): the competent body of the pension insurance referred to in Article 48, paragraph 2 of this Act, and the insured person is entitled to the salary compensation
p.(None): during this temporary incapacity he shall exercise in accordance with Article 48, paragraph 1 of this Law.
p.(None): (5) Elected doctor after having established the termination of temporary incapacity in accordance with paragraph 4 of this
p.(None): Article can only temporarily re-establish temporary inability to an insured person with a disability due to
p.(None): professional inability to work, in the event of a worsening of the disease on the basis established by him
p.(None): disability or onset of illness based on another diagnosis of the disease.
p.(None): (6) Supervision of the use of the temporary incapacity of the insured, ie determination of the existence of medical
p.(None): indications or other reasons for temporary incapacity, in accordance with the provisions of this Act and the regulations issued on
p.(None): pursuant to this Act, shall be performed by the Institute.
p.(None): (7) Supervision of the use of temporary incompetence shall include control at the office of the chosen doctor
p.(None): and immediate control of the insured within or outside the doctor's office, including a home visit.
p.(None): (8) The employer of the insured person may require the Office to control the justification of temporary incapacity for all
p.(None): the duration of the temporary disability of the insured.
p.(None): (9) The ordinance on the control of temporary incapacity for work of the insured shall be adopted by the minister competent for health.
p.(None): Article 47
p.(None): (1) Insured by dissatisfied decision of the chosen doctor to determine the termination of the temporary
p.(None): incompetence, in order to protect the rights arising from compulsory health insurance, will be issued at his request a decision in
p.(None): administrative procedure, based on the previously obtained reasoned findings, opinions and medical evaluation
p.(None): Bureau of the Institute, which is obliged to carry out a review of the insured before making the findings, opinions and evaluation.
p.(None): (2) The request referred to in paragraph 1 of this Article shall be resolved by an urgent procedure.
p.(None): Article 48
p.(None): (1) During the temporary incapacity referred to in Article 39, items 1 to 6, and items 9 and 10 of this Act, the Insured shall have
p.(None): the right to reimbursement of salary at the expense of the funds of the Institute or the state budget until the elected doctor determines that
p.(None): capable of working, or until he / she has the opinion and opinion of the competent authority of the pension insurance expert code
p.(None): Insured disability due to general inability to work or professional inability to work.
p.(None): (2) When, according to the assessment of the doctor selected, after treatment and medical rehabilitation have been completed
p.(None): the health status of the insured is such that further treatment cannot be improved and is with the insured
p.(None): permanent inability to work in the affairs performed by the insured occurs, as in the case when
p.(None): the temporary inability of the insured to last for a continuous 12 months due to the same diagnosis of illness, selected
p.(None): the doctor is obliged to treat the insured person for a reference to the assessment of working ability and disability and
p.(None): send it with all the required documentation to the competent authority of the pension insurance expert
p.(None): which is obligatory to provide a finding and opinion on the working capacity and disability of the insured at the latest at
p.(None): within 60 days from the date of receipt of the proposal of the selected doctor and inform the selected doctor thereof,
p.(None): the employer of the insured person and the Institute within eight days from the date of issuing the findings and opinion.
p.(None): (3) When the competent body of the pension insurance expert's assessment establishes that it has occurred with the insured person
p.(None): occupational inability to work, that is, an imminent risk of disability, is mandatory in the finding i
p.(None): an opinion to indicate the jobs and tasks that the insured person may perform with respect to his or her remaining work capacity,
p.(None): that is, what jobs and tasks he cannot perform.
p.(None): (4) If the competent body of the expert evaluation of the pension insurance does not issue a finding and opinion and does not inform the elected one
p.(None): doctor, employer of the insured person and the Institute within the period referred to in paragraph 2 of this Article, compensation of the salary for that insured person from
p.(None): on the first day following the expiry of the 60-day time limit referred to in paragraph 2 of this Article, it shall charge the funds of the Croatian Institute
p.(None): for pension insurance.
p.(None): (5) The processing of the insured person for reference to the assessment of working ability and disability shall be charged by the Institute's funds
p.(None): only in cases where the selected doctor has referred the insured person to a work and disability assessment at
p.(None): in accordance with paragraph 2 of this Article.
p.(None): Article 49
p.(None): (1) During the re-established temporary incompetence of the insured person whose finding and opinion is of the competent authority
p.(None): Expertise of the pension insurance determined disability due to professional inability to work, regardless
p.(None): whether it is a temporary incapacity resulting from the aggravation of the disease on the basis established for him
p.(None): disability or onset of illness due to another diagnosis of the disease, which was not offered and contracted by the employer
p.(None): on work in writing for the performance of the duties for which he is able to comply with labor regulations, wage compensation
p.(None): the insured person is paid by the employer out of his own funds.
p.(None): (2) Compensation of salary during temporary incapacity shall be charged to the employer even if the insured person
p.(None): identified an imminent risk of disability, and the employer is not insured in accordance with the labor regulations
p.(None): offered and entered into a contract of employment with him in writing for the performance of the tasks for which he is capable, from the day
p.(None): identified imminent dangers of disability. Salary compensation charges the employer’s funds until the day
p.(None): entering into a written employment contract for the performance of the tasks for which he is capable.
p.(None): (3) The insured who does not accept the offer of the employer referred to in paragraphs 1 and 2 of this Article and does not with the employer
...
p.(None): (4) Insurance companies shall be obligatory funds for the income referred to in paragraph 1, item 11 of this Article in the manner prescribed
p.(None): paragraph 3 of this Article to pay by the 10th day of the month for the previous month on the total amount of the paid functional
p.(None): insurance premiums from compulsory motor liability insurance in favor of the Institute's accounts.
p.(None): (5) Insurance companies are obliged to submit a statement of account for each accounting period (month)
p.(None): and paid monthly funds in the name of the income referred to in paragraph 1
p.(None): 11 of this Article by the 15th of the month for the previous month.
p.(None): (6) Insurance companies and the Institute are obliged to make a final calculation of the paid-in funds and actual costs from
p.(None): paragraph 3 of this Article and the annual report on the final settlement of paid-in funds and real
p.(None): submit the costs referred to in paragraph 3 of this Article to the ministry responsible for finance by 30 April of the current one
p.(None): calendar years for the previous calendar year.
p.(None): (7) If the insurance companies and the Institute do not make the final calculation of the payment of the funds and actual costs within the time limit specified in
p.(None): paragraph 6 of this Article, the Ministry of Finance - Tax Administration (hereinafter: Tax Administration) shall, by decision,
p.(None): determine the obligation of payment of funds by insurance companies to the Institute, ie the repayment of funds paid to companies
p.(None): for insurance by the Institute based on the Office's actual cost data.
p.(None): (8) Method of payment, calculation and reporting, method of producing annual accounts and reports of funds paid and
p.(None): the actual costs, as well as the procedure and the authority to supervise the implementation of the provisions of paragraphs 4, 5, 6 and 7 of this
p.(None): The Minister shall be determined by an ordinance by the Minister responsible for finance.
p.(None): (9) On the calculation of default interest, the limitation period of the right to determine and collect the income from compulsory motor insurance
p.(None): liability, reimbursement of more funds paid, supervision procedure, conduct of second instance and misdemeanor proceedings
p.(None): the provisions of the General Tax Law apply.
p.(None): (10) Supervision of the implementation of this Act in the part governing the compulsory health insurance income
p.(None): on the basis of the income from compulsory motor liability insurance is conducted by the Tax Administration
p.(None): Ministry of Finance.
p.(None): (11) The contributions and other income of the compulsory health insurance set out in paragraph 1 of this Article shall be paid in
p.(None): the benefit of the Institute's accounts and the income are of the Institute.
p.(None): Article 73
p.(None): Compulsory health insurance expenditures include expenditures for:
p.(None): 1. health care from compulsory health insurance,
p.(None): 2. specific health care referred to in Article 71 of this Law,
p.(None): 3. remuneration paid during temporary incapacity,
p.(None): 4. cash benefits due to the inability to carry out the business on the basis of which the proceeds of which are earned
p.(None): determines other income in accordance with the regulations on contributions for compulsory insurance,
p.(None): 5. reimbursements for transport costs related to the use of compulsory health care
p.(None): insurance
p.(None): 6. fees for accommodation costs referred to in Article 36, paragraph 1, item 4 of this Act,
p.(None): 7. compensation for funeral expenses referred to in Article 70 of this Law,
...
Orphaned Trigger Words
p.(None): health insurance, that is, the purpose of the concluded employment contract was not to carry out the work accordingly
p.(None): by the contract, but exclusively the exercise of compulsory health insurance rights, the Institute has the right and obligation, on the basis of
p.(None): carried out the checks referred to in paragraph 1 of this Article and the evidence collected, initiate proceedings before the competent court for
p.(None): challenging the employment contract so concluded.
p.(None): (5) General act on obligors of filing and deregistration of the insured person, manner of reporting and deregistration
p.(None): insured persons in compulsory health insurance, determining the status of the insured person, starting date and
p.(None): termination of the status of the insured person, date of commencement and date of termination of exercise of rights and obligations under
p.(None): compulsory health insurance, and the manner of identifying and verifying the circumstances underlying the acquisition, ie
p.(None): loss of the status of insured person in compulsory health insurance and documentation proving the legal basis
p.(None): insurance will be brought by the Institute.
p.(None): Article 123
p.(None): (1) As a rule, the rights arising from compulsory health insurance referred to in Article 17 of this Act shall be exercised without
p.(None): adopting a decision, based on the relevant documentation established by this Law and the general acts of the Institute
p.(None): passed pursuant to this Act.
p.(None): (2) The rights from compulsory health insurance shall be decided by a decision at the request of the insured person, except
p.(None): unless otherwise provided by this Act.
p.(None): (3) In the procedures referred to in paragraph 2 of this Article, the Office shall decide by applying the provisions of the General Administrative Procedure Act.
p.(None): Article 124
p.(None): (1) In order to protect the rights referred to in this Act, insured persons shall be provided with a two-stage settlement in the Office
p.(None): the procedure initiated by the insured person.
p.(None): (2) No appeal shall be allowed against the second instance decision of the Office, but an administrative dispute may be instituted against it.
p.(None): Article 125
p.(None): (1) The following shall be resolved on compulsory health insurance rights:
p.(None): 1. in the first instance - organizational unit of the regional office of the Institute competent for the place of residence, respectively
p.(None): the residence of the insured person,
p.(None): 2. in the second degree - Directorate of the Institute.
p.(None): (2) An appeal against the decision rendered in the first instance shall not delay the execution of the decision.
p.(None): Article 126
p.(None): (1) In exercising the right to health care from compulsory health insurance under the provisions of this Act
p.(None): the insured person has the right to choose freely doctors of medicine and doctors of dental medicine of primary health care.
p.(None): (2) The insured person shall elect a doctor of medicine and a doctor of dental medicine of primary health care for the period from
p.(None): at least one year.
p.(None): (3) The manner of exercising the right to choose freely the doctors of medicine and the doctor of dental medicine of primary health care
p.(None): the protection referred to in paragraph 1 of this Article and the method of selecting a doctor of occupational medicine specialist to conduct specific
p.(None): Health care will be determined by the Institute by a general act.
p.(None): Article 127
p.(None): (1) Medical commissions of the Institute shall participate in the procedures on the rights from compulsory health insurance.
...
Appendix
Indicator List
| Indicator | Vulnerability |
|---|
| HIV | HIV/AIDS |
| abuse | Victim of Abuse |
| age | Age |
| armedXforces | Soldier |
| authority | Relationship to Authority |
| child | Child |
| children | Child |
| criminal | criminal |
| disability | Mentally Disabled |
| disabled | Mentally Disabled |
| divorced | divorcees |
| drug | Drug Usage |
| education | education |
| educational | education |
| emergency | Public Emergency |
| employees | employees |
| family | Motherhood/Family |
| gender | gender |
| home | Property Ownership |
| ill | ill |
| illness | Physically Disabled |
| impaired | Cognitive Impairment |
| incapable | Mentally Incapacitated |
| incapacitated | Incapacitated |
| incapacity | Incapacitated |
| influence | Drug Usage |
| injured | injured |
| job | Occupation |
| liberty | Incarcerated |
| military | Soldier |
| occupation | Occupation |
| opinion | philosophical differences/differences of opinion |
| parent | parents |
| parents | parents |
| party | political affiliation |
| police | Police Officer |
| prison | Incarcerated |
| property | Property Ownership |
| religious | Religion |
| sick | Physically Ill |
| single | Marital Status |
| social welfare | Access to Social Goods |
| student | Student |
| unemployed | Unemployment |
| union | Trade Union Membership |
| unlawful | Illegal Activity |
| unmarried | Marital Status |
| women | Women |
Indicator Peers (Indicators in Same Vulnerability)
| Indicator | Peers |
|---|
| armedXforces | ['military'] |
| child | ['children'] |
| children | ['child'] |
| disability | ['disabled'] |
| disabled | ['disability'] |
| drug | ['influence'] |
| education | ['educational'] |
| educational | ['education'] |
| home | ['property'] |
| incapacitated | ['incapacity'] |
| incapacity | ['incapacitated'] |
| influence | ['drug'] |
| job | ['occupation'] |
| liberty | ['prison'] |
| military | ['armedXforces'] |
| occupation | ['job'] |
| parent | ['parents'] |
| parents | ['parent'] |
| prison | ['liberty'] |
| property | ['home'] |
| single | ['unmarried'] |
| unmarried | ['single'] |
Trigger Words
capacity
consent
cultural
harm
justice
protect
protection
risk
Applicable Type / Vulnerability / Indicator Overlay for this Input