Insurance for foreigners in the Czech Republic

Whether you belong to Czech public health insurance is not decided by your passport. It is decided by your residence and your work. This page sets out who is in the system automatically, who has to buy commercial cover, what changed when the insurance monopoly ended, and why health insurance and income protection are two different things.

Residence and employment decide, nationality does not

You are in public health insurance automatically if you hold permanent residence, or if you work for an employer based in the Czech Republic. For an employee the cover starts on the first day of work and ends on the last one. Anyone outside the public system who stays here longer than 90 days must hold comprehensive commercial health insurance.

Where you fit

Your situationHealth insurance
Permanent residencePublic
Employee of a Czech employerPublic, from your first day at work
EU citizen working in CzechiaPublic, under EU coordination rules
Non EU freelancer without permanent residenceComprehensive commercial
Student, family member, not workingComprehensive commercial
Child of a foreigner under 18Public, compulsory since 2024

In any month when the employment is not running, public cover stops and the gap has to be filled by a commercial policy. This is where most residence permit problems come from.

What changed with commercial cover

From 2021 only one insurer was allowed to sell comprehensive health insurance to foreigners. That monopoly ended on 20 September 2023 and you can now buy from any insurer licensed for this product. Price and scope differ between them, so comparing is worth the hour. Since 1 January 2024 children of foreigners under 18 also belong to public insurance by law, and a commercial policy cannot replace it.

Health insurance is not income protection

What to check in the contract

Questions people actually ask

I am starting a job here. Do I still need commercial insurance?

Public cover starts on your first day and your employer registers you. Do not cancel the commercial policy before the registration is confirmed and before you know whether the immigration office still wants to see it.

What happens when the job ends?

Public cover ends on your last day of employment. From the next day you need another solution, usually a commercial policy if you do not hold permanent residence. A gap in cover is also a problem for the immigration authorities.

Can I choose my commercial insurer?

Yes, since September 2023 you can buy from any insurer licensed for this product. They differ in price, exclusions and payout limits, so comparing pays off.

Do I need life insurance if I already have health insurance?

They do different jobs. Health insurance pays for care, life and disability cover replaces income for your family. How much you need depends on your income, your obligations and what your employer already provides.

Do I get anything back if I leave the country?

Health insurance premiums are not refunded, it is a pay as you go system. Pension insurance periods are a different matter. They are not erased and within the EU they are coordinated, so they still count later.

See how much cover you actually need

The calculator starts from your income, your obligations and what your employer already pays for. It shows you the gap, not a product to buy.

Write to me, no obligation

I reply within one working day

Contact

Prague 7

Ricardo Acuy

Company ID 08912343

Email ricardo.acuy@beplan.cz

Phone +420 605 965 672

Address Dukelských Hrdinů 564/34, 170 00 Praha 7

A colleague from my team

Zbyněk Chmatil is part of my team. He is listed here so that if you deal with him rather than with me, you can check who you are talking to.

Zbyněk Chmatil, contact card
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Registrations and supervision

Ricardo Acuy, Company ID 08912343, is a tied agent of the independent intermediary BEplan finanční plánování s.r.o., Company ID 05779944. Services are provided under the following registrations:

  • Insurance: tied agent under Act No. 170/2018 Coll., on the distribution of insurance and reinsurance
  • Consumer credit: tied agent under Act No. 257/2016 Coll., on consumer credit
  • Investment services and products: tied agent under Act No. 256/2004 Coll., on capital market undertakings
  • Supplementary pension savings: tied agent under Act No. 427/2011 Coll., on supplementary pension savings

The registration can be verified in the register of the Czech National Bank. Verify