ČNB-authorised broker · independent

Health insurance for foreigners Czech RepublicComprehensive cover for long-stay visa applicants

Compare comprehensive (komplexní zdravotní pojištění cizinců) policies from every ČNB-authorised insurer in one English form. €400,000 minimum cover per insured event, no cost-sharing.

  • ČNB-authorised broker
  • Independent (no captive carrier)
  • Bilingual CS+EN certificate
FromFrom ~15 000 Kč / 6 monthsIndicative younger-applicant comprehensive premium; full quote in 60 seconds.
Family discussing health insurance options at a sunny apartment tableVerified · ČNB register
  • €400,000

    Min. cover

  • 11+

    ČNB-authorised

  • €0

    Cost-sharing

  • ČNB-authorised broker

    Registered intermediary; verify at jerrs.cnb.cz

  • ČAP member

    Operates within the Czech Insurance Association code of conduct

  • Independent broker

    Quotes every ČNB-authorised insurer, not tied to one carrier

  • English-first support

    Quotes, certificate, and claims in English (RU / UA on request)

What is foreigner health insurance in Czechia?

Foreigner health insurance in Czechia is commercial (not public) health insurance — comprehensive (komplexní zdravotní pojištění cizinců) — that non-EU nationals must hold when applying for a long-stay visa (dlouhodobé vízum) or long-term residence permit (povolení k dlouhodobému pobytu) under Act No. 326/1999 Coll. (Zákon č. 326/1999 Sb.), §180j. Minimum cover is €400,000 per insured event with no cost-sharing (bez spoluúčasti).

  • Two parallel systems

    Czechia runs public health insurance (veřejné zdravotní pojištění) under Act No. 48/1997 Coll. for permanent residents and employees of Czech employers, and commercial cover for everyone else. Long-stay applicants from outside the EU/EEA/Switzerland/UK who do not yet qualify for the public system must purchase a Czech-law-compliant commercial policy.

  • What 'compliant' means

    A compliant policy is portable across Czechia, applies from the first koruna spent on care (no excess), and meets the €400,000 floor introduced by the September 2023 amendment. The contract is between you and a Czech-authorised insurer; the broker sources the quotes and stays with you through any claim.

  • Bilingual term anchor

    First-use pairs: comprehensive ↔ komplexní zdravotní pojištění cizinců; long-stay visa ↔ dlouhodobé vízum; long-term residence permit ↔ povolení k dlouhodobému pobytu; no cost-sharing ↔ bez spoluúčasti. Sources: ipc.gov.cz/en; en.vzp.cz/information/healthcare-for-foreigners; §180j of Act No. 326/1999 Coll.

Regulatory change

What changed on 20 September 2023?

The amendment that ended the PVZP monopoly

On 20 September 2023, an amendment to Act No. 326/1999 Coll. ended the monopoly of Pojišťovna VZP (PVZP) over comprehensive foreigner health insurance. Since that date, any insurance company authorised by the Czech National Bank (ČNB) may issue a compliant policy, the statutory minimum cover is €400,000 per insured event, and cost-sharing is banned.

  1. Before 20.09.2023

    Only one insurer (Pojišťovna VZP — historical monopoly, context only) could legally sell comprehensive foreigner health insurance accepted for in-territory long-stay filings. The previous baseline used a €60,000 reference figure for the basic tier.

  2. After 20.09.2023

    Any ČNB-authorised insurer may issue a comprehensive policy that meets the €400,000 minimum cover per insured event with no cost-sharing (bez spoluúčasti). The full list of authorised insurers is public: cnb.cz/en/supervision-financial-market/lists-registers/.

  3. What this means for you

    More choice, more competitive pricing, and English-first service appearing across the market. Source: IPC explainer at ipc.gov.cz/en/forms-and-documents/documents/medical-insurance/ (ret. 2026-05-19).

Eligibility routing

Who actually needs this insurance?

Czechia separates non-EU long-stay visa applicants from permanent residents and employees of Czech employers. The first group buys commercial cover; the second is in the public system. The table maps each common case to the right product and the office that approves it.

Public ZPCommercialExempt / EHIC
  • Exempt / EHIC
    Your situationNon-EU long-stay visa (>90 days), filed at a Czech embassy abroad
    Insurance typeNecessary-and-urgent (nutná a neodkladná péče) for the first 90 days, then comprehensive — or one comprehensive policy for the whole stay
    Where to applyCzech embassy abroad
  • Exempt / EHIC
    Your situationNon-EU long-stay visa or long-term residence permit, filed inside the Czech Republic
    Insurance typeComprehensive (komplexní zdravotní pojištění cizinců), full duration
    Where to applyOAMP (MV ČR)
  • Exempt / EHIC
    Your situationNon-EU short-stay / Schengen visa (≤90 days)
    Insurance typeNecessary-and-urgent travel medical insurance
    Where to applyCzech embassy abroad
  • Public ZP
    Your situationPermanent residence (trvalý pobyt)
    Insurance typeAutomatic public insurance (veřejné zdravotní pojištění)
    Where to applyVZP ČR or another public insurer
  • Public ZP
    Your situationEmployed by a Czech-registered employer
    Insurance typeAutomatic public insurance from the employment start date
    Where to applyEmployer notifies the chosen public insurer
  • Exempt / EHIC
    Your situationEU / EEA / Switzerland / UK citizen
    Insurance typeEHIC / GHIC; S1 forms for longer stays
    Where to applyHome-country card; S1 for permanent moves
  • Public ZP
    Your situationUnder-18 with valid long-term residence card (DP-1)
    Insurance typeAutomatic public insurance from biometric DP-1 collection (1 January 2024 amendment)
    Where to applyVZP ČR — register within 8 days
  • Exempt / EHIC
    Your situationErasmus / Fulbright / state-treaty exemption
    Insurance typeNo commercial certificate required if exemption applies
    Where to applyConfirm with your programme office and IPC

Bilateral social-security treaties may route working applicants to public insurance — US, Japan, Turkey, North Macedonia, Serbia, Montenegro, Albania, Tunisia, Syria. Confirm with VZP.

Pick the right tier

Necessary-and-urgent vs comprehensive — which tier do I need?

Choose comprehensive (komplexní) cover whenever your long-stay application is filed inside Czechia — OAMP will not accept a basic policy in that case. Choose necessary-and-urgent (nutná a neodkladná péče) only for short-stay visas (≤90 days) or for the first 90 days of an embassy-filed long-stay application.

If the visa application is lodged at a Czech embassy abroad, basic is acceptable for the first 90 days; once inside the Czech Republic, OAMP requires comprehensive.

Necessary-and-urgent

  • Statutory minimum cover per insured eventPrevious baseline framed around €60,000; market policies vary
  • Cost-sharing
  • OAMP acceptance for in-territory long-stay filing
  • Short-stay (≤90 days) acceptance
  • Embassy-filed long-stay (first 90 days)
  • Acute care + emergency hospitalisation
  • Preventive check-ups
  • Chronic illness treatment
  • Pregnancy + childbirth (with qualifying period)
  • Prescription drugs (public-insurance scope)
OAMP-accepted

Comprehensive (komplexní)

  • Statutory minimum cover per insured event€400,000 (§180j, since 20.09.2023)
  • Cost-sharingNone (statutory ban — bez spoluúčasti)
  • OAMP acceptance for in-territory long-stay filing
  • Short-stay (≤90 days) acceptance
  • Embassy-filed long-stay (first 90 days)
  • Acute care + emergency hospitalisation
  • Preventive check-ups
  • Chronic illness treatment
  • Pregnancy + childbirth (with qualifying period)
  • Prescription drugs (public-insurance scope)
What's covered

What's actually covered (and what's not)?

  • €400,000 / insured eventStatutory minimum cover (comprehensive)§180j Act 326/1999, since 20.09.2023
  • 0 KčCost-sharingStatutory ban — bez spoluúčasti
  • 3 – 8 monthsPregnancy qualifying period (typical)Waived by Premium / Newborn variants
  • €200 – €1,000Acute dental sublimit (typical carrier range)Per claim, varies by tier

Typically covered

  • Necessary care and emergency services (nutná a neodkladná péče)

    always

  • Hospitalisation (hospitalizace) and emergency medical transport

    always

  • Acute dental (akutní stomatologická péče)

    always; carrier sublimits typically €200 / €400 / €1,000

  • Repatriation (repatriace), including transport of bodily remains

    comprehensive

  • Preventive check-ups (preventivní prohlídky)

    comprehensive only

  • Chronic-illness treatment (léčba chronických onemocnění)

    comprehensive only

  • Pregnancy and childbirth (krytí těhotenství a porodu)

    comprehensive only, after qualifying period

  • Prescription drugs within public-insurance scope

    comprehensive only

  • Mandatory vaccinations within public-insurance scope

    comprehensive only

Typically excluded

  • Pre-existing conditions diagnosed before policy start

    excluded in most variants. Higher Premium / Exclusive tiers offered by some ČNB-authorised carriers may cover at higher premium

  • Medical tourism (treatment whose purpose is the trip itself)
  • Cosmetic and aesthetic procedures
  • Physiotherapy not medically necessary for an acute complication
  • Damage from intentional acts, alcohol, drugs, or psychotropic substances
  • Voluntary PCR or screening tests outside public-insurance scope
  • Tick removal at a doctor's office (carriers differ

    check your terms)

Tip: Out-of-pocket pharmacy purchases are usually reimbursed only when the receipt exceeds 100 Kč. Keep originals. Sources: IPC (ipc.gov.cz/en); en.vzp.cz (both ret. 2026-05-19).

If you're not sure which list applies to you, see which tier do I need? first.

How to buy

How to buy it (and submit it with your visa)

Buying a Czech foreigner health insurance policy is a five-step process: confirm the tier required for your visa, pick a ČNB-authorised insurer, buy online, submit the certificate at OAMP or your Czech embassy, and — if the policy is foreign-issued — attach a certified Czech translation (ověřený překlad).

  1. Confirm tier

    Use the tier comparison and the coverage list. Filing inside Czechia means comprehensive.

  2. Choose a ČNB-authorised insurer

    Verify the carrier in the public ČNB register at cnb.cz/en/supervision-financial-market/lists-registers/. DigiCare's quote already filters out non-authorised carriers.

  3. Buy online

    Pay the premium and receive the certificate (doklad o cestovním zdravotním pojištění). Most Czech insurers issue the certificate bilingually in Czech and English on request — ask before paying.

  4. Submit the certificate

    Long-stay visas filed abroad go via the Czech embassy. In-territory submissions go via OAMP (Odbor azylové a migrační politiky MV ČR) or the Foreigner Police (Cizinecká policie) for some procedures.

  5. If foreign-issued, attach a certified Czech translation

    Both the contract and the general terms — the most common reason OAMP rejects an application. The simplest workaround is buying from a ČNB-authorised Czech insurer that issues bilingual certificates by default.

Anti-fraud tip

Always cross-check the carrier on the ČNB register at jerrs.cnb.cz before paying. Sources: IPC (ipc.gov.cz/en); MV ČR (mv.gov.cz/mvcren/); ČNB register (all ret. 2026-05-19).

2026 pricing

How much does it cost?

A comprehensive (komplexní) foreigner health insurance policy in Czechia typically costs from ~15 000 Kč for 6 months for a younger applicant, and 8 000 Kč to 35 000 per year overall depending on age, duration, and tier. Figures updated 2026.

  • Standard

    Student under 30 (4-year study visa)

    Monthly~1 200 – 1 700 Kč
    Annually~14 000 – 20 000 Kč
  • Standard

    Working adult 27–59

    Monthly~1 400 – 2 000 Kč
    Annually~14 000 – 24 000 Kč
  • Standard

    Family of three (two adults <40, one child 6+)

    Monthly~3 200 – 4 600 Kč
    Annually~38 000 – 55 000 Kč
  • Premium / Exclusive

    Senior 60+

    Monthly~2 500 – 4 000 Kč
    Annually~28 000 – 45 000 Kč

What moves the price

  • Age band (1–5, 6–17, 18–26, 27–59, 60+)
  • Duration (6 / 12 / 24 / 60 months — longer terms unit-discount)
  • Tier (Standard / PLUS / EXCLUSIVE — Exclusive adds ~30–60% for pre-existing handling)
  • Underwriting surcharge possible after health assessment
  • Optional riders (sport, pregnancy, liability)
  • Cost-sharing fixed at zero for comprehensive (statutory)

A published benchmark sits near 22 000 Kč for 24 months on a comprehensive-PLUS plan for a younger applicant (data-only, not a DigiCare quote). The €400 000 statutory minimum cover sets the price floor.

Last updated: 19.05.2026. Source: IPC (€400 000 floor — ipc.gov.cz/en, ret. 2026-05-19).

Common situations

Common situations — students, family reunification, Ukrainian temporary protection

Three audiences need a different reading of the same rules.

  • International students

    A long-term residence permit for study requires comprehensive (komplexní) cover, unless an Erasmus or Fulbright exemption applies — confirm with your programme office. Some carriers publicise a convenient under-30 student rate. EURAXESS-affiliated researchers have a dedicated channel at euraxess.cz, and the Ministry-of-Education-affiliated portal studyin.cz documents the procedure. Indian, Vietnamese, and Filipino students should also check the bilateral social-security treaty list in the compliance table.

  • Family reunification

    A spouse or adult dependent on a family-reunification visa (žadatelé o slučování rodiny) needs their own comprehensive policy. The 1 January 2024 amendment changed the picture for under-18s: from the day a child collects their biometric DP-1 long-term residence card, they are automatically enrolled in the public health insurance system. The commercial policy for the child can be cancelled with refund for the unused period. Parents and spouses without Czech employment stay on commercial cover.

  • Ukrainian temporary protection

    Holders of temporary protection (držitelé dočasné ochrany) are in a SEPARATE LEGAL REGIME under the Lex Ukrajina framework and Act No. 48/1997 Coll. — they sit in the public health insurance system, not the commercial one. The product on this page is NOT what you need if you hold temporary protection. Sources: studyin.cz; euraxess.cz; IPC; en.vzp.cz (all ret. 2026-05-19).

Why DigiCare (instead of going direct to a single insurer)?

DigiCare CZ is a ČNB-authorised independent broker, not a carrier. We compare comprehensive (komplexní zdravotní pojištění cizinců) policies from every authorised Czech insurer in a single English form. Carriers translate landing pages but often default to Czech for the application flow, customer service, and claim — we stay in English end-to-end.

  • Independent

    Not tied to any single carrier. Your shortlist is built from every ČNB-authorised insurer with a compliant comprehensive policy.

  • Quotes from multiple insurers in one form

    One English form replaces five carrier websites that each ask for the same information in slightly different Czech.

  • English-first support

    Native English support plus Russian and Ukrainian on request. The certificate is issued bilingually in Czech and English so OAMP and the Foreigner Police accept it without translation.

  • Certified-translation help

    When you buy via DigiCare, no certified translation is needed for the OAMP submission. If you bring a foreign-issued policy, we still point you to a sworn translator. Source: ČNB register (cnb.cz/en/supervision-financial-market/lists-registers/, ret. 2026-05-19).

Chapter VI

Czech foreigner health insurance — FAQ

Is health insurance free in the Czech Republic?
Free at point of care for those in public health insurance (veřejné zdravotní pojištění) — permanent residents and employees of Czech employers. Everyone else, including most long-stay visa applicants, buys commercial insurance — typically 8 000 Kč to 35 000 per year by tier and age.
Can I buy Czech foreigner health insurance from my home country before I arrive?
Yes — you can buy online from abroad. If the policy is foreign-issued you will need a certified Czech translation of the contract and general terms. Most applicants prefer a ČNB-authorised Czech insurer because the certificate is already in the OAMP-expected format.
What is the minimum cover for Czech long-stay visa health insurance?
€400,000 per insured event since 20 September 2023, with no cost-sharing (bez spoluúčasti) — the insurer covers from 0 Kč, not after an excess. The €400,000 floor applies to the comprehensive tier required for in-territory long-stay applications.
Does Czech foreigner insurance cover pregnancy?
Comprehensive (komplexní) variants cover pregnancy and childbirth after a qualifying period of typically 3 to 8 months. Premium / Newborn variants waive the qualifying period. Most carriers also sell a pregnancy package as an add-on.
Does it cover pre-existing conditions?
Standard comprehensive variants typically exclude pre-existing conditions. Premium / Exclusive tiers offered by some ČNB-authorised carriers them at a higher premium. Underwriting may impose a surcharge after a health assessment.
What happens if I get a job in Czechia?
You join the public health insurance system (veřejné zdravotní pojištění) automatically from the employment start date. Your employer notifies the chosen public insurer. The commercial policy becomes redundant; refund rules vary by carrier.
What if my child is born in Czechia?
Notify the public insurer within 8 days. If the mother is in public insurance, the newborn joins the same insurer automatically. Otherwise the child is registered with VZP ČR; the guardian pays a lump-sum premium based on twice the minimum wage.
Can I cancel my policy within 14 days?
Yes. For distance-sold contracts, Czech Civil Code (Zákon č. 89/2012 Sb.) §1813 gives you 14 days from contract conclusion to withdraw in writing without giving a reason. The insurer refunds premium for the unused period. The right does not apply to claims already reported.
Ready when you are

Get your Czech foreigner health insurance certificate in one English form.

Compare ČNB-authorised insurers, pay online, and receive a bilingual Czech-English certificate (doklad o cestovním zdravotním pojištění) accepted by OAMP and Czech embassies.

  • FCA-authorised broker
  • AMII member
  • FSCS-protected (90%)
  • FOS dispute resolution