Foreigners without permanent residence in the Czech Republic
A foreigner from countries outside the European Union (EU) / outside the European Economic Area (EEA) / from Switzerland, who does not have permanent residence in the Czech Republic, has the possibility to be included in the public health insurance system as:
- an employee of an employer with a registered office or permanent residence in the Czech Republic
- a self-employed person conducting independent gainful activity only within the territory of the Czech Republic
- dependent family members of a person from the EU who is working in the Czech Republic or receiving income-replacing benefits, such as a pension
- economically inactive persons who can adequately demonstrate their actual residence and center of interests in the Czech Republic
Based on agreements between the Czech Republic and the USA, Japan, Turkey, North Macedonia, Serbia, Montenegro, Albania, Tunisia, and Syria, foreign insured persons employed or doing business in the Czech Republic become participants in the Czech health insurance system. This also means that they must deregister from health insurance in their home country. A similar process applies in the case of an association agreement with Maghreb countries (Algeria, Morocco, Tunisia) and the state of Israel.
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