Text file: 8181.txt
author: ds1
downvotes: 6
end consideration date: 2017-03-29
id: '8181'
number comments: 4
number views: 2959
proposal type: Competent authority response
response: "Response from the Ministry of Health\nThe Law on Health Care and Health\
  \ Insurance, which regulates the principles of health insurance in the Republic\
  \ of Slovenia, provides that health insurance in Slovenia is compulsory and voluntary.\n\
  Compulsory health insurance comprises:\ninsurance against illness and injury outside\
  \ work;\ninsurance against occupational injuries and diseases.\nCompulsory insurance\
  \ provides insured persons with:\npayment for health services;\nwage compensation\
  \ during temporary absence from work;\nreimbursement of travel expenses in connection\
  \ with the provision of health services.\nVoluntary health insurance covers the\
  \ costs of medical and related services, the provision of medicines and medical\
  \ devices and the payment of agreed cash benefits in the event of illness, injury\
  \ or a specific medical condition. One form of voluntary insurance in the Republic\
  \ of Slovenia is supplementary health insurance.\nSupplementary insurance is in\
  \ the public interest of the Republic of Slovenia and is implemented according to\
  \ the principles of intergenerational and gender reciprocity between all persons\
  \ insured under supplementary insurance. Together with compulsory health insurance,\
  \ supplementary insurance forms part of the social security of insured persons.\n\
  The public interest of the Republic of Slovenia in the field of supplementary insurance\
  \ is pursued by:\nin order to protect the interests of insured persons, the State\
  \ ensures by this Law equal treatment of insured persons irrespective of age, sex\
  \ and state of health;\ninsurance undertakings providing supplementary insurance\
  \ are obliged to participate in a compensatory supplementary insurance scheme;\n\
  insurance undertakings must keep the income and expenditure of supplementary insurance\
  \ separate from other types of voluntary health insurance and other types of insurance\
  \ and produce a separate profit and loss account for supplementary insurance in\
  \ the context of the health insurance profit and loss account;\nthe calculation\
  \ of the minimum capital of insurance undertakings providing supplementary insurance\
  \ shall be subject to the special conditions laid down in the Act on Health Care\
  \ and Health Insurance;\nhealth and other institutions, organisations carrying out\
  \ health activities and private health professionals included in the public health\
  \ service network are obliged to cooperate commercially in the field of supplementary\
  \ insurance with all insurance undertakings providing such insurance and to provide\
  \ them with the information necessary for the operation of supplementary insurance\
  \ in an electronic record. Health service providers may not charge additional fees\
  \ for services provided to an insured person who provides proof of valid supplementary\
  \ insurance. Insurance undertakings providing supplementary insurance must keep\
  \ accounting records of the costs of health services, medicines and medical devices\
  \ for each insured person.\nAs can be seen from the above, the sickness insurance\
  \ scheme does not only reimburse insured persons for the cost of medical services,\
  \ but also provides wage compensation during sick leave and reimbursement of travel\
  \ expenses incurred as a result of the provision of a medical service outside the\
  \ insured person's place of residence.\nFurthermore, the proposal cannot be accepted,\
  \ since the financing of the health system is a complex system involving various\
  \ stakeholders (the Health Insurance Institute of Slovenia, a certain share of the\
  \ budget, and, in the case of supplementary health insurance, earmarked funds collected\
  \ from insured persons, which are managed by insurance companies (Vzajemna d.v.z.,\
  \ Adriatic Slovenica d.d. and Zavarovalnica Triglav d.d.), which are by their very\
  \ nature and legal status independent economic companies).\n "
response date: 2017-05-17
response due date: null
sent date: 2017-02-28
title: health insurance payments
upvotes: 15
url: https://predlagam.vladi.si/predlog/8181
