Area: Zdravstvo
Competent authority: MZ
EZU URL: .nan
Initiative ID: 598
Initiative accepted and completed: '2015-07-23'
Initiative classified in EZU: .nan
Initiative forwarded in response: '2015-06-18'
Initiative published: '2015-06-18'
Initiative submitted: '2015-06-11'
Response from the competent authority: Response from the Ministry of Health:The Ministry
  of Health has received a petition concerning the implementation of Article 78a of
  the Health Care and Health Insurance Act (Official Gazette of the Republic of Slovenia,
  No. 72/06 - Official consolidated text, 114/06 - ZUTPG, 91/07, 76/08, 62/10 - ZUPJS,
  87/11, 40/12 - ZUJF, 21/13 - ZUTD-A, 63/13 - ZIUPTDSV, 91/13, 99/13 - ZUPJS-C, 99/13
  - ZSVarPre-C, 111/13 - ZMEPIZ-1, and 95/14 - ZUJF-C; hereinafter referred to as
  "ZZVZZ"). Article 78a of the ZZVZZ provides that, insofar as the categories of insured
  persons have not settled their contribution obligations, their rights to health
  services and cash benefits under the compulsory health insurance shall be withheld.
  These are persons who are independent contributors, who pay their own contributions
  and are therefore responsible for the payment of their obligations. These persons
  can only claim emergency medical treatment until the debt on account of the compulsory
  health insurance has been repaid.Furthermore, Article 13 of the ZZVZZ provides that,
  to the extent provided for in this Act, compulsory health insurance shall, inter
  alia, provide insured persons with wage compensation during temporary absence from
  work. This means that if a person has not paid his/her contributions under the compulsory
  health insurance, with the exception of emergency treatment, he/she is not entitled
  to health services and cash benefits, the latter including wage compensation during
  temporary absence from work. Only after the debt has been repaid is she entitled
  to claim the allowance.As written, the legal provision is clear and makes the entitlement
  to compulsory health insurance rights conditional on the payment of a contribution.
  If this conditionality had not been established by law, insured persons would have
  paid the contribution only when they needed a benefit under the compulsory health
  insurance, and it would have been impossible to guarantee the social security of
  the population in the event of illness or injury in this way.
Text file: 598.txt
Title: Implementation of Article 78a of the EHICPA
URL: https://www.stopbirokraciji.gov.si/pobuda/?st=598
