Area: Zdravstvo
Competent authority: MZ, ZZZS
EZU URL: .nan
Initiative ID: 80
Initiative accepted and completed: '2013-02-04'
Initiative classified in EZU: .nan
Initiative forwarded in response: '2013-01-08'
Initiative published: '2013-01-08'
Initiative submitted: '2013-01-08'
Response from the competent authority: 'Response from the Ministry of Health: the
  insured person - the patient - has the right to freely choose the healthcare provider
  to whom he/she will entrust his/her treatment. Since not all health services are
  available to the insured person in his/her place of residence, he/she has the right
  to reimbursement of travel expenses when exercising the rights referred to in Article
  23(1), (2) and (3) 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 and 40/12 - ZUJIF; hereinafter referred to as
  ZZVZZ), if:- they have to travel to a doctor or a medical institution in another
  place because they are not in their place of employment or place of residence and
  the doctor or the relevant medical institution is not in their place of employment
  or place of sleep;- they are referred or called by their personal doctor, a medical
  institution or a medical board to a place outside their place of residence or place
  of employment. The right to travel expenses is limited in the case of an injury
  sustained in the course of work, but the insured person shall be entitled to travel
  to a health care provider in another country for the purpose of diagnosis, treatment
  or rehabilitation of an illness or work-related injury. This right shall apply to
  travel to the nearest health-care provider qualified for the services for which
  the person is referred or to a provider exclusively active in the fields of psychiatry,
  rehabilitation, oncology and orthopaedics. The amount of reimbursement is regulated
  in the Regulation on Compulsory Health Insurance (Official Journal of the RS, No
  30/03, 35/03 - am, 78/03, 84/04, 44/05, 86/06, 90/06 - corrected 64/07, 33/08, 7/09,
  88/09, 30/11, 49/12 and 106/12), which in 154. Article 154 provides that an insured
  person is entitled to reimbursement of the costs of transport by public transport
  on presentation of a ticket or appropriate proof showing that the transport has
  been paid for, for the shortest distance to the nearest doctor or health facility
  in a given calendar month, less 3% of the minimum wage in force in the same month.
  The written text therefore means that the amount of the transport is reduced by
  3% of the minimum wage, not that the insured person has to cover this amount himself.
  Furthermore, we note that the procedure for determining travel expenses is indeed
  unfriendly to insured persons who are unaware of this right and wish to claim it
  after the fact, but since in the specific case the procedure for claiming the right
  is not laid down by law, but the ZZVZZ delegates the determination of the procedure
  to the Health Insurance Institute of Slovenia in a sub-legislative act, we will
  forward the petition to the Health Insurance Institute.'
Text file: 80.txt
Title: Referring a patient for treatment outside the place of residence
URL: https://www.stopbirokraciji.gov.si/pobuda/?st=80
