Local organizations
The Health Insurance Institute of Slovenia is the holder and provider of compulsory health insurance in the Republic of Slovenia. It has the status of a public institution. With a seat in Ljubljana, it operates at 10 regional units and 45 branch offices throughout the country.
The principal mission of ZZZS is to utilize the collected funds to enable insured persons quality rights and equal access to health care services and other rights arising from compulsory health insurance.
Compulsory health insurance is provided in accordance with the principles of social justice and solidarity between the healthy and the sick, the old and the young, the rich and the poor. Payment of the contribution is tied to the source that provides basic social security to the insured individual (employment, pension, self-employment, disability allowance, own resources, social assistance).
Individuals can check the status of their compulsory and supplementary health insurance on the website https://zavarovanec.zzzs.si/wps/portal/portali/azos/e_storitve_zzzs/status_zavarovanja or via mobile phone by sending an SMS to 031 771 009 with the following content: ZZ and the ZZZS number written on the health insurance card (e.g. if your ZZZS number is 032822732, send an SMS containing ZZ032822732).
When exercising the rights from the compulsory health insurance, it is necessary to present a health insurance card. The card is received for free when you first arrange the compulsory health care insurance. Only in exceptional cases, concerning emergency treatment and emergency medical care, medical services can be claimed without a health insurance card. The doctor performing the medical service assesses the urgency of health services.
In case of a lost or damaged card or in case the visual data on it should be changed (e.g. surname), a new card can be ordered in person at ZZZS or electronically via the website https://zavarovanec.zzzs.si/wps/portal/portali/azos/e_storitve_zzzs/narocanje_kzz.
Additional information about the health insurance card is provided by the office for health insurance cards via e-mail kzz_sluzba@zzzs.si or phone: 01 307 7466 (Monday, Tuesday, Thursday and Friday from 7 am to 3 pm and Wednesday from 7 am to 5 pm).
The funds for the compulsory health insurance are collected through the payment of compulsory contributions. The compulsory health insurance rights include the right to health services and certain financial benefits (sick pay during temporary absence from work, reimbursement of travel expenses).
The rights to health services include services of primary health care, dental care, medical services in certain social institutions, services in specialist outpatient clinics, hospitals and tertiary activities. The rights to health services also include to right to treatment in health resorts, rehabilitation, transport by ambulance and other vehicles, treatments abroad, the rights to medicine or foods for special medical purposes, and medical devices.
A list of doctors that an insured person can choose as their personal family physician (general practitioner, dentist and gynaecologist) is published on the website https://zavarovanec.zzzs.si/wps/portal/portali/azos/ioz/
A site search function for finding all health care providers that have a contract with ZZZS is available at: http://www.zzzs.si/Izvajalci
Compulsory health insurance rights and the manner of their enforcement are specified in The Rules of Compulsory Health Insurance: http://www.zzzs.si/ZZZS/info/egradiva.nsf/o/5580D0555F5A1FEAC1256CFB003BB45C.
General information on individual rights arising from compulsory health insurance can be found at: https://zavarovanec.zzzs.si.
Foreigners that are not included in the health insurance in the Republic of Slovenia have the right to emergency or necessary health services. The payment for those is provided in accordance with the European law, international agreements or from the state budget.
During a temporary stay abroad (on a private basis or on a business trip, while working abroad, during professional education or study abroad), an insured person has the rights to emergency or necessary health services. Rights to health services abroad can be claimed with a European health insurance card, which is valid in the EU and EEA Member States and Switzerland, Australia, Bosnia and Herzegovina, Montenegro, Macedonia and Serbia. The rights apply to doctors and medical institutions that are part of the public, state health care networks.
In other countries that are not subject to the European law or that have not concluded an interstate agreement on social insurance, an insured person has the right to emergency medical services, however they must pay for them and submit a request for cost reimbursement to ZZZS after they return home. If the case is justified, a reimbursement in the amount of the average price of such health service in the Republic of Slovenia shall be made.
The European Health Insurance Card can be ordered at this website: https://www.zzzs.si or via mobile phone by sending an SMS to 031 771 009 with the following content: EUKZZ and the ZZZS number written on the health insurance card (e.g. if your ZZZS number is 032822732, send an SMS containing EUKZZ 032822732). The card can also be ordered in person at regional units and branches of the Health Insurance Institute of Slovenia.
The National Contact Point for Cross-border Healthcare provides additional information on health care abroad and can be reached by e-mail kontakt@nkt-z.si or by phone: 01 307 72 22 (Monday, Tuesday, Thursday from 09 am to 12 and 1 pm to 3 pm, Wednesday from 9 am to 12 and from 1 pm to 4 pm and Friday from 9 am to 1 pm).
Medicine and foods for special medical purposes that can be prescribed with a green prescription form at the expense of the compulsory health insurance are classified on the allowed or partially allowed lists. Unclassified medicines are not covered by the health insurance and must be paid for entirely by the individual. These medicines are prescribed with a white prescription form.
Information on medicines and possible surcharges for the prescribed medicine as well as the information on medicines available at no extra charge can be obtained from the central database of medicines: http://www.cbz.si/cbz/bazazdr2.nsf/Search/$searchForm?SearchView.
Medical devices are the means needed for treatment or medical rehabilitation. A list of medical device suppliers in the Republic of Slovenia is published at: https://zavarovanec.zzzs.si/wps/portal/portali/azos/mtp/mp_seznam_dobaviteljev/.
Additional information:
Address: Zavod za zdravstveno zavarovanje Slovenije,
Direkcija, Miklošičeva cesta 24, 1507 Ljubljana,
Phone: 01 307 72 00
Website: www.zzzs.si
E-naslov: DI@ZZZS.SI
Phone numbers and e-mails of all regional units and branches: https://www.zzzs.si/zzzs/imenik.nsf/fs/imenik?open