The right to health care covered by mandatory health insurance is provided under the same conditions for all insured persons Croatian Institute for Health Insurance (CIHI). 

What is included 

• Primary health care, 

• Specialist health care, 

• Hospital care, 

• the right to use drugs that are the primary and additional reimbursement list, the 

• the right to dental-prosthetic care and dental-prosthetic restorations, 

• the right to orthopedic and other aids, 

• the right to health care abroad. 

Achievement of primary health care in selected doctor 

Insured person primary care achieved in selected primary health care, family (general) medicine, gynecologist, dentist and pediatrician who is elected in the manner prescribed by the Ordinance on the manner of exercising the right of free choice of physician and dental primary care. 

Ordinance on the manner of exercising the right of free choice of physician and dental primary health care is available on the website of the Health, under "Laws", entitled "Regulations" label regulations P second 

Exception -boravak outside the place of residence or stay 

Exceptionally, an insured person who temporarily resides outside the place of residence or stay (eg. Business trip, vacation) is entitled in the event eg. Trauma, acute inflammatory and infectious diseases, acute disorder that requires therapeutic implications, etc.. Use primary health care, except for determining entitlement to sick leave, at any contractual doctors in primary health care in a temporary residence to the same extent as for selected primary health care. 

E-referral for laboratory 

Thanks to the computerization of primary health system, it is possible to use e-referral (e-referral) for laboratory tests in primary care by selected primary care doctor sends lab for their patients / insured person. In the same way the findings from the laboratory returns the chosen doctor to his patient. 

Where is achieved 

Specialized health care as the insured person realizes, as a rule, in nearby contracting health institution or at your nearest contractual health workers in private practice according to the place of his residence or stay, which included the Health Insurance Fund has contracted and the insured person can provide the required medical care, and on the basis of orders issued by selected physician primary care: 

· Family (general) medicine 

· pediatrician 

· gynecologist 

· Dentist. 

The need for referral to specialists and diagnostic or therapeutic procedures except selected doctor and the doctor decides specialist school of medicine, a specialist epidemiologist or public health specialist doctor. 

A referral - an order for the execution of the required procedure (can indicate only the name of the specialist and the travel orders closest to the contracting entity CIHI) 

Selected doctor is obliged to referral to specialist health protection specialists specify the name of which indicates the insured person, and a referral to attach medical history and are then carried out to specialist examinations, diagnostic or therapeutic procedures. 

In contrast, the chosen doctor is obliged to issue a travel warrant to the nearest contracting entity CIHI and binding on the front of the travel order to specify its name and headquarters. 

How valid referral 

30 days from the date of issuance, and the insured person is obliged to occur within this period the contracting health institution or contracted health worker in private practice where he addressed a selected physician, because of orders to specialist examination or diagnostic or therapeutic procedures. 

In which period the contracting entity CIHI obliged to admit insured person to use specialist health care 

Immediately, but no later than 30 days from when they are provided with a referral person selected doctor first appear. 

Contractual obligations hospitals after providing specialist health care 

Doctor Specialist after completion of the diagnostic or therapeutic procedure shall, directly or through the insured person elected to the doctor to submit the report and opinion on the state of health of the insured person with instructions for further treatment. 

Contracting health facility or health care provider contracting private practice, who provided specialist health protection, are mandatory insured person issued a personal account. 

The obligation of the insured person after completion of specialist health care 

Following the findings of the diagnostic or therapeutic procedure, the insured person is required to report to the findings of their chosen doctor immediately, and within three days. 

Where is achieved 

Hospital care insured person realizes the contracting hospitals to treat patients suffering from acute, subacute and chronic diseases on the basis of issued orders for hospital treatment by the insured person by the selected primary care doctor or a doctor in the service of Emergency Medicine 

Exceptionally, a person insured hospital care is realized without a referral in case of emergency medical assistance. 

Hospitalization insured person realizes, as a rule, to the nearest hospital facility counterparty to the place of residence or stay of the HZZO has contracted the required medical care. 

A referral - an order for the execution of treatment (can indicate only the name of the specialist and the travel orders closest to the contracting entity CIHI) 

Selected primary care doctor is obliged to referral for hospitalization specify the name of health care that is required, and a referral to enclose the entire available medical records of the insured person. 

In contrast, the chosen doctor is obliged to issue a travel warrant to the nearest contracting entity CIHI and binding on the front of the travel order to specify its name and headquarters. 

How valid referral 

30 days from the date of issuance, and the insured person shall within this period, contact the contracting hospital facility for the use of hospital care. 

In what period of time is a contracting hospital institutions shall receive the insured person to hospital 

As soon as possible, and in cases of life-threatening situations immediately. 

Contractual obligations hospitals after completion of hospital treatment 

Issued to the insured person a discharge letter and a personal account. 

The obligation of the insured person upon completion of hospitalization 

Answer with a bill of divorcement, either personally or through a family member or a third party their chosen doctor immediately, and no later than three days. 

The right to use drugs that are the primary and additional reimbursement list and 

Insured person under the right to health care under the compulsory health insurance has the right to use drugs that are established by the Decision on establishing the basic drug list Croatian Health Insurance Institute for Health Insurance (hereinafter referred to as basic list of medicines) and the Decision on establishing the supplementary lists of drugs Croatian CIHI health Insurance (hereinafter Supplementary list of Drugs). 

Exceptionally, an insured person where treatment for medical reasons can not be implemented remedies set forth basic and additional reimbursement list, may be entitled to a drug that is not determined by these lists of medicines, provided that the necessity of using a drug approved by the Committee for Medicinal hospital where the insured person treated, and at the expense of hospital medical institution which is obliged to ensure the provision of the drug. 

The basic list of medicines containing medikoekonomski most appropriate medication for the treatment of all diseases. The reference drug prices (prices paid by CIHI from compulsory health insurance at the lowest price that guarantees the supply of insured persons CIHI) is determined in the process of public bidding in accordance with special regulations. 

What does the Supplementary List of Drugs 

Supplementary list of medications containing drugs with a higher level of prices relative to the prices of essential medicines list with CIHI will cover costs at the price equivalent to a particular drug under a special law, the basic drug list. 

Thanks to the computerization of primary healthcare, drugs with basic care of your health and supplementary lists of reimbursement and prescribing to e-recipes (electronic prescriptions), while paper recipes remain only for emergency situations. E-prescription for a particular drug from the list of selected primary care physician insured person is forwarded electronically to the system, and the insured person CIHI which a drug is prescribed, it can be picked up on the basis of health cards in any pharmacy in the Republic of Croatia. 

Exercising the right to medicines for which no medical indication prescribed filled with basic and supplementary lists of drugs 

Exceptionally, the insured person may, on the basis of prior authorization Medical Commission Directorate CIHI, be entitled to remedy the main list, or supplementary lists of drugs charge extra for that does not meet the medical indications, provided that the need to use a drug proposed for the Commission Drug hospital where the insured person is treated, and the burden of contracted funds hospital healthcare facilities. 

When the insured person is not entitled to a refund of the cost of purchased drugs at the expense of the CIHI 

If the medication with basic list of medicines and supplementary lists of drugs purchased or acquired by the procedure established by the Regulations on the rights, conditions and manner of exercising the right to compulsory health insurance and other general acts CIHI (eg. Bought medicine without having the selected doctor received prescribed prescription). 

An exception exists only if the drugs purchased in the cases referred to in Article 97 of the Ordinance on the rights, conditions and manner of exercising the right of compulsory health insurance. 

"The cases referred to in Article 97 of the Ordinance on the rights, conditions and manner of exercising the right of compulsory health insurance" are covered by the subheading "unjustified paid service", located on the website of the Health, under "Mandatory Health Insurance" under the title "Reimbursement of costs used in health care "

More on the right to dental-prosthetic care and dental-prosthetic restorations as well as the right to orthopedic and other devices on the website CIHI, under "Accessories". 

More on the right to treatment abroad on the website of the Health, under "Inoosiguranje." 

The right to health care under the compulsory health insurance is regulated by the provisions of Article 15 until 27 of the Law on Compulsory Health Insurance and Articles 15th to 53rd Ordinance on rights, conditions and manner of exercising the right of compulsory health insurance that are available on our website, under the heading "legal acts", the title of laws, regulations designation "Z1" and the title "rules" label regulations "P1".