• Last Updated: 15 February 2018 The new Czech-Tunisian social security agreement, which also regulates health insurance and health care provision, was published in the Collection of International Treaties today (12.2.2018). The agreement is valid as of 1.12.2017. Health insurance funds will require the fulfillment of obligations under this agreement from the date of its publication in The Collection of International Treaties. All entitlements deriving from the agreement can be made retroactively from 1.12.2017. What are some of the changes introduced by this agreement?

• Employed persons and self-employed persons are provided with public health insurance coverage in the state, in which they work or do business. • The insured persons traveling from the Czech Republic to Tunisia or vice versa are entitled to receive medically necessary care. The healthcare costs will be borne by their health insurance fund.

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• Pensioners, who have moved from the Czech Republic to Tunisia or vice versa, are entitled to receive full medical care. The healthcare costs will be borne by the health insurance fund of the state paying the pension. • With prior authorization, health insurance fund will reimburse the costs of planned healthcare provided in the other state. • Workers posted from the Czech Republic to Tunisia or vice versa are entitled to receive full medical care.

The healthcare costs will be borne by their health insurance fund. You can find the text of the agreement and administrative arrangements. Prague, 13.2.2018 JUDr. Ladislav Švec, director. • Last Updated: 05 December 2016 In connection with increasing number of questions we would like to point out again that the Czech-US social security agreement covers also the area of health insurance as of 1 st May 2016. One of the consequences of this change is that American citizens – self-employed in the Czech Republic (“živnostenský list”) are to be insured in the public health insurance system starting from 1 st May 2016 even if they do not have permanent residence in the Czech Republic. Prague, 2.12.2016 JUDr.

Ladislav Švec, director.