Categorization and Reimbursement regulation

Categorisation and reimbursement regulation

By its Ruling of 30 May 2017, the Constitutional Court annulled the key provisions of Act No. 48/1997 Coll., on Public Health Insurance regulating the mechanism of determining the amount of reimbursement of medical devices from public health insurance when providing outpatient health services. The Constitutional Court annulled the reimbursement regulation of so-called voucher medical devices (e.g. incontinence pads, prostheses, wheelchairs, hearing aids or glucometers and other aids for diabetics). Specifically, the provisions that determined that an insured’s entitlement to reimbursement for medical devices is made under the least economically burdensome option, which health insurers determine through market research, were repealed.

On 1 January 2019, an amendment to the Health Insurance Act came into force, which brought new rules for the reimbursement regulation of medical devices prescribed on a voucher and covered by public health insurance.

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