The insurance covers the cost of co-payments for medical services provided bycompulsory insurance does not cover in full:
- in primary health care,
- in the treatment of dental and oral diseases,
- in zobnoprotetičnem treatment
- for specialist outpatient care,
- for hospital treatment, including accommodation and foodservices, intensive care and in other demanding diagnostic,therapeutic and rehabilitative interventions
- of organ transplants,
- in identifying and treating reduced fertility, artificial insemination,sterilization and abortion,
- medical treatment in accordance with the rules of compulsoryhealth insurance
- for prescription drugs in accordance with the applicable list(positive and intermediate)
- for eye, orthopedic, ortotične, hearing and other supplies foremergency operations in non-urgent cases, according to indications.
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