Irregularity of health insurance while serving a prison sentence, detention...

The Administration for the Execution of Sanctions raised the alarm about irregularity of health insurance for persons serving a prison sentence, persons in detention (if they are not insured on another basis), as well as minors serving the educational measure of referral to an educational-correctional home, namely an institution, and for members of their family who are not insured on another basis. The approximate number of affected persons is around 1.200. 

The problem exists because of the manner of registering and deregistering persons serving a prison sentence, persons in detention (if they are not insured on another basis), as well as minors serving the educational measure of referral to an educational-correctional home, namely an institution, and members of their family, by authorised persons employed in penal-correctional, namely educational-correctional institutions. Until now this was done at counters; authorised persons from prisons had to come to the Fund counters to submit a ZO-1 application for prisoners and persons in an educational-correctional home.

In addition, there is a lack of up-to-date registration and deregistration by the prisons and insufficient coordination between them and the persons performing calculations in the Administration for the Execution of Sanctions

As a result of the problem, although the Administration had been paying contributions since 2019, in a significant amount, the prisoners did not have regular health insurance. This made access to medicines more difficult and caused high-value hospital services to be invoiced to the Administration.
The Fund has an obligation to include all citizens in the compulsory health insurance system.

As a solution, the Fund has now opened a web portal; prisons will be able to register these persons electronically (with a few clicks from the office) in the Fund's system and will have proper records of their registrations and deregistrations. Through this exchange agreement, the Fund is accommodating these two entities (the prisons and the Administration) and allows the Web portal, which is owned by it, to serve them as a “bridge” or “bypass” through which authorised persons in the prisons and in the Administration will be able to communicate and obtain accurate records of the number of prisoners for whom the contribution must be paid, thereby avoiding the risk that the contribution for any prisoner is not paid.

The Fund will ensure continuity of health insurance and prisoners will have access to health care, such as access to medicines, specialist examinations and hospital treatment.