1) A referral from a doctor.
2) Magnetic card (in the case of a patient belonging to the Silesian Provincial Department of the National Health Fund).
3) Proof of insurance – a document confirming the right to health services is: there is any document that confirms the entitlement to healthcare services, in particular a document confirming the payment of health insurance contributions, e.g .:
* retiree or disability pensioner card. In the case of an ID card issued by ZUS, the ID number should contain the designation of the NHF branch. If the 3rd and 4th position of the number contains “-” signs, the ID card is not a document confirming entitlement to health services. In this case, you must provide another proof of insurance. For example, a person receiving a ZUS pension / old-age pension, but residing in another country, should present a valid EHIC card;
* certificate from ZUS or KRUS (WBA, ZER MSWiA.),
* current pension slip
* a document confirming the amount of the old-age or disability pension transferred, including, in particular, the transfer slip or an excerpt (Article 240 (2) of the Act);
* contract concluded with the National Health Fund and the Social Insurance Institution (ZUS) document confirming application for health insurance together with valid proof of payment of the health insurance premium;
* proof of payment of the health insurance contribution by the person who registered family members for health insurance together with a photocopy of the application (forms: ZUS RMUA + ZUS ZCNA form if the application was made after July 1, 2008 (ZUS ZCZA if the application was made before July 1, 2008. ),
* valid certificate issued by the employer,> certificate from KRUS on the insurance of family members,> family card with the data of family members with the current date and stamp of the workplace or ZUS,
* retirement / disability pensioner card with registered family members subject to insurance, confirming the registration on or after 1 January 1999, along with the current benefit payment slip – applies only to KRUS,
* in the case of children in education – between 18 and 26 years of age – additionally, a document confirming the fact of continuing education must be presented – school / student ID or a document confirming a significant degree of disability
* in the case of students after the age of 26 – application for insurance by the university (ZUS ZZA form) and a student or doctoral ID card.
* a certificate issued by the National Health Fund (in the case of living in the territory of the Republic of Poland),> EHIC card (or a certificate replacing it) issued by an EU or EFTA member state other than Poland.
If the patient does not have a valid certificate confirming the right to benefits, he may present such a document at another time:
* if in hospital – no later than 30 days from the date of admission
* within 7 days from the end of the provision of the service.
Failure to submit the document within the above-mentioned deadlines may result in the patient being charged with the costs of the service provided!
Validity of the document confirming the right to benefits
It is assumed that the document confirming the right to benefits is valid for 30 days from:
o the date of issue – certificate from the workplace, ZUS and KRUS certificates,
o the date of certification – insurance card,
o the date of payment of the premium – ZUS RMUA, proof of payment of the health insurance premium,
o the expiry date of the document – a pensioner card.
The exceptions to this rule are:
* pensioner ID – valid indefinitely,
* certificate from the labor office on application for health insurance – until the expiry date,
* decision of the commune head (mayor, president) of the commune – valid for 90 days from the date specified in the decision.
Termination of the right to benefits
The right to healthcare services usually ends 30 days after the expiry of the health insurance obligation, for example:
* in the event of termination of employment (e.g. under an employment contract) – after 30 days from the date of termination of the employment contract,
* in the case of termination of non-agricultural business activity – after 30 days from the date of termination of such activity,
* in the case of employees who are on unpaid leave – after 30 days from the start of the leave,> in the case of unemployed people – after 30 days from the date of losing the unemployed status,
* in the event of the death of the person who registered family members for insurance – family members lose the right to benefits after 30 days from the date of death.
* have graduated from high school or university or have been removed from the list of pupils or students – the right to healthcare benefits is valid for 4 months after graduation or removal from the list of pupils or students,
* are applying for an old-age or disability pension – the right to healthcare benefits is granted during the course of the procedure for granting these benefits,
* they receive an allowance granted on the basis of the provisions on sickness or accident insurance – the right to healthcare benefits is granted during the period when these people receive the allowance,
After this time, a person who wants to continue using health benefits under the National Health Fund (NFZ) insurance should obtain a different right to insurance, e.g. voluntarily take out insurance. If she fails to do so, she may bear the costs of the services provided to her.