Participating in the health insurance system ensures access to essential medical care. In the Czech Republic, public health insurance is mandatory for citizens, individuals granted international or subsidiary protection, and asylum seekers. Upon applying for international protection, asylum seekers are automatically enrolled in the public health insurance system.
If you are part of the public health insurance system, most medical services provided by doctors contracted with health insurance companies will be free of charge, with some exceptions, such as co-pays for specific medications. If you hold private health insurance (common for certain residence types, such as study visas), you must use doctors affiliated with your insurance provider. A list of contracted doctors will be provided upon signing up.
Accessing Healthcare
The Czech healthcare system consists of:
- General practitioners (GPs): Provide basic medical care and referrals to specialists.
- Specialists: Treat specific conditions or organ-related issues.
- Hospitals: Offer advanced examinations, treatments, and procedures.
Finding a GP is an important step, as registration ensures access to routine medical care. However, some GPs may be fully booked or reluctant to accept non-Czech speakers. You may need to visit multiple clinics or seek translation assistance to complete registration. Additionally, it is recommended to find a dentist and a gynecologist if needed.
For transgender individuals beginning or continuing hormonal treatment, it is crucial to locate a sexologist. Gender-affirming treatment generally involves:
- Diagnosis and psychological evaluation.
- Hormone therapy, prescribed and monitored by an endocrinologist.
- Surgeries, if desired, which may require consultations with various specialists such as psychologists, speech therapists, and surgeons.
The sexologist oversees the entire process, provides referrals, and guides individuals through the necessary medical steps.
Emergency and Specialist Care
If you do not have a registered doctor and require urgent medical attention, visit the nearest urgent care facility—usually located in a hospital or polyclinic. Be aware that wait times may be long, and treatment options could be limited. If finding a GP is challenging, contact NGOs or your insurance company for assistance in locating one.
When a GP cannot address a specific medical issue, they will refer you to a specialist or hospital for further examination. You can choose a specialist based on availability, but wait times for appointments may vary.
HIV and STI Testing & Care
If you need HIV-related care or are interested in testing for HIV or other sexually transmitted infections (STIs), several organizations provide these services, including:
- Česká společnost pro AIDS pomoc
- Rozkoš bez rizika
- HIV poradna
- Podané ruce
Mental Health Support
Mental health is just as important as physical health. Feelings of stress, trauma, or uncertainty about the future are common in challenging situations. Seeking professional psychological support is highly encouraged.
Psychologists and psychiatrists offer confidential services, and using these services will not affect employment or driving eligibility unless you choose to disclose it. If you need LGBTIQ+-inclusive mental health professionals who can communicate in your language, refer to the directory at the end of this guide. However, note that not all psychologists and psychiatrists provide services free of charge.
By understanding and navigating the Czech healthcare system, you can ensure access to the necessary medical, psychological, and specialist care tailored to your needs.