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Bureaucracy

Health insurance as an employee

How public health insurance starts when you take a Czech job, and what you must do.

What this actually is

Czechia has compulsory public health insurance. If you are employed by a Czech employer, your employer registers you and deducts contributions from your pay. You choose which health insurance company to join and receive a card that you show at the doctor.

Who it applies to

Anyone employed by a Czech employer.

When it's required

From the day your employment begins.

Step by step

  1. 1

    Choose a health insurance company

    You can pick any of the public insurers; VZP is the largest but not the only option.

  2. 2

    Tell your employer

    Give them your chosen insurer and your birth number if you have one.

  3. 3

    Collect your card

    Your insurer issues a card confirming cover. Carry it to appointments.

  4. 4

    Register with a GP

    Cover is not the same as having a doctor — you must register with a practice that accepts your insurer.

Documents to bring

  • Passport or identity card
  • Birth number (rodné číslo) or assigned number
  • Employment contract

Who decides

Your chosen public health insurance company

Official information

Last checked: 1 August 2026

This is a plain-English explanation, not legal advice. Requirements change and individual cases differ — confirm with the responsible authority before acting. Information last checked 1 August 2026.