From January 1, 2025, we will see a fundamental change in the system of deductible co-payments for partially reimbursed medications. This new feature means that if patients exceed the protective limit during the year, they will no longer have to wait for a refund of overpayments from the health insurance company, and these deductible co-payments will not be charged at the pharmacy.

What does a deductible surcharge mean?
In each group of drugs, there is always a cheapest drug with the lowest co-payment (= this one is counted towards the protective limit).

Amount of protective limits:
• 500 CZK for seniors over 70 years of age and for persons with disability of the III. degree, II. degree (if they do not receive a disability pension),
• 1000 CZK for children under 18 and seniors from 65 to 69 years old,
• 5000 CZK for other adults.

The deductible co-payments will now be recorded via the ePrescription system. Patients can check the limit in the ePrescription application or can ask the pharmacy to issue a document stating the deductible co-payment.

However, the obligation to pay remains:
• the non-reimbursable part of the additional payment,
• the full price of medications without insurance reimbursement.

This system should simplify administrative processes for health insurance companies, pharmacies and patients.

Free according to the web portal of the Czech Chamber of Pharmacists, 30. 12. 2024