Information for People living with HIV

HIV, Foreigners and Health Insurance in the Czech Republic

All Czech citizens and legal employees living in Czechia have Czech health insurance, which covers all HIV care. According to the law, this is obligatory.

If a self-employed person wants to have Czech health insurance, he or she has to request a copy of the agreement made with the health insurance company and ask for the same coverage that is given to all Czech citizens (even though it is more expensive). Some health insurance companies may then ask for HIV test. Usually, health insurance companies will then offer him/her the agreement covering only emergency cases (which may already be covered by his/her personal health insurance almost or at the same level).

An EU Citizen cannot have an insurance policy in more than one EU country. This means that they either will have one in his/her own country (that country would also provide all HIV care in this case) or in the Czech Republic (HIV care is provided by the Czech Republic).

An uninsured person in need of emergency care will of course be treated, but only procedures classified as emergency/life-saving care will be done. Anything else must be paid for at the time of service, and the person can submit a claim for reimbursement of the costs to the insurance provider in their country. When covered by Czech insurance, the amount of care provided will match the amounts listed in the policy and costs in the Czech Republic. This is something to take note of due to higher healthcare costs in other countries.


There are only a few differences between Czech health insurance companies. For example, some of them ask for an HIV test before making an agreement. If this is an issue, we can recommend a company which does not require this information. Inpatient and outpatient care for PLWHA is centralized in the "HIV" treatment center at the infectious disease clinic of Prague’s Bulovka hospital.

The range of anti-retroviral medications are very similar to other developed countries. Shortages, which rarely occur, are short-lived and never too serious. One should also note that

Criminalization of HIV transmission (risk behaviour)

If you have anal, vaginal or oral sex without condom whilst knowing that you are HIV positive, regardless if HIV is transmitted to the other party or if your viral load is considered undetectable, the police can still charge you with criminal act of endangering by infectious disease. Even though such cases are extremely hard to prove and rarely occur, the risk still exists.

HIV tests

foreigners can usually receive free HIV testing in testing and counselling centers. If the testing is done in a normal healthcare facility, a fee of 250-500czk (around 9 to 18 euros) may be required, even with Czech insurance. Tests are sometimes done anonymously, but this depends on the facility administering the test.

Certificate

Some countries, 28 to be exact, like Russia, China, and the UAE ask for a certificate of HIV status before approving your request to study or work. This must be done prior to arrive and can cost between 500czk to 600czk (18-22 euro). If the test is positive, the request will be denied.

Free condoms and lubricants

Condoms are free and easily accessible in gay saunas and few gay clubs, or you may also get them from outreach worker. Lubricants are not usually free in gay clubs. You may easily buy condoms in different types of shops and some brands are very cheap (20 cents). Free condoms (sometimes also lubricants) are distributed in preventive campaigns

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Podpořte nás!

 
Obrázek č. 122

Potřebujete právní pomoc?

Pokud jste se setkal/a s diskriminací nebo se pouze potřebujete poradit, můžete nás kontaktovat na e-mailové adrese: pravnik@aids-pomoc.cz. Náš právník (příp. sociální pracovnice) Vám poskytnou potřebné informace nebo pomoc pro řešení Vaší situace. Všichni naši pracovníci jsou povinni dodržovat mlčenlivost, a proto se nemusíte bát o odhalení Vaší HIV pozitivity. Pro kontakt můžete využít i naše bezplatné telefonní linky.

Obrázek č. 53

podporuje sociální službu azylový Dům světla pro HIV+ lidi bez domova

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přispívá na provoz azylového Domu světla, testování a preventivní činnost

Obrázek č. 51

v rámci Národního programu řešení problematiky HIV/AIDS částečně financuje naše preventivní aktivity a testování

Podpořeno Hlavním městem Praha a Ministerstvem zdravotnictví ČR prostřednictvím dotací projektů zaměřených na prevenci HIV/AIDS.