Reporting an insurance event

Necessary documents

• The original copy of a receipt of payment or the original copy of an invoice in case it had been issued
• receipts issued by a doctor or a pharmacy based on the prescription of the attending physician (original receipt of payment) with the amount and the subject of payment
• a prescription (possibly a copy) issued in the name of the insured person with the date of issue, number and description must always be presented with the receipt of payment for medication and medical devices and aids (crutches, glasses, braces etc.)
• Medical report, examination results etc.

Inquiry into the insurance event?

• An inquiry will be made into the insurance event based on the presented documentation. We will inform you of the result. We therefore recommend that you present all the documentation that you receive during the insured event together with the form
• A 90-day statutory period for the settlement of the claim begins, with the date given on the OŠU being the date the documentation was accepted
• The claim on an insurance benefit payment lapses 4 years after the occurrence of the insurance event

Complaint handling procedures

Complaints of policyholders, the insured persons and the entitled persons should be delivered to the registered office of the insurer, they are dealt with in writing unless the policyholder, the insured person, the entitled person or the insurer agree otherwise.

The registered office address of the insurance company: Pojišťovna VZP, a.s. Lazarská 1718/3, 110 00 Praha 1

It is also possible to submit a complaint at the Czech National Bank, Na Příkopě 28, Praha 1, green line 800 160 170, e-mail: info@cnb.cz.

Reporting an insurance event is possible by submitting a completed form:

• At every sales point
• By sending a scan of the form with relevant documents to the following address: oznameni.udalosti@pvzp.cz
• By sending it by registered mail to the address of Pojišťovna VZP, a.s., to the claim settlement department.

The Insurance event report form (“OŠU”) is to be filled in for each insurance event. All gaps in the form must be filled in. We suggest that special attention be paid to the payment method (by postal money order or bank transfer), which is selected in the form. The insurance benefit is only paid out in CZK.

Necessary documents

Based on Article 4(4) and Article 11(10) of the insurance terms and conditions:

• The original copy of a receipt of payment (doctor’s bill or receipt from a pharmacy based on a doctor’s prescription) with the item/s and the amount paid
• A prescription (possibly a copy) issued in the name of the insured person with a date of issue, number and description must always be presented with the receipt of payment for medication and medical devices and aids (crutches, glasses, immobilizers, braces)
• Medical report, examination results etc.
• Original copy of a receipt of payment for medical treatment, or an invoice in case it had been issued
• With the concluded insurance of the type “Repeated stay” (travel insurance) written evidence proving the residence of the insured in the territory of the Czech Republic for 90 days or less before the insured event occurred abroad, the following would be acceptable an air-ticket or another ticket, which states that the journey originated in the Czech Republic, a stamp in the insured person’s passport etc. issued in the name of the insured

Inquiry into the insurance event

• An inquiry will be made into the insurance event based on the presented documentation. We therefore recommend that you present together with the form all the documentation that you receive during the insured event.
• A 90-day statute of limitation for the claim settlement process begins with the date given on the OŠU as the date the documentation was accepted. The claim on an insurance benefit payment lapses 4 years after the occurrence of the insurance event.