Health Insurance Options and Plans as an Expat in Estonia

1. What are the available health insurance options and plans for expats in Estonia?

There are a few different options for expats seeking health insurance in Estonia:

1. The national health insurance system: All residents of Estonia are required by law to have health insurance coverage through the national health insurance system. This public healthcare system is funded by taxes and provides basic coverage for essential healthcare services at no or minimal cost.

2. Private health insurance: Expats may also choose to purchase private health insurance to supplement their coverage in Estonia. This can provide access to additional services, shorter wait times, and more flexibility in treatment options. There are several private health insurance companies operating in Estonia that offer a variety of plans.

3. International health insurance: For those planning to travel frequently or spend only a short period of time in Estonia, international health insurance may be a good option. These plans typically offer comprehensive coverage for medical treatment while abroad, including emergency evacuation and repatriation.

2. How do I enroll in the national health insurance system?

All residents of Estonia are automatically enrolled in the national health insurance system once they register as legal residents with the government (usually within 90 days of arriving). To register, you will need to visit your local government office (raamatupidamise büroo) and fill out an application form.

You will also need to provide your personal identification code (isikukood), proof of residence (a rental contract or utility bill), and proof of employment or self-employment if applicable.

If you are not employed or self-employed, you can still be covered under the national health insurance system by paying monthly contributions based on your income level.

3. What does the national health insurance cover?
The Estonian national health insurance system covers basic healthcare services such as doctor visits, hospitalization, prescription medications, and dental care for children up to 19 years old. Some specialized treatments may require prior approval from the Health Insurance Fund (Haigekassa).

There may be some out-of-pocket costs for certain services, such as co-payments for doctor visits or prescription medications. Additionally, there may be long wait times for non-urgent treatments.

4. What types of private health insurance plans are available in Estonia?
There are a variety of private health insurance plans available in Estonia from different companies. Some common types of plans include:

1. Basic coverage plans: These plans typically cover essential healthcare services and may have lower premiums than more comprehensive plans.

2. Comprehensive plans: These plans offer more extensive coverage, including preventive care, specialist consultations, and hospitalization. They may also have higher premiums.

3. Family plans: These plans provide coverage for the whole family under one policy, often at a discounted rate compared to individual plans.

4. International health insurance: Some private health insurance companies offer international coverage for expats who frequently travel outside of Estonia or plan to move to another country in the future.

5. How much does private health insurance cost in Estonia?
The cost of private health insurance in Estonia will vary depending on factors such as your age, medical history, and the level of coverage you choose. On average, prices can range from 25-100 euros per month.

It is important to compare different plans and consult with an insurance agent before purchasing a policy to ensure you are getting the best value for your needs.

2. Is it mandatory for expats to have health insurance in Estonia?


It is not mandatory for expats to have health insurance in Estonia, but it is highly recommended. EU citizens can use their European Health Insurance Card (EHIC) for emergency care and treatment during temporary stays in Estonia. Non-EU citizens are advised to purchase private health insurance before traveling to Estonia.

3. What is the average cost of health insurance for expats in Estonia?


The average cost of health insurance for expats in Estonia can vary depending on a variety of factors such as age, medical history, and the type of coverage selected. However, on average, expats can expect to pay around 50-100 EUR per month for basic health insurance coverage.

4. Are there any government-sponsored health insurance programs for expats in Estonia?


Yes, there is a government-sponsored health insurance program called the Estonian Health Insurance Fund (EHIF). It covers basic health care services for all residents of Estonia, including expats with a valid residence permit or visa. The EHIF is funded by contributions from employees, employers, and the state budget. Expats can join the EHIF by registering at a local Social Insurance Board service point and paying monthly contributions.

5. Can I use my home country’s health insurance while living in Estonia?

In most cases, no. While Estonia has healthcare agreements with some countries, it is advisable to purchase local health insurance in Estonia. This will ensure that you have access to the full range of healthcare services and may be required for obtaining a residence permit. Additionally, your home country’s health insurance may not cover all expenses while living abroad. It is important to check with your home country’s health insurance provider to see if they offer coverage while you are living in Estonia.

6. How does the healthcare system work for expats in Estonia?


The Estonian healthcare system is accessible for expats, and they generally have the same rights as Estonian citizens when it comes to healthcare. Expats who are legally residing in Estonia are required to have health insurance, either through their employer or by obtaining private medical insurance.

Expats can also access public healthcare services in Estonia by registering with the local National Health Insurance Fund (Haigekassa). This registration allows access to a wide range of public medical services at a reduced cost or free of charge. However, some procedures and treatments may not be covered by the public health insurance and may require additional payments.

Private healthcare is also available in Estonia, and many expats prefer this option due to shorter waiting times and more personalized care. Private health insurance plans are widely available and offer comprehensive coverage for medical expenses.

Overall, the Estonian healthcare system is well-developed and provides high-quality care. Expats should be aware that most medical professionals may not speak English, so it may be helpful to bring along an interpreter or ensure that the chosen provider speaks English fluently.

7. Do I need to have a certain level of income to be eligible for health insurance as an expat in Estonia?

To be eligible for health insurance in Estonia, you need to have a valid Estonian residence permit and be registered as an Estonian resident. Your income level does not determine your eligibility, but you may need to pay a monthly fee for the coverage depending on your residence status and other factors.

8. Are pre-existing conditions covered under the expat health insurance plans in Estonia?

Yes, pre-existing conditions may be covered under certain expat health insurance plans in Estonia. It is important to carefully review the terms and conditions of your policy to understand what is covered and any waiting periods or limitations that may apply. Some policies may exclude coverage for pre-existing conditions, while others may provide limited coverage after a waiting period. It is also important to disclose any pre-existing conditions when applying for insurance, as failure to do so may result in denial of claims for related treatment.

9. What is the process of applying for health insurance as an expat in Estonia?


As an expat in Estonia, the process of applying for health insurance may vary depending on your individual circumstances. Here are the general steps to follow:

1. Determine your eligibility: Before applying for health insurance in Estonia, you must make sure that you are eligible for public health insurance. This generally applies to people who have a residency permit or are employed in Estonia.

2. Choose a health insurance provider: In Estonia, there are two main providers of public health insurance – the Estonian Health Insurance Fund (EHIF) and regional branches of the Social Insurance Board (SIB). You can choose to register with either one.

3. Gather necessary documents: When applying for health insurance, you will need to provide certain documents such as your passport or residency permit, employment contract (if applicable), and proof of address.

4. Submit your application: You can apply for public health insurance online through the EHIF or SIB website. Alternatively, you can also visit their offices in person to submit your application.

5. Pay the necessary fees: Once approved for public health insurance, you will be required to pay a monthly fee, which is usually deducted from your salary if you are employed in Estonia.

6. Wait for your card: After completing the application process and paying the fees, you will receive a personal identification card which serves as proof of your public health insurance coverage.

It’s important to note that if you do not qualify for public health insurance, you may need to consider purchasing private health insurance in Estonia. It’s recommended to compare different options and prices before deciding on a specific plan.

10. Are routine check-ups and preventative care covered under expat health insurance plans in Estonia?


Yes, most expat health insurance plans in Estonia cover routine check-ups and preventative care such as vaccinations, screenings, and regular physical exams. However, the extent of coverage for these services may vary depending on the specific policy and provider. It is important to review the details of a plan before purchasing to ensure it meets your individual healthcare needs.

11. Can I choose my own doctor or hospital with the provided health insurance options in Estonia?

Yes, you can choose your own doctor or hospital with the provided health insurance options in Estonia. Most insurance plans offer a network of preferred providers, but if you prefer to visit a different doctor or hospital outside of this network, you will often still be covered but may have higher out-of-pocket costs. It is important to check with your insurer to understand their specific policies and coverage for out-of-network providers.

12. What documents do I need to provide when applying for health insurance as an expat in Estonia?

When applying for health insurance as an expat in Estonia, you will need to provide the following documents:

1. Proof of your legal residence in Estonia (e.g. residence permit or ID card)
2. Your personal details, including full name, date of birth, and contact information
3. A valid passport
4. Your employment contract or letter from your employer stating your salary and length of employment
5. Proof of any previous health insurance coverage (if applicable)
6. Any additional supporting documents based on your specific situation (e.g. proof of marriage if applying for family coverage)

13. Do I have to pay upfront for medical treatments or will my claims be reimbursed by the insurer?

It depends on the type of health insurance plan you have. Some plans require you to pay upfront for medical treatments and then submit a claim to be reimbursed by the insurer. Other plans have a network of providers who will bill the insurance company directly, so you may not have to pay anything out of pocket. It’s important to check with your insurance provider or review your plan details to understand how claims are processed and what costs you may be responsible for.

14. Are prescription drugs covered under expat health insurance plans in Estonia?

This depends on the specific expat health insurance plan. It is always important to carefully review the coverage details of any health insurance plan before signing up to ensure that prescription drugs are included and what percentage of the cost is covered. Some plans may have a list of specific medications that are covered while others may have broader coverage for all necessary prescription drugs.

15. In case of emergencies, does the health insurance cover medical evacuation expenses?


It depends on the specific health insurance policy. Some international or travel insurance policies may provide coverage for medical evacuation expenses in case of emergencies, while others may not include this coverage at all. It is important to carefully review the details of a health insurance policy before purchasing to understand what types of medical expenses are covered in case of an emergency.

16. Are dental and vision care included in expat health insurance plans in Estonia?


Some expat health insurance plans in Estonia may include coverage for dental and vision care, but it ultimately depends on the specific plan. It is important to carefully review the coverage details of any health insurance plan before purchasing to ensure that it meets your individual needs and provides coverage for dental and vision care if desired.

17. How long does it take to get coverage after purchasing a plan as an expat in Estonia?


The time it takes to get coverage after purchasing a plan as an expat in Estonia can vary depending on the insurance company and the specific plan purchased. Some plans may have immediate coverage, while others may have a waiting period of a few days or weeks. It is best to check with the specific insurance provider for an estimated timeline of when coverage will begin.

18. Can I tailor my coverage based on my specific needs and budget as an expat living in Estonia?


Yes, you can tailor your coverage based on your specific needs and budget as an expat living in Estonia. Many insurance providers offer customizable plans that allow you to choose the coverage options and deductibles that best fit your individual situation. You can also adjust your coverage as needed if your circumstances change while living in Estonia. It’s important to carefully consider your coverage options and ensure that you have adequate protection for things like healthcare, property, and personal liability while living abroad.

19.For how long can I keep my international/expat health insurance if I decide to leave Estonia and move to another country?

Your coverage under an international/expat health insurance plan will generally depend on the terms and conditions of your specific policy. Some plans may offer indefinite coverage, while others may require you to cancel your policy if you no longer reside in the covered country. It is important to consult with your insurance provider to determine the length of coverage for your particular plan. In some cases, you may also be able to transfer your coverage to a new country if you continue to work for an international employer that offers the same type of insurance.

20. Are there any exclusions or limitations on coverage for expats in Estonia?


There may be exclusions or limitations on coverage for expats in Estonia depending on the specific insurance plan. Some common exclusions or limitations may include pre-existing conditions, certain high-risk activities (such as extreme sports), or restricted coverage for certain medical treatments. It is important to carefully review the terms and conditions of your insurance plan to fully understand any exclusions or limitations that may apply.