When can I apply for benefits?
Sickness benefit (nemocenské) will be provided if you have been found temporarily incapacitated for work due to an illness or injury and/or if you have been subjected to quarantine measures.
You are entitled to benefit for the care of a sick relative (ošetrovné) if you are personally caring all day for a sick child, a sick spouse, a sick parent or a sick parent of your spouse. You are also entitled to this benefit when you are personally caring all day for a healthy child under the age of 10 in the event a pre-school or school facility and/or a social service facility is closed down based on a decision of competent authorities.
To be entitled to sickness cash benefits as self-employed person, you need to be compulsory insured and insurance contributions need to be paid in time and in the correct amount from the beginning of the insurance, i.e. for the last five years. As a voluntarily sickness insured person, you need to be insured for 270 days in the last two years and insurance contributions need to be also paid in time and in the correct amount.
As an employee, you are entitled to sickness benefits even though your employer did not pay contributions on your behalf.
If you become temporarily incapacitated for work in another EU country, Switzerland, Norway, Iceland or Lichtenstein (hereafter "EU Member State"), i.e. a physician other than a physician in Slovakia has decided on your temporary incapacity, you will claim your entitlement to sickness benefits at the relevant branch of the Social Insurance Agency via a certificate issued by the attending physician in another EU Member State.
The competent branch of the Social Insurance Agency will decide on your sickness benefit entitlement. When communicating with the Social Insurance Agency, you need to indicate your personal identification number.
What conditions do I have to meet?
You either have to have sickness insurance as an employee, or compulsory sickness insurance as a self-employed person or voluntarily sickness insured. As a rule, the protective period is seven days from the cessation of sickness insurance, and eight months in case of a female insured person whose sickness insurance ceased during her pregnancy.
Your physician will issue a certificate of temporary incapacity.
You keep part I of the certificate - temporary incapacity card - for a possible inspection carried out by the Social Insurance Agency. The physician will indicate the date of your next medical check-up on the card. After your temporary incapacity for work ends, you will return the card to your physician.
Part II of the certificate - application for sickness benefit/injury surcharge benefit (úrazový príplatok) - should be submitted to the employer, whereas the employee will become entitled to sickness benefit provided by the Social Insurance Agency starting from the 11th day of temporary incapacity (income replacement is paid by the employer during the first 10 days), while self-employed persons and those voluntarily insured will claim their benefit entitlement at the relevant branch of the Social Insurance Agency.
You are obliged to indicate the following in the application:
- what benefit you are applying for (sickness benefit and/or );
- if your temporary incapacity is covered by multiple sickness insurance schemes, the physician will issue a certificate for each insurance;
- the method of benefit payment. Do not forget to sign the application.
Part IIa of the certificate - application for income replacement during temporary incapacity of the employee - should be submitted to the employer.
As soon as your temporary incapacity for work ends, you will sign part IV of the certificate and hand it over to the employer. After it is confirmed by your employer, you will send it to the branch of the Social Insurance Agency according to the registered office of the employer; self-employed persons and those voluntarily insured will hand in the document certifying the termination of their incapacity for work directly at their branch of the Social Insurance Agency.
What benefits can I apply for and how should I exercise my rights?
I have the right
Who provides what and how
Sickness benefit - determined by calculation
Social Insurance Agency / Employer
Injury surcharge benefit - determined by calculation
Social Insurance Agency / Employer
Benefit for the care of a sick relative - determined by calculation
Social Insurance Agency / Employer
The sickness benefit amount is determined based on income - an employee receives 55% of the designated amount (daily assessment basis) from the Social Insurance Agency starting from the 11th day of temporary incapacity. A self-employed person, a voluntarily insured person and other groups defined by law receive 25% of the designated amount from the 1st to the 3rd day of temporary incapacity and 55% starting from the 4th day of temporary incapacity.
Sickness benefit is halved when temporary incapacity is the consequence of alcohol intoxication or consumption of other addictive substances.
The benefit is paid for each day of incapacity for work by remittance to a bank account or in cash on a monthly basis in arrears for a maximum of 52 weeks.
Documents evidencing the entitlement to the payment of sickness benefits (namely the certificate of a continuation of a temporary incapacity for work or the notice of termination of temporary incapacity) should be submitted to the relevant branch of the Social Insurance Agency before the 3rd or the 5th day of the calendar month following the month for which the benefit is paid.
When applying for benefit for the care of a sick relative, it is necessary to submit the Application form containing the paediatrician's confirmation of the insured person's temporary incapacity to perform gainful activity due to a personal and full day care of a sick family member/taking care of a child under the age of 10. The completed and signed application form must be delivered to the relevant branch of the Social Insurance Agency.
If you are an employee, the application should be confirmed by your employer prior to its delivery to the branch.
When caring for a sick family member, the condition of personal and all-day care must be fulfilled.
Protective period - The period during which you are entitled to sickness benefits also after the cessation of insurance (e.g. following dismissal from employment).
Overlapping of insurance - The benefit entitlement may be claimed from several insurance schemes, e.g. from employment and compulsory sickness insurance of the self-employed person or from two, or several occupational relationships, etc.
Method of benefit payment - The payment of the benefit to the bank account or by means of a money order.
- Certificate of temporary incapacity (to be completed by a physician);
- If your temporary incapacity is due to an injury, you will also submit Report of Injury for Sickness Benefit Purposes form (to be completed by you);
- Application for the benefit for the care of a sick relative.
Know your rights
Link to additional information provided by the European Commission:
Who do you contact if you need advice about sickness benefits?
Social Insurance Agency (Sociálna poisťovňa)
Headquarters Office, Ulica 29. augusta 8 and 10,
813 63 Bratislava 1
+421 906 171 989 (8:00 am - 4:00 pm)
Official advice concerning real-life situations can be found on the website of the Social Insurance Agency - FAQ.