- From 1 January 2025, the amount of health service contribution will increase to HUF 11,800 per month, or HUF 390 per day.
- Amendment of Act LXXXIII of 1997 on Compulsory Health Insurance Benefits
Changes to the eligibility criteria for infant care benefits:
Section 40 (1) will be replaced by the following provision:
(1) A woman who has been insured for 365 days within the two years preceding the birth of her child and whose child is born:
a) during the term of insurance or within forty-two days of the termination of insurance or commencement of its suspension, or
b) after forty-two days following the termination of insurance or the commencement of its suspension during the period of accident-related sick pay disbursement or within twenty-eight days of the termination of disbursement.
Thus, in light of the change, a mother may be entitled to infant care benefit not only in the case of a child born after forty-two days of the termination of insurance, but also within forty-two days of the start of the suspension.
Relief applicable to infant care benefits
Section 21 (1) The following provision will replace Section 42 (4b) of Act LXXXIII of 1997 on Compulsory Health Insurance Benefits:
(4b) Section (4a) will apply if, on the date on which entitlement commences, the insured person is covered by the same – under Section 48/A (2), continuous – insurance relationship as the one from which the infant care benefit was determined in respect of the previous child.
The amendment clarified that only the infant care benefit granted with respect to a previous child at the same employer and under the same insurance relationship can be compared with the infant care benefit determined in respect of the child born most recently. It is a new element that this comparison can be made if the same insurance relationship with the same employer continuously exists in line with Section 48/A (2) (i.e. there is no interruption of more than 30 days).
Infant care benefits increase with the changes in the minimum wage, if the applicant is also entitled to childcare benefit for students:
The following paragraph (9) will be added to Section 42 of Act LXXXIII of 1997 on Compulsory Health Insurance Benefits:
(9) The amount of the infant care benefit set at the amount referred to in paragraph (4c) will be reviewed ex officio within 15 days of the date of the minimum wage increase or the guaranteed minimum wage increase and, taking into account the increased minimum wage or guaranteed minimum wage, will be reassessed retroactively to the date of the increase, unless an earlier date is set by government decree.
Increase in the amount of foster parent childcare benefit in case of a change in the minimum wage:
The following paragraph (8) will be added to Section 42/F of Act LXXXIII of 1997 on Compulsory Health Insurance Benefits:
(8) The amount of the childcare benefit determined based on paragraph (5) will be reviewed ex officio within 15 days of the date of the increase in the minimum wage and, taking into account the increased minimum wage, will be reassessed retroactively to the date of the increase, unless an earlier date is set by government decree.
The provisions entered into force on 1 January 2025.
Entitlement to child nursing sick pay for single parents
The following paragraph (1b) will be added to Section 46 of Act LXXXIII of 1997 on Compulsory Health Insurance Benefits:
(1b) If one parent is considered to be single, the other parent will not be entitled to child nursing sick pay in respect of the same child, except for a parent who qualifies as single in view of their health condition or that of their spouse (partner) based on the provisions of the Government Decree issued for the implementation of this Act.
The provision entered into force on 1 January 2025.
Section 27 (1) of Government Decree No 217/1997 (XII.1.) on the implementation of Act LXXXIII of 1997 on Compulsory Health Insurance Benefits will be replaced by the following provision, and the following paragraph (1a) will be added:
(1) For the assessment of the application for child nursing sick pay, the following individuals are considered single:
a) unmarried or widowed individuals,
b) in the case of divorced parents, the parent who has sole custody of their common child,
c) a parent living separately from his or her spouse, but who are not divorced, with whom the child habitually resides, unless he or she has a partner.
(1a) On the basis of a unanimous declaration by divorced parents exercising joint custody, for the purposes of Section 46 (1) c)-e) of the Act on Compulsory Health Insurance Benefits, from the birth date of a child following their divorce, the parent specified in their declaration will be considered single.
The provision if effective from 1 January 2025.
Changes related to accidents at work
Section 53 (1) (d) is added to Act LXXXIII of 1997. An accident which:
d) occurred during specialized education, or in the case of dual training, during commuting between the residence (accommodation) of the person employed under a vocational training agreement and the place of vocational education supervised by the VET institution
is not considered a work accident.
The provision is effective from 1 January 2025.
Section 45 (6) of Government Decree No 217/1997 (XII.1) will be replaced by the following provision:
6) The government office or social security paying agency will send its decision on recognizing the event as a work accident to the competent government office of the insured person's place of residence within eight days, simultaneously informing it of the bank account number for the disbursement of accident-related sick pay. Within eight days, the government office competent at the place of residence will initiate the reimbursement of the fees paid by the insured person by NEAK, primarily to a bank account.
The following provision will be repealed from paragraph 5: The attending physician will issue a certificate on the care ordered in connection with the work accident, which will be sent to the government office or social security paying agency within five working days of receiving the final decision that establishes that the event was a work accident.
The provision is effective from 1 January 2025.
Repayment and reimbursement obligation
The following paragraphs (2a) and (2b) will be added to Section 66 of Act LXXXIII of 1997:
(2a) The cost of healthcare services utilized without legal basis will be reimbursed by
a) the employer or other bodies subject to reporting obligation, if the unauthorized use of health care services resulted from the failure to report the termination or suspension of insurance status to the health insurance status register, or late or incorrect data reporting,
b) an individual using health care services, if the individual or their legal representative acquires entitlement to free health care services based on a false statement, and it is subsequently established that he or she was not entitled to free healthcare services in Hungary.
(2b) In the case referred to in paragraph (2a), the body or person concerned may be required to reimburse the cost of the health care within five years of the health insurance body becoming aware of the circumstance referred to in paragraph (2a). No reimbursement will be granted if 15 years have elapsed since the provision of the health service concerned.
The provision is effective from 1 January 2025.