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All persons insured with the Health Insurance Fund have a family practitioner. A person not residing in Estonia may also visit a family practitioner. A person needs a referral from the family practitioner to visit a medical specialist. No referral is needed to visit a psychiatrist, gynecologist, dermatovenerologist, ophthalmologist, dentist, pulmonologist (for tuberculosis treatment), infection specialist (for HIV/AIDS treatment), surgeon or orthopedist (for traumatology).
In the case of emergency treatment, a person may always go to the emergency reception or call an ambulance. The attending physician decides whether the patient needs in-patient treatment.
The amount of the patient's financial participation in the following cases:
- out-patient examination - a family practitioner can charge a visit fee of up to EEK 50, when making a home visit;
- specialized medical care - a visit fee up to EEK 50;
- transportation by ambulance in the case of emergency - free of charge;
- hospitalization - an in-patient fee of up to EEK 25 per day and for up to 10 days per hospitalization.
There is no in-patient fee:
- for children below the age of 19;
- in cases related to pregnancy and childbirth;
- in the case of intensive care.
Additional information
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