natgillin/translations-raw huggingface dataset:
The rules on cash health insurance benefits for maternity/paternity, such as the pregnancy and childbirth allowance (TGYS) and the childcare bonus (GYED), are treated as family benefits and covered in the relevant chapter (see Section 2.8).
Predpisi, povezani z denarnimi dajatvami zdravstvenega zavarovanja za materinstvo/očetovstvo, kot sta na primer nosečniško in porodniško nadomestilo (TGYS) in pomoč za varstvo otroka (GYED), bodo obravnavani v poglavju o družinskih dajatvah, saj sta ti dajatvi opredeljeni kot družinski dajatvi (glej točko2.8).
In Hungary you normally pay only the cost of an ordinary visit for basic dental care.
Pri bolnišničnem zdravljenju se zdravila izdajajo zastonj.
Dental treatment is free up to the age of 18; students, seniors (60+) and pregnant women pay the cost of an ordinary visit.
Kar zadeva ambulantne storitve, OEP dodeljuje normirano pomoč ali, glede na posamezni primer, zelo visoko ali visoko pomoč, če zdravila, izdana na zdravniški recept, odobri sistem pomoči socialnega zavarovanja.
The individual also pays the technical costs associated with dental treatment.
Pravila glede odobritve, ki jo sprejme sistem pomoči socialnega zavarovanja, so določena z ministrskim odlokom:
Medical treatment
Zdravstvene storitve
Early detection and preventive care
• Zelo visoka in visoka pomoč glede na posamezni primer: 100%, 90%, 70%, 50%.
Everyone with compulsory health insurance covering early detection and preventive testing is entitled to these tests on certain conditions (determined by age group) and at certain intervals.
Storitve so na voljo pri ponudnikih zdravstvenega varstva, ki so podpisali sporazum z OEP.
Early detection testing is – with certain exceptions – voluntary, since it is in the person’s own interest.
V okviru osnovne zdravstvene oskrbe lahko zavarovanci sami izberejo svojega zdravnika.
Most preventive care is provided by the family doctor. Nurses also play a role, particularly in informing people about screening tests, as do school doctors and nurses, while some examinations are the responsibility of the specialists concerned.
Storitve zdravstvene oskrbe ambulantnih in/ali ležečih bolnikov opravlja izvajalec zdravstvenih storitev, ki je za to določen glede na prijavljeno stalno prebivališče ali kraj bivanja.
To ensure preventive care is effective, early detection or screening tests may in some cases be a prerequisite for free treatment, otherwise people may be charged for treatment if they failed to take advantage of early detection/screening tests.
Možnost celotnega povračila stroškov za nekatera zdravila iz kategorije zelo visoke pomoči je bila odpravljena. V tem primeru je bilo uvedeno povračilo minimalnega zneska 300HUF na škatlico.
No consultation fee is charged for these tests.
Iz obveznosti povračila zneska 300HUF so izvzeti le javni izvajalci storitev zdravstvene oskrbe, pri čemer se upoštevajo materialne in socialne okoliščine.
Treatment at home
Zobozdravstvene storitve
These benefits are intended to reduce the number of patients who have to be hospitalised and to provide more compassionate care.
Na Madžarskem je cena tekočih zobozdravstvenih storitev enaka ceni tekočega posveta z zdravnikom.
An insured person can be treated at home by professionals who have signed a contract with the OEP to provide these services. These benefits are not eligible for aid unless prescribed by a specialist.
Poleg tega so zobozdravstvene storitve v celoti brezplačne za osebe, mlajše od 18let; dijaki, študenti, nosečnice in osebe, starejše od 60let, plačujejo ceno tekočega posveta z zdravnikom.
Home care is covered for the same length of time as treatment for the same condition in hospital.
Za zobozdravstvene storitve mora zavarovanec povrniti tehnične stroške, povezane s storitvami.
For basic health care, you can go to any doctor with whom the OEP has contracted.
Dajatve za preventivne storitve in storitve odkrivanja bolezni
For secondary level care, with or without hospitalisation, you must go to the designated specialist or institution serving your declared place of residence.
Če je zdravnik, ki storitve predpiše, družinski zdravnik, se bolnik napoti v pristojno ustanovo glede na kraj bivanja ali ordinacijo zdravnika.
If the referring practitioner is your family doctor, the referral will be to the institution serving the district in which he lives or practises.
Vendar je mogoče znižane zneske pristojbin za posvet z zdravnikom v splošni medicini in stroške dnevne bolnišnične oskrbe uporabiti samo, če je storitve oskrbe opravil izvajalec storitev.
The reduced fee payable for the services of a general practitioner and the lower daily hospital charge only apply when treatment is given by a contractual service provider. A patient who chooses to bypass the hospital system and/or select his own doctor will have to pay not only the higher practitioner’s fee but 30% of the cost of the treatment as well (see above).
Če želi bolnik uveljaviti odstopanje od sistema bolnišnične oskrbe in/ali želi, da zdravljenje v okviru storitev oskrbe za ambulantne in ležeče bolnike opravi zdravnik po njegovi izbiri, mora poleg višje cene za posvet z zdravnikom plačati še 30% stroškov storitev (glej zgoraj).
Everyone who is covered for health care is entitled to receive all the care their state of health requires.
Vsaka zavarovana oseba in vsak upravičenec do zdravstvenih storitev imata pravico do celotne zdravstvene oskrbe, potrebne glede na njuno zdravstveno stanje.
For women, this means all the health benefits connected with pregnancy.
Na Madžarskem so ženske, ki imajo pravico do zdravstvenih storitev, upravičene do vseh zdravstvenih storitev, povezanih z nosečnostjo.
The individual pays the doctor’s fee (up to a maximum of 300 HUF per consultation) and/or the hospitalisation charge (up to a maximum of 300 HUF per day for twenty days). This does not apply to emergency care, regular maternity care or chronic illness.
Kar zadeva storitve, mora zavarovanec plačati ceno posveta z zdravnikom (do zneska 300HUF na posvet) in/ali ceno bolnišničnega zdravljenja (do zneska 300HUF na dan do 20.dne zdravniške oskrbe).
In certain specific cases individuals will also be required to pay part of the cost: of certain dental treatments and extra services, for example, (meals prepared on request, extra comforts, etc.).The individual pays 30% of the cost of the benefits, up to a maximum of 100 000 HUF, if the treatment is not prescribed by a physician or is not provided through the normal hospital system or if he chooses a doctor other than the one allocated by the health-care system.
Posveta z zdravnikom in dnevnega pavšala za bolnišnično zdravljenje ne plačujejo osebe, upravičene do storitev nujne in materinske oskrbe, opredeljene v predpisih, in kronični bolniki.
The individual also pays part of the cost of medicines and medical appliances.
Poleg stroškov posveta z zdravnikom in/ali dnevnih stroškov bolnišničnega zdravljenja mora zavarovanec v nekaterih natančno določenih primerih delno povrniti
Medicines administered in hospital are free of charge. Otherwise, the OEP covers part or all of the cost when
Vsaka oseba, ki ima v okviru obveznega zdravstvenega zavarovanja pravico do zdravstvenih storitev, preventivnih pregledov in pregledov za zgodnje odkrivanje bolezni, je do teh storitev upravičena pod določenimi pogoji, opredeljenimi glede na starostno skupino, in v določenem časovnem intervalu.
•specialised hospitals: these have specialised treatment centres.
Razen v nekaterih primerih je udeležba na testih prostovoljna, saj so ti v interesu zadevne osebe.
amounts and the appliances covered are published in the national health insurance fund bulletin.
Bolnik v bolnišnični negi, ki je deležen oskrbe, potrebne zaradi njegovega zdravstvenega stanja, je upravičen do spodaj navedenih storitev, vključenih v dnevno povprečnino za bolnišnično zdravljenje:
Appliances have to be prescribed by a doctor for a patient to qualify for aid.
• pregledov za postavitev diagnoze bolezni,
The amount of aid granted is fixed as a percentage of the price (100%, 95%, 85%, 70% or 50%), at a set amount or on a sliding scale, depending on the type of illness.
• zdravljenja, ki ga predpiše zdravnik, vključno s kirurškimi posegi, terapevtskim materialom, ki se uporablja med temi posegi, in protetičnimi pripomočki,
institutions evenly distributed through the whole country which, through the county hospitals, provide patients suffering from serious illnesses or specific and rare diseases with safe, effective, quality treatment that requires a degree of specialisation that cannot be ensured in a general hospital: e.g. cancer treatments, organ transplants, heart operations, etc.
• zdravil, odvzemov krvi, obvez in terapevtskih pripomočkov, preventivnih storitev opravi družinski zdravnik. Pri tem imajo določeno vlogo tudi medicinske sestre (v njihovi pristojnosti je informiranje o testih za odkrivanje bolezni) in ponudniki zdravstvenega varstva v šolah; nekatere preiskave so v pristojnosti izvajalcev posebnih storitev zdravstvene oskrbe.
Specialised hospitals also admit patients who cannot be properly treated in their local hospital, owing to lack of equipment or staff. These hospitals also provide emergency services;
Da bi zagotovili učinkovitost preventivnih storitev, je z nekaterimi zakoni udeležba na testih za odkrivanje bolezni postavljena kot pogoj za brezplačnost storitev; poleg tega je lahko zakonsko predpisana tudi finančna udeležba zadevne osebe pri kritju stroškov teh storitev, če se ta ne udeleži testov za odkrivanje bolezni.
•local hospitals: most hospitals prefer to function as local general hospitals.
• nasvetov o zdravem načinu življenja in prehrane,
•the treatment prescribed by a doctor, including surgical operations, therapeutic equipment used during these and prosthetic appliances,
• namestitve bolnika v terapevtsko ustanovo za ležeče bolnike za časovno obdobje, potrebno glede na njegovo stanje, v skladu z razpoložljivostjo ter ob upoštevanju strokovnih in etičnih zahtev, povezanih z oskrbo.
•medicines, blood tests, dressings and curative accessories,
Gre za vrsto storitev, katerih namen je zmanjšati število bolnišničnih zdravljenj in zagotoviti bolj človeško oskrbo.
The insurance covers all injuries and illnesses incurred in the course of work, that are work-related or happen on the way to or from work (accidents at work), and diseases and deterioration of a worker’s health due to the hazards peculiar to the job (occupational diseases).
V tem okviru je zavarovanec upravičen do storitev izvajalcev oskrbe na domu, ki so sklenili sporazum z OEP.
Occupational diseases are those listed as such by the government.
Prejemnik teh storitev je upravičen do pomoči samo, če je storitve predpisal zdravnik specialist.
The insurance does not cover injury or illness exclusively occurring because of the victim’s behaviour.
Trajanje oskrbe na domu ne sme preseči trajanja oskrbe, ki bi je bil bolnik za dano bolezen deležen v bolnišnici.
•food, as part of a diet prescribed by the doctor,
Oskrba ležečega bolnika se lahko izvaja na treh ravneh:
•care in a convalescent home, for as long as required by their condition, depending on availability and the ethical and professional considerations involved.
Bolnik ima poleg tega pravico tudi do finančne udeležbe nosilca zdravstvenega zavarovanja pri nakupu terapevtskega pripomočka, ki mu je bil dokončno predpisan, ter finančne udeležbe pri stroških popravila in najema pripomočkov.
• benefits in kind:
• v specializiranih bolnišnicah: bolnišnice, ki imajo na voljo specializirane centre.
A patient’s health insurance will also cover part of the cost of any appliance prescribed as essential, and part of the cost of repairing and hiring these.
To so univerzitetne klinike in nacionalne ustanove, ki so enakomerno razporejene po vsej državi in ob pomoči departmajskih bolnišnic zagotavljajo učinkovito oskrbo hudo bolnim osebam ali osebam, obolelim za specifičnimi redkimi boleznimi.
– accident benefits,
Da bi zagotovili varnost in kakovost oskrbe, se ta lahko izvaja samo v teh centrih.
– an accident allowance.
Pri tem gre na primer za zdravljenje oseb, obolelih za rakom, presaditve organov, operacije srca in druge posege, za katere je potrebna visoka specializacija.
What the insurance covers
Terapevtski pripomočki
Hospital and clinical care can cover several types, including diagnostics, treatment, rehabilitation and sanitary care.
• v lokalnih bolnišnicah: bolnišnice, ki se želijo izogniti prestrukturiranju, danes večinoma delujejo kot lokalne bolnišnice in zagotavljajo splošno oskrbo.
It may be continuous or periodical, i.e. a single episode or gradual treatment where follow-up care may be covered for a certain length of time.
Predvsem po zaslugi evropskih sredstev bi morale biti tudi lokalne bolnišnice zmožne zagotavljati sodobne delovne pogoje, dostojne pogoje nastanitve in spremembe s sprostitvijo odvečnih aktivnih zmogljivosti v korist kroničnih bolnikov;
For some diseases there is a waiting list for treatment; in these cases, patients have to wait their turn.
Z zakonom je določen znesek pomoči, ki ga lahko nosilec zdravstvenega zavarovanja odobri za terapevtske pripomočke.
The waiting lists are published on the health-care providers’ websites.
Podatki o znesku in pripomočkih, za katere se lahko odobri pomoč v breme zdravstvenega zavarovanja, so objavljeni v uradnem listu Nacionalnega sklada za zdravstveno zavarovanje.
An individual whose health deteriorates must be re-examined and the waiting list may be modified as a result.
Za uveljavitev pravice do te pomoči mora pripomočke predpisati zdravnik.
General medical assistance, 100% coverage for medicine, appliances and health care, and certain free dental treatments that are connected with the sickness or injury.
Znesek pomoči, ki se odobri zavarovancem, je določen na podlagi odstotka cene (100%, 95%, 85%, 70% ali 50%), nespremenljivega zneska ali cenika glede na vrsto bolezni.
The amount of aid that the health insurance can provide for curative appliances is prescribed by law. These
• v lokalnih dispanzerjih: organizirani so okrog specializiranih in lokalnih bolnišnic in ambulantnim bolnikom zagotavljajo uporabniku prijazno oskrbo.
In addition to those mentioned above, this insurance also covers Hungarian citizens in full-time secondary or higher
Razvoj storitve lokalne oskrbe ambulantnih bolnikov bo uresničen z uporabniku prijazno porazdelitvijo obstoječih centrov.
Beneficiaries
Zavarovanci
Per diem cash benefits are paid to people who, as a result of an accident at work or an occupational disease, are unable to work and cannot perform their normal work without an appliance or because of their state of health.
Do nadomestila zaradi nezgode je upravičena oseba, ki zaradi nezgode pri delu ali poklicne bolezni ni zmožna za delo in ki zaradi svojega zdravstvenega stanja ali ker ji niso na voljo ustrezni terapevtski pripomočki, ne more opravljati svojega dela.
These benefits, which are equal to 100% of income, are granted for one year, but may be extended for a further year if necessary.
Nadomestilo zaradi nezgode znaša 100% višine dohodka.
Persons whose loss of working capacity has been assessed at 67% or more and whose condition is not expected to improve within a year are entitled to an invalidity pension if they have been insured for the requisite number of years and are not working regularly or if their pay is substantially lower than before.
Upravičenec lahko to nadomestilo prejema eno leto, vendar je mogoče obdobje prejemanja podaljšati še za eno leto.
Disability allowance
Renta zaradi nezgode
The insurance period necessary for entitlement to this pension depends on the age of the person at the time the invalidity was assessed, and is 2 years before the age of 22, and 20 years for full pension or 15 years for partial pension after the age of 55.
Zavarovanje pokriva vse poškodbe in bolezni, ki nastanejo med delom ali so povezane z delom, poškodbe, do katerih pride na poti na delo ali z dela (nezgode pri delu), ter bolezni in poslabšanja zdravstvenega stanja zaradi posebnih nevarnosti, ki so jim delavci izpostavljeni med opravljanjem dela (poklicne bolezni).
Persons who began to work within 180 days of completing their education and who became disabled before the age of 22 are entitled to an invalidity pension regardless of how long they actually worked.
Poklicne bolezni določi vlada. Zavarovanje ne pokriva poškodb in bolezni, ki jih je povzročilo izključno ravnanje poškodovanca.
A disability allowance is paid to anyone who as a result of an accident at work or occupational disease suffers a loss of working capacity of more than 15% and is not entitled to disability benefit.
Do rente zaradi nezgode so upravičene osebe, katerih zmožnost za delo se zaradi nezgode pri delu ali poklicne bolezni zmanjša za več kot 15% in niso upravičene do pokojnine za invalidnost, ki je posledica nezgode.
If the loss of working capacity is no more than 25%, the allowance is paid for two years; otherwise, it is paid until the person is able to work again.
Če je stopnja nezmožnosti za delo nižja ali enaka 25%, se renta zaradi nezgode izplačuje dve leti; če je ta stopnja višja od 25%, se renta izplačuje celotno časovno obdobje, ko je zmožnost za delo osebe zmanjšana.
The amount of this allowance depends on the loss of working capacity, and represents 8, 10, 15 or 30% of average monthly income.
Višina rente se izračuna na podlagi stopnje nezmožnosti za delo in lahko znaša 8, 10, 15 ali 30% povprečnega mesečnega dohodka.
No one who is entitled to an old age pension or to an invalidity allowance following an accident or who has deliberately caused his or her disability is entitled to an invalidity pension.
Ker delavec in delodajalec plačujeta obvezne prispevke za zdravstveno zavarovanje, je zavarovanec upravičen tudi do zdravstvene oskrbe v primeru nezgode.
Categories of invalidity
• storitve: – zdravstvena oskrba v primeru nezgode;
•Category II comprises those who are totally unable to work (100% incapacity) but are still self-sufficient;
• denarne dajatve: – nadomestilo zaradi nezgode pri delu, – renta zaradi nezgode pri delu.
When are you entitled to an invalidity pension?
Zdravstvene storitve v primeru nezgode pri delu
The local government can grant an allowance for funeral expenses to anyone who assumes responsibility for a funeral while under no such obligation or because the deceased’s next of kin is unable to pay for the funeral without endangering his own livelihood or that of his family.
Lokalna vlada lahko dodeli pogrebnino osebi, ki poskrbi za pogreb pokojnika, čeprav k temu ni zavezana ali čeprav je bližnji pokojnika poznan, vendar ne more nositi stroškov pogreba, ne da bi s tem ogrozil lastna sredstva preživetja ali sredstva za preživetje družine.
This allowance cannot amount to less than the minimum monthly old age pension per family and, for single persons, cannot be less than 150% of that amount.
Pogrebnina za eno osebo ne sme biti nižja od minimalne mesečne starostne pokojnine na družino, v primeru samskih oseb pa ta znesek ne sme biti nižji od 150% zgoraj navedenega zneska.
A funeral allowance cannot be less than 10% of the cost of the cheapest funeral, and may cover the whole cost if this would endanger the livelihood of the applicant or his family.
Pogrebnina mora pokrivati vsaj 10% stroškov najcenejšega pogreba, lahko pa krije tudi vse stroške, če bi ti sicer ogrozili sredstva za preživetje prosilca ali njegove družine.
From the day the incapacity is assessed by the doctor, as long as all the other conditions are met. If the applicant has a contract of employment at the time, the entitlement begins when:
Zdravstvene storitve v primeru nezgode pri delu poleg splošne zdravstvene oskrbe vključujejo 100-odstotno kritje stroškov za zdravila, terapevtske pripomočke in oskrbo, potrebno zaradi poslabšanja zdravstvenega stanja, in nekatere brezplačne storitve zobozdravstvene oskrbe, povezane z boleznijo ali poškodbo.
Funeral at public expense
Pogreb na stroške javnih organov
The mayor of the commune including the locality where the death occurred must ensure that the person is buried at public expense within 30 days of notification of the death, if there is no one to take charge of it or if the person whose responsibility it is cannot
Če ni nikogar, ki bi moral poskrbeti za pogreb, oziroma če osebe, ki bi morala poskrbeti za pogreb, ni mogoče najti ali če ta oseba ne poskrbi za pogreb, mora župan občine, v katere ozemeljski pristojnosti je kraj smrti, zagotoviti, da se pogreb v 30dneh po obvestilu o smrti financira iz javnega sklada.
•he is working but is substantially less well paid.
Občina kraja, kjer je imel pokojnik zadnje stalno prebivališče, povrne stroške pogreba občini, kjer je nastopila smrt.
Since 15 February 2007, the minimum disability allowance is 27 200 HUF for category III, 28 560 HUF for category II and 29 530 HUF for category I.
• preneha redno delati in ni več upravičen do nadomestila za bolniško odsotnost ali nadomestila zaradi nezgode ali
For categories II and I, the amount of the invalidity pension is increased respectively by 5% and 10% of average monthly pay compared to the average monthly sum that would be payable for category III.
Do invalidske pokojnine so upravičene osebe, katerih zmožnost za delo se je zmanjšala za najmanj 67%, če se v roku enega leta ne pričakuje izboljšanje njihovega zdravstvenega stanja, če so dopolnile potrebno delovno dobo, če ne delajo več redno ali če je njihova plača bistveno nižja od plače, ki so jo prejemale pred tem.
In the case of a new accident at work, the combined consequences of both accidents should be taken into account.
Višina invalidske pokojnine ni odvisna samo od povprečne plače, ampak tudi od stopnje invalidnosti in dopolnjene delovne (zavarovalne) dobe.
In such cases the disability allowance is calculated on the basis of either the average pay at the time of the first accident or the average pay at the time of the second accident, whichever is higher.
V splošnem se izračun povprečne plače, od katere se odmeri invalidska pokojnina, ujema z izračunom, ki se uporablja pri starostni pokojnini, le da se, če je upoštevana delovna doba krajša od obdobja, ki se upošteva za izračun povprečja (povprečne višine plač od leta1988 do začetka prejemanja pokojnine), invalidska pokojnina odmeri od mesečnega povprečja plače ali dohodka, ki ga je oseba prejemala v tem vsaj 30-dnevnem krajšem obdobju.
The amount of the invalidity pension cannot be more than the average monthly pay on which it is based.
Delovna doba, potrebna za uveljavitev pravice do te pokojnine, se določi glede na starost osebe (za osebe, mlajše od 22let, je zahtevana delovna doba 2leti, za osebe, starejše od 55let, pa 20let za celo pokojnino in 15let za delno pokojnino).
Since 15 February 2007, the minimum invalidity pension is 27 130 HUF for category III, 28 340 HUF for category II and 29 370 HUF for category I.
Od 15.februarja2007 naprej znaša minimalna invalidska pokojnina za kategorijoIII 27130HUF, za kategorijoII 28340HUF, za kategorijoI pa 29370HUF.
The Hungarian pension system was overhauled in 1997.
Osebe, ki prejemajo starostno pokojnino ali pokojnino za invalidnost, ki je posledica nezgode, niso upravičene do invalidske pokojnine.
The new system is based on two main pillars:
Ko oseba dopolni zakonsko določeno upokojitveno starost, se njena pokojnina ne izračuna ponovno, ampak še naprej prejema enako pokojnino.
New provisions intended to check the allocation of invalidity pensions and encourage rehabilitation will come into effect on 1January 2008.
S 1.januarjem2008 so začele veljati nove določbe, katerih namen je zmanjševati dodeljevanje invalidskih pokojnin in spodbujati rehabilitacijo.
•The first pillar is the compulsory pay-as-you-go, contributions-financed pension fund, which is part of the social insurance system.
2.4.2 Dajatve za invalidnost, ki je posledica nezgode
This allowance is paid to victims of an accident at work or an occupational disease whose loss of working capacity is at least 67%, who are not working regularly, or whose pay is substantially lower than before.
• V kategorijoIII spadajo invalidne osebe (z najmanj 67-odstotno nezmožnostjo za delo), ki pa niso popolnoma nezmožne za delo.