natgillin/translations-raw huggingface dataset:
Once a person has registered he is given a registration card with his personal details and a personal social security identification number.
Dajatve, za katere se prispevki ne plačujejo, se dodelijo osebam, ki potrebujejo pomoč, so upravičene do zaščite in nimajo zadostnih sredstev za preživetje v skladu z zakonsko določenimi pogoji, čeprav niso nikdar plačevale prispevkov ali jih niso plačevale dovolj dolgo, da bi bile upravičene do dajatev, ki se izplačajo v okviru sistema s plačevanjem prispevkov.
This card is valid for his whole lifetime and is used for all dealings with the social security system, and so must be kept very carefully.
Dajatve, za katere se prispevki ne plačajo, vključujejo:
• medical assistance;
• zdravstveno oskrbo;
No-one may be insured simultaneously under two social security schemes for the same occupation.
• posebne dajatve za primer brezposelnosti (subsidio por desempleo);
• special assistance for the unemployed (subsidio por desempleo);
Dobe zaposlitve, ko se plačujejo prispevki, se imenujejo„altas“.
• family allowances.
• družinski dodatki.
In addition, certain limited categories of persons may claim supplementary benefits from the central or local
Neodvisno od navedenega lahko nekatere omejene kategorije oseb od države ali manjših območnih skupnosti prejmejo dodatno socialno pomoč.
Once a person has registered with the appropriate social security scheme and started to work, he begins to pay social security contributions and is automatically ensured.
Skoraj vedno sta zaposlitev in plačevanje prispevkov pogoja za upravičenost do dajatev.
Changes in a person’s employment situation – a change of jobs, for example, or a period of unemployment – affect his insurance status. The periods
Vendar je treba opozoriti, da kot zavarovalne dobe („altas“) štejejo različni položaji, tudi če zadevna oseba ne opravlja nobene poklicne dejavnosti.
It also issues forms E 101, E 102 and E 103, relating to migrant workers.
Prav tako je pooblaščena za izdajo obrazcev E¤101, E¤102 in E¤103 v zvezi z veljavno zakonodajo za delavce migrante.
As a general rule a person must be employed and paying contributions in order to be entitled to benefits. There are, however, several situations that are treated as insurance contribution periods (“altas”), even if the person is not actively employed.
Če so izpolnjeni zahtevani pogoji, je oseba, ki nima zaposlitve, na podlagi katere se plačujejo prispevki, lahko upravičena do dajatev iz naslova upokojitve, trajne nezmožnosti za delo (popolna in težka invalidnost), smrti in preživetja (razen dodatka za pogrebne stroške).
• The National Social Security Institute (Instituto Nacional de la Seguridad Social - INSS) is responsible for granting and calculating all the cash benefits provided for by all the schemes (except for the special scheme for sea workers, noncontributory old age and disability allowances and unemployment benefits) and all family allowances (in all schemes, including the special scheme for sea workers).
• Nacionalni zavod za socialno varnost (Instituto Nacional de la Seguridad Social – INSS) je organ, pooblaščen za dodeljevanje in izračunavanje vseh denarnih dajatev, predvidenih v vseh sistemih (razen dajatev v posebnih sistemih za pomorščake, dajatev za starostne in invalidske pokojnine, za katere se ne plačujejo prispevki, in za brezposelnost) in družinskih dodatkov v vseh sistemih (vključno s posebnim sistemom za pomorščake).
• The Social Marine Institute (Instituto Social de la Marina - ISM) has a double function: it is responsible both for the social problems of the marine and fishing sector and for administering the special social security scheme for sea workers.
• Pomorski socialni zavod (Instituto Social de la Marina – ISM) ima dve funkciji: je organ, pooblaščen za socialno problematiko v pomorskem in ribiškem sektorju, obenem pa ima pooblastila za upravljanje posebnega sistema za pomorščake.
As soon as a person begins to work he begins to pay social security contributions.
V splošnem sistemu je prispevna osnova približno enaka realni plači zaposlenega.
The contributions are calculated as a percentage (contribution rate) of a base sum (the contribution base).
Vendar pa obstajata spodnja meja, enaka minimalni nacionalni plači, ki se ob zaposlitvi za polni delovni čas poveča za eno šestino, in zgornja meja, enaka približno petkratni minimalni plači.
These contribution bases and rates are legislated by the government each year in its finance bill.
• Zdravstveno varstvo upravljajo zdravstvene službe, ki so v pristojnosti avtonomnih skupnosti.
• Medical care is handled by the health services of the Autonomous Communities and, in Ceuta and Melilla, by the Public Health Service (Instituto Nacional de Gestion Sanitaria - INGESA).
Vendar pa v mestih Ceuta in Melilla zdravstveno varstvo upravlja in izvaja Nacionalni zavod za zdravstveno upravo (Instituto Nacional de Gestion Sanitaria – INGESA).
In the general insurance scheme, the contribution base corres ponds roughly to the employee’s real wage / salary.
Osebe, vključene v posebni sistem za samozaposlene, morajo plačevati prispevke na podlagi najnižjega določenega zneska, kljub temu pa se zadevna oseba
There is, however, a floor rate, which is equivalent to the guaranteed minimum wage (SMI) increased by one sixth for full-time employment, and a ceiling, which is equivalent to a little more than five times the guaranteed minimum wage.
• Zavod za starejše osebe in socialne storitve (Instituto de Mayores y Servicios Sociales – IMSERSO) skupaj z avtonomnimi skupnostmi upravlja pokojnine, izplačane v okviru sistema, v katerem se prispevki ne plačujejo, dajatve za starejše osebe in invalide ter socialne storitve.
• The Institute of Social Services and the Elderly (Instituto de Mayores y Servicios Sociales - IMSERSO) administers, with the Autonomous Communities, the pensions paid under the noncontributory system, the benefits for the elderly and the handicapped, and the related social services.
Poleg tega lahko samozaposleni prostovoljno povečajo obseg zaščite, ki jo imajo v tem sistemu, tako da dodajo zaščito proti tveganjem v primeru nezgod pri delu in poklicnih bolezni, če so se predhodno ali istočasno vključili v prostovoljno zavarovanje, s katerim so upravičeni do denarne dajatve zaradi začasne nezmožnosti za delo.
• The National Employment Institute (Servicio Público de Empleo Estatal - INEM) administers and checks unemployment benefits and is responsible for developing employment policies, in co-operation with the Autonomous Communities, through the employment offices (Oficinas de Empleo).
• Državni javni zavod za zaposlovanje (Servicio Público de Empleo Estatal – INEM) je pooblaščen za upravljanje in nadzor dajatev za brezposelnost ter mora skupaj z avtonomnimi skupnostmi oblikovati politike iskanja zaposlitev za brezposelne z uradi za zaposlovanje (Oficinas de Empleo).
For the self-employed, there are fixed floor and ceiling contribution bases, and workers must pay contributions calculated on at least the minimum level.
Zaposlenim ni treba osebno izvesti plačil prispevkov za socialno varnost, saj mora to narediti njihov delodajalec.
They can, however, choose a higher level, up to the prescribed maximum, and can later change it and choose another, always within the prescribed limits.
Delodajalec nakaže svoj del prispevkov in del, ki ga krije zaposleni.
They can also voluntarily upgrade their protection under the scheme to include insurance against accidents at work and occupational diseases, provided that they have, either previously or concurrently, subscribed to an insurance plan entitling them to cash benefits for temporary disability.
Delodajalec ob izplačilu plač zaposlenim odbije del prispevkov za socialno varnost, ki ga krije zaposleni, in akontacijo dohodnine.
The selfemployed are responsible for paying their own social security contributions.
Nasprotno pa morajo samozaposleni sami plačati svoje prispevke.
Anyone who disagrees with the decision of a social security organisation can submit a complaint to that organisation, within thirty days from the time of notification of the decision.
Če se z odločbo organa socialne varnosti ne strinjate, lahko pri zadevnem organu vložite pritožbo. To lahko naredite v 30 dneh od datuma vročitve odločbe.
If the organisation rejects the complaint, the next step is an appeal to the local social security tribunal (Juzgado de lo social).
Če organ socialne varnosti vašo pritožbo zavrne, lahko vložite tožbo na socialnem sodišču (Juzgado de lo social), na območju katerega imate stalno prebivališče.
If the complainant disagrees with the decision of this tribunal, he can appeal to the Higher Court of Justice of the Autonomous Community to which the social security tribunal belongs.
Če se z odločbo tega sodišča ne strinjate, se lahko pritožite pri Višjem sodišču avtonomne skupnosti, na območju katerega je socialno sodišče, ki je izdalo sporno odločbo.
Some questions have to be handled via an administrative tribunal.
Za nekatera vprašanja boste morali sprožiti upravni spor.
In any event, the social security organisations will tell you how to proceed and what the time limits for appeal are.
• Javna blagajna za socialno varnost (Tesorería General de la Seguridad Social – TGSS) je pooblaščena za vpis podjetij, prijavo zaposlenih in samozaposlenih, preverjanje njihovega zaposlitvenega položaja in plačevanja prispevkov za socialno varnost, izterjavo pri-
The social security system is administered by the following organisations, the addresses of which are given in section 3.
V vsakem primeru vam bodo organi socialne varnosti sporočili, kje in v kakšnem roku lahko vložite pritožbo zoper njihove odločbe.
These family situations can raise complicated social security problems.
Če ste prek glavnega zavarovanca (navadno vaš zakonec) upravičeni do zdravstvene oskrbe in ne živite več skupaj, lahko zaprosite za kartico zdravstvene oskrbe zase in za otroke, ki živijo z vami.
The best way to solve them is to go directly to the provincial directorates of the organisation concerned (INSS, ISM, INEM, etc.).
Zato se morate zglasiti na regionalnem direktoratu Instituto Nacional de la Seguridad Social (INSS), na območju katerega imate stalno prebivališče.
In non-standard family situations, benefits for minors (family allowances, orphans’ pensions, allowances for the disabled) are paid to the person supporting the beneficiary.
Te družinske okoliščine lahko povzročijo hude težave v zvezi s socialno varnostjo. Da se rešijo, je najbolje obiskati regionalni direktorat pristojnega organa (INSS, ISM, Državni javni zavod za zaposlovanje itd.).
If you are entitled to health insurance as the beneficiary of the insured person (normally your spouse) and you
V posebnih družinskih okoliščinah se pokojnine za sirote, družinski dodatki, dodatki za invalide in na splošno vse dajatve, dodeljene mladoletnim, nakažejo osebi, ki skrbi za mladoletnika ali invalida.
Sickness, maternity and equivalent paternity benefits scheme, as long as they have no other entitlement to health-care coverage.
2.1 Storitve za bolezen, materinstvo in enakovredne storitve za očetovstvo zdravstveni oskrbi, če do nje niso upravičeni iz drugega naslova.
This plan may also cover the dependent family members of a deceased returned emigrant.
To pogodbo lahko podpišejo tudi družinski člani, ki jih je vzdrževal izseljenec, ki se je vrnil v Španijo in tam umrl.
Health care for those without adequate means.
Zdravstvena oskrba za osebe, ki nimajo zadostnih finančnih sredstev
Who is insured?
Nosilci pravice (zavarovanci)
The following groups of persons when in Spain:
Naslednje skupine oseb, na španskem ozemlju:
• Registered workers who are affiliated to a social protection scheme or are in an equivalent position.
• Zaposleni, ki so prijavljeni in socialno zavarovani ali v enakovrednem položaju.
For the purposes of these benefits, workers are held to be fully covered even if their employer has not fulfilled his insurance obligations.
Za namene teh dajatev velja, da so zaposleni polnopravno zavarovani, tudi če delodajalec ni izpolnil svojih obveznosti.
• legally resident aliens;
• Španci, državljani Evropske unije;
• aliens registered in the municipality of their customary legal residence;
• tujci v zakonitem položaju;
• Pensioners and those receiving periodical social security benefits other than family allowances for dependent children.
• Osebe, ki prejemajo pokojnino ali redne dajatve socialne varnosti, razen družinskih dajatev za vzdrževanega otroka.
• aliens up to the age of eighteen;
• tujci, vpisani v register občine, v kateri navadno prebivajo;
• The spouse of the person insured or the person cohabiting with the insured for at least one year before the application, and that person’s children.
• Zakonec nosilca pravice ali izvenzakonski partner, ki z nosilcem pravice živi najmanj eno leto pred vlogo, in otroci te osebe.
• other aliens, but only for emergency services in the event of serious illness or accident or for maternity care during pregnancy and for a maximum of six weeks after childbirth.
• drugi tujci, ki niso navedeni v zgornjih točkah in ki se jim zagotovi samo nujno zdravljenje ob hudi bolezni, nezgodi ali nosečnosti: v zadnjem primeru se zdravstvena oskrba zagotovi med nosečnostjo in največ šest tednov po porodu.
Qualifying conditions
Pogoji
• Adopted children and minors being fostered while the adoption process is in progress.
• Posvojeni otroci in mladoletniki v reji v tej družini do zaključka postopka posvojitve.
• the person must not be entitled to medical care under a social security scheme, either as a principal or as a beneficiary;
• kot zavarovanci ali upravičenci niso upravičeni do zdravstvene oskrbe v okviru sistema socialne varnosti;
• The lineal ascendants of the person insured and his/her spouse.
• Predniki nosilca pravice in njegovega zakonca.
• the person’s total annual income, from any source, must not exceed the public revenue index (IPREM).
Vse te osebe morajo živeti pri nosilcu pravice, ki jih tudi preživlja.
A person with a higher total annual income will still qualify if, when it is divided by the number of dependents (minors and/or disabled persons), the result is less than or equal to half the public revenue index.
Njihovi prihodki ne smejo preseči dvakratnika zneska večnamenskega javnega kazalnika prihodkov. In nazadnje, ne smejo imeti pravice do zdravstvene oskrbe iz drugega naslova.
These persons are covered as long as they are living with and dependent on the insured, their income is less than twice the public revenue index, and they are not entitled to health care from any other source.
• njihovi prihodki na letni ravni, ne glede na njihovo naravo, ne presegajo večnamenskega javnega kazalnika prihodkov (IPREM).
These general qualifying conditions apply in all cases.
Tudi če njihovi prihodki presegajo navedeno omejitev, se jim ta pravica dodeli, če je količnik med letnimi prihodki in številom vzdrževanih mladoletnikov in/ali invalidov nižji ali enak polovici navedenega kazalnika.
Other beneficiaries – Qualifying conditions
Drugi nosilci in upravičenci: pogoji
In addition, if you are a Spanish national, you must be resident in Spain.
Španci morajo izpolnjevati zahtevane splošne pogoje in prebivati na španskem ozemlju.
If you are not, you must in addition be able to prove:
Tujci morajo poleg splošnih pogojev izpolnjevati enega od naslednjih pogojev:
• Those who are separated or divorced or whose marriage has been annulled and who are not otherwise covered, as long as the primary beneficiary is entitled to health-care benefits.
• Ločene ali razvezane osebe in osebe, katerih zakonska zveza je bila razveljavljena, ki nimajo pravice do teh storitev iz drugega naslova, če je nosilec upravičen do zdravstvene oskrbe.
• that you are legally resident in Spain; or
• v Španiji so zakonito;
• Spanish emigrants who, while temporarily resident in Spain or upon their return, subscribe to a health-care
• Španski izseljenci, ki med začasnim prebivanjem v Španiji ali ob dokončni vrnitvi podpišejo pogodbo o
• that you are registered in the municipality where you normally reside; or
• vpisani so v občinski register, kjer navadno prebivajo;
• that you are under eighteen years of age; or
• dokažejo, da so mlajši od 18 let;
Rehabilitation is provided free of charge if the treating physician thinks it is necessary.
Brezplačna rehabilitacija se izvede, kadar zdravnik, ki zagotavlja zdravstveno oskrbo, meni, da je nujna.
Ships at sea can get medical advice by radio from the Social Marine Institute (ISM) twenty-four hours a day.
In nazadnje, ladje na plovbi lahko kadar koli po radiu dobijo zdravstvene nasvete iz zdravstvenega centra pomorskega socialnega zavoda (ISM).
• that you are not entitled to medical care in any country in the European Union or the EEA or any country with which Spain has a bilateral social security agreement providing for medical care.
Če zahtevani pogoji niso izpolnjeni, se jim zagotovi samo nujno zdravljenje pri hudi bolezni ali če so žrtve nezgode, dokler zdravnik ne izda uradnega potrdila, da so ozdravljeni, tujim nosečnicam pa se zdravstvena oskrba zagotovi med nosečnostjo, porodom in največ šest tednov po njem.
Travel abroad
Potovanja v tujino
How to obtain medical care
Kako zaprositi za zdravstveno oskrbo?
If you have health-care coverage under the Spanish national social security system and are planning to travel to a country in the EU or the EEA, be sure to get a European Health Card or E 112 form from the provincial directorate of the National Social Security Institute (Instituto Nacional de la Seguridad Social - INSS) or the Social Marine Institute (Instituto Social de la Marina - ISM), whichever you are registered with, before you leave.
Če ste upravičeni do zdravstvene oskrbe v španskem sistemu socialne varnosti in potujete v državo članico EU ali EGP, morate pred odhodom na regionalnem direktoratu Nacionalnega zavoda za socialno varnost (Instituto Nacional de la Seguridad Social – INSS) ali, če ste vključeni v posebni sistem za pomorščake, na regionalnem direktoratu Pomorskega socialnega zavoda (Instituto Social de la Marina – ISM) pridobiti evropsko kartico zdravstvenega zavarovanja ali po potrebi obrazec E¤112.
Special schemes – Specific rules
Specifična pravila v posebnih sistemih
The Special Social Security Scheme for Sea Workers makes specific provisions for accident or illness on board ship or in foreign ports.
Zdravstvena oskrba je zagotovljena izključno v okviru mreže centrov za zdravstvene storitve v avtonomnih skupnostih (razen v Ceuti in Melilli, kjer je zdravstvena oskrba zagotovljena prek nacionalnega zavoda za zdravstveno upravo (Instituto Nacional de Gestión Sanitaria – INGESA)) ali v pooblaščenih zdravstvenih centrih (Centros médicos concertados).
For more information, contact the Social Marine Institute (Instituto Social de la Marina - ISM) (the address is given in section 3).
Na splošno nacionalni zdravstveni sistem ne pokriva zdravstvene oskrbe, ki jo izvajajo v drugih zdravstvenih centrih.
Special programmes for the disabled
Vrste zdravstvenih storitev
Medical care is provided exclusively through the network of Health Centres in the Autonomous Communities (except for Ceuta and Melilla, where it is provided through the Public Health Service (Instituto Nacional de Gestión Sanitaria - INGESA)) or approved medical centres (Centros médicos concertados).
V posebnem sistemu za pomorščake obstajajo posebne določbe za nezgode in bolezni, ki nastopijo na ladji ali v tujih pristaniščih.
As a rule, medical care obtained from another medical centre is not covered by the national health-care system.
Za več informacij se obrnite na Pomorski socialni zavod (Instituto Social de ta Marina – ISM) (naslov je v točki 3).
Types of benefits
Posebni programi za invalide
The national health insurance system provides health and pharmaceutical care for the handicapped, including special functional and psychotherapeutic rehabilitation programmes, psychological treatment and counselling, general and special education programmes, occupational rehabilitation, vocational integration programmes, etc.
Nacionalni zdravstveni sistem invalidom zagotavlja zdravstveno oskrbo in zdravila.
Handicapped persons over the age of 3 with a degree of disability of at least 33% who cannot use public transport are eligible for a mobility allowance or compensation for transport costs.
Obstajajo programi za funkcionalno in psihoterapevtsko rehabilitacijo, psihološko zdravljenje in svetovanje, splošno in specializirano izobraževanje, delovno rehabilitacijo, poklicno vključevanje¤itd.
The national health insurance system covers medical treatment at home, in a health centre and in hospital.
Nacionalni zdravstveni sistem krije zdravljenje na domu ali v zdravstvenem ali bolnišničnem centru.
If you need to see a general practitioner, a paediatrician or a dentist, you can do so directly.
K splošnemu zdravniku, pediatru ali zobozdravniku greste neposredno.
To consult another specialist, you have to be referred by your GP.
Za pregled pri drugih specialistih potrebujete napotnico splošnega zdravnika.
Within your own health-care district you can select a GP and a paediatrician, as long as their patient lists do not exceed the quota set for the district.
Bolnik si lahko na območju medicinske pomoči, kjer je njegovo prebivališče, izbere splošnega zdravnika in pediatra, če število bolnikov pri teh zdravnikih ne presega kvote, določene glede na značilnosti območja medicinske pomoči.
The national health insurance system also covers hospitalisation and emergency care (with or without hospitalisation) in an emergency medical cen tre.
Nacionalni zdravstveni sistem pokriva tudi bolnišnično zdravljenje in nujno oskrbo v zdravstvenem centru za nujno pomoč (s sprejemom v bolnišnico ali brez njega).
Except in emergencies, to be admitted to hospital you need to be referred by your GP.
Za sprejem v bolnišnico je, razen v nujnih primerih, potrebna napotnica splošnega zdravnika.
If an ambulance is needed, the cost will be covered by the national health insurance system.
Če bolnika ni mogoče prepeljati z običajnim prevoznim sredstvom, nacionalni zdravstveni sistem krije tudi sanitetni prevoz (v reševalnem vozilu).
Medical care is generally free of charge, although psychiatric and dental care are not totally covered.
Na splošno je zdravstvena oskrba brezplačna.
Cash benefits for temporary incapacity are paid to persons registered with a social security scheme who have to stop working – there are specific conditions for the selfemployed – because of illness or accident.
Vendar pa psihiatrično zdravljenje in zobozdravstvo nista zajeta v celoti.
For outpatient treatment, medicines are free for certain beneficiaries, particularly pensioners and those receiving benefits for accidents at work or occupational diseases.
Pri ambulantnem zdravljenju so farmacevtski izdelki brezplačni za nekatere upravičence, zlasti za prejemnike pokojnin in dajatev, ki so posledica nezgode pri delu ali poklicne bolezni.
Others must pay part of the cost (generally 40% of the price). No charge is made for medicines administered as part of hospital treatment.
Drugi upravičenci morajo plačati del stroška za te izdelke (na splošno 40¤% cene zdravila).
Where the incapacity is the result of an accident at work or an occupational disease, no prior insurance period is required; otherwise, the claimant must have paid contributions for a total of 180 days within the five preceding years.
Finančna nadomestila za začasno nezmožnost zaradi bolezni ali nezgode se izplačajo zaposlenim, ki plačujejo prispevke za socialno varnost in morajo prekiniti poklicno dejavnost, ali samozaposlenim, če dokažejo, da izpolnjujejo določene posebne pogoje, neločljivo povezane z opravljanjem njihove dejavnosti.
The national health insurance system provides surgical prostheses, orthopaedic equipment and ordinary wheelchairs. It does not cover dental prostheses or eyeglasses.
Če je nezmožnost za delo posledica nezgode pri delu ali poklicne bolezni, se v vsakem primeru šteje, kot da zaposleni plačujejo prispevke, nadomestila pa odvisno od primera plačuje socialna varnost ali delodajalec.