natgillin/translations-raw huggingface dataset:
The competent institution is the one with which you are (or were most recently) registered, or otherwise the regional sickness insurance fund (Gebietskrankenkasse).
Pristojni zavod je tisti, v katerega ste vključeni (ali bili nazadnje vključeni), sicer je to območni sklad zdravstvenega zavarovanja (Gebietskrankenkasse).
The sickness insurance scheme protects you and your dependants in the event of illness or maternity.
Zdravstveno zavarovanje varuje vas in vaše družinske člane, ki se štejejo za upravičence, pred tveganji bolezni in materinstva.
The following benefits are provided:
Zdravstveno zavarovanje zajema naslednje dajatve:
Dependent members of your family who reside or are temporarily staying in another Member State may also be entitled to sickness benefits.
Vaši družinski člani, ki imajo stalno prebivališče v drugi državi članici ali v njej začasno bivajo, lahko po potrebi tudi uveljavljajo dajatve zdravstvenega zavarovanja.
Your sickness insurance institution will inform you about the formalities to be completed.
Vaš sklad zdravstvenega zavarovanja vas bo obvestil o formalnostih, ki jih je treba urediti, da uveljavljate pravico do teh dajatev.
•benefits in kind: health care, medicines, screening and preventive medical examinations (Section 2.1.1);
2.1.1 Storitve zdravstvenega zavarovanja
•daily cash sickness benefits (Section 2.1.2);
• nadomestila za materinstvo (glej točko 2.1.3).
•maternity benefits (Section 2.1.3).
V obvezno zdravstveno zavarovanje so vključene naslednje skupine oseb:
The following are subject to compulsory insurance:
• zaposleni, vključno z vajenci,
You and your dependants are entitled to the following preventive medical examinations for the early detection of diseases:
Za zgodnje odkrivanje nekaterih bolezni ste vi in vaša družina upravičeni do naslednjih preventivnih zdravniških pregledov:
•employed persons, including trainees/apprentices;
• brezposelni, ki prejemajo nadomestila za primer brezposelnosti,
•examinations for the early detection of diseases in young persons up to the age of 19;
• pregledi zgodnjega odkrivanja bolezni pri mladoletnikih do 19. leta starosti,
•an annual preventive examination for the early detection of cancer, diabetes and cardiovascular diseases.
• samozaposleni,
•self-employed persons;
• upokojenci in prosilci pokojnine.
•persons receiving or applying for a pension.
• preventivni letni pregledi za zgodnje odkrivanje raka, sladkorne bolezni in kardiovaskularnih bolezni.
Health cures and rehabilitation measures are also covered by sickness insurance.
Poleg tega nosilci zdravstvenega zavarovanja krijejo stroške rehabilitacijskega zdravljenja in ukrepov.
Health care
Zdravniška oskrba
Persons who earn, from one or more occupational activities, a (total) income below the minimum threshold (2007: EUR 341.16 a month) are exempt from paying contributions.
Osebe, ki za eno ali več poklicnih dejavnosti prejmejo (skupno) plačilo, nižje od najnižjega praga (2007: 341,16 EUR na mesec), so oproščene plačevanja prispevkov.
Anyone resident in Austria is entitled to take out insurance on a voluntary basis.
Vse osebe s stalnim prebivališčem v Avstriji imajo pravico do prostovoljnega zavarovanja.
Co- insurance of dependants
Zavarovanje družinskih članov
In an emergency, the doctor will treat you even if you do not have your e-card with you, in which case you must state the sickness insurance institution you are insured with, and present your e-card afterwards.
Dokler ste zavarovani, imate vi in vaša družina pravico do zdravniške oskrbe, ki jo dobite pri splošnih zdravnikih, specialistih in zobozdravnikih.
Dependent members of your family resident in Austria are entitled to sickness benefits in kind in the same way as you are.
Vaši družinski člani s stalnim prebivališčem v Avstriji so kakor vi upravičeni do storitev zdravstvenega zavarovanja.
Generally speaking, your dependants are your spouse and any children up to the age of 18, or up to the age of 27 if they are still in education or undergoing vocational training.
Na splošno družinski član pomeni zakonca in otroke do 18.leta starosti, ali če se ti redno šolajo ali poklicno usposabljajo, do 27.leta starosti.
They do not have to be personally insured against sickness in order to qualify for these benefits.
Da dobijo pravico do tega zavarovanja, ni treba, da so osebno zavarovani pred tveganjem bolezni.
Any change in circumstances that may affect the granting of benefits must be reported to the sickness insurance institution without delay.
Vsako spremembo stanja, ki bi lahko vplivala na pravico do dajatve, je treba nemudoma sporočiti nosilcu zdravstvenega zavarovanja.
Since 1 January 2001, dependants other than children and grand-children are co-insured contribution-free in exceptional circumstances only, for example if they have dependent children or are entitled to care allowance with category-4 dependency or higher.
Od 1.januarja 2001 bodo vaši družinski člani, razen vaših otrok in vnukov, brezplačno zdravstveno zavarovani po vas samo v izjemnih okoliščinah, če imajo na primer vzdrževane otroke ali če so upravičeni
Treatment is provided by doctors or dentists who have a contract with a sickness insurance fund; these make up the majority of medical practitioners.
Pred začetkom zdravljenja morate zdravniku predložiti svojo elektronsko kartico, v nadaljevanju e-kartico.
You can choose between them at the start of the treatment, at the start of a calendar quarter, or at the beginning of a month.
Ta e-kartica je nacionalna kartica zdravstvenega zavarovanja, s katero oseba dokazuje svojo pravico do dajatev zdravstvenega zavarovanja v Avstriji.
A list of these practitioners is available from your sickness insurance institution.
Izda se avtomatično (ni potreben zahtevek) vsem zavarovancem in upravičencem.
However, you can also consult non-con-
Osebna letna udeležba zavarovanca pri stroških za kartico je 10 EUR (razen za otroke, upokojence in reveže).
Daily cash sickness benefits tracted doctors, in which case you are reimbursed up to 80% of the amount that would have been payable by your sickness insurance institution if you had been treated by a contracted doctor.
Pod določenimi pogoji lahko nosilec zdravstvenega zavarovanja povrne vse ali del potnih stroškov, ki so nastali zaradi zdravniške oskrbe.
If you become unfit for work as a result of illness, you are entitled to daily sickness benefits in cash from your sickness insurance fund as from the fourth day of incapacity.
Seznam teh zdravnikov je objavljen v prostorih vašega sklada zdravstvenega zavarovanja. Prav tako se lahko obrnete na nepogodbenega zdravnika.
For one and the same illness, however, this benefit is payable for no more than 78 weeks.
V tem primeru se vam stroški povrnejo do višine 80% zneska, ki bi ga kril vaš nosilec zdravstvenega zavarovanja, če bi vas zdravil pogodbeni zdravnik.
If your doctor considers it necessary to refer you to a specialist, clinic or similar institution, he or she will give you a referral note (Überweisungsschein).
Če vaš lečeči zdravnik meni, da vas je treba napotiti k specialistu, na kliniko ali podobno zdravstveno ustanovo, vam napiše Überweisungsschein (napotnica lečečega zdravnika za drugega zdravnika).
Medicines and medical aids
Zdravila, pripomočki in proteze
Sickness benefit is not payable while you continue to receive your pay on the basis of labour legislation (up to 12 weeks on full pay, followed by a specific period on half-pay).
Pri nezmožnosti za delo zaradi bolezni zaposleni od svojega nosilca zdravstvenega zavarovanja prejmejo dnevna nadomestila od četrtega dneva svoje nezmožnosti za delo.
Medicines are prescribed by a contracted doctor and can be obtained from any pharmacy.
Zdravila predpiše pogodbeni zdravnik, izdajo pa se v vseh lekarnah.
As a rule, you must pay a charge of EUR 4.70 (as at 2007) for each medicine prescribed.
Na splošno morate za vsako predpisano zdravilo plačati pavšalni znesek 4,70 EUR (za leto 2007).
The sickness insurance fund will generally bear the cost of prostheses or, where appropriate, will meet the costs up to a certain ceiling.
Nosilec zdravstvenega zavarovanja na splošno krije strošek protez do določene zgornje meje.
Daily sickness benefit is calculated on the basis of your most recent earnings (subject to a ceiling).
Plačevanje dnevnih nadomestil se začasno prekine za obdobje, ko zavarovanec, ki je nezmožen za delo, v skladu z določbami delovnega prava še naprej prejema svojo plačo (plačo po polni stopnji, ki se nakazuje v obdobju do 12 tednov in nato v določenem obdobju po stopnji, znižani za polovico).
It amounts to 50% of earnings, rising to 60% from the 43rd day.
Zobozdravstvena oskrba in zobne proteze
In addition, where the statutes of the sickness insurance institution so provide, benefit may be increased by a given percentage if you have a spouse and/or other dependent family members.
Dajatve nosilcev zdravstvenega zavarovanja vključujejo ohranjevalno in kirurško zdravljenje ter dentofacialno ortopedijo (ortodontske storitve) ter potrebne zobne proteze (na primer proteze s kovinskim nosilcem).
The increased benefit may not exceed 75% of earnings.
Če je predvideno v statutu nosilca zdravstvenega zavarovanja, se ti zneski lahko povečajo za določen odstotek za zakonca in druge družinske člane; zvišano dnevno nadomestilo za čas bolezni ne more presegati 75 %.
Dental treatment, dentures
En delež mora plačati zavarovanec.
You will have to pay a share.
2.1.3 Dajatve za materinstvo
Hospital care
Bolnišnično zdravljenje
•consultations with a doctor and assistance from a midwife during pregnancy and after confinement;
Vse ženske, ki so upravičene do storitev v okviru zdravstvenega zavarovanja (glej točko 2.1.1), so prav tako upravičene do storitev med nosečnostjo, med porodom in po njem.
If the nature of the illness so requires, you are entitled to treatment in a hospital. This is provided by the nearest hospital on the basis of contractual arrangements between sickness insurance institutions and hospitals.
Če ste noseči, se priporoča, da si priskrbite „materinsko knjižico“ (Mutter-Kind-Paß), v kateri so zapisani pregledi, ki jih je treba opraviti pred rojstvom in po rojstvu otroka (pozor: opravljeni pregledi, zahtevani v materinski knjižici, so pogoj za izplačilo dodatka za nego otroka po 21 mesecu otrokove starosti). Storitve v času materinstva vključujejo:
•medicines and aids;
• zdravniški nadzor in pomoč babice med nosečnostjo in po porodu,
Hospital care is not subject to any time limit if you have opted for the standard-rate category
Če narava bolezni to zahteva, ste upravičeni do bolnišničnega zdravljenja.
•care in a hospital or maternity home for a maximum of 10 days (or longer if complications arise during pregnancy or delivery).
To zdravljenje lahko poteka v najbližji bolnišnici na podlagi pogodbenih dogovorov, sklenjenih med nosilci zdravstvenega zavarovanja in zadevnimi ustanovami.
For dependants of employees, a contribution of 10% of the hospitalisation fee is charged during the first four weeks.
• pomoč babice in po potrebi zdravnika pri porodu,
Women working for an employer are entitled to maternity benefit during the period they are not allowed to work (eight weeks before and eight weeks after the birth).
Bolnišnično zdravljenje, do katerega ste upravičeni, ni časovno omejeno, če ste izbrali standardni cenovni razred.
From the beginning of the fifth week, hospital care is free of charge for you and your dependants. The sickness insurance institution also pays the cost of patient transport.
• oskrbo v bolnišnici ali porodnišnici v obdobju največ deset dni (ali več, če je potrebno, pri zapletih med nosečnostjo ali porodom).
Selfemployed women are entitled, over the same period, to maternity benefit of EUR 23.99 a day (as at 2006) Women are not entitled to benefit while still being paid by their employer.
Zaposlene ženske so med svojim porodniškim dopustom upravičene (vsekakor osem tednov pred porodom in osem tednov po njem) do nadomestil za materinstvo
In certain circumstances, travel expenses incurred in order to obtain medical treatment may be partially or wholly reimbursed by the sickness insurance institution.
Pri sistemu zavarovanja zaposlenih je za družinske člane v prvih štirih tednih predvidena 10-odstotna udeležba v tarifi bolnišničnega zdravljenja.
Austria also now offers the possibility of in vitro fertilisation. Special legislation lays down the conditions of entitlement.
Sam zavarovanec krije samo majhen delež za dan bolnišničnega zdravljenja (in to največ 28 koledarskih dni na leto).
Care allowance
• prva pomoč in zdravstvena oskrba,
You are entitled to these benefits if you suffer an accident at work (or while travelling to or from work).
• denarne dajatve za krajše obdobje,
Occupational diseases give rise to the same entitlement as accidents at work.
• ukrepi zdravstvene, poklicne in socialne rehabilitacije,
Therapeutic treatment comprises medical treatment, the provision of medicines and medical aids, e.g. prostheses, and care in a hospital or special clinic.
• družinska pokojnina in pomoč v primeru smrti,
The allowance is paid irrespective of income or assets, and of the underlying reason for needing care, by the institution which provides the basic benefit (such as the pension insurance institution), and applications for care allowance should therefore be addressed to that institution.
Treba je omeniti, da imajo odslej ženske v Avstriji pravico do umetne oploditve.
Depending on the degree of care required, there are seven categories of allowance (in 2006 ranging between EUR 148.30 and EUR 1 562.10 a month, 12 times a year).
Pogoji za pridobitev te pravice so določeni s posebnim zakonom.
If the State does not provide any assistance under the Federal Care Allowance Act, the provinces (Länder) may grant an equivalent allowance if the conditions of eligibility are met.
• dodatek za pomoč in postrežbo.
Initially, you will receive the cash payments to which you are entitled in the event of incapacity for work due to illness (continued payment of wages or sickness benefit).
2.1.4 Dodatek za pomoč in postrežbo
However, if disability pension would be higher, the difference is made up.
Pravico do teh dajatev pridobite zaradi nezgode pri delu (nezgoda na poti službo in iz nje).
If you are in hospital or a special clinic, you are entitled to a daily benefit (family allowance (Familiengeld) or daily allowance (Taggeld), depending on your family circumstances), as in such cases payment of the disability pension is suspended.
Nadomestila za poklicne bolezni se izplačajo na isti podlagi kot za nezgode pri delu.
Occupational rehabilitation measures include in particular:
Zdravstvena oskrba in denarne dajatve, ki se izplačujejo za krajše obdobje
•further training and retraining.
Če je znesek invalidske pokojnine, do katere bi bil upravičen, višji, prejme izravnalno nadomestilo.
The accident insurance scheme covers you while at work or travelling to or from work.
Osebe, upravičene do dajatev, ki jih izplačujejo zvezni organi (na primer pokojnina zakonskega pokojninskega zavarovanja, pokojnina za uradnike ali pokojnine zaradi nezgode pri delu), in ki zaradi invalidnosti potrebujejo stalno pomoč, so upravičene do dodatka za pomoč in postrežbo v skladu z določbami zveznega zakona o dodatku za nego, če imajo v Avstriji svoje običajno prebivališče; pod določenimi pogoji se dodatek za nego lahko izplača tudi v državi EGP.
Cover includes measures to prevent accidents as well as benefits in the event of injury.
Zavod, ki izplačuje osnovno dajatev (na primer zavod za pokojninsko zavarovanje), dodeli dodatek za pomoč in postrežbo, neodvisno od dohodka in premoženja ali vzroka za odvisnost od nege in je zato zanj treba zaprositi pri tem zavodu.
If you have an accident at work, you should report it immediately to your employer, who is obliged to pass on the details to the accident insurance institution.
Znesek tega dodatka je razvrščen v sedem stopenj glede na stopnjo odvisnosti od nege (v letu 2006 se je gibal od 148,30 do 1 562,10 EUR na mesec in se je letno izplačeval v dvanajstih mesečnih obrokih).
Social rehabilitation assistance may include a wide variety of measures (e.g. adaptation of housing to the needs of the disabled, mobility aids).
Če država ne izplačuje pomoči v skladu z zveznim zakonom o dodatku za pomoč in postrežbo, lahko dežele dodelijo ustrezen dodatek za nego, če so izpolnjeni pogoji za pridobitev pravice.
All persons employed under an employment or traineeship/apprenticeship contract and a large proportion of selfemployed persons are subject to compulsory accident insurance.
Glavni ukrepi, predvideni za poklicno rehabilitacijo, so:
For the prevention of accidents, there are regulations obliging employers to equip and maintain workplaces so as to protect employees against accidents and occupational diseases.
2.2 Dajatve za nesreče pri delu in poklicne bolezni
In the event of injury, the following benefits may be granted:
• pomoč pri ohranjanju bolnikove zaposlitve ali pri iskanju nove zaposlitve,
•first-aid and therapeutic treatment;
• usposabljanje ob delu in preusmeritev.
•short-term cash benefits;
Med usposabljanjem se izplačuje prehodni dodatek (Übergangsgeld).
In the event of a 100% loss of earning capacity, you receive a monthly pension amounting to two thirds of the basis of assessment (i.e. average insured earnings over the previous year).
Nezgodno zavarovanje vas varuje med opravljanjem vaše dejavnosti, na poti v službo in iz nje.
If your loss of earning capacity is less than this, you receive a monthly pension in proportion to the degree of disability.
Vključuje preventivne ukrepe ter dajatve za poškodbe.
Pensions are payable 14 times a year (12 monthly payments plus supplements in May and October).
Če ste imeli nezgodo pri delu, morate to nemudoma sporočiti svojemu delodajalcu; ta mora potem obvestiti nezgodno zavarovanje.
•medical, occupational and social rehabilitation measures;
V okviru ukrepov za socialno rehabilitacijo se lahko dodelijo zelo različne pomoči (na primer za prilagoditev stanovanja potrebam invalidne osebe ali lažjo mobilnost).
Where appropriate, a supplement for severe disability amounting to 20% of the pension is paid (or 50% if your earning capacity is reduced by 70%).
Vsi zaposleni, ki imajo sklenjeno pogodbo o delu ali vajeniško pogodbo, in tudi velik del samozaposlenih morajo biti obvezno nezgodno zavarovani.
For each dependent child up to the age of 18 (or 27 for those in education or vocational training) a child supplement of 10% of the pension is also paid.
Nezgodno zavarovanje vključuje tudi učence med poukom na splošnoizobraževalni šoli ter študente na visokošolskih ustanovah med njihovim šolanjem.
The condition for entitlement to
V zvezi s preprečevanjem nezgod obstaja zakonodaja, ki delodajalca zavezuje, da delovno mesto uredi in vzdržuje
The main focus of the reform is the new General Pensions Act (Allgemeine Pensionsgesetz – APG) which brings together all those in gainful employment (i.e. including public officials) under a new old-age and disability insurance scheme.
Ob smrti zaradi nezgode pri delu ali poklicne bolezni se osebi, ki je plačala pogrebne stroške, povrne en del teh stroškov.
If, as a result of an accident or occupational disease, you are in need of nursing care, you are also entitled to a care allowance in addition to your pension.
Letno se izplača v štirinajstih mesečnih obrokih (en obrok na mesec in še dva dodatna mesečna obroka, maja in oktobra).
•the new legislation does not apply to persons who had reached the age of 50 by 1 January 2005;
Zakon o uskladitvi pokojnin je začel veljati 1. januarja 2005.
If the occupational accident or disease is the result of negligent disregard of employee protection regulations, the pension is also supplemented by a lump sum as compensation for the degree of physical or mental disability caused (Integritätsabgeltung).
Za vsakega otroka do 18. leta starosti (do 27. leta starosti, če se redno šola ali poklicno usposablja) se dodeli povečanje za vzdrževanega otroka v višini 10% pokojnine. Vendar pa se ta povečanja izplačajo samo, če je nezmožnost za pridobivanje zaslužka zavarovanca zmanjšana za najmanj 50 %.
Under certain circumstances, a lump-sum settlement may be paid instead of a disability pension.
• nova zakonodaja se ne uporablja za osebe, ki so 1. januarja 2005 dopolnile 50 let,
•only the new legislation applies to persons who, by 1 January 2005, had not reached the age of 50 and had not acquired any entitlement under the statutory pension scheme;
• samo nova zakonodaja se uporablja za osebe, ki 1. januarja 2005 niso dopolnile 50 let in pred tem datumom niso pridobile pravice do pokojnine v okviru zakonske pokojnine,
Survivor’s pension
Družinska pokojnina
The spouse of an insured person who has died as a result of an accident at work or an occupational disease is entitled to a survivor’s pension from the accident insurance fund.
• za osebe, ki 1. januarja 2005 niso dopolnile 50 let, a so pred tem datumom pridobile pravico do pokojnine v okviru zakonske pokojnine, se uporabljajo določila nove in prejšnje zakonodaje, pokojnina pa se določi na podlagi vzporednega izračuna z uporabo postopka časovne porazdelitve.
•persons who had not reached the age of 50 by 1 January 2005, but who had already acquired entitlements under the statutory pension scheme before that date, are covered by the provisions of both the old and the new legislation, and the pension is determined by means of a parallel calculation using the pro rata temporis method.
Kot zakonec zavarovanca, ki je umrl zaradi nezgode pri delu ali poklicne bolezni, imate pravico do družinske pokojnine, ki jo izplačuje organ za nezgodno zavarovanje.
This amounts to 40% of the basis of assessment calculated for the deceased if the spouse has reached the normal pensionable age or is 50% incapacitated.
Znesek te pokojnine znaša 40% osnove za izračun, ki se je uporabljala za pokojnega zavarovanca, če ste dosegli običajno upokojitveno starost ali če je vaša nezmožnost pridobivanja zaslužka enaka najmanj 50%.
If the spouse is younger, the pension is 20% of the basis of assessment.
Če ste mlajši, znaša znesek te pokojnine 20 % osnove za izračun.
Children up to the age of 18 (or 27 if in education or vocational training) will receive an orphan’s pension.
Otroci do 18. leta starosti (ali do 27. leta starosti, če se redno šolajo ali poklicno usposabljajo) prejemajo pokojnino za sirote.
A child who has lost one parent receives 20% of the deceased’s basis of assessment, while a child who has lost both parents receives 30%.
Ta znaša od 20 do 30 % osnove za izračun, ki se je uporabljala za zavarovanca, glede na to, ali ima sirota še drugega od staršev ali ne.
All persons who, under a contract of employment or traineeship/apprenticeship, earn a remuneration above the minimum threshold (EUR 341.16 a month, as at 2006), as well as a large proportion of selfemployed persons, are compulsorily insured, also in the event of disability, under the statutory pension scheme.
Vse osebe, ki po pogodbi o delu ali vajeniški pogodbi prejemajo plačo, višjo od najnižjega praga (za leto 2006: 341,16 EUR na mesec), in velik del samozaposlenih so zajeti v zakonsko pokojninsko zavarovanje, tudi v primeru invalidnosti.
Anyone resident in Austria who is not subject to compulsory insurance has the possibility of joining the Austrian pension insurance scheme voluntarily.
Vse osebe, ki niso zavarovane v okviru obveznega sistema, a imajo v Avstriji stalno prebivališče, se lahko prostovoljno zavarujejo v avstrijskem sistemu pokojninskega zavarovanja.
It should be noted that pensions are granted only on application. Applications should be submitted to the competent social insurance institution.
Osebe, ki niso več zavezane k obveznemu zavarovanju, so lahko še naprej prostovoljno vključene vanj, neodvisno od njihovega kraja stalnega prebivališča.
Should you or a family member die, survivors may, in cases of hardship, receive a grant towards funeral expenses.
Če ostanete brez sredstev, lahko poleg svoje pokojnine prejemate še dodatek za pomoč in postrežbo.
Degree of invalidity
Treba je omeniti, da se pokojnina začne izplačevati po predhodni vložitvi zahtevka.