Health Insurance Austria
Austrian health insurance for foreigners

Stethoscope metaphor health insurance Austria

What health insurance in Austria is the best for me? © demanescale / photocase.de

Austria is considered to be one of the best countries in the world for having health insurance – nearly 99 per cent of residents are covered. But how do you go about getting covered as a student, researcher or scientist moving to Austria? This guide gives you an insight into how the Austrian health system works.

Published: 2019-01-17

By: Gerard Thompson

Austria is known for having an excellent health insurance system. The World Health Organisation ranks it as the ninth best in the world, with 99 per cent of residents being covered.

The country’s health service is organised by region, with the regional authorities (Gebietskrankenkassen) known as the GKK.

Social insurance in Austria is composed of health, pension and accident insurance. The country has 28 social insurance institutions, and these are statutory bodies under public law.

Health insurance is mandatory in Austria for those meeting certain criteria. These are:

  • Those paid in employment
  • Self-employed
  • People claiming unemployment benefit
  • Pensioners
  • Those dependent on these groups

Anyone can seek voluntary cover for health insurance. 

As soon as you start employment, you are automatically covered by insurance. This also extends to school and university students. Social insurance contributions are deducted by the employer and paid to the local tax office. Employers are also responsible for registering their employees with the relevant social insurance office. Employees will receive a social insurance number once they are registered.

Since 2005, e-cards have been issued which verify your coverage. These should be presented if you have need to visit a doctor.

The European Health Insurance Card (EHIC) enables holders of the card to access state-provided healthcare at a reduced cost, or sometimes for free. It will cover you for treatment that is needed and will allow you to continue your stay in Austria until your planned return. A valid EHIC gives you the right to access state-provided healthcare in another country in the European Economic Area (EEA), which includes Switzerland.

The EHIC also covers you for treatment of pre-existing medical conditions and routine maternity care, providing that the reason for your visit to the county isn’t specifically to give birth.

In most European countries, you can apply for or renew your EHIC online, free of charge. If any unofficial websites attempt to charge you, they are not genuine and should be treated as a scam.

It is important to note that the EHIC does not cover private health treatment, so you must ensure you are treated by a provider who has a contract with the GKK regional health insurance offices. Doctors who operate under the state system usually display signs saying Kassenarzt, which means ‘contracted doctor’, or alle Kassen, which means ‘all insurers’.

Health insurance is mandatory in Austria. If you are staying in the country for a longer period (more than six months), you are considered a resident and you will have to pay contributions for medical care to one of the local insurance institutions (Sozialversicherungsträger). You will then receive an e-card that will give you access to free healthcare when living in Austria. You do not have to apply for the e-card as the health insurance institution will automatically send it to you. A full list of local insurance institutions can be found here.

If you are from a country that has a social insurance agreement with Austria, you will need to bring an A3 form for short stays (no longer than three month) and an A4 form for stays with a primary residents (Hauptwohnsitz).

Whilst the EHIC is freely available to citizens of member states of the EU/EEC (European Economic Community), it must be remembered that this is not a substitute for medical insurance. For stays of up to six months in Austria, travel health insurance is probably sufficient. For stays of more than six months, proof of having health insurance that covers “all risks” is advisable.

An EHIC makes all EU or EEA (including Switzerland) citizens eligible for free access to some health treatments whilst visiting Austria. This may be useful if you are a jobseeker travelling to the country to explore the possibility of living and working there.

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Students who have valid insurance from the EU/EEA and Switzerland have the advantage of receiving treatment at a reduced cost or even for free. However, an EHIC must be applied for before doing so. Otherwise costs can easily escalate.

If you are a scientist or researcher visiting from an EU/EEA country or Switzerland and are in possession of a valid national health insurance policy from your home country, you still need an EHIC. Employees sent to Austria by their employers will need an additional E102 form from their health insurance providers in their home country.

Degree programme students at all universities may take out student self-insurance (Studierendenselbstversicherung). The main requirements for this are residence in Austria and a confirmation of admission or continuation of your studies from the institution of higher education you are studying at. An online guide to help you verify whether you meet the criteria for discounted student insurance can be found here.

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The health insurance premium is around €24.42 a month for students who have access to the regional healthcare system. Medical insurance is easily accessible, but the cost of private health insurance can be considerably higher.

If you are not covered by the EHIC, it is compulsory that you are covered for acute illness before taking up residence in the country. The coverage required for non-EU and non-EEA citizens is a minimum of €30,000. Please bear in mind that many places expect cash payments for medical care that isn’t covered by your medical insurance.

For those from outside the EU/EEA area, health insurance must be applied for. Be aware that this is an application only, and it can be denied. It is dependent upon the length of study – anything for a year or more is acceptable. The monthly premium is about €58.39 a month. If you do not qualify for the regional service, this can lead to a steep rise in monthly premiums, where costs of €369 a month would not be unusual.

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