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Apply and Pay for  VZP Private Foreigners
 Comprehensive Health Insurance

Click here to enroll in VZP Public

Pojišťovna VZP Application Form

ČR REGULATION No. 89/2012: Komplexní zdravotní pojištění cizinců

Please Select Your Plan and Coverage Length by Age and Rate

Rates in CZK

Currency Calculator  CZK USD

Exclusive covers up to a maximum benefit of  2,000,000.CZK  Emergency medical expenses in the EU Schengen Area are Included
and covers pre-existing conditions with the same guarantees and scope of VZP Public, subject to medical exam and application approval.


Comprehensive covers up to a maximum benefit of 1,700,000.CZK  Emergency medical expenses in the EU Schengen Area are Excluded
and excludes all pre-existing conditions but includes post-occurring conditions without a medical exam.

To view these, and other  Plans and Rates with higher maximums and coverage beyond Czechia’s borders with discounts, please visit our authorized  agent

Kindly Enter All of the Data Required

First Name

Last Name

Requested Start Date

Date of Birth

Nationality  &  Passport  #

Email

Phone Number

Gender

Marital Status

Male

Female

Single

Married

Residence Address – Preferably in the Czech Republic

Street and Number

Town or City

Postcode

Country

Phone Number

Email

Billing Address – if different from above

Street and Number

Town or City

Zip Code

Country

Phone Number

Email

Kindly Submit any special delivery requests, instructions, questions or comments you may have

 Your Security is of the utmost importance to us. Please, read our information for clients about protection of personal data according to EU general data protection regulation (2016/679) aka GDPR. By using our site, you agree to our privacy policy.

I hereby affirm that I have read and accept the Terms and Conditions of the plan I have selected and that the earliest coverage start date is 24 hours after payment has been received. All policy documents and ID cards will arrive by mail in 1-2 days.
No refunds for cancellations after coverage begins even if obliged to enroll in public insurance.

Submit

 

VZP ČR, Public Health Insurance 
Code for Hospital and Clinics #111

Email:  info@vzp.cz
Phone: +420 952 222 222




Pojišťovna VZP, a.s. Private Insurance
Code for Hospital and Clinics #333

Email:  info@vzpforforeigners.cz
Phone: +420  222 254 442
U.S. direct:    +1. 616-855-7670



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