Spring may bring warmer weather and blooming nature, but for many Slovaks, it also marks a rise in seasonal health issues such as allergies, asthma, and autoimmune conditions—often requiring time off work. While the Social Insurance Agency (Sociálna poisťovňa) in Slovakia provides sickness benefits under the Social Security Act, failing to comply with prescribed treatment rules can result in hefty fines and even the loss of benefit entitlements.
Employees and self-employed individuals on medical leave (PN) are expected to strictly follow their doctor’s prescribed regimen. This includes refraining from any paid activity, respecting approved times for leaving the residence, attending mandatory check-ups, and avoiding alcohol, smoking, or visits to public venues.
According to official guidelines, the Social Insurance Agency has the right to conduct surprise checks. These may be triggered by reports from healthcare providers, employers, or even private citizens. If an inspector does not find the individual at home, they leave a notice, and the person must promptly contact the medical assessment office with an explanation.
Violating these rules can be costly. As reported by Humanet, fines can range from €100 to €16,596.96, depending on the severity of the breach. Common causes for failed inspections include unreported address changes, broken doorbells, or pets preventing entry. Repeated violations may increase penalties and even lead to termination of benefit payments.
“In cases of repeated non-compliance, the standard fine of €100 may increase to €170,” noted the agency, adding that continued violations could also terminate eligibility for sickness benefits.
A major legislative change introduced this year has expanded the power of Social Insurance Agency medical assessors. As of January 1, 2025, these doctors can now independently terminate medical leave if deemed appropriate—without requiring final sign-off from the treating physician.
For more updates on labor law, health policy, and public regulations in Slovakia, visit LiveWorldUpdates.com.
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