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SOCIAL SECURITY AND HEALTH CARE Legislation on health insurance, social security and pension insurance Compulsory health protection Voluntary health system Stable financing of health care Pension system reform Preventing social exclusion Indicators per 10,000 population (1999) Number of doctors and dentists 32 Number of nurses 64 Number of hospital beds 59 Indicators total (2000) Number of residents of old people's homes 11,779 Number of residents of special care institutions 1,629 Number of inmates in work units for the disabled 2,057 Number of claimants of social security - as the sole source of income 1,178 - as an income supplement 32,777 Average number of monthly claimants: total (2000) Old age pension 284,776 Invalidity pension 98,503 Widow's pension 663 Family pension 88,504 Farmer's pension 9,744 State pension 50 Source: Statistical Office of the RS, Ministry of Labour, Family and Social Affairs As a Central European state, Slovenia has a tradition of compulsory health insurance stretching back more than 110 years. The Republic of Slovenia as an independent state adopted its own legislation in the field of health and social care and pension and disability insurance in 1992. The Health Care and Health Insurance Act was adopted in 1992 and later supplemented. The Pension and Disability Insurance Act was first adopted in 1992 and in 1999 a new law came into force, which introduced pension reform and a new, 'three-pillar' pension system and disability insurance.
Health insurance is compulsory for everybody with a permanent address in Slovenia. This insurance, paid by the insured, employers and other contributors guarantees access to health services, medicines, technical aids, as well as sickness and other financial benefits. The compulsory health insurance covers most health risks, but not all and not fully. The difference has to be paid by those insured out of their own pockets, or they can pay for additional insurance. For managing health insurance is responsible the Health Insurance Institute. In 1999, a new Mutual Health Insurance organisation was established to manage voluntary health insurance, taking in all the 1.1 million people with voluntary insurance policies at the Institute of Health Insurance of Slovenia. A special feature of this insurance organisation is that it is owned by its members, those insured, and it functions according to the principles of mutuality and non-profitability. The Health Insurance Institute has for a number of years financed programmes of compulsory health insurance with approximately the same share of public funds: around 7 per cent of GDP, which is approximately 650 USD per capita. In 2000, the share of GDP spent on health was 7.9 per cent, of which 6.8 per cent was public expenditure. Health expenditure per capita according to purchasing power was 1,100 USD, of which public expenditure was 950 USD. Slovene health capacities are comparable with those in the European Union. At the end of 1999, Slovenia had 25 doctors, 7 dentists, 64 nurses and 59 hospital beds per 10,000 population. In addition to the public network of health institutions in Slovenia, private healthcare is also developing. Its share of the total health care services is around 10 per cent. Following the new Pension and Disability Insurance Act, in force since January 2000, the pension system is similar to that in the rest of Europe. Thus the new retirement age for men is 63 and for women 61. The new system, which has been agreed by all the social partners and which is being introduced gradually, increases the long-term financial stability of the pension system and with it, the social security of all Slovene citizens. The state ensures the functioning of social care institutes, creates the conditions for private social work activities, and stimulates and supports the development of self-help, charity work, programmes enabling a more independent life for the disabled, and voluntary work in the area of social security. The state ensures that social exclusion is prevented, particularly by influencing the social position of the population in the areas of taxation, employment and work, and through grants, housing policy, family policy, health care, education and other policy areas. The state also pays special attention to the disabled, and those with mental or physical disabilities. |