Proof of medical travel insurance is understood to be a document in which the relevant insurance company declares / confirms:

• The period of insurance (insurance must cover the entire stay in the Czech Republic),

• The extent of the insurance (the insurance policy must cover the costs that the foreign national is obliged to cover for the period of his/her stay in the Czech Republic in the event of providing necessary and urgent health care including the costs associated with transport or, in the case of his/her death, those associated with transferring his/her physical remains to the state that issued the travel document or to another state in which he/she has a residence permit),

• The amount of the insurance benefit (the agreed insurance benefit limit for one insurance event must be at least EUR 60 000, that being without an insurance retention on the amount of the given costs).
   

The insurance policy must not exclude coverage for injuries and damage caused by the applicant´s intentional acts, injuries and damage caused by fault or contributory fault on the part of the applicant, and injuries and damage caused by the consumption of alcohol, narcotic and psychotropic substances by the applicant.​

• A document on medical travel insurance is not required from a foreign national who:

  • contributes to public health insurance (e.g. if it concerns a stay for the purpose of employment, proof of medical travel insurance is only required for the period of entry until the beginning of employment).

  • if the costs for health care covered on the basis of an international agreement, or they are holders of valid EHIC or GHIC cards, or

  • citizens of European Union or their immediate family members  

  • if a foreign national can show that health care is covered in another manner, that being on the basis of a written undertaking by a legal entity, if the foreign national’s stay in the Czech Republic is beneficial for developing spiritual values, protecting human rights or other humanitarian values, protecting the environment, cultural monuments and traditions, developing the sciences, education, physical education and sport, on the basis of a written undertaking by a state body or on the basis of an undertaking contained in an invitation verified by the Foreign police in accordance with § 15 of the ARFN).
     

As of August 2^nd, 2021 the Law Concerning the Residence of Foreign Nationals specifies a duty for foreign nationals entering the territory and who will be on it for more than 90 days to conclude travel medical insurance in the scope of comprehensive healthcare within 90 days from entry to the territory of the Czech Republic. For a period of five years from the day when the amendment to the law concerning the residence of foreign nationals comes into force (i.e., from August 2^nd, 2021 to August 2^nd, 2026), travel medical insurance in the scope of comprehensive healthcare as required by the Act on the Residence of Foreign Nationals may be concluded exclusively with Pojišťovna VZP, a. s.

So if a request for a long-term visa or long-term residence permit is filed at an embassy of the Czech Republic on the date August 2^nd, 2021 and later, before a long-term visa (or long-term visa for the purpose of collecting a residence permit) is marked in the passport of the foreign national, it is necessary to submit a document on travel medical insurance:

1. in the scope of necessary and urgent care for the first 90 days of residence on the territory and for the remaining period of residence also a document on comprehensive medical insurance concluded with Pojišťovna VZP, a. s. (can be obtained on-line),

2. or a foreign national can directly submit a document on comprehensive medical insurance concluded with Pojišťovna VZP, a. s. for the entire period of the permitted residence on the territory (the insurance can be concluded online).