{"id":96,"date":"2025-04-25T21:23:00","date_gmt":"2025-04-25T19:23:00","guid":{"rendered":"https:\/\/vitalitas.cz\/en\/?page_id=96"},"modified":"2025-05-25T21:02:13","modified_gmt":"2025-05-25T19:02:13","slug":"insurance-claim-report","status":"publish","type":"page","link":"https:\/\/vitalitas.cz\/en\/health-insurance-for-foreigners\/insurance-claim-report\/","title":{"rendered":"Insurance Claim Report"},"content":{"rendered":"\n<div style=\"padding-left:4%;padding-right:4%;padding-bottom:2%;padding-top:4%\" class=\"wp-block-genesis-blocks-gb-container gb-block-container\"><div class=\"gb-container-inside\"><div class=\"gb-container-content\" style=\"max-width:1280px\">\n<h1 class=\"vitalitas-orange bold center\">Health Insurance<\/h1>\n<h1 class=\"vitalitas-violet bold center\">Claim Report<\/h1>\n\n\n\n<div style=\"color:#ddd\" class=\"wp-block-genesis-blocks-gb-spacer gb-block-spacer gb-divider-solid gb-divider-size-1\"><hr style=\"height:30px\"\/><\/div>\n\n\n\n<div class=\"vitalitas-form-holder\">\n\n\n<style id=\"wpforms-css-vars-97-block-b85148a4-c5c8-45c3-98fd-eff505c94466\">\n\t\t\t\t#wpforms-97.wpforms-block-b85148a4-c5c8-45c3-98fd-eff505c94466 {\n\t\t\t\t--wpforms-label-color: #333333;\n--wpforms-label-sublabel-color: #333333;\n--wpforms-page-break-color: #702082;\n--wpforms-field-border-size: 2px;\n--wpforms-field-border-radius: 6px;\n--wpforms-field-border-color: #333333;\n--wpforms-field-border-color-spare: #333333;\n--wpforms-field-text-color: #333333;\n--wpforms-container-padding: 20px;\n--wpforms-container-border-radius: 6px;\n--wpforms-button-border-size: 2px;\n--wpforms-button-border-radius: 6px;\n--wpforms-button-background-color: #ed8b00;\n--wpforms-button-text-color: #ed8b00;\n--wpforms-button-border-color: #ed8b00;\n--wpforms-button-text-color-alt: #ffffff;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 20px;\n--wpforms-button-size-height: 48px;\n--wpforms-button-size-padding-h: 20px;\n--wpforms-button-size-margin-top: 15px;\n--wpforms-container-shadow-size-box-shadow: none;\n\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-b85148a4-c5c8-45c3-98fd-eff505c94466 wpforms-render-modern\" id=\"wpforms-97\"><form id=\"wpforms-form-97\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"97\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/96?wpforms_form_id=97\" data-token=\"c4c1f9e6ae91a13eb797323a7750bc90\" data-token-time=\"1776786987\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-page-indicator circles\" data-indicator=\"circles\" data-indicator-color=\"#702082\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"3\" tabindex=\"-1\"><div class=\"wpforms-page-indicator-page active wpforms-page-indicator-page-1\"><span class=\"wpforms-page-indicator-page-number\" style=\"background-color:#702082\">1<\/span><span class=\"wpforms-page-indicator-page-title\">ENTRY INFORMATION<\/span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-2\"><span class=\"wpforms-page-indicator-page-number\">2<\/span><span class=\"wpforms-page-indicator-page-title\">INSURANCE CLAIM<\/span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-3\"><span class=\"wpforms-page-indicator-page-number\">3<\/span><span class=\"wpforms-page-indicator-page-title\">METHOD OF PAYMENT<\/span><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-97-field_9-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"9\"><\/div><div id=\"wpforms-97-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_1\">POLICY NUMBER <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-97-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" placeholder=\"for instance, 500012345678\" aria-errormessage=\"wpforms-97-field_1-error\" aria-describedby=\"wpforms-97-field_1-description\" required><div id=\"wpforms-97-field_1-description\" class=\"wpforms-field-description\">12 digits that can be found, for example, on the health insurance card that we sent you when arranging insurance.<\/div><\/div><div id=\"wpforms-97-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">NAME AND SURNAME OF THE INSURED PERSON <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-97-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" placeholder=\"First name\" aria-errormessage=\"wpforms-97-field_3-error\" required><label for=\"wpforms-97-field_3\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-97-field_3-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][3][middle]\" placeholder=\"Other name\" aria-errormessage=\"wpforms-97-field_3-middle-error\" ><label for=\"wpforms-97-field_3-middle\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-97-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" placeholder=\"Surname\" aria-errormessage=\"wpforms-97-field_3-last-error\" required><label for=\"wpforms-97-field_3-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-97-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_4\">INSURED&#039;S IDENTITY CARD OR PASSPORT NUMBER <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-97-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" placeholder=\"for instance, M2489318\" aria-errormessage=\"wpforms-97-field_4-error\" required><\/div><div id=\"wpforms-97-field_13-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_13\">TELEPHONE <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-97-field_13\" class=\"wpforms-field-large wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][13]\" aria-label=\"TELEPHONE\" aria-errormessage=\"wpforms-97-field_13-error\" required><\/div><div id=\"wpforms-97-field_14-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_14\">EMAIL <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-97-field_14\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][14]\" spellcheck=\"false\" aria-errormessage=\"wpforms-97-field_14-error\" required><\/div><div id=\"wpforms-97-field_8-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"8\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"97\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-97-field_16-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_16\">DATE OF CLAIM <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-97-field_16\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][16][date]\" aria-errormessage=\"wpforms-97-field_16-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-97-field_17-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_17\">CAUSE OF THE CLAIM <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-97-field_17\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-97-field_17-error\" required><\/textarea><\/div><div id=\"wpforms-97-field_18-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_18\">A DETAILED DESCRIPTION OF THE CLAIM <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-97-field_18\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-97-field_18-error\" required><\/textarea><\/div><div id=\"wpforms-97-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_20\">MEDICAL FACILITY, WHERE WAS THE EXAMINATION PROVIDED <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-97-field_20\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-97-field_20-error\" required><\/div><div id=\"wpforms-97-field_21-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_21\">REQUIRED DOCUMENTS: MEDICAL REPORT &amp; ORIGINALS OF RECEIPT<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"21\"\n\t\tdata-form-id=\"97\"\n\t\tdata-input-name=\"wpforms_97_21\"\n\t\tdata-extensions=\"pdf,jpg,jpeg,png,docx,doc,xls,xlsx\"\n\t\tdata-max-size=\"8388608\"\n\t\tdata-max-file-number=\"10\"\n\t\tdata-post-max-size=\"16384000\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 10 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-97-field_21\"\n\t\tname=\"wpforms_97_21\" \t\tvalue=\"\">\n<div id=\"wpforms-97-field_21-description\" class=\"wpforms-field-description\">Click or drag and drop all necessary medical report(s) and original(s) of receipt (max. 8 MB \/ file, max. 10 files)<\/div><\/div><div id=\"wpforms-97-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_24\">WRITE DOWN YOUR TOTAL COSTS? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-97-field_24\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-97-field_24-error\" required><\/div><div id=\"wpforms-97-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_25\">PLEASE SPECIFY THE CURRENCY <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-97-field_25\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][25]\" aria-errormessage=\"wpforms-97-field_25-error\" required><\/div><div id=\"wpforms-97-field_26-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"26\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">I paid in multiple currencies<\/legend><ul id=\"wpforms-97-field_26\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-97-field_26_1\" name=\"wpforms[fields][26][]\" value=\"I paid in multiple currencies\" aria-errormessage=\"wpforms-97-field_26_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-97-field_26_1\">I paid in multiple currencies<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-97-field_29-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"29\" style=\"display:none;\"><div id=\"wpforms-97-field_29\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-97-field_29-error\"><h5><span style=\"color:#333333\">I PAID IN MULTIPLE CURRENCIES<\/span><\/h5>\n<p style=\"color:#333333\">If you have paid in different currencies, please write all values in the TOTAL COSTS field (e.g. 300 CZK, 20 EUR,&#8230;) and in the CURRENCY field all necessary currencies (CZK, EUR,&#8230;)<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-97-field_15-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"15\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"2\" data-formid=\"97\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"97\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3 last \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-97-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-97-field_23\">INSURANCE BENEFIT SEND ON BANK ACCOUNT NUMBER <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-97-field_23\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-97-field_23-error\" required><\/div><div id=\"wpforms-97-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">GDPR <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-97-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-97-field_22_1\" name=\"wpforms[fields][22][]\" value=\"I agree to the processing of personal data.\" aria-errormessage=\"wpforms-97-field_22_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-97-field_22_1\">I agree to the processing of personal data.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-97-field_10-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"10\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"3\" data-formid=\"97\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"97\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/vitalitas.cz\/en\/wp-json\/wp\/v2\/pages\/96\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-97\" class=\"wpforms-submit\" data-alt-text=\"Sending to the insurer...\" data-submit-text=\"SUBMIT\" aria-live=\"assertive\" value=\"wpforms-submit\">SUBMIT<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/vitalitas.cz\/en\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<\/div>\n<\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":65,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_genesis_hide_title":true,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":{"0":"post-96","1":"page","2":"type-page","3":"status-publish","5":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Insurance Claim Report | Vitalitas<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vitalitas.cz\/en\/health-insurance-for-foreigners\/insurance-claim-report\/\" \/>\n<meta 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