How the Austrian system works
Compulsory public insurance, funded by contributions, covering the whole family through employment, and free choice of doctor. The only real question to ask before an appointment: 'Kassenarzt oder Wahlarzt?'
Good to know
- The e-card is the Austrian social insurance card: it proves your cover and is shown at every consultation; without it, the practice can check your insurance number or ask for a deposit returned at the next visit. Its reverse serves as the European Health Insurance Card. Source
- A Kassenarzt (contracted doctor) is paid directly by the insurer: no upfront payment. A Wahlarzt sets their own fees, you pay, then the insurer refunds part of it on presentation of the invoice. A Privatarzt gives no right to any refund. Source
- The paediatrician (Kinderärztin, Kinderarzt) follows children from birth to 18 and remains the first point of contact when they are ill, without going through a GP; contracted practices are often full, some keep waiting lists: look for yours early, ideally during pregnancy. Source
- 1450 is the health advice line, free, open every day around the clock: qualified nurses assess the symptoms and tell you where to go, practice, on-duty pharmacy or emergency department; if it is life-threatening, the call is passed to 144. Source
- The Eltern-Kind-Pass (formerly Mutter-Kind-Pass) is the pregnancy and early childhood prevention programme: five obstetric check-ups during pregnancy, then child reviews up to the 62nd month, covered with contracted practitioners. Source