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The patient has the right to file a complaint with the National Health Service. When and how?

MedExpress Team

Piotr Wójcik

Published March 8, 2024 09:44

Lack of telephone contact with a medical facility, inability to make a same-day appointment or refusal to sign up with a doctor. - These are the most common complaints we receive," informs Agnieszka Białas-Sitarska, spokesperson for the Świętokrzyskie Branch of the NFZ in Kielce.
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- We are pleased to see that the number of complaints is decreasing from year to year. However, we still receive signals about irregularities in medical facilities," says Agnieszka Białas-Sitarska, and reminds us in what situations a patient has the right to complain to the NFZ.

It can do so if:

  • He was denied enrollment in a doctor
  • he was denied the benefit
  • He was told to pay for a service that should have been performed under insurance (free of charge for the patient)
  • Has difficulty signing up with a doctor, for example, enrollment is only possible in person or on designated days
  • The doctor does not see patients during the hours he should
  • He received a prescription without the reimbursement to which he is entitled.

Complaints against a facility that has a contract with the NFZ can be filed with the NFZ provincial branch or the NFZ headquarters in Warsaw.

How to file a complaint?

  • in writing
  • via Electronic Submission Box within the Electronic Platform for Public Administration Services (ePUAP)
  • via email
  • Orally (at the facility in question, for the record).

What should the complaint contain?

  • data of the complainant (name, surname, address)
  • data of the provider to whom the complaint relates
  • precise description of the event
  • if the complaint is filed on behalf of a third party - written authorization.

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