Receiving sickness benefit

The payment of sickness benefit depends on the reasons for leaving work:

  • In case of an illness, quarantine, household or traffic injury and complications and illnesses caused by traffic injuries, no sickness benefit is received for the first three days. For days 4 to 8, benefit is paid by the employer, starting from day 9, the Health Insurance Fund. The benefit rate is 70% of day wages, calculated by the employer based on the average wage in the last six months and by the Health Insurance Fund based on social tax payments made during the last calendar year.
  • If a pregnant woman falls ill or is injured, compensation is received only from the Health Insurance Fund, starting from the second day at the rate of 70%.
  • In case of occupational diseases, workplace accidents (including work-related traffic accidents and complications and illnesses caused by workplace accidents) and injuries received when protecting the interests of the state or society and when preventing a crime, compensation is received only from the Health Insurance Fund, starting from the second day at the rate of 100%.
  • If the employee is given a job corresponding to their state of health or if the employee is transferred to an easier position, they receive sickness benefit from the Health Insurance Fund in an amount that is equal to their average daily income during the last year. If the employer cannot transfer the employee to an easier position, the insured person receives benefits from the Health Insurance Fund in the amount of 70% starting from the second day from the date of release from employment or service marked on the certificate of incapacity for work.

The income tax is also withheld from the benefit.

An insured person is entitled to receive benefits for incapacity to work for 182 (in the case of tuberculosis, for 240) consecutive calendar days. The restriction only applies to the period of receiving the benefit, not the period of the certificate for sick leave.

When the period of the leave ends, the doctor shall prepare an electronic certificate of incapacity for work in their computer and forward it to the database of the health insurance fund. The data forwarded by the doctor and information related to the payment of the benefits are available on the state portal .

An employer must be notified of the termination of a certificate of incapacity for work in accordance with the agreement with the employee, either orally or in writing. The employee shall forward the data from the certificate of incapacity for work through the state portal and the benefit for incapacity for work shall be transferred to the person’s bank account within a couple of working days after the employee has forwarded the data.

In the case of questions, call the Health Insurance Fund customer information phone or 669 6630 or send a mail at info@haigekassa.ee.

Last amended: 31-05-2017 00:00 | Compiled by: Estonian Health Insurance Fund