INTERNAL RULES OF THE GYNECOLOGICAL SURGERY bABa care, s.r.o.

(valid from Jan 1st 2026)

We ask our potential clients to place an order with us only if they have read these pages - or the "Internal Rules of our practice" - and that they agree with them.

1. Registration and cooperation

Our healthcare facility provides care to registered patients. In accordance with the new reimbursement mechanism of the Ministry of Health of the Czech Republic, the condition for registration and provision of care covered by public insurance is the patient's active cooperation in preventive programs.

2. Obligation of preventive examinations

Every registered patient is obliged to undergo a preventive gynecological examination at least once every 24 months. Failure to undergo this examination within the specified period is considered by our practice to be a violation of the patient's cooperation in the provision of health services within the meaning of the Health Services Act.

3. Financing of care

Since 2026, reimbursement for care for a registered patient has been made up of a monthly lump sum payment, which the insurance company will only pay on condition that the patient regularly visits her doctor for preventive examinations.

4. Consequences of inactivity

If a patient does not complete prevention for more than 24 months, the insurance company will not provide the practice with any funds for operation and consumables. In such a case, the patient may be asked to pay for the care provided as a self-payer or registration may be terminated due to lack of cooperation.

5. Booking and appointments

We ask for an apology for the appointment at least 24 hours in advance. The freed capacities are used for acute conditions and patients who urgently need care.

About our service

We provide purely medical services, contracted with health insurance companies, to participants of public health insurance in the Czech Republic "free of charge", or more precisely, exclusively for reimbursement from health insurance companies.

Clients of our facility who have public health insurance in the Czech Republic can choose whether to use only services covered by health insurance, or whether they want to pay extra for non-medical services, materials and services that are not covered, but we consider beneficial, or are simply more convenient and time-saving for clients. The "Comparison" of both approaches on page XY will make this clear to you.

It is necessary to realize that the spectrum of services reimbursed by health insurance companies reflects the state of medical science at the time of the creation of the "tariffs", i.e. at the beginning of the 1990s of the last century.

For example, the so-called bimanual palpation examination in gynecological prevention is practically diagnostically worthless from today's perspective. Preventive ultrasound examination of the pelvic organs, which is the only one that can detect, for example, the early stages of malignant ovarian tumors, is not covered by public health insurance. The same is true of many procedures in the care of pregnant women: palpation of the vagina, which is part of prenatal care, is also completely outdated and unnecessary, if not harmful, and the so-called second-trimester biochemical screening for congenital defects, which is covered for many years, has been considered completely obsolete. Ultrasound examination is covered only twice during the entire pregnancy (+ confirmation of pregnancy in the early phase), so that, for example, first-trimester combined screening and ultrasound cervicometry (i.e. an objective and important measurement of the length of the cervix), measurement of placental flow, etc. are completely excluded from coverage.

Furthermore, it should be noted that the main requirement for providing health services at the expense of public health insurance is strict efficiency and, in particular, economy. The ideal is certainly an empathetic doctor who patiently listens to his patient, then explains everything to him in a clear way, answers all his questions so that he can make an informed decision about possible treatment options, but the public healthcare system definitely does not support such an ideal. Outpatient specialists (and the public usually does not know this) are paid a very low flat rate and that is in addition to adhering to a list of unattractive, for some practices directly liquidating conditions. So the position of these doctors is much more like a dependent relationship of subordinate employees towards health insurance companies than a "business in medicine". When a client wants to talk about her reproductive health and seek advice, the medical facility does not receive a single crown from the health insurance companies, except for the flat rate payment for a properly registered insured person (in the amount of around 120 CZK/month!). And try talking to a lawyer, for example, and see how much he charges for an hour of his time and know-how? We do not have a contract with any insurance company for such interviews, so we charge them as a consultation (see price list on page XY)

Furthermore, patients should know an important fact: just because something is covered by a health insurance company does not mean that the insurance company will pay for it to anyone; it will only pay for services that the provider has "contracted" with a certain insurance company, and many of those contracted are also limited in frequency. That is, it is determined how many times a doctor can perform the procedure in a certain period. In other words, he can do it as many times as he wants, but the limitation says how many times the insurance company will pay for it.

We have a contract with insurance companies for routine services, but we do not have a contract for many of those that we are able to perform. For example, a cytological preventive examination is covered by the insurance company, but we consider it appropriate to supplement it with a preventive ultrasound examination of the pelvic organs (see price list), which is not covered in this indication.

The situation is similar for pregnant women; because billing for them would be complicated, we offer, in addition to the standard procedure covered by insurance companies (which does not include, for example, ultrasound first trimester screening and other additional examinations), our approach, which includes everything that can be done, or what we consider to be useful or what the patient wishes: ultrasound at every visit, photographs/recordings of the fetus (if conditions allow), ultrasound measurement of the length of the cervix, measurement of placental flow, all examinations and samples, including the so-called glucose tolerance test, are then performed by us as part of the pregnancy consultation and we do not send patients anywhere. These are services not covered by public health insurance, and therefore we charge fees for them (see price list). Their use is voluntary and the comparative table of both approaches will make this clear to you (see page XY).

On the contrary, we do not do what we do not consider necessary, for example, we do not take pregnant women unnecessarily often, unless it has a medical benefit.

Foreigners, clients of commercial insurance companies with whom we do not have a contract for the provision and payment of health care (Maxima, Unica), will pay for the care by direct payment (in cash or via QR code), will receive a confirmation and a list of services, possibly also a medical report, and with these documents with