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Family Doctor Can Order Over 100 NFZ-Funded Tests, Yet Many Patients Remain Unaware

Family doctors will be able to order over 100 tests under NFZ in 2026, yet many patients remain unaware of this expanded diagnostic option.

Expanded Testing Powers for Family Doctors in 2026

Many patients still hear “Please go to a specialist.” Meanwhile, in 2026, a family doctor can order over 100 tests funded by NFZ – from ultrasounds to HIV tests. This expanded testing authority remains unknown to many patients.

Regulatory Basis for Testing Authority

The scope of tests is not discretionary but stems from a regulation by the Minister of Health on guaranteed benefits in primary health care. Family doctors refer patients for tests based on medical indications, not upon request. When medical indications exist, doctors have both the right and obligation to order diagnostics within NFZ.

Three Testing Baskets in POZ for 2026

In 2026, three “baskets” of tests will be available in POZ, determining what diagnostic services patients actually receive. The first basket contains basic tests that every POZ facility with an NFZ agreement must provide. This basket covers the majority of diagnostics for chronic diseases.

Second Testing Basket: HIV, Ferritin, B12 Tests

Within the diagnostic budget, the scope of tests expands significantly. This second basket includes the 2025 innovation – a modern generation IV HIV test available in POZ without requiring a specialist visit. Many patients remain unaware of this expanded testing option.

Specialist Tests Through Coordinated Care

When clinics provide coordinated care in specific fields, family doctors can additionally order tests like Holter monitoring, ECHO of the heart, and Doppler. Not every clinic has agreements for all care paths, as this depends on their NFZ contract.

Where to Perform Tests and Referral Requirements

Laboratory tests are typically performed in labs cooperating with the patient’s clinic. Gastroscopy, colonoscopy, and lung CT can be done at any NFZ facility with the appropriate agreement. Patients do not have an “annual test limit” – medical indications determine testing needs. Referrals should be implemented while health conditions remain current.

Tests Not Available Directly in POZ

Directly in POZ, patients cannot obtain referrals for certain specialized tests. In such cases, referral to a specialist is necessary.

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