Additional services

At the beginning of October, we conducted a patient survey on the level of satisfaction with our services, and asking about interest in a premium package of paid services. Based on this feedback, we have decided to offer a significantly cheaper package of extended services than the one we presented in October.

In the first quarter of 2018 we plan to introduce a fee of CZK 1,500 per year for the following package of services to registered patients over and above those covered by public health insurance:

  • the ability to request a telephone consultation where the doctor calls you back,
  • appointments outside of regular hours (during selected afternoon and evening hours),
  • e-mail communication with the practice,
  • online appointments (the end of the unpopular 30 CZK charge for an appointment via OASYS)
  • electronic request for repeat prescriptions, and
  • application of any number of vaccines during the year.

Students and people of retirement age will be eligible for a discounted price of CZK 750 per year. Please note that these charges include a 25% premium for services provided in the English language to help in covering the very real additional costs that these services entail.

These services (except for vaccination) will not be available other than to patients who purchase this package. In connection with the new option to request a call back, there will no longer be regular times reserved for telephone consultations with a doctor.

We look forward to maintaining and improving the quality of our care thanks to these changes, which in particular will help to maintain a stable team of excellent doctors and nurses. Without broad participation of patients in the new programme we will not, unfortunately, be able to continue providing our services in their current form – the current economic situation of the practice is unsustainable in the long term.

Please let us know whether you expect to purchase this package of extended services using the ling below. In this way you can ensure that you continue to enjoy access to these services without interruption.


We ask patients, who do not wish to purchase the package, to please fill out the survey as well to let us know, so we will not contact you regarding this matter in the future.

Patients, who have already completed the survey via e-mail, do not need to complete it again.


Q: Will it still be possible to communicate with my doctor in English even if I have opted out of the extra services?

A: We very much hope that the revenue from these new charges will be sufficient and we will not be forced to introduce a charge for all communication in English.

We have recently received advice that we would be legally able to do so, but this is a step that we are reluctant to take.

Q: Do I understand correctly that this is an optional service for patients that choose to pay for it, and those patients who do not can continue with the standard service covered by public health insurance?

A: Yes, your understanding is correct.

Q: What will happen if I do not purchase the package of additional services?

A: You will still be able to schedule your appointment over the phone as well as use other services that are covered by your public health insurance (just as for other general practices in the Czech Republic).

However, if you do not wish to pay for the additional package, you will not be able to use the following services: the ability to request that a doctor call you back, improved access to appointments (outside of the hours contracted with the public health insurance companies), e-mail communication with the practice, including electronic request for repeat prescriptions; online appointments via OASYS.

Q: If I purchase this package, will you guarantee me a same day or at least a next day appointment with the doctor in case of an acute problem?

A: Unfortunately, we do not plan to provide this guarantee at the moment, but those who purchase the package will have access to appointments at a wider range of times.

Q: I have opted out of the extra services, how does that affect making appointments in the future?

A: You will no longer be able to make online appointments if you choose not to purchase the package of additional services. But you can still make appointments over the phone.

Q: Will there still be time reserved for consultations by telephone for free?

A: You will still be able to communicate with your doctor over the phone. However, it will likely take longer to get through.

You may need to make multiple calls, (as is the case in most medical facilities in this country), since we do not generally connect calls to doctors who are with a patient.

We will no longer be operating specific times reserved for telephone consultations.

Q: I often communicate with my doctors at the practice by email. I also receive the results of blood tests by email. Without payment of the extra fee, will this be curtailed?

A: Yes, that is correct, we will not be communicating by email at all with patients who do not purchase the package of additional services.

Q: Many of my visits to the practice are just for repeat prescriptions.

Do the advantages I get with paying the new fee mean I will be able to get these without visiting the practice?

A: That is correct, you will be able to use electronic request form for repeat prescriptions for no additional charge.

Please note, however, that the issuing of a prescription without a visit in person is always assessed by a doctor.Patients have no automatic right to the issue of a repeat prescription.

Q: Will it still be possible to come to your practice without an appointment in the morning hours in case of an acute problem?

A: Yes, you will still be able to come during the morning “walk in” hours without an appointment. This service is covered by your public health insurance.

Q: How do I pay the charge? Will I have to pay it on my next visit to the practice?

A: We are still working on the details, but we expect to put in place a system to enable billing based on an invoice (and/or advance invoice) sent by email and bank transfer.

We will get in touch in plenty of time so that you can make the payment in time for the changes (which will take effect in Spring 2018).

Payment in person will also of course be possible.

Q: I wish to cease using the services of young+co. How should I proceed?

A: All you need to do is to register with a new doctor.

He or she will request an extract from your medical records from us and your registration with us will cease.

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