More grim news is emerging from the healthcare sector. Not only has the multibillion-zloty gap in the National Health Fund (NFZ) deprived medical facilities across Poland of payments for “over-performed” services and new contracts, but now it turns out that revenue from health insurance contributions has been overestimated. The actual inflow missed expectations by… several billion zlotys.
“The projected inflow from contributions for the first eight months of this year, calculated as 8/12 of the NFZ’s 2025 financial plan, amounts to 115.45 billion PLN. Meanwhile, the actual inflow during this period was nearly 112 billion PLN. The difference: around 3.5 billion PLN,”
said Paweł Florek, Director of the NFZ’s Office for Social Communication and Promotion.
He added that full information on the actual revenues from health insurance contributions for the entire year 2025 will be available only after the Social Insurance Institution (ZUS) and the Agricultural Social Insurance Fund (KRUS) provide the necessary data in the second half of February 2026. It remains unclear whether the gap will widen even further.
Asked about the missed estimates, Wojciech Wiśniewski from the Federation of Polish Entrepreneurs openly admitted that 3.5 billion PLN is far too large a sum to be offset by higher contribution revenues in the second half of 2025.
According to the expert, the macroeconomic data used to estimate contribution revenues for 2025 were overly optimistic. He noted that equally optimistic assumptions were adopted for the NFZ’s 2026 financial plan. This means that the state budget subsidy for healthcare services will have to be higher than planned.
The first to report the lower inflow from health contributions was the portal Medycyna Praktyczna.