Competition for contracts on the provision and refunding of health care is based on the act on public health insurance. The announcer for ambulatory care is the district office for inpatient and balneological care the Ministry of Health. The results of the competition are commented by the announcer who informs the health insurance company.This statement however does not serve as a legal basis for making a contract. The health insurance company must ensure provision of health care to its insurees and at the same time it must manage the financial funds of health insurance to ensure a balance between income and expenditure.

        Key words: competition for contract on provision and refunding of health care – announcer – commission – stand point – network of out-patient commitments