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Ukrainians paid more to the NFZ than their treatment cost. The difference is PLN 1.8 billion
The NFZ responded to the ombudsman who stood up for Ukrainians with PESEL UKR https://samorzad.gov.pl
Ukrainian citizens’ contributions to the Polish healthcare system exceeded the cost of their treatment. At the end of 2025, the positive balance amounted to approximately PLN 1.8 billion. These figures were presented in a new Deloitte report prepared at the request of UNHCR, the UN Refugee Agency.
The third edition of the study on the impact of refugees from Ukraine on Poland’s economy was presented on 1 October 2026. The authors devoted separate attention to healthcare.
What PLN 1.8 billion means
According to the report, as cited by the Polish Press Agency (PAP), revenue from healthcare contributions paid by Ukrainian citizens was higher than the NFZ’s expenditure on the assistance provided to them.
The NFZ, or Narodowy Fundusz Zdrowia, finances treatment within Poland’s public healthcare system. This is the system to which healthcare contributions, known as składka zdrowotna, are paid.
<strong>PLN 1.8 billion is the positive difference between revenue and expenditure related to Ukrainian citizens.<\/strong> This figure does not mean that the entire NFZ budget has a surplus.
Ukrainians also work in Polish healthcare. According to data presented together with the report, at the end of 2025 medical professionals from Ukraine accounted for 2.4% of doctors and 0.8% of nurses in Poland.
About PLN 94 billion for the Polish economy
The study also covers the broader economic impact of refugees from Ukraine.
According to Deloitte’s estimate, in 2025 their presence increased Poland’s gross domestic product by approximately <strong>2.4%, or around PLN 94 billion<\/strong>.
This is an estimate of the impact on the entire economy: through work, entrepreneurship, consumption and related changes. This amount should not be confused with taxes paid directly into the budget.
Employment rate increased
According to UNHCR data, the employment rate of refugees from Ukraine rose from <strong>69% in 2024 to 76% in 2025<\/strong>. The difference is 7 percentage points.
The study’s authors also found no evidence of a negative impact of the presence of refugees on the employment or wages of Polish workers.
It is important to distinguish between the groups covered by these figures: the estimate of the impact on GDP and the employment rate describe refugees from Ukraine. The NFZ balance cited in the PAP report concerns Ukrainian citizens.
<em>This material was prepared on 6 October 2026. The results presented concern 2025.<\/em>
Sources
<ul><li><a href="https:\/\/data.unhcr.org\/en\/documents\/details\/124105" target="_blank">UNHCR: third edition of the study on the impact of refugees from Ukraine on Poland’s economy, October 2026<\/a><\/li><li><a href="https:\/\/www.money.pl\/finanse\/leczenie-ukraincow-w-polsce-raport-nadwyzka-w-nfz-7335298205255968a.html" target="_blank">PAP / Money.pl: data on contributions, treatment costs and the NFZ balance<\/a><\/li><\/ul>
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