Income and expenditure on health systems have tended to rise as a proportion of national income throughout the European Union. A particular concern is that, with an ageing population and therefore the prospect of more old people around, the pressures for expenditure on health care will increase further. The AHEAD (Aging, Health Status and Determinants of Health Expenditure) project set out to refine existing estimates of the links between aging, reported states of health and use of medical services. The Slovak country report calculated, analysed and discussed health expenditure scenarios in Slovakia.