Healthcare services in other EU / EEA countries

Important information
The information below reflects the procedures involved in accessing public system healthcare in other member states of the EU or EEA.

Since 1 July 2004, you can go directly to a care provider, such as a GP or hospital, with your European Health Insurance Card (European Health Insurance Card) or equivalent paper form, if you need healthcare while on a temporary stay in another member state. Please see below for details in each member state.

ehic app european health insurance card smartphone app eu commisson If you have a smartphone you can also download the free EHIC App, produced by the EU, to help you contact health services in the country you are visiting.

Other member states of the EU or EEA:

Other states


Austria

Information and refunds
The Regional Health Insurance Office (Gebietskrankenkasse) for the area of stay.

Doctors, dentists and prescriptions
Contact the Regional Health Insurance Office. If the Office agrees to the need for treatment, you will be given a health insurance scheme voucher and the addresses of medical practitioners. Prescribed drugs may be obtained from any pharmacy for a fixed charge.

If you consult a private doctor, you may receive a refund for part of the costs but not for the private fee.

Hospital treatment
Out-patient treatment can be obtained in hospital casualty wards. For in-patient treatment, a doctor will normally refer you to a public hospital, where you must present an admission voucher provided by the doctor. In an emergency, show your E111, European Health Insurance Card or Temporary Replacement Certificate to the hospital administration, which will then confirm with the Insurance Office that the costs of standard class treatment will be met. A small daily charge will be made for each of the first 28 days in hospital.

If you are treated privately, whether at your own request or because of an emergency, you may be entitled to a refund from the Regional Health Insurance Office of special amounts, which vary from hospital to hospital.

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Belgium

Information and refunds
Regional offices of the Auxiliary Fund for Sickness and Invalidity Insurance (Caisse auxiliaire d' l'assurance maladie-invalidité/Hulpas voor Ziekte-en Invaliditeitsverzekering), or the office of the Local Sickness Funds (Mutualité/ Ziekenfonds). Auxiliary Fund offices are usually located in each provincial capital.

Doctors, dentists and prescriptions
Consult any doctor or dentist and show your E111, European Health Insurance Card or Temporary Replacement Certificate. You will be charged for treatment. Obtain a receipt on the official form (attestation de soins donnés/Getuigschrift voor verstrekte hulp). Take a prescription to any dispensing chemist. Show your E111, European Health Insurance Card or Temporary Replacement Certificate and pay for the medicines. Obtain a receipt and ensure that your copy of the prescription is stamped.

Around 75% of the cost of treatment and approved medicines will be refunded if you apply to a Sickness Fund Office in Belgium with your E111, European Health Insurance Card or Temporary Replacement Certificate, your receipts and your copy of any prescriptions.

Hospital treatment
Take your E111, European Health Insurance Card or Temporary Replacement Certificate to a local Sickness Fund Office, which will authorise payment of a percentage of hospital costs, excluding ambulance charges, which are not refundable. Ask them where to obtain treatment at the most favourable rates. If you cannot contact the Sickness Fund Office first, show your E111, European Health Insurance Card or Temporary Replacement Certificate to the hospital authorities and ask them to obtain a certificate from the office stating that it will pay part of your costs.

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Bulgaria

Information and refunds
The Regional Health Insurance Fund Office in the area of stay. Details can be found on www.nhif.bg

Doctors, dentists and prescriptions
To receive healthcare services with your EHIC, you must use medical and dental care facilities which have agreements with the National Health Insurance Fund. Contact details can be obtained from the Regional Health Insurance Fund Office. Visitors do not have to pay for health services provided, except for certain consumer taxes.

Some dental treatment may not be covered fully by the National Health Insurance Fund and you may be charged extra for this treatment.

If you attend a specialist without a referral from a GP or another specialist, you will have to meet the cost of the care yourself.

Any medicines prescribed for you will be fully or partially paid for by the National Health Insurance Fund. You must get your medicines from a pharmacy which has a contract with the National Health Insurance fund. If the medicines prescribed are not covered by the NHIF, the doctor will issue you with a prescription form and you must meet the cost yourself.

Hospital treatment
If referred for hospital treatment, you must be admitted to a hospital which has a contract with the National Health Insurance Fund. Treatment and diagnosis are fully covered.

Upon admission, you will be informed about your condition and the necessary treatment. You will also be advised of any payment required for certain consumables. Your treatment includes no more than two check-up examinations after discharge from hospital.

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Croatia

Croatian Health Insurance Fund (CHIF) is competent for sickness, maternity and equivalent paternity benefits and accidents at work in Croatia. Central office of CHIF acts as a liaison body and its Regional and Branch Offices act as competent institutions in the mentioned branches. Family doctor (GP) suggests patient’s further treatment in secondary or tertiary healthcare service if needed, which enables the patient free access to hospital and polyclinics which have signed contracts for rendering health care services from mandatory health insurance (contractual partners).

Health care services on secondary and tertiary level in major cities are mainly rendered in hospitals. Hospitals can be classified as clinical, general and special hospitals. General Hospitals have organized activities that include OBGYN, internal medicine, surgery and pediatrics.

Emergency Call 112

Contact
Hrvatski zavod za zdravstveno osiguranje
Margaretska 3, 10 000 Zagreb
Tel: +385 1 4806 330
Web: www.hzzo.hr

Treatment and costs

Doctors

  • With your EHIC card you need to contact a doctor that has a contract with Croatian Health Insurance Fund (Hrvatski zavod za zdravstveno osiguranje-HZZO), who will not charge you for the services
  • A co-payment of 10,00 kn is payed for each visit

 Dentists

  • With your EHIC card you need to contact a dentist that has a contract with Croatian Health Insurance Fund (Hrvatski zavod za zdravstveno osiguranje-HZZO), who will not charge you for the services within the scope of compulsory health insurance
  • A co-payment of 10,00 kn is paid for each visit

Hospital

  • With your EHIC card you need to go to a hospital that has a contract with Croatian Health Insurance Fund (Hrvatski zavod za zdravstveno osiguranje-HZZO), who will not charge you for the services
  • You need a referral from primary care doctor
  • For each day you stay in the hospital a co-payment of 100,00 kn is paid. Maximum amount per one receipt can be 2000,00 kn

Prescriptions

  • Primary care doctor will give you a prescription, and the medicine can be taken in pharmacy that has a contract with Croatian Health Insurance Fund (Hrvatski zavod za zdravstveno osiguranje-HZZO)
  • For prescription a co-payment of 10,00 kn is paid

Ambulance

  • The costs for ambulance in necessary cases are covered

Reimbursement

  • Croatian Health Insurance Fund can't reimburse the costs that might have been charged despite the EHIC card. Upon your return to your country, please contact your competent health insurance institution for details on how to receive the reimbursment.

Cyprus

If you do not have your EHIC, Provisional Replacement Certificate or equivalent, you will be charged in full for any service provided to you.

Doctors, dentists and prescriptions
Go directly to any Government Medical Institution and show your EHIC, Provisional Replacement Certificate or equivalent.

A co-payment of CYP1,00 (one Cyprus pound) must be made for each visit to a doctor or dentist. A co-payment fee of CYP40 (forty Cyprus pounds) for each denture, if necessary, must also be paid. However, if you cannot present your European Health Insurance Card, Provisional Replacement Certificate or equivalent, you will be charged in full for any service provided. If this happens, you should retain your receipts as you may be able to apply for reimbursement to your Local Health Office on your return home.

Note that Cyprus' National Health System does not cover private doctors and private medical institutions, unless referred to by the Medical Board for services not provided by the Government Medical Institutions. If you apply for medical care to private doctors or private medical institutions, you must bear the full cost of services provided and no reimbursement will be made.

Hospital treatment
A referral from a Government GP is needed for specialist outpatient treatment. If you need inpatient treatment, go directly to a Government hospital. Treatment is free on presentation of the EHIC, Provisional Replacement Certificate or equivalent.

Drugs and medicines
Drugs and medicines prescribed by a Government doctor are free, when you take the prescription to a Government pharmacy and show your EHIC, Provisional Replacement Certificate or equivalent. If you do not have your EHIC or equivalent, you must purchase the drugs from a private pharmacy. Retain your receipts, as you may be able to claim a refund on your return home from your Local Health Office.

Ambulance transport
Ambulance transport to obtain medical care that is necessary for medical reasons is free on presentation of the EHIC, Provisional Replacement Certificate or equivalent, when provided by the public health service.

The government of Cyprus is not responsible in anyway for any treatment or care given to EU citizens in private hospitals or health centres or by practitioners of any sort in their private capacity.

Where to get treatment in Cyprus

Lefkosia District
Lefkosia General Hospital, Nechrou Avenue, Lefkosia Cyprus, tel 22801400
Makarios III Hospital lefkosia, 6 Koritsas Street, Strovolos, tel 22405000
Health Centre Kaimakli Lefkosia, Andrea Karyou & Yianni Tsiattala street, Kaimakli, tel 22347780
Health Centre Strovolos, Lefkosia, 24 Pericleous Street, Strovolos, tel 22305131
Health Centre Aglantzia, Lefkosia, 86 Kerinias Avenue, Aglantzia, tel 22305240
Health Centre Ayios Dometios, Lefkosia, 199 Gregory Afxentiou Avenue, Ayios Dometios, tel 22303974
Rural Health Centre, Idalion, 25 Ayiou andronikou Street, Idalion, tel 22521922
Rural Health Centre, Latsia, Irinis Square, Latsia, tel 22482422
Rural Health Centre, Anthoupolis, Makariou III Street, Anthoupoli, tel 22387901
Rural Health Centre, Akaki, 6 Nosokomiou Street, Akaki, tel 22821080
Rural Health Centre, Palechori, 70 Griva Digeni Street, Palechori,tel 22642726
Rural Health Centre, Kambos, 17A kykkos Avenue, Kambos, tel 22942686
Rural Health Centre, Klirou, Archiepiskopou Makariou Street Klirou, tel 22632332
Rural Health Centre, Pedhoulas, Pedhoulas, tel 22952459
Rural Health Centre, Evrychou, 2 Gregory Afxentiou Street, Evrychou, tel 22932459

Lemesos District
Lemesos General Hospital (New), Nikeas Avenue, Kato Polemidia, tel 25801100
Lemesos Outpatient Department (Old. Hosp.), Leontiou A Street, Lemesos, tel 25305333
Kyperrounta' s Hospital, 115 Louka P'' Christoforou Avenue, Kyperounta, tel 25532021
Rural Health Centre, Agros, 15 Kyriakos Apegitos, Agros, tel 25521317
Rural Health Centre, Omodhos, Omodhos, tel 25421254
Rural Health Centre, Avdhimou, Eyialousis Street, Pano Platres, tel 25221306
Rural Health Centre, Platres, Phaneromenis Street, Pano Platres, tel 25421324
Rural Health Centre, Pachna, 10 Evagora Pallikaride Street, Pachna, tel 25242157

Larnaca District
Larnaca General Hospital (New), Enomenon Polition Street, Larnaca, tel 24800500
Larnaca Outpatient Department (Old Hosp.), 40 Gregory Afxentiou Avenue, Larnaca, tel 24304312
Rural Health Centre, Kofinou, Kofinou, tel 24322352
Rural Health Centre, Lefkara, Petraki Kyprianou Street, Pano Lefkara, tel 24342429
Rural Health Centre, Athienou, Michali Georgiou Street, Athienou, tel 24522328

Famagusta District
Paralimni Hospital, 25 Christou Kkeli Street, Paralimni, tel 23821211
Rural Health Centre, Ormidhia, Pavlou Liasides Street, Ormidhia, tel 24721572
Rural Health Centre, Avgorou, 77 Karion Street, Avgorou, tel 23922081

Pafos District
General Hospital, Pafos, Ahepans Street, Pafos, tel 26803100
Rural Health Centre, Panayia, 8 Eleonon Street, Panayia, tel 26722357
Rural Health Centre, Pyrgos, 63 Papageorgiou Avenue, Kato Pyrgos Tillirkas, tel 26522313
Rural Health Centre, Salamiou, Panayias Salaminiotissis, Salamiou, tel 26442222
Rural Health Centre, Fiti, Fiti - Paphos, tel 26732295

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Czech Republic

Information
Centre for International Reimbursements
Nam
W. Churchilla 2
113 59 Prague 3

www.cmu.cz
Email: info@cmu.cz
Tel: 420 234 462 053

Doctors, dentists and prescriptions
Go directly to a doctor or dentist and present your EHIC or equivalent. You must ensure you choose a care provider who is covered by the public healthcare system. Most are, and you may get details of these care providers from the health insurance funds. For specialist treatment, you need a referral from a GP. You do not have to pay for medical treatment or for standard dental treatment. Some dental treatments are subject to a fee, which is not refundable.

If you are staying in the Czech Republic for a longer period, e.g. as a posted worker or student, you may choose and contact one of the Health Insurance Funds in advance.

Prescriptions are issued by a doctor, and may be filled at a pharmacy. You may have to contribute to the cost of your drugs or medicines, and this cost is not refundable.

Hospital treatment
To get hospital treatment, you need a referral from a GP except in cases of emergency, when you can go directly to the hospital. Call 112 (international or English speakers) or 150 (local callers) for ambulance transport, which is free in emergencies.

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Denmark

Where to obtain information and refunds
The local council (Kommunen).

Doctors, dentists and prescriptions
Consult any doctor or dentist registered with the Danish Public Health Service. Show your E111, European Health Insurance Card or Temporary Replacement Certificate. If charged for treatment, obtain a receipt. All the cost of a medical consultation and a proportion of dental costs will be refunded if you apply to the local council with your receipts before you leave Denmark. Refund rates for approved medicines depend on the yearly expenditure. There are no refunds of expenditure under a certain level for persons over 18 (for children 50% is refunded). You will be given a special card to register your purchases on your first visit to a pharmacy if you show your E111, European Health Insurance Card or Temporary Replacement Certificate. If not, keep all your prescriptions and receipts and apply for a refund to the local council.

Hospital treatment
Free hospital treatment will be arranged by a doctor. If you cannot see a doctor first, show your E111, European Health Insurance Card or Temporary Replacement Certificate to the hospital authorities and ask them to arrange free treatment for you.

Note that Greenland and the Faroe Islands are not part of the EEA.

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Estonia

Information

www.haigekassa.ee

Estonian Health Insurance Fund
International Relations Department
Lembitu 10, Tallinn
Phone: + 372 6 208 430

Information is also available at local departments

Harju Department
Lastekodu 48, Tallinn
Phone: + 372 6 033 600; + 372 6 033 601

Tartu Department
Põllu 1a, Tartu
Phone: + 372 7 447 430

Viru Department
Nooruse 5, Jõhvi
Phone: + 372 33 54 470

Pärnu Department
Lai 14; Pärnu
Phone: + 372 44 77 666

Doctors, dentists and hospitals
You may go directly to a family practitioner when you need healthcare. Where emergency treatment is needed, you may go directly to the accident and emergency department or call an ambulance. The attending physician will decide whether you need in-patient treatment. For specialist treatment, you will in most cases need a referral from a family practitioner.

Dental treatment is free of charge for those under 19 years of age. Otherwise, you pay the full cost except in the case of emergency extractions or emergency treatment of an abscess.

In all cases, you must present your EHIC, Provisional Replacement Certificate or equivalent form. You will be required to make some payments as follows:

  • out-patient examination by family practitioner: up to EEK 50, when making a home visit
  • specialised medical care - up to EEK 50;
  • transportation by ambulance in the case of emergency - free of charge;
  • hospitalisation - in-patient fee of up to EEK 25 per day and for up to 10 days per hospitalisation

There is no in-patient fee in relation to pregnancy and childbirth, for those under the age of 19 or in the case of intensive care.

Drugs and medicines
Only drugs and medicines included in the Health Insurance Fund's list of medicinal products and registered in Estonia are covered and cover is provided on the basis of price agreements. You will have to make a co-payment ranging from EEK20 to EEK20 plus 10% - 50% of the cost of the prescription. For some prescriptions, you may be required to pay more. You must present your EHIC, Provisional Replacement Certificate or equivalent.

There is no refund system in Estonia. Where the health service provider has a contract with the Estonian Health Insurance Fund, all costs are directly reimbursed to it by the Fund. The patient pays only the amount of own contribution. If the health service provider does not have a contract, the patient must pay for the health service himself/herself.

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Finland

Information and refunds
Local offices of the Sickness Insurance Department (KELA). In Finland, health services (doctors and hospitals) exist as a balance between public and private providers, and services are regionalised to a great extent.

Charges vary, depending on the municipality that you are staying in. If you receive private treatment either with a doctor or at a hospital you should obtain a receipt, which you should submit to the local KELA as you may be entitled to a partial refund.

Refunds for medical expenses must be claimed within six months of the original payment.

Doctors, dentists and prescriptions
For treatment within the Finnish State health system, go to a municipal health centre and present your E111, European Health Insurance Card or Temporary Replacement Certificate. The treatment will either be given free of charge or for a standard fee depending on the municipality. For necessary dental treatment, contact the dentist on duty at the municipal health centre and present your E111, European Health Insurance Card or Temporary Replacement Certificate. A standard fee will be charged, depending on the service provided. You may, however, find that dental services are severely restricted in the public sector. Prescribed drugs may be obtained from any pharmacy. The full amount is charged but you may claim this back from the local KELA. For most prescribed medicines you will receive a refund of 50% of the costs above a fixed rate.

Hospital treatment
A doctor will normally refer you to a public hospital where you must present your E111, European Health Insurance Card or Temporary Replacement Certificate. In an emergency you can seek treatment from the nearest public hospital without consulting a doctor first. For in-patient treatment there is a fixed daily charge, which is not refundable. For outpatient visits to a hospital, there is a fixed charge which again, is non-refundable.

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France

Information
The Office for the Social Security of Migrant Workers,
11 rue de la Tour des Dames,
75436 Paris Cedex 09.
Tel: 43-46-12-53.

Refunds
Local Sickness Insurance Offices (Caisse Primaire d'Assurance-Maladie).

Doctors, dentists and prescriptions
Visitors must pay for treatment and then apply for a refund of part of the costs from the CPAM. Ensure that the doctor or dentist you consult is conventionné, that is, they work within the French health system. After treatment, obtain a signed statement of the treatment given (feuille de soins); you cannot claim a refund without it. You will be charged for the treatment you receive, as well as for any prescribed medicines, and the amount(s) should be shown on the feuille. When getting prescribed medicines, the pharmacist will hand you back your prescription and you should attach it to the feuille in order to claim a refund. Medicine containers also carry detachable labels (vignettes), showing the name and price of the contents. Stick these in the appropriate place on the feuille, and sign and date the form at the end.

Send your application for a refund (the feuille de soins, any prescription and your E111, European Health Insurance Card or Temporary Replacement Certificate) to the nearest sickness insurance office (CPAM) while you are still in France. The refund will be sent to your home address later, but it may be subject to a bank charge. This refund process normally takes around two months. Around 70% of standard doctors' and dentists' fees are refunded, and between 35% and 65% of the cost of most, but not all, prescribed medicines.

Hospital treatment
You must pay for out-patient treatment and then claim a refund from the local Sickness Office (as above).

For in-patient treatment, the doctor you have consulted or the hospital doctor will issue you with a certificate (attestation). The hospital should then send a Notice of admission - Acceptance of Responsibility (Avis d'admission - prise en charge) form to the local sickness insurance office along with your E111, European Health Insurance Card or Temporary Replacement Certificate. If not, you should send it yourself. If you are treated in an approved hospital, the office will pay 75% or more of the cost direct to the hospital. You pay the balance. You must also pay a fixed daily hospital charge (forfait journalier). The 25% balance and the forfait journalier are non-refundable.

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Germany

Information
Any insurance company, including Allgemeine Ortskrankenkasse (AOK) and the Ersatzkasse (substitute health insurance fund). These companies are generally open from Monday to Friday.

Doctors, dentists and prescriptions
You should present your E111, European Health Insurance Card or Temporary Replacement Certificate to the insurance company to receive the appropriate form. Ask for a list of the doctors contracted to the insurance company and then take your form to one of the doctors on the list. You will receive free treatment from these doctors. If this is not possible, go directly to one of the contracted-in doctors and present your E111, European Health Insurance Card or Temporary Replacement Certificate. You may be required to pay a fee but this can be refunded on production of the required form as issued by the insurance company.
Medicines prescribed by the doctor can be obtained from any pharmacy in exchange for the prescription. You will be liable for a prescription charge depending on the size of the packaging. These costs are non-refundable. For minor drugs and medicines, such as painkillers and cough mixtures, you will be charged the full amount.

Hospital treatment
Hospital treatment is usually provided following consultation with a doctor. If you are admitted to hospital as an emergency and do not have time to approach a doctor or the local insurance company in advance, present your E111, European Health Insurance Card or Temporary Replacement Certificate to the hospital administration and ask them to obtain the required form for you.

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Greece

Information

Social Insurance Institute (IKA)
People seeking treatment through IKA may face long waits in its offices, hospitals and surgeries. Wards may be crowded and may not provide all the services usual in other EEA countries. If you are charged for any services provided through IKA, make sure you secure a receipt with a number perforated across it.

Doctors, dentists and prescriptions
Take your E111, European Health Insurance Card or Temporary Replacement Certificate to the local IKA office, where you will be given a 'health services book' and directed to an IKA clinic or a doctor or dentist in the IKA scheme. Consultations and treatment are free. However, you will have to pay part of the cost of secondary examinations, such as X-rays. You will also have to pay for supplementary treatment like physiotherapy, and for dentures.

For prescribed medicines, hand the prescription and the 'health services book' to any chemist in the IKA scheme-IKA offices will provide a list. You will have to pay a small standard charge plus 25% of the actual cost of the medicine, which is non-refundable. If you are charged in full, obtain a receipt and ask for the prescription back. Keep the self-adhesive labels from the medicines and stick these on to the doctor's prescription - you will not get a refund without them.

Hospital treatment
Following a (IKA) doctor's diagnosis you must ask for a "ticket" which is your approval of admittance to a hospital within the IKA scheme. If you go into the hospital before obtaining the "ticket", show the administration your E111, European Health Insurance Card or Temporary Replacement Certificate and ask them to contact the IKA. If you obtain medicines or any kind of treatment privately, you must pay the full cost. Then go to the IKA within one month with the receipts, the 'health services book' and your E111, European Health Insurance Card or Temporary Replacement Certificate, and they will reimburse you up to the limit allowed for similar treatment by the IKA.

If you are staying in a remote part of the country or on a small island, there may be no IKA office or facilities within easy reach. Then you must pay the full cost of private treatment and apply for a refund on return home.

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Hungary

Information

Doctors, dentists and prescriptions
Go directly to any care provider whose surgery / premises displays the sign "OEP-pel szerzodott szolgáltató" ("This healthcare provider is contracted with the National Health Insurance Fund"), and show your European Health Insurance Card or equivalent. You may also be asked for your passport or other identification. Treatment will then be free of charge. You will not be reimbursed for private treatment, and you may have difficulty getting a refund if you do not present your Card or form. If you are using a paper form, e.g. the Provisional Replacement Certificate, this may be retained by the care provider, and you should therefore ensure you have copies if you are planning a trip to Hungary.

If a doctor or dentist gives you a prescription, take it directly to the pharmacy. You will need to sign the prescription. You will usually have to pay at least a portion of the cost of your drugs or medicines, and in some cases will have to pay the full cost. This cost is not refundable.

Emergency dental treatment is free on presentation of the European Health Insurance Card or equivalent.

Hospital treatment
You may go directly to a hospital in an emergency; otherwise, referral from a doctor is usually required for in-patient or out-patient treatment.

Ambulance transport is free in emergencies on presentation of the European Health Insurance Card or equivalent.

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Iceland

Information and refunds
State Social Security Institute,
Laugavegur 114, Reykjavik.
Tel: 5604400

Normally patients will be charged only a standard fee, which is not refundable. However, if you think that you have been wrongly charged, you can apply for a refund by presenting any receipts to the main office of the State Social Security Institute.

Doctors, dentists and prescriptions
Go to a health centre or a doctor registered within the State schemeand present your E111, European Health Insurance Card or Temporary Replacement Certificate. You will have to pay a fixed fee, which is not refundable. For dental treatment the full cost is payable except for children under 16, who pay only 25%. Prescribed medicines can be obtained from any pharmacy. A medical prescription must be presented with the E111, European Health Insurance Card or Temporary Replacement Certificate. You will be charged a set amount depending on the type of medication prescribed. Ask the doctor for a generic drug if possible as these are generally cheaper than brand name medicines.

Hospital treatment
Patients can only be admitted to hospitals when they are referred by a doctor. However, in emergencies, patients may be admitted immediately to the hospital serving as the emergency hospital at the time. Hospital in-patient treatment is free if you present your E111, European Health Insurance Card or Temporary Replacement Certificate. Otherwise, you will be charged. Patients must pay the full cost of ambulance transportation within Reykjavik. Elsewhere, the cost of ambulance transportation is limited to a fixed maximum.

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Italy

Information
The Local Health Unit (Unita Sanitaria Locale - USL)

Doctors, dentists and prescriptions
Hand your E111, European Health Insurance Card or Temporary Replacement Certificate to the USL and obtain a certificate of entitlement. Ask for a list of the scheme's practitioners, then take the certificate to one of them, who will charge you a fee. For prescribed medicines you will be charged a standard fee, which is non-refundable. If the pharmacy receipt carries the word ticket, the full cost of the item is payable. If you do not have a USL certificate, you will have to pay for treatment and may have difficulty getting the money back afterwards, and then probably only a partial refund. If you are charged in full for medicines, keep the price tags- you will not get a refund without them.

Hospital treatment
If a doctor considers you need hospitalisation, you will be given a certificate (proposta di ricovero) which generally entitles you to reduced cost treatment in certain hospitals. Take it to the USL for authorisation. The USL will also supply a list of the relevant hospitals. Should you be unable to contact the USL first, show the hospital authorities your E111, European Health Insurance Card or Temporary Replacement Certificate, and ask them to contact the local office at once about your right to treatment under the state healthcare scheme.

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Latvia

Information
At the local sickness insurance fund or at

Compulsory State Health Insurance Agency
Baznicas 25
Riga
LV 1010
Telephone +371 704 3700
Fax +371 704 3701
Email voava@voava.lv
Web: www.voava.lv

Doctors, dentists and prescriptions
To obtain healthcare under EU Regulations, go directly to a doctor registered in accordance with the Law on Medical Treatment, and contracted with a sickness insurance fund, Health Compulsory Insurance Agency, or its branch, and present your European health Insurance Card or equivalent.

You can ask the doctor directly if he or she is contracted, or you can get information about contracted doctors from the institutions themselves.

You will be required to make a co-payment as follows:

  • Doctor's visit: 0.50 LVL
  • Doctor's home visit: 2.00 LVL
  • Hospital admission: 5 LVL admission fee plus 1.5 LVL per day and further co-payments for procedures etc
  • Day centre: 2.5 LVL admission fee plus 1 LVL per day and further co-payments for procedures etc.

No co-payment applies for children under 18 years, services relating to pregnancy and childbirth and emergency treatment.

The cost of medicines prescribed by a Latvian doctor is partly covered under the national social insurance scheme. Under the scheme, medicines are prescribed on a special form, and may be obtained from a pharmacist. The amount you have to pay directly will vary depending on the illness to which the prescription relates.

In general dental treatment expenses are not covered, except for children up to 18 years of age in relation to some services such as orthodontic treatment. The dentist should be contracted to the sickness insurance fund, Health Compulsory Insurance Agency or its branch.

Hospital and specialist treatment
Treatment by a specialist is available on referral from a GP. A referral from a GP is also required for hospital care, except in the case of emergency.

Ambulance transport is available by dialling 03 or 112, and is available free of charge.

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Lithuania

Doctors, dentists and prescriptions
Go directly to a doctor in any clinic that is contracted to the Territorial Patient Fund, or to any GP so contracted (information about clinics and GPs may be received at any Territorial Patient Fund). Show your European Health Insurance Card or equivalent, and your passport or identification card. There is then no charge for consultation or treatment.

A dental examination in clinics contracted to a Territorial Patient Fund is free, but you will have to pay for the materials used for treatment. However, 80% of Lithuanian dentists practice privately and you will not be reimbursed for their services.

Prescribing is done by a doctor. Take your prescription to a pharmacy. If the drug or medicine prescribed is on the approved price list of medicines, you will have to make a co-payment of part of the cost. If the drug or medicine prescribed is not on the approved price list, you will have to pay the full cost yourself.

Hospital and specialist treatment
Specialist treatment is available on referral from a GP. Consultation and treatment is free of charge. For necessary non-emergency hospital treatment, you need a referral from a GP. In an emergency, you may go directly to the emergency department of any hospital and present your European Health Insurance Card or equivalent, together with your passport or identification. If you need an ambulance, dial 03. There is no fee for ambulance transport in an emergency.

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Liechtenstien

Information and refunds
National Office of Economy, Austrasse 2, 9490 Vaduz.

Medical treatment
To obtain emergency medical treatment from a doctor form E111, European Health Insurance Card or Temporary Replacement Certificate and a passport are required. Any doctor can be seen. Based on the period of time that treatment is received, a standard fee will be levied by the National Office of the Economy. This may be as late as 3-6 months after receipt of the treatment.

Dental treatment
Dental treatment is not part of the state sickness insurance scheme so costs of private dental treatment will need to be met in full.

Hospital treatment
There is only one hospital in Liechtenstein. The competent authority needs to approve a patient's admission to hospital. In an emergency, no prior approval is needed.

Charges and refunds
Medical bill together with form E111, European Health Insurance Card or Temporary Replacement Certificate should be sent to the National Office of the Economy for refunds.

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Luxembourg

Information
Sickness Insurance Fund for Manual Workers (Caisse de maladie des ouvriers), 125 Route d'Esch, L-1471 Luxembourg Ville; or its local offices.

Doctors, dentists and prescriptions
Consult any doctor and produce your E111, European Health Insurance Card or Temporary Replacement Certificate. You must pay for treatment and prescribed medicines. Obtain a receipt for everything. You will be able to obtain a refund, although not necessarily for the full amount, by applying to the local Sickness Fund Office.

Hospital treatment
If a doctor thinks you need hospital treatment, you will be issued with a certificate which you should give to the hospital authorities, together with your E111, European Health Insurance Card or Temporary Replacement Certificate if you have not already given that to the Sickness Fund Office. Treatment is normally free but you must pay a daily charge, which is not refunded. If you cannot contact a doctor before being admitted, show your E111, European Health Insurance Card or Temporary Replacement Certificate to the hospital authorities and ask them to contact the Sickness Fund.

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Malta

Information
Entitlement Unit
Ministry of Health
24 St. John's Street,
Valletta, MALTA CMR02

Phone: +356 21 22 40 71
Fax: +356 21 24 6168
E-mail: entitlements.moh@gov.mt

While healthcare practitioners in Malta are allowed to exercise their profession in both public and private health care services, the Government of Malta is not responsible in any way for any treatment or care given to EU citizens in private hospitals or health centres or by practitioners of any sort in their private capacity.

Doctors, dentists and hospital care
Health care in public services is generally free at the point of use. You may access public healthcare services directly on presentation of the EHIC, Provisional Replacement Certificate or equivalent. Please note that an original document is required. If you are unable to present the Card or form, you will be required to pay in full at the time of the visit.

If you need healthcare, go directly to a Government Health Centre or the Accident and Emergency Department of a public hospital. You will not be charged for necessary care as long as you present your passport and your EHIC, Provisional Replacement Certificate or equivalent. Please note that an original document is required.You will have to pay for the cost of any prosthesis and any follow-up prescribed medication, excluding medication prescribed for the first three days after discharge from hospital.

Only acute emergency dental care is offered free of charge in hospital outpatient and health centres, and to a limited extent. Most dental care is provided in private dental clinics at the patient's own expense.

Drugs and medical devices
All drugs used in in-patient treatment and for the first three days after discharge are free of charge for the patient. Otherwise, prescribed drugs must be paid for in full.

Where to get healthcare in Malta

Health Centres (Primary Care Centres - self-referral for GP services)

Floriana Health Centre
Tel: +356 21 24 33 14-5 or +356 21 24 43 40
Competent health centre when staying in Valletta, Floriana, Hamrun, Sta. Venera, Mriehel (towards Qormi), Marsa, Zurrieq, Safi, Luqa, Mqabba, Qrendi or Kirkop.

Gzira Health Centre
Tel: +356 21 33 72 45 or +356 21 34 47 66
Competent health centre when staying in Pieta', G'Mangia, Msida, Ta' Xbie, Gzira, Sliema, Kappara, San Gwann, Taz-Zwejt, St. Julian's, Swieqi, L-Ibrag, St. Andrew's, Pembroke, High Ridge or Victoria Gardens.

Qormi Health Centre
Tel: +356 21 48 44 50-3
Competent health centre when staying in Qormi, Zebbug or Siggiewi.

Paola Health Centre
Tel: +356 21 69 13 14-5
Competent health centre when staying in Paola, Tarxien, Sta. Lucia, Birzebbuga, Zejtun, Marsaxlokk, Zabbar, Marsascala, Xghajra, Fgura, Gudja, Ghaxaq, Hal Far or Benghajsa.

Cospicua Health Centre
Tel: +356 21 67 54 92 or +356 21 67 32 92-3
Competent health centre when staying in Cospicua, Vittoriosa, Senglea or Kalkara.

Mosta Health Centre
Tel: +356 21 43 32 56, +356 21 43 20 62 or +356 21 41 10 65
Competent health centre when staying in Birkirkara, Iklin, Lija, Balzan, Mosta, Naxxar, Gharghur, St. Paul's Bay, Burmarrad, Mellieha, Mgarr, Bugibba, Qawra, Bahar ic-Caghaq, Madliena, Mriehel (towards B'Kara) or Fleur-de-Lys.

Rabat Health Centre
Tel: +356 21 45 90 82 or +356 21 45 90 83
Competent health centre when staying in Rabat, Mdina, Mtarfa, Dingli, Attard, Bidnija or Kuncizzjoni.

Gozo Health Centre
Tel: +356 21 56 16 00
Competent health centre when staying in Gozo.

Acute Hospitals (referral from Health Centres or directly in extreme emergencies)

St. Luke's Hospital
Guardamangia Hill
Guardamangia
Tel: + 356 21 24 12 51

Gozo General Hospital
Victoria
Gozo
Tel: +356 21 56 16 00

Specialist Hospitals (referral from Acute Hospitals or Health Centres ONLY)

Boffa Hospital (Oncology & Dermatology)
Harper Lane
Floriana
Tel: +356 21 22 44 91

Mount Carmel Hospital (Psychiatry)
Notabile Road
Attard
Tel: +356 21 41 51 83

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The Netherlands

Information
ANOZ Verzekeringen
PO Box 8261, 3503 RG
Utrecht, (telephone: 30 233 0600)
or the local health insurance fund office (zorgverzekeraar).

Doctors, dentists and prescriptions
Consult a doctor who practises within the health insurance scheme, if possible during surgery hours. Provide a photocopy of your E111, European Health Insurance Card or Temporary Replacement Certificate. Pharmacists will also need a photocopy of your E111, European Health Insurance Card or Temporary Replacement Certificate. Treatment by a doctor is usually free of charge. Some prescribed medicines are free, for some you pay the full cost (non-refundable) and for others you pay partial costs. Dental care in the Netherlands is limited to treatment for children and preventative dental care for adults. The local health insurance fund office (zorgverzekeraar) can give information on how to obtain medical services. They can also give names and addresses of practitioners, health centres and hospitals operating within the State system.

Hospital treatment
A doctor must obtain ANOZ Verzekeringen authorisation for you to receive free hospital in-patient treatment. For authorisation, a photocopy of your E111, European Health Insurance Card or Temporary Replacement Certificate is required. If you cannot contact a doctor of ANOZ Verzekeringen before admission, provide the hospital authorities with your E111, European Health Insurance Card or Temporary Replacement Certificate (or a photocopy) and ask them to contact ANOZ Verzekeringen in Utrecht immediately. If you needed ambulance transport, enclose a certificate from the doctor confirming it was necessary.

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Norway

Information and refunds
Local Sickness Offices (Lokale Trygdekontor) or the National Office for Social Insurance Abroad (Folketrygdkontoret for utenlandersaker), PO Box 8138 Dep, 0033 Oslo 1. (telephone: 22927600)

Doctors, dentists and prescriptions
Medical treatment must be obtained from a doctor with a reimbursement arrangement with the National Insurance Administration. This includes most medical practitioners. Patients may consult a doctor direct but must be able to produce an E111, European Health Insurance Card or Temporary Replacement Certificate. A standard fee will be charged by the doctor and this is non-refundable.

In general, you must pay the total cost of dental treatment and prescribed medicines. However, if you are prescribed medication by a doctor on a blue prescription (generally medication for chronic conditions) you will only pay 36% of the costs up to a certain maximum.

Hospital treatment
Charges are payable for specialist consultations and outpatient treatment. Normally a general practitioner will request a patient's admission to hospital. In an emergency, you may seek treatment from the nearest public hospital. Hospital inpatient treatment, including necessary medication is free of charge.

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Portugal

Information
MAINLAND PORTUGAL: Regional Health Service Offices
THE AZORES: Regional Health Service Directorate in Angra do Heroismo.
MADEIRA: Regional Health Directorate in Funchal.

Doctors, dentists and prescriptions
Available at health centres on the mainland. Show a medical care booklet issued in exchange for the E111, European Health Insurance Card or Temporary Replacement Certificate at the Regional Health Service Office and ask to be treated under EU arrangements. You will be charged a fee which is not refundable. In Madeira, if you consult a private doctor, you will be charged. Ask for an official green receipt and then claim a partial refund at the nearest appointed bank. Refunds of charges in Madeira must be claimed there.

The Health Service office will indemnify the local bank, but the refund will cover only a very small proportion of your bill; you will have to pay the rest yourself. Dental treatment is limited under the state scheme. It is likely that you will have to pay and the charges are not refundable. For some prescribed medicines, you will have to pay the full cost, for others, 40-70% of the price. There is no charge in the case of prescriptions issued for certain serious illnesses.

Hospital treatment
Show your E111, European Health Insurance Card or Temporary Replacement Certificate to the hospital authorities and ask to be treated under EU arrangements. Basic hospital treatment is free but you will have to pay for secondary examinations, such as X-rays, and laboratory tests.

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Poland

Doctors, dentists and prescriptions
Go to any doctor contracted to the National Health Insurance scheme (NFZ) and present your European Health Insurance Card or equivalent; services within the general healthcare system are then free. Present your EHIC or Certificate to the doctor. The doctor may refer you for diagnostic tests to confirm diagnosis or to confirm the need for a referral to a specialist or hospital.

When you present your EHIC or Certificate, you may receive some free dental services but most of the costs of health services related to dental care are not covered.

EHIC holders are provided with medicines or medicinal products on the basis of a prescription issued by a doctor who practises within the health care system or a doctor who does not practise within this system, but has concluded a contract with the NFZ authorising him to issue prescriptions. Prescriptions can be redeemed in generally available pharmacies on presenting the form. Prescribed medicines can be purchased:

  • for a lump-sum price (basic medicines and medicines made on recipe)
  • for 30 or 50% of the price of a medicine (supplementary medicines)

Specialist outpatient care and hospital treatment
If you need specialist outpatient treatment, you must be referred by a doctor, except where you require the services of gynaecologist and midwife, dentist, dermatologist, venerologist, oncologist, ophthalmologist, psychiatrist or if you are suffering from certain specified conditions (tuberculosis, HIV, addiction) and in case of sudden illness, accident, injury, intoxication or life-threatening conditions. These services are free when you present your EHIC or equivalent.

If you need hospital treatment, a doctor's referral is required except in the case of sudden illness, accident, injury, intoxication or a life-threatening condition. These services are again free when you present your EHIC or equivalent.

Rescue services and ambulance transport
You can receive free rescue services and ambulance transport in case of accident, injury, childbirth, sudden illness or sudden deterioration in your health, when you present your EHIC or equivalent.

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Romania

Starting January 2007, citizens from EEA countries and Switzerland holding a valid EHIC are entitled to receive necessary medical assistance on their temporary stay in Romania, the same as for the Romanian citizens insured in the social health insurance system. The consultation provided by health care providers is free of charge. However, you must make sure they are contracted to the public health service (the Health Insurance House).There are co-payments for some of the ambulatory procedures like laboratory tests, imagistic and for the pharmaceuticals. Dental treatment, medical devices and rehabilitation require co-payments too. Admission in hospital is conditioned by a referral letter from family doctor or specialist unless is an emergency.

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Slovakia

Information
Health care in the Slovak Republic is provided by public and private health care providers (physicians, dentists, hospitals, pharmacies).

Health care is provided on the basis of public health insurance. Accordingly everyone has the right for health care provision, for drugs and for medical devices free of charge in principal. In some certain cases (stomatology, dentistry, drugs) the participation of patient on expenses on health care has been assigned by law.

There are small fees for the services regarding the health care provision.

Public and private health care providers generally concluded the contracts with the health insurance companies. But not all of them. The health insurance companies reimburse the health care provided just by the health care providers who had concluded the contract with them.

There are seven health insurance companies in the Slovak Republic:

Apollo Health Insurance Company, Inc.
Apollo zdravotná poist'ovòa, a. s.
www.apollo.sk

Common Health Insurance Company, Inc.
Spolocná zdravotná poist'ovòa, a. s.
www.szp.sk

European Health Insurance Company, Inc.
Európska zdravotná poist'ovòa, a.s.
www.ezp.sk

General Health Insurance Company, Inc.
Všeobecná zdravotná poist'ovòa, a. s.
www.vszp.sk

Health Insurance Company Dôvera, Inc.
Zdravotná poist'ovòa Dôvera, a. s.
www.vzpd.sk

SIDERIA Health Insurance Company, Inc.
SIDERIA zdravotná poist'ovòa, a. s.
www.sideria.sk

Union Health Insurance Company, Inc.
Union zdravotná poist'ovòa, a. s.
www.unionzp.sk

All of them function in the whole of territory of the Slovak Republic. Everyone has the right to choose the health insurance company.

Health care in the Slovak Republic during temporary stay.

In case of need the insured person of the other member state has the right for the health care provision at the selected contract health care provider. Information on the contract health care providers shall be supplied by the offices of the health insurance companies.

There is the direct access to the health care provider (the previous registration of the citizen in the health insurance company is not needed) generally with the presentation of European Health Insurance Card (EHIC). If the insured person does not present an EHIC he has to pay in cash.

Pay in cash is also requested in the case of treatment by the non-contract physician.

Out-patient health care - out-patient medical treatment
In case of need of out-patient medical treatment there is the direct access to the contract physician of the primary care (information on the contract physicians shall be supplied by each of the health insurance companies). It is necessary to present EHIC. It is also necessary to choose one of the seven health insurance companies to which the physician will charge for the health care provided. The physician will provide such health care which is requested regarding the actual health status taking into account the length of stay and character of the benefits to be provided. Patient does not pay for health care provided. If the out-patient medical treatment of specialist is needed, generally the recommendation of primary care physician is requested. Patient for health care provided by the specialist does not pay.

Stomatologic health care - out-patient dental treatment
In case of need of out-patient stomatologic treatment there is the direct access to the contract dentist (information on the contract dentists shall be supplied by each of the health insurance companies). It is necessary to present EHIC. It is also necessary to choose one of the seven health insurance companies to which the physician will charge for the health care provided. The dentist will provide such health care which is requested with respect to the actual health status. The basic stomatologic care is free of charge, but its extent is not very wide. The participation of patient on expenses for services and the part which is reimbursed by health insurance company is assigned by law. For all other provided stomatologic services direct payment is needed. The dentist is obliged to inform the patient on the expenses for services with the patient participation and on the expenses on the basis of direct payment.

In-patient health care
In case of need of hospitalization the recommendation of general practitioner is requested. If immediate hospitalization is requested the recommendation of general practitioner is not needed. It is necessary to present EHIC. If the patient does not present EHIC, the institution of the place of stay selected by the patient additionally presents the Certificate provisionally replacing EHIC - one of the seven health insurance companies to which the hospital will charge for health care provided. If the patient health status does not enable to choose the health insurance company, the selection will be carried out by hospital. In-patient health care and drugs are free of charge.

Transport of health care provision
The carrier charges 2 Sk (approx. 0.05 EUR)/per one km of drive of ambulance transport.

The payment is paid directly to the carrier after the ending of transport.

If emergency (life-saving) health service transport is requested there is no fee.

Drugs and medical facilities
If the sickness needs the usage of drugs/medicines or the usage of medical devices the general practitioner prescribes the prescription. Drugs and medical devices can be obtained in any of the pharmacies in Slovakia (there are more than one thousand pharmacies in Slovakia). The pharmacy is obliged to deliver the prescribed drug. It does not make any difference either it is the contract or non-contract pharmacy. Presentation of the EHIC is requested. There is the co-payment in the amount of 20 Sk /per prescription paid at withdrawal of drugs.

Drugs are divided into three categories according to law:

  • full pay on delivery by health insurance company
  • partially pay on delivery by health insurance company and with the cost-sharing of the patient
  • full pay on delivery by patient

The physician who prescribes the prescription is obliged to inform on the category of the drug. When the category with the cost-sharing of the patient is concerned it is paid directly in the pharmacy. The pharmacy is obliged to issue the receipt of the amount of payment of the patient participation and of the co-payment. Patient does not claim for reimbursement of the cost-sharing and co-payment at the health insurance company.

Emergency service
In case of usage of emergency service patient is obliged to cover a co-payment for services concerning the emergency health care provided, i.e., 60 Sk (approx. 1.5 EUR)/per medical treatment provided at emergency unit. The provider is obliged to issue the receipt on payment. Patient does not claim for reimbursement of the fee at the health insurance company.

Mountain Rescue Service
Due changes in its financing coming into force from 1 July 2006 we recommend to close mountain insurance policy during a stay in Slovak mountain resorts as no medical services connected to intervention of Mountain Rescue Service are covered by public health insurance system.

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Slovenia

Information
Information can be found on the website of the Health Insurance Institute of Slovenia at www.zzzs.si (click on the UK flag for English-language version).

Doctors, dentists and prescriptions
You may go directly to a public health institution (health centre, hospital or pharmacy). You may also get services from a GP who is contracted to the HIIS. Information on providers who are contracted to the HIIS is available from its ten regional offices. You must show your European Health Insurance Card or equivalent.

Urgent medical treatment is free on presentation of the European Health Insurance Card or equivalent. For other medical services, you will have to make a contribution of from 5% to 75% of the cost of the care. This contribution is not refundable.

Where you receive healthcare from a practitioner who is not contracted to the HIIS, you will have to pay the full cost yourself. This cost is not refundable.

Take your prescription to a pharmacy. You will almost always have to pay part of the cost of your drugs or medicines, from 25% of the cost up to 100% of the cost. If you need drugs as part of in-patient treatment, these will be provided directly.

Dental treatment is available from dentists in public health centres or from dentists who are contracted to the HIIS.

Hospital and specialist treatment
For specialist or hospital treatment, you must have a referral from a GP, except in an emergency, when you can go directly to the accident and emergency unit of the nearest public hospital.

If you need emergency ambulance transport, this is free of charge on the basis of a doctor's assessment that it is an emergency case. Where non-urgent ambulance transport is sought, you will have to pay 70% of the cost of the transport. This payment is not refundable.

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Spain (including the Canary and Balearic Islands)

Information
GENERAL: District Offices of the National Social Security Institute (Instituto Nacional de la Seguridad Social - INSS)
OTHERWISE: Health Service offices of the autonomous regions, eg;
CATALONIA: Catalan Health Service (Instituto Catalan de la Salud).
OTHER AREAS: National Institute for Health (Instituto Nacional de la Salud).

Doctors, dentists and prescriptions
It is essential to establish that the medical practitioner you consult works within the Spanish State Health Service. Treatment under the E111, European Health Insurance Card or Temporary Replacement Certificate arrangements is only provided by practitioners within the Spanish Health Service, and in some parts of the country, particularly the outlying islands, you may have to travel some distance to attend a surgery (consultorio), health centre (centro sanitaro) or hospital clinic (ambulatorio) operating within the health service. If you need to call out a doctor in an emergency, make it clear that you have an E111, European Health Insurance Card or Temporary Replacement Certificateand that you will want to be treated under EU arrangements. Any time you need treatment, have a photocopy of your E111, European Health Insurance Card or Temporary Replacement Certificate ready; show the doctor the original and hand over the copy.

Dental treatment is not generally provided under the state system. The costs will not be reimbursed.

Important: In Spain, doctors, health centres and hospitals have separate surgery times for private patients and those treated under the public health service. If you are asked to pay you are not being treated under the Spanish Health Service, but privately, and your E111, European Health Insurance Card or Temporary Replacement Certificate will not be accepted.

Medicines prescribed by health service practitioners can be obtained from any pharmacy (farmacia). You will have to pay up to 40% of the cost unless you are a pensioner, in which case the medicines will be free of charge. Should the date of birth shown on your Card not indicate that you are a pensioner, you may be asked for other documentation establishing this.

Hospital treatment
Any hospital treatment you may need will usually be arranged by a doctor. If you require urgent treatment, it will only be provided free of charge in a public ward at a public hospital. Show your E111, European Health Insurance Card or Temporary Replacement Certificate. If you fail to do this, you will be charged as a private patient and will not get your money back. Warning: Under the strict terms of the Spanish Health Service, refunds of private patient charges are not made. Make sure you have private medical insurance in case you are treated in an emergency in a private hospital.

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Sweden

Information and refunds
Local Social Insurance Offices. For public health services, you will be charged only a non-refundable fee, if you present your E111, European Health Insurance Card or Temporary Replacement Certificate. If you use private health services, the costs are not refundable.

Doctors, dentists and prescriptions
Consult a practitioner who is affiliated to the public insurance scheme. Present your E111, European Health Insurance Card or Temporary Replacement Certificate, otherwise you will be charged the full cost of treatment. In any case you will have to pay a proportion of the cost. For dental treatment you will have to pay the full cost at a given level. If the costs exceed this you will also have to pay a certain percentage (30-65%) of the excess.

For prescribed medicines you will be liable to pay the full cost up to a fixed amount. If the costs exceed this you will have to pay a certain percentage (10-50%) of the excess.

Hospital treatment
You can attend at any public hospital. The emergency unit is the akutmottagningen. You will have to pay a proportion of the cost of out-patient care but in-patient treatment is free of charge, except for a fixed daily hospital charge which is non-refundable.

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United Kingdom

You don't need a European Health Insurance Card, E111 or Temporary Replacement Certificate to get necessary healthcare while on a temporary visit to the UK. It is enough to show proof that you are ordinarily resident in Ireland - in practice, this means a driving licence, passport or similar document.

Necessary treatment from the National Health Service (NHS) is free of charge.

For GP treatment, contact any NHS GP practice. Contact details for GP practices in your area can be found at www.nhs.uk, under your Local Health Services.

In most circumstances, access to or referral to specialist services is through an NHS GP. Specialist treatment is then provided free of charge. You can also get access to specialists via Hospital Accident & Emergency Departments or Sexually Transmitted Disease Clinics (GP referral is not needed for these).

Prescriptions
A GP or nurse can prescribe treatment/medicines. Take the prescription to a pharmacist to process. A charge per item is payable, currently GBP6.50, depending on whether the person is exempt or not from prescription charges. Exempt persons should tick the relevant box on the back of the prescription.

Exempt categories include:
- children under 16
- pensioners
- pregnant women

Ambulance transport
Call 999 or 112 (EU Standard Number) in case of immediate need of transport by ambulance to hospital. This transport is free of charge.

Arrangements for oxygen treatment or dialysis before you arrive in the UK
For oxygen, an NHS GP will need to prescribe. If dialysis is needed during a stay in the UK, the person or hospital staff must arrange the treatment in advance with a local UK National Health Service (NHS) hospital/dialysis unit. Please note that not all dialysis units have capacity to accept temporary patients, especially at busy holiday periods. Treatment at an NHS unit will be free of charge.
Some patients are eligible for free transport, depending on their medical condition; please ask the NHS dialysis unit when arranging treatment.

Dental services
Information on where to find a NHS dentist can be found from NHS Direct on 0845 4647 or their website at, http://www.nhsdirect.nhs.uk. Further advice on entitlement and availability can be obtained from the local Health Authority. There is a Patient Advice and Liaison Service (PALS) in every NHS Trust Primary Care Trust (PCT) and local Health Authority, which can help patients with issues such as finding an NHS dentist. There are charges for NHS dental treatment.

Other benefits
Some major population centres have "Walk-in Centres", which are staffed by nurses and provide treatment for minor injuries etc. They are free.

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Switzerland

Charges
Under Swiss law, which requires cost-participation by the insured person for healthcare, those on a temporary stay in Switzerland needing healthcare must pay a flat rate contribution of CHF92 for adults and CHF33 for children for each month of treatment, to Gemeinsame Einrichtung KVG.

The Swiss Cantons vary in the application of tariffs. Treatment charges are, therefore, applied according to the law of the different states (Cantons). Depending on the Canton, either the patient himself or the Health Insurance / Assistance Institution is considered to be liable for the administered services.

Doctors, dentists and hospitals
To obtain treatment by a general practitioner, you can contact any approved GP (practising in cooperation with Swiss Health Insurance) and make an appointment in advance. Outside of surgery hours, you can telephone the local emergency service. Most GPs in Switzerland practise in cooperation with Swiss Health Insurance. Where you present your European Health Insurance Card or equivalent, the doctor may charge his or her fee either directly to you or to the Assistance Institution (Gemeinsame Einrichtung KVG) depending on which Canton he / she is practising in. If you are charged, you may be able to get reimbursement for part of the cost by sending the doctor's invoice, and your bank details, to Gemeinsame Einrichtung KVG, Gibelinstr. 25, Postfach, CH-4503 Solothurn. Alternatively, you can apply for a refund via your Local Health Office.

To get treatment from a specialist, you must have a referral from a GP. Necessary physiotherapy is available on referral from a GP.

Dental treatment is only covered in the case of dental repairs following an accident or in the case of serious disease of the masticatory system. Costs for such treatment are charged directly to the Assistance Institution.

In emergencies, you may go directly to the accident and emergency department of any public hospital. Present your European Health Insurance Card or equivalent and/or inform the hospital personnel that the costs for a stay in a public ward will be paid for by the Assistance Institution. For non-acute hospital treatment, you need a referral from a GP or specialist. If you are treated in a private hospital or a semi-private ward of a public hospital, the cost for this as well as for private expenses such as telephone calls etc will be charged to the patient.

If you need transport by ambulance, call 144. Only 50% of the costs are covered, or at the most Sfr 500 per year. For rescue (usually by helicopter), 50% of the costs are covered, or at the most Sfr 5,000 per year.

Prescriptions
If the doctor has prescribed drugs or medicines, take your prescription to any pharmacy and present your European Health Insurance Card or equivalent. You will not have to pay as long as the drug or medicine prescribed is included on the approved list for medication. Non-prescribed drugs are not covered and must be paid for directly by you.

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