MEDICAL SERVICE FACILITATOR

Scandinavian Healthcenter offers you the processing of all assistance, guaranteeing:

• Acces to the best private clinics
• The best medical professionals
• Only Clinics and professionals authorized by European regulations
• Right to quality treatment and patient safety
• Right on information and informed consent
• Right on choice of healthcare provide
• Accesibility of hospitals for patiens with disabilities
• Right to acces copy of your medical records
• Collaboration with your own doctor for to follow-up care
• Right to privacy and protection of your personal data
• Equal prices of treatment

And the processing of all the necessary documentation before de Swedish Public Administration to achieve reimbursement of the expense without the need for prior payment.

Did you know that as an EU*/EEA* citizen you have the right to access medical diagnosis, medical treatment, or prescription in any other EU*/EEA* country or Switzerland* (also called cross-border healthcare Directive 2011/24/EU on patients’ rights in cross-border healthcare)?

When accessing health services abroad, you are free to arrange and pay for the treatment privately or under private health insurance*. However, under EU law you may also be entitled to assumption of costs incurred abroad on behalf of your social security system.

Two different situations:

Unplanned medical treatment* abroad

When you are covered/insured under the national health service* or statutory health

insurance* scheme of an EU*/EEA* country, you will also be covered for medically

necessary care*, due to sudden illness or injury during a temporary stay abroad, such as a holiday, business trip, family visit or exchange studies.

Planned medical treatment* abroad

When you are covered/insured under the national health service* or statutory health

insurance* scheme of an EU*/EEA* country, you have the right to access healthcare in any EU*/EEA* country or Switzerland*, such as consultation with a renowned specialist, hospital treatment or specialised treatment for a specific condition. In this case the healthcare is the purpose of your stay abroad.

When you are insured under the social security scheme of an EU*/EEA* country, you will also be covered for medically necessary treatment* during a temporary stay in another EU*/EEA* country or Switzerland*.

• You have the right to receive covered medical treatment* (diagnosis, consultation, medical or surgical treatment, prescription medication,..)
• Due to sudden illness or injury
• During a temporary stay abroad, such as a holiday, business trip, family visit or exchange studies.

Unplanned treatment* refers to medically necessary treatment* that can’t be postponed and that you must obtain in order to avoid from being forced to return home before the end of the planned duration of your stay.

The medical treatment must be unforeseen and may in no case have been the initial reason for your stay abroad.

You should be aware that extra costs for travel and stay, or additional costs for repatriation and rescue services are not covered under the public healthcare scheme. These costs, however, may be covered under your supplementary or private health insurance or travel insurance.

Key principles of Directive 2011/24/EU*:

• You are only entitled to treatment that is covered in your home country
• You initially pay all costs upfront
• Upon return home, you may file for reimbursement* with your national health service*/ health insurance provider*
• The reimbursement tariffs of your home country will apply

Under the Directive you are entitled to assumption of costs at the same conditions and tariffs as though the treatment was provided in your home country.

Directive 2011/24/EU also applies to healthcare provided in a private hospital or by a private healthcare provider who is not contracted/ affiliated to the statutory health system*. As long as the treatment would have been covered in case it was provided in your home country*, you are also entitled to assumption of costs when receiving it in another EU*/EEA* country, regardless of whether the treatment is provided by a public or private healthcare provider. Directive 2011/24/EU, however, does not apply for cross-border treatment received in Switzerland*.

You will be reimbursed retrospectively up to the amount that would have been assumed if the treatment was provided at home.

In case of planned treatment* you travel to another EU*/EEA* country or Switzerland* with the explicit purpose of accessing medical treatment*. Be aware that treatment will also be considered to be planned when you seek healthcare during your stay abroad, such as holiday, that is not medically necessary and that could be postponed until your return back home.

In many cases in order to be entitled to assumption of costs of the treatment abroad, prior authorisation* from your national health service*/ health insurance provider* in the country under whose social security system you are insured will be required before travelling abroad (see section 5).

Under Directive 2011/24/EU* on patients’ rights in cross-border healthcare you are entitled to assumption of costs for treatment abroad as though the treatment was provided in your home country.

You initially pay all medical costs upfront*. Upon your return home you may file for reimbursement with your national health service*/ health insurance provider*. They will reimburse you according to the domestic tariffs applied for the same treatment at home (see section 6 on reimbursement and costs).

To which treatment am I entitled under Directive 2011/24/EU*?

• You are only entitled to treatment included in the range of covered sickness benefits available under the social security legislation of your country of residence. In other words, you will only be entitled to reimbursement* when you would be entitled to assumption of costs for the same treatment in your home country*
• You are free to choose between either a public* or private healthcare provider* in the country of treatment*. Contrary to the Social Security Regulations (EC) 883/2004 and 987/2009*, also treatment provided by a private healthcare provider* or in a private hospital will be covered
• Directive 2011/24/EU* is also applicable to cross-border telemedicine* services (i.e. healthcare services provided from a distance, through the use of ICT). The physical movement and presence of the patient in the country of treatment is not required. As long as the telemedicine* service is provided by a healthcare provider located in another EU*/EEA* country, the Directive may apply

You should be aware that following healthcare services are excluded from Directive 2011/24/EU*: Long-term care*, organ transplantation* and Public vaccination programmes*

Prior authorisation

Generally, prior authorisation* from your national health service*/ health insurance provider* is not required under Directive 2011/24/EU*.

However, for some treatments the EU legislator has given the Member States the possibility to install a system of prior authorisation*. Member States decide, at their discretion, which specific treatments they subject to prior authorisation*, resulting in a different set of rules in each Member State. However, EU law has set some ground rules for prior authorisation (please see section 5 on prior authorisation).

Reimbursement and costs

If you seek treatment abroad under the Directive 2011/24/EU* route you must pay all medical costs upfront*. Subsequently, you may file for reimbursement with your national health service*/ health insurance provider* at home. They will reimburse you according to the domestic tariffs applied in case the treatment would not have been provided abroad (please see section 6 on reimbursement and costs).

Restrictions to the applicability of Directive 2011/24/EU*

The Directive 2011/24/EU* route does not apply in following situations:

• Cross-border healthcare in Switzerland*
• Long-term care*, organ transplantation* and public vaccination programmes*
• Treatment that is not covered under the national health service*/ statutory health insurance* in your home country