General Information – HSE cost reimbursement for treatment abroad (For Patients from Ireland)🇮🇪
👉Cross Border Healthcare and Refund for Treatment Abroad (HSE)
Please find more information here: https://www.hse.ie/eng/services/list/1/schemes/cross-border-directive/appreimbursement/
General Information – NHS cost reimbursement for treatment abroad (for British Patients)🇬🇧
👉2021 update: After Brexit (31th of Dec 2021) rules on refund have changed. You can no longer apply for the reimbursement for the planned treatment performed in the private medical facility abroad (in the EU or EEA). The EU Directive route has ceased to apply.
We would like to thank those, who trusted us and went through the process of achieving reimbursement for treatment abroad with us. In the past years, we have helped many British and Irish Patients receiving the NHS funded, top quality treatment abroad in private hospitals.💙
👉You can still use the S2 Route, which may entitle you to NHS funding for planned state healthcare treatment in an EU country. Remember, that is only applies to the state hospitals, where you will be treated on the same rules as the country citizen.
Rules for European cross-border healthcare
On May 1, 2016, the rules on seeking health care treatment in another European country changed.
Some Patients have the private insurance that covers treatment abroad, or they just would like to act fast, and do not want to wait until the NHS considers the application (it takes usually about 20 working days).
If you would like to have your surgery abroad reimbursed by the NHS (which is possible until the end of December 2020) we will be happy to help you in filing the necessary forms and preparing the documents.
We enable you to receive the best quality treatment without waiting time, and if only possible, we will do our best so you could get the refund for your treatment. Due to the recently published guidance on seeking healthcare in another European country, you have the chance of applying for cost reimbursement for treatment in Poland. What is important, you have the opportunity to receive the refund for treatment in private clinics, where exceptional quality and safety go hand in hand with the minimal waiting time. Below we present the abbreviated rules for getting the NHS cost refund for treatment abroad. Our assistant will help you in submitting and completing all of the required documents.
Abbreviated rules for getting cost reimbursement from NHS for treatment in Poland:
- The refunding route is called “the EU Directive route”
- EU Directive rouite is a funding arrangement between NHS and you (we will guide you through the whole process).
- In this agreement, you will have to pay the treatment costs upfront and claim for the reimbursement when you return. The reimbursement quote could be up to the amount the treatment would have cost under the NHS.
- We will help you make all of the needed arrangements, including contacting the doctor/surgeon and making all travel and insurance arrangements.
- For some types of treatment, you will be required to get prior authorization from the NHS before receiving the treatment. For this procedures you will need to get prior approval (full list here):
- Adult specialist orthopaedic services
- Major trauma services
- Adult specialist ophthalmology services
- Specialist morbid obesity services
- Specialist rehabilitation services for patients with highly complex needs
- When applying for the reimbursement, it is important to supply original receipts and proof of payment in English – we would be glad to help you with documents translation
- When applying for reimbursement, you will have to provide a letter from the clinician based in Poland, who clearly describes your diagnosis, condition, information based on a fully clinical assessment why the treatment is/was needed.
- You must be an ordinarily resident in England, and you must be entitled to treatment under NHS.
- The treatment is the same as or equivalent to the one you would have received under NHS.
- The treatment is essential to treat a medical condition or diagnose.
- Applications that require prior authorization and it is proven that if the needed procedure cannot be provided without unreasonable delay, must be supported by a statement from a Polish clinician, specifying what is a medically justifiable time period within you should be treated, based on objective reasons.
- Applications should include your National Insurance number or NHS number.