Border healthcare

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The procedure data
Initiation
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Term
3 months
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Through this formula, the insurance can go in some cases to another country of the HAT for healthcare bearing right to reimbursement of medical expenses through tariffs approved and published by Mugeju, provided that such assistance is included in the Common Portfolio of services from National health system. In any case the reimbursement includes relocation costs or accommodation.

When it comes to mutualists with public health services of the Institute CCAA or national Health Management, competent administrations in management procedures and cross-border estaasistencia authorization are autonomous communities or the National Institute of Health Management Ceuta cases and Melilla.

In the case of mutualists with Medical Entities, is the entity obliged to provide cross-border healthcare, according to the procedure and tariffs that are contained in the resolution of 18/04/2016, BOE 06/05/2016.

Under certain circumstances, advance authorization is required in Mugeju.

Prior authorisation is necessary when:

  1. Required hospitalization of at least one night.
  2. La asistencia exija el uso de infraestructuras o equipos médicos sumamente especializados o costosos.

 

  REGULATORY FRAMEWORK

Directive 2011/24/UE , del Parlamento Europeo y del Consejo, de 9 de marzo, relativa a la aplicación de los derechos de los pacientes en la asistencia sanitaria transfronteriza

Royal Decree 81/2014, 7 February , establishing standards to ensure cross-border healthcare, and amending the royal decree 1718/2010, of 17 December, on prescription and dispensing orders.

Resolution of 18 April 2016 , de la Mutualidad General Judicial, por la que se regula la asistencia sanitaria fuera del territorio nacional. 

 

NATIONAL CONTACT POINTS IN THE EUROPEAN UNIÓN

Los puntos nacionales de contacto en cada Estado miembro permiten que los pacientes puedan acceder a la información pertinente para ejercer su derecho a la asistencia sanitaria.

This link provides links to National contact points of the UE .

 

ADDITIONAL INFORMACIÓN

Web of the Committee: http://ec.europa.eu/index_es.htm

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