Border healthcare

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A través de esta fórmula, el mutualista puede acudir en algunos supuestos a otro país de la UE para recibir asistencia sanitaria, teniendo derecho al reembolso de los gastos médicos a través las tarifas aprobadas y publicadas por Mugeju, siempre que esa asistencia esté incluida en la Cartera Común de Servicios del Sistema Nacional de Salud. En ningún caso el reembolso incluye los gastos de traslado ni de alojamiento.

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 , of the European Parliament and of the board of 9 March, on the application of patients' rights in cross-border healthcare

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 the General Mutuality Judicial, which regulates healthcare outside the national territory.

 

NATIONAL CONTACT POINTS IN THE EUROPEAN UNIÓN

The national contact points in each member state allow patients can access information relevant to exercise their right to health care.

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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