Border healthcare

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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.

Cuando se trate de mutualistas acogidos a los servicios públicos de Salud de las CCAA o del Instituto Nacional de Gestión Sanitaria, las Administraciones competentes en los procedimientos de gestión y autorización de estaasistencia transfronteriza son las Comunidades Autónomas o el Instituto Nacional de Gestión Sanitaria en los casos de Ceuta y 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 , por el que se establecen normas para garantizar la asistencia sanitaria transfronteriza, y por el que se modifica el Real Decreto 1718/2010, de 17 de diciembre, sobre receta médica y órdenes de dispensación.

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.

A través de este vínculo se facilitan los enlaces a los  National contact points of the UE .

 

ADDITIONAL INFORMACIÓN

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

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