Annex I - Comparison of patients' rights to cross-border healthcare under the Directive and the Regulation

• Author: European Court of Auditors
• Pages: 38-38

38

Annexes

Annex I – Comparison of patients’ rights to cross-border

healthcare under the Directive and the Regulation

DIRECTIVE REGULATION

Sector

Public + Private

Public only

Eligible treatments

Treatments available under

patients’ own country's health-

insurance

Treatments available under t he

other country's national health-

insurance

Prior authorisation

Required under certain

circumstances

Always required for planned care

Not required for emergency

situations

Costs covered

Reimbursement up to the amount

had the treatment been carri ed

out in patients’ home country

Complete funding (barring co-

payment charges)

Reimbursement of co-

payment charges

Up to the limit of the cost in the

home country

Yes (under certain conditions)

Method of payment

Patients pay up-front and are

reimbursed at a later time

(reimbursement-system)

Between countries, no up-front

payment from patients required

(funding-system)

Eligible countries

All EU & EEA countries

All EU & EEA countries +

Switzerland

Source: ECA based on the website ‘Healthcare beyond borders’.