swedish social insurance agency - eu- · pdf filethe swedish social insurance agency. national...
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October 2014
The Swedish Welfare OrderCounty Councils (21)21 County councils are allowed to tax thelocal population and are responsible toprovide health care for the inhabitants
Social Insurance Agencycash transfers (social insurance)
The National Board of Healthand WelfareGive directions to the County Councilsthrough legislation and information
October 2014
1. The National Board of Health and Welfare.
National contact point for EU/EES-citizens seeking medicalcare in Sweden.
2. The Swedish Social Insurance Agency.
National contact point for persons insured in Sweden seekingcare within EU/EES.
Swedish national contactpoints
October 2014
Information about patients’ rights in cross-border healthcare
Information about conditions for priorauthorization and subsequentreimbursement
Application forms
Swedish Social Insurance Agency
October 2014
National insurancecentre in Visby
Customer centre
Self service on theInternet
Local offices
Swedish Social Insurance Agencyinform patients in different ways
October 2014
The Cross-border Healthcaredirective 2011/24/EU was
implemented as a national law inSweden October 1st 2013
Implementation of the Cross-borderhealth care directive in Sweden
October 2014
Swedish patients are reimbursed for plannedmedical care in the EU/EES if:
- the care has been provided by medical staff
- the costs should have been covered by publicfunds if the medical care had been given inSweden
- it is optional to apply for prior authorization
Implementation of the Cross-borderhealth care directive in Sweden
October 2014
Patients should not be denied the right tocompensation solely on the basis that thetreatment is not used in Sweden, as long asthe treatment is based on “internationalmedical science and generally recognisedgood medical practice”.
The maximum amount of reimbursement islimited to the equivalent care costs inSweden.
Implementation of the Cross-borderhealth care directive in Sweden
October 2014
Swedish Social Insurance Agencymakes the decision
County councils provide documentationand information about the treatments
The patient’s home county council isresponsible for covering the costs
Swedish Social Insurance Agency isrequired to make a decision within 90days
Administrative procedures
October 2014
The most typical patient in 2013 lived in the south of Sweden and went to neighbouring Denmark forcataract surgery due to long waiting lists in the county council. It was also quite common for patientswith psoriasis or other dermatological diseases to go abroad for climate treatment in Spain and othercountries in southern Europe.
Main types of medical care (2013)