The Health Service Executive (HSE), as the primary healthcare insurer in Ireland, in accordance with the Patient Rights Law within the European Union, offers reimbursement for treatments performed in Polish clinics. The procedure for reimbursement itself is complex and requires a proficient understanding of both the health insurance systems in Ireland and Poland. Legal foundations arising from the European Parliament's directive on the free movement of goods and services are also involved. It should be noted that in order to receive treatment in Poland under the insurance the patient holds in Ireland, several important conditions must be met, and without these, the HSE may refuse reimbursement for the treatment costs.
Remember: The procedure for reimbursement of surgery costs in Poland using Irish insurance does not cover the use of the S2 form or so-called emergency situations (in these cases, the patient can utilize the EHIC insurance card).
Many patients permanently residing in Ireland encounter significant challenges in accessing healthcare due to shortages of doctors, high patient volumes, and hospital bed shortages. This is reflected in the steadily rising healthcare costs and investments, as well as long waiting lists for specialists. It is noteworthy that certain procedures that should be reimbursed by the HSE are not accessible to the patient. This creates various problems, leading patients to seek assistance on their own.
Without much thought, many patients decide to undergo treatment in Polish facilities, often paying high amounts for private treatment. But does it have to be this way?
NO... A patient who does not receive assistance in Ireland can expect to have the costs covered for private treatment in Poland. To do this, you need to follow the reimbursement procedure step by step, while also remembering that any mistake can result in the loss of entitlements. Another crucial aspect is selecting a clinic in Poland. Remember: It must be a reputable facility that, apart from having an unblemished reputation, possesses extensive experience, the best specialized equipment, and doctors with unquestionable qualifications.
This is precisely what MedicalAdvisor.pl deals with.
From the beginning of the planning process, we are with you. We handle the necessary documentation, assist in choosing an appropriate clinic in Poland that has experience with foreign patients, and complete the formalities associated with obtaining reimbursement for the procedure in Poland. It is our responsibility to guide you through the entire treatment stage: from diagnosis by a GP to selecting a clinic in Poland, and even receiving reimbursement from the HSE for the procedure in your bank account.
You no longer need to wait 3 years or more for knee arthroscopy, hip joint replacement, hernia surgery, or pelvic organ prolapse.
What amounts can you receive: up to the financing limit for the procedure set by the HSE, but not more than what the patient actually paid.
Sample pricing set by the HSE:
DRG: I29Z KNEE RECONSTRUCTION/REVISION €7,494
Reconstructing the knee joint can result in up to €7,494 in reimbursement.
Due to significant differences in procedure costs between Ireland and Poland, patients often stand to receive 100% reimbursement.
REMEMBER:
To apply for reimbursement, you must meet several important criteria, follow the procedures, correctly complete and submit documentation related to reimbursement. The HSE is obligated to consider your request and, in the case of refusal, indicate the reason for it. The timeframe in which the HSE transfers money to your account is conditioned by the receipt of complete and correctly filled documentation. Typically, this occurs within 30 days of submitting the documentation.
Are you living in Ireland and planning a procedure and treatment in Poland?
Get in touch with us, and we will guide you through the entire process of reimbursement for treatment costs in Poland.
We are at your service!
Phone: +48 607 871 284 / Email: kontakt@medicaladvisor.pl
Attached are sample cost estimates for services provided by the HSE.
Best regards from the MedicalAdvisor.pl team.
