In today's times, patient mobility within the European Union is becoming increasingly common. Thanks to the directive on Patients' rights in cross-border healthcare, Patients have the opportunity to use medical services in another member state and apply for reimbursement of incurred costs. Our company specializes in assisting Patients who wish to receive treatment in Poland and obtain reimbursement for treatment costs. Below, we present the rights that apply to cross-border healthcare.
Reimbursement of Treatment Costs
A Patient who is insured in one of the EU member states has the right to use medical services in Poland and apply for reimbursement of these services' costs. Costs are reimbursed up to the amount that the insurance state would cover if the treatment took place on its territory.
If the treatment costs in Poland are higher than those covered by the insurance state, that state may decide to reimburse the full amount. Additionally, the insurance state may refund other costs related to cross-border treatment, such as accommodation and travel expenses, as well as additional costs resulting from the Patient's disability, provided that these costs are appropriately documented.
Requirement for Prior Authorization
Some health services may require prior authorization from the insurance state, especially when:
- It involves planning access to high-quality treatment or controlling costs and avoiding resource wastage.
- The treatment poses a high risk to the Patient or society.
- The treatment requires the use of specialized infrastructure or medical equipment.
Denial of Prior Authorization
The insurance state may deny prior authorization if:
- The treatment poses a significant risk to the Patient or society.
- The services are to be provided by an entity that raises serious doubts about the quality of care and Patient safety.
- The treatment can be provided within the insurance state within a reasonable time frame.
Information for Patients
The insurance state is obliged to publicly provide information about health services requiring prior authorization and the procedures related to accessing these services. Patients should also be informed about their rights, appeal procedures, and possibilities for claims in case their rights are violated.
How We Can Help
Our company offers comprehensive assistance in obtaining reimbursement for cross-border treatment costs in Poland. We help in gathering, completing, and translating the necessary documentation, submitting applications, and representing Patients in contacts with institutions responsible for reimbursement. With our help, Patients can focus on their health while we handle the formalities.
Please contact us to learn more about the possibilities of reimbursement for cross-border treatment costs and to take advantage of our services.
Your health and peace of mind are our top priorities.
+48 607 871 284
kontakt@medicaladvisor.pl
