kryteria kwalifikacji do leczenia w Polsce na koszt NHS_opt

Kto kwalifikuje się do leczenia za granicą na koszt NHS?

Aby kwalifikować się do leczenia za granicą (np. w Polsce) na koszt NHS, pacjent musi spełniać cztery podstawowe warunki:

1. Mieć stały adres zamieszkania w Anglii

 

Nie mamy tu na myśli prawa do stałego pobytu – pacjenci muszą na stałe rezydować w Anglii i móc to wykazać różnego rodzaju dokumentami, takimi jak wyciągi z banku, rachunki (np. za elektryczność bądź council tax). Pacjenci muszą wykazać, że mieszkali na stałe w Anglii zarówno przed, jak i po leczeniu odbytym za granicą – odbywa się to poprzez wyciągi bankowe na których widnieją transakcje bankowe odbyte w Anglii przed i po dacie leczenia.

 

2. Mieć prawo do leczenia w NHS

 

Aby mieć prawo do refundacji kosztów leczenia z NHS, pacjenci muszą oczywiście mieć prawo do leczenia w NHS – na przykład dzięki płaceniu w Anglii podatków. Studenci uczący się w Anglii również mają prawo do leczenia w NHS.

 

3. Usługa medyczna musi być w tzw. koszyku świadczeń gwarantowanych

 

NHS refunduje jedynie zabiegi które znajdują się w tzw. koszyku świadczeń gwarantowanych. Oznacza to, że pacjent ma prawo odbyć leczenie za granicą tylko jeżeli takie samo leczenie przysługiwałoby mu w ramach NHS. Na przykład – jeśli pacjent został skierowany na operację protezy biodra w NHS z terminem wyznaczonym na za pół roku, ma on prawo zoperować się za granicą i uzyskać refundację kosztów leczenia. Dostępny jest bardzo szeroki wachlarz świadczeń – od konsultacji i diagnostyki, po operacje i rehabilitacje.

Usługi kosmetyczne nie są refundowane z NHS.

 

4. Leczenie musi odbyć się w jednym z krajów Europejskiego Obszaru Gospodarczego

 

W ramach Dyrektywy Transgranicznej UE, aby leczenie kwalifikowało się do refundacji, musi ono mieć miejsce w jednym z krajów Europejskiego Obszaru Gospodarczego (UE, Norwegia, Islandia, Lichtenstein). Co ważne, prywatne leczenie w tym samym kraju nie będzie refundowane – pacjenci z Anglii nie mogą leczyć się prywatnie w Anglii i ubiegać się o refundację z NHS. Mogą za to leczyć się prywatnie z refundacją gdziekolwiek indziej w ramach EEA– np. w Polsce.

 

5. Usługa medyczna musi być niezbędna do zdiagnozowania bądź wyleczenia choroby

 

NHS refunduje usługi medyczne które były potrzebne pacjentowi – o tym, czy leczenie było niezbędne decyduje list od lekarza z Polski.

Jeśli mają Państwo wątpliwości czy kwalifikują się Państwo do leczenia za granicą na koszt NHS, chętnie Państwu pomożemy – w takiej sytuacji prosimy o wysłanie nam maila na info@med4eu.com 

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