If you are covered by the public health insurance scheme in another EU country, Norway, Iceland, Liechtenstein or Switzerland, you may be entitled to receive to have planned treatment in Denmark.
Your expenses for planned healthcare treatment will only be covered if the health insurance scheme you are insured under recognises the treatment. You should therefore first find out whether your health insurance scheme covers the treatment concerned.
You can apply for treatment under two separate sets of rules:
1. Prior authorisation – the S2 scheme
If you are covered by a public health insurance scheme in an EUcountry, Norway, Iceland, Liechtenstein or Switzerland, you can apply a prior authorisation to travel to Denmark in order to receive treatment. You will be required to apply for the authorisation from your state-funded health insurance. The authorisation is issued on what is known as an S2 form.
You will be entitled to such an authorisation if the treatment you need is covered by the relevant legislation in your home country but cannot be provided within a medical justifiable time.
With an S2 form, you can access healthcare treatment at public hospitals and clinics which have an agreement with the Danish national healthcare system. Private treatment is not covered.
If you are issued with an S2, you will not have to cover the costs of your treatment. The public expenses that are linked to the treatment will be settled directly between the Danish healthcare provider and your state-funded health insurance.
Please note that you must apply for a prior authorisation (S2) from your health insurance before you can receive planned treatment in Denmark. The liaison body in your home country will be able to provide you with more information on how to apply for an S2.
2. Purchase of healthcare services and application for retrospective reimbursement – the EU Directive
If you are covered by a public health insurance scheme of another EU country, Norway, Iceland or Liechtenstein, you can choose to pay for your treatment in Denmark and then apply for reimbursement of your expenses from your state-funded health insurance. You are free to choose either a public or private healthcare provider in Denmark.
You can be reimbursed for your expenses up to the cost of the treatment concerned in your home country, but only if you are entitled to receive the treatment in your home country.
Your health insurance may require prior authorisation
Note that, in certain cases, your health insurance may require a prior authorisation in order for you to be reimbursed. Before you purchase treatment in Denmark, it is therefore a good idea to contact your health insurance or the national contact point in your home country.
They will be able to tell you the types of treatment for which reimbursement can be paid out and whether you will need a prior authorisationand, if so, how to apply for an authorisation.
Please note that you cannot use this option if you are covered by a public health insurance scheme in Switzerland.