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SUPPLYING CROSS BORDER HEALTHCARE SERVICES IN
HUNGARY THE IMPLEMENTATION OF THE EUROPEAN UNION DIRECTIVE ON PATIENTS’ RIGHTS
Attila MOLNAR
President of EGVE (Hungary)
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PRINCIPLES
Healthcare services must be subject to the principle that citizens of the Union must access these services free of discrimination in any given member state:
Based on the right to equal treatment, any member state must accept all European Union citizens (incoming patients) even in publicly-funded healthcare institutions.
At the same time, this liberty may be submitted to certain, proportional restrictions as follows:
Incoming patients must only be accepted if it does not endanger the provision of
healthcare services for own citizens
The range of services, to which insured citizens may have an access in other
member states with reimbursement of expenses, should be defined (authorization )
The amount of the contribution to the expenses of healthcare services supplied in another member state , paid by the insurer in any member state, does not to exceed the usual amount that is paid for covering the treatment of citizens in their own country (reimbursement of inland allowance only)
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The Hungarian legislation
The principles entirely prevail in the Hungarian legislation
Each publicly financed institute is entitled to accept patients who are subject to the Directive
Only those procedures specified in the valid Hungarian legislation can be accessed
Refusal of care is only justified in case of jeopardy of inland patients’ care. The Healthcare Service Provider must communicate the fact and reasoning of the refusal in writing.
EU citizens are entitled to freely choose the Institute in which they want to access healthcare services
Either with directly turning to the chosen Service Provider, or
With the help from the National Contact Point
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The Hungarian legislation The connection between the patient, and either the Healthcare
Provider or the NCP, comes into being by the initiation of the patient
The use of Hungarian language is preferred during
the period of care
Documents associated with the care (Discharge Letter,
Invoice, Account Statement) are prepared in Hungarian
language. If translation is required, it falls to the
patient’s scope.
The Hungarian party does not investigate whether
the care to be accessed, is or is not subject to approval in the patient’ s own country.
Concerning the care, a civil law contract comes into
being between the patient and the Hospital
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SPECIALITIES IN LEGISLATION
Referral
Patients arriving from any member state may enter the healthcare
system at any level of progressivity, referrals from abroad must be accepted
If the referral can not be interpreted clearly by the doctor, the patient
can be asked to show up a valid Hungarian referral document
Waiting list
Services are supplied on the basis of Hungarian professional legislation
Placing patients on waiting lists for certain procedures is a part of this legislation
Inland waiting list rules should be appropriately applied
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Average waiting times
Procedure Average waiting time in days
Inguinal hernia repair 30
Vertebral stabilization 31
Percutaneous coronary intervention 35
Arthroscopy 52
Glaucoma repair 60
Open-heart surgery 208
Transurethral prostatectomy 208
Hip replacement 370
Knee replacement 457
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REIMBURSEMENT LIABILITY
Patients from the EU must pay for healthcare services that are supplied complying to the provisions of the directive . The supplier is entitled to ask for the calculated fee of services in advance
(advanced payment invoice). When the medical
attendance/treatment is over, the patient receives a final invoice that serves as a base for the reimbursement of the emerging difference.
Payment can either be accomplished by bank transfer or cash (HUF). The supplier is obliged to inform the patient about
methods of payment modalities before initiating medical treatment.
In case of emergency care, general emergency rules apply.
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National Contact Point www.patientrights.hu
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Information blocks on website I.
Healthcare system in Hungary (In English language.)
Act CLVI of 1997 on healthcare.
Structure of the health system.
Specific Rules for Patients from the European Union – Cross-Border Care
Financing the Hungarian Healthcare System
Emergency Care in Hungary
The European Health Insurance Card
Expenses and reimbursement of unforeseen medical treatments
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Information blocks on website II.
Planned Care in Hungary
Care provided for EU patients arriving into Hungary
Use of language in the course of care
Payment for the costs of care
Restrictions and Complaints
Quality Assurance of Healthcare Services – Quality Control Systems
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NCP services
General information on web site
Personal contact, web messaging
Provider access possibilities (offering provider)
Price information (via National Health Insurrence Fund )
Connections with other National Contact points
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OBDK National Contact Point in Hungary • Address: 1075 Budapest, Madách tér 3-4.
IV. emelet • Postal address: 1365 Bp., Pf.: 646 • Telephone: +36-20-999-0025 • Free call (only in Hungary): 06-80-620-600 • E-mail: [email protected] • Personal consultation
You can contact us personally by prior appointment in the office of the National Contact Point (3-4 Madách tér, 1075 Budapest) every Tuesday between 10-12 a.m.
• Available languages: English, german, italian, roman, french and hungarian.
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Thank You for Your attention … this is the theory, let’s see the practice….