October 2014

Swedish SocialInsurance Agency

October 2014

The Swedish Welfare OrderCounty Councils (21)21 County councils are allowed to tax thelocal population and are responsible toprovide health care for the inhabitants

Social Insurance Agencycash transfers (social insurance)

The National Board of Healthand WelfareGive directions to the County Councilsthrough legislation and information

October 2014

1. The National Board of Health and Welfare.

National contact point for EU/EES-citizens seeking medicalcare in Sweden.

2. The Swedish Social Insurance Agency.

National contact point for persons insured in Sweden seekingcare within EU/EES.

Swedish national contactpoints

October 2014

www.socialstyrelsen.se/healthcare-visitors-sweden

October 2014

Information about patients’ rights in cross-border healthcare

Information about conditions for priorauthorization and subsequentreimbursement

Application forms

Swedish Social Insurance Agency

October 2014

National insurancecentre in Visby

Customer centre

Self service on theInternet

Local offices

Swedish Social Insurance Agencyinform patients in different ways

October 2014

www.forsakringskassan.se/privpers/utomlands

October 2014

The Cross-border Healthcaredirective 2011/24/EU was

implemented as a national law inSweden October 1st 2013

Implementation of the Cross-borderhealth care directive in Sweden

October 2014

Swedish patients are reimbursed for plannedmedical care in the EU/EES if:

- the care has been provided by medical staff

- the costs should have been covered by publicfunds if the medical care had been given inSweden

- it is optional to apply for prior authorization

Implementation of the Cross-borderhealth care directive in Sweden

October 2014

Patients should not be denied the right tocompensation solely on the basis that thetreatment is not used in Sweden, as long asthe treatment is based on “internationalmedical science and generally recognisedgood medical practice”.

The maximum amount of reimbursement islimited to the equivalent care costs inSweden.

Implementation of the Cross-borderhealth care directive in Sweden

October 2014

Swedish Social Insurance Agencymakes the decision

County councils provide documentationand information about the treatments

The patient’s home county council isresponsible for covering the costs

Swedish Social Insurance Agency isrequired to make a decision within 90days

Administrative procedures

October 2014

The most typical patient in 2013 lived in the south of Sweden and went to neighbouring Denmark forcataract surgery due to long waiting lists in the county council. It was also quite common for patientswith psoriasis or other dermatological diseases to go abroad for climate treatment in Spain and othercountries in southern Europe.

Main types of medical care (2013)

October 2014

Denmark60%

Finland11%

Spain9%

Norway5%

Other EU/EES14%

Top recieving countries (2013)

October 2014

Numbers of prior authorization (2014)