EU Directive on Cross Border Care
The EU Directive on Cross Border Health Care came into force on the 25th
October 2013. The main aim of this Directive is to clarify the rules on
access to safe and good quality treatment across EU member states.
Under certain conditions you have a right to seek planned health care
service or treatment in another European Union/ European Economic Area.
This will apply as long as the medically necessary treatment is
available under the publicly funded national health package of Malta and providing you meet certain criteria.
For more information as to what forms part of this list of healthcare
services please contact the Malta National Contact Point.
When considering cross border health care
Prior to considering the possibility of seeking treatment abroad one must verify with the Malta National Contact Point:
Whether the healthcare service/ treatment
being sought forms part of the Register of healthcare that includes all
the services offered by the Maltese public healthcare system.
Whether you need formal permission/prior authorisation from the Department of Health.
Which health care services are refundable and what the funding will cover.
What documentation you will need to provide before leaving Malta and on your return to be able to claim re-imbursement.
How to plan for continuity of your care which will include the necessary aftercare on your return to Malta.
The standards and guidelines on quality and safety laid down by the Member State you plan to seek treatment in.
Whether other options for treatment abroad apply.
Accessing Further Information and Advice
If you need to obtain further information please contact the Malta
National Contact Point who will be able to provide you with further
information and practical assistance.
National Contact Point
Tel: (+356) 22992381
Office of the Chief Medical Officer
15, Merchants Street,
Health care services requiring prior authorisation
Prior authorisation i.e. formal permission from the Department of Health
is required if the health care being requested falls within the ’List
of procedures/healthcare services requiring Prior Authorisation’.
You must obtain prior authorisation by asking for permission in advance from the national health authorities through the National Contact Point if:
- You intend to receive healthcare that involves overnight hospital stay of at least one night;
- The health care involves highly specialised and/or cost-intensive healthcare or medical equipment;
- There are concerns regarding quality and safety of the healthcare provider;
- The treatment carries a particular risk.
Prior Authorisation Form
It is in your best interest to obtain prior approval from the Department
of Health as this allows continuity of care and organisation of
aftercare on your return.