with a S2 form* (Social Security Regulations (EC) 883/2004 and 987/2009*) or under Directive
2011/24/EU*.
• Under the Social Security Regulations* the payment method will depend on the system in place
in the country of treatment*. As you are treated as though you were insured under the social
security system of the country of treatment*, you will enjoy the same rights and entitlements
regarding the method of payment as a domestic patient with public health insurance. Two
possibilities may occur:
The treatment you need is free of charge (which may often be the case), sometimes
combined with a limited amount of co-payment*, in which case the costs will be directly
settled between the healthcare provider and the social security authority of the country
of treatment. The foreign authority will then automatically liaise with your own national
health service*/ health insurance provider* at home to obtain refund, without you
having to do anything more.
You have to pay all costs of the treatment yourself and have to file for reimbursement*
afterwards, either with the local social security authority while still being abroad, or with
your own national health service*/ statutory health insurance provider* upon return
home. Either way the reimbursement* tariff of the country of treatment* will apply.
• Under Directive 2011/24/EU* you will always have to make an advance payment. You pay all
invoices directly to the healthcare provider/hospital abroad. Upon your return home, you may file
for reimbursement* with your national health service*/ statutory health insurance provider*. The
latter will apply the same tariff of reimbursement* as for domestic treatment provided in your
home country*.
To which amount of coverage will I be entitled to?
The amount of costs that will be assumed depends on whether you have received planned treatment*
abroad under the Social Security Regulations (EC) 883/2004 and 987/2009*, using an S2 form*, or
under Directive 2011/24/EU*.
• Under the Social Security Regulations (EC) 883/2004 and 987/2009* your costs will be assumed
according to the amount envisaged in the rules and legislation of the country of treatment*.
However, in some cases you may be entitled to an additional compensation, also called the
Vanbraekel supplement* (see C-368/98 Vanbraekel). More specifically, when the tariff for the
treatment in your home country* is higher than the tariff in the country of treatment*, you are
entitled to an additional compensation from your national health service*/ health insurance
provider* at home, up to the amount that would have been assumed if that the treatment was
provided in your home country* (without exceeding the actual (medical) expenditures you have
incurred abroad).
• Under Directive 2011/24/EU* your costs will be assumed according to the amount envisaged in
the rules and legislation of your home country*.
Which costs may be assumed?
As under the Social Security Regulations (EC) 883/2004 and 987/2009* and under Directive
2011/24/EU* you are only entitled to assumption of costs resulting from your social security coverage
at home, only the medical costs directly resulting from the treatment you have received will be
covered. Extra costs, such as costs for travel and stay, sustenance, repatriation, non-prescription pain
medication you will have to pay for yourself.
However, please note that under the Social Security Regulations*, your costs for travel and stay
abroad may be covered where national legislation provides for reimbursement of costs for travel and