Benefits paid on the basis of regulations coordinating social security systems of EU member states
From its accession to the EU in 2004 Estonia has the obligation to pay benefits for health services arising from the EU regulations coordinating social security systems. Persons insured with the Estonian Health Insurance Fund have the right to:
- the necessary health care when staying temporarily in another member state;
- all health care when residing in another member state.
The costs of the above health care shall be covered by the Estonian Health Insurance Fund.
Persons insured in another EU member state have the right in Estonia to:
- the necessary health care when staying temporarily in Estonia;
- all health care when residing in Estonia.
The health care costs related to persons insured in another EU member state are first reimbursed to health care providers by the Estonian Health Insurance Fund, which then submits the invoices for payment to the competent authority of the other member state. Thus eventually the EU member state in which a person is insured picks up the health care bill for the person.
Benefits for medical devices
The Health Insurance Fund has the obligation to pay benefits for medical devices for everyone whose need to use a medical device has been established by a physician on the basis of the terms and conditions of the List of Medical Devices issued by the Health Insurance Fund. Thus here is another open commitment for EHIF, similar to that related to the pharmaceuticals reimbursed to the insured persons.
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