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Planned medical treatment abroad

Planned medical treatment abroad is when you travel to another EU/EEA country or Switzerland.

What options are there for planned medical treatment abroad?

If you want to apply for planned medical treatment abroad, you can choose to apply

  • for authorisation for costs to be met (S2) to receive a certificate to take with you
  • for an advance decision and then apply for compensation afterwards
  • for compensation afterwards, without first obtaining authorisation or an advance decision.

Remember to apply in good time if you want an advance decision regarding the treatment.

What is authorisation for costs to be met (S2)?

Authorisation for costs to be met is a certificate you take with you. With it, you only need to pay the patient fee that applies in the country of care.

Can I receive authorisation for costs to be met?

You are eligible for this authorisation if

  • you are insured for health care benefits in Sweden. You are insured in Sweden if you live or work here or if Sweden is the authorised Member State for you. There are some exceptions from this rule.
  • the care provider is connected to the public healthcare system in the country of care, and accepts the authorisation for costs to be met for the treatment you desire
  • the waiting time in Sweden is not medically justifiable considering your current state of health and the probable progression of the illness
  • the treatment you are planning would have been covered by the social insurance scheme if you had received the care in Sweden

After you have received care, you can also apply for compensation for

  • travel, room and board
  • additional costs for accompanying companion(s)

Special rules for Turkey

You can receive authorisation for costs to be met for planned medical treatment in Turkey if:

  • you are insured for health care benefits in Sweden. You are insured in Sweden if you live or work here or if Sweden is the authorised Member State for you. There are some exceptions from this rule.
  • it relates to care given for your disease or your health condition within the public healthcare system in Sweden
  • the care is given by a care provider that is connected to the public healthcare system in Turkey, and accepts the authorisation for costs to be met for the treatment you desire

How do I apply for authorisation for costs to be met?

Apply for authorisation for costs to be met on My pages (Mina sidor).

When you apply, you must also attach digital copies of:

  • a personal treatment plan with information on the medical treatment you will be given and where and when the treatment will be provided
  • documentation confirming that the care provider accepts the S2 certificate for the treatment you desire
  • medical records indicating what treatment you received or were offered in Sweden for your condition

If you do not already have the documents as files on your computer, you can take photos of them with your phone or scan them. If you cannot add the appendices when you submit your application, it is fine to submit them later. Try to do this as soon as possible.

If you cannot apply via My pages (Mina sidor), you can apply using the form and send in the appendices by post.

5421 Application – Planned medical treatment in another EU/EEA country or Switzerland (62 kB)PDF opens in a new window

Send your documents and the form to Försäkringskassans inläsningscentral, 839 88 Östersund.

When will I receive my decision and the certificate?

Our aim is for you to have your decision from Försäkringskassan within three months. If you fulfil the conditions, your decision will be accompanied by authorisation for costs to be met (S2) that you must present to the care provider in the other country. You only need to pay the patient fee that applies in the country of care.

Can I receive compensation for travel, food and lodging, travel expenses for a travelling companion and the patient fee?

Yes, if you were granted authorisation for costs to be met, you can apply for retroactive compensation for expenses you incurred, such as travel, food and lodging. You can also apply for compensation for travel expenses for a travelling companion.

You apply on My pages (Mina sidor). 

If you cannot apply using My pages (Mina sidor), you can send in the form that came with your authorisation for costs to be met and your receipts to Försäkringskassans Inläsningscentral, 839 88 Östersund.

 

What is an advance decision?

An advance decision is a decision regarding how much money you can receive for the treatment and when you can receive it. You receive the decision before you leave for the trip. You then apply for compensation once you have received the treatment.

Can I receive an advance decision?

You can receive an advance decision if

  • you are insured for care benefits in Sweden (You are insured in Sweden if you live or work here or if Sweden is the authorised Member State for you. There are some exceptions to this rule.)
  • the treatment you are planning would have been covered by the social insurance scheme if you had received the care in Sweden
  • the care must be provided by qualified healthcare personnel

You cannot receive an advance decision if you are travelling to Turkey or Switzerland.

What can I be compensated for if I have an advance decision?

If you have an advance decision, you can receive compensation for both private and public care in another EU/EEA country.

You can never receive more in compensation than what the same care would have cost in Sweden or than what you paid. This means that if the care is more expensive in the country in which care is provided than what it is in your county, you pay the difference yourself.

Can I receive compensation for travel, food and lodging, travel expenses for a travelling companion or the patient fee?

No, you cannot receive compensation for travel, food and lodging, travel expenses for a travelling companion or the patient fee you incurred if you were granted an advance decision.

How do I apply for an advance decision?

You apply for an advance decision on My pages (Mina sidor).

When you apply, you must also attach digital copies of:

  • a personal treatment plan specifying when and where the treatment will be provided along with the name of the medically responsible care provider
  • medical records indicating what treatment you received or were offered in Sweden for your condition

If you do not already have the documents as files on your computer, you can take photos of them with your phone or scan them. If you cannot add the appendices when you submit your application, it is fine to submit them later. Try to do this as soon as possible.

If you cannot apply via My pages (Mina sidor), you can apply using the form and send in the appendices by post.

5421 Application – Planned medical treatment in another EU/EEA country or Switzerland (62.1 kB)PDF opens in a new window

Send your documents and the form to Försäkringskassans inläsningscentral, 839 88 Östersund.

When will I receive my decision?

Our aim is for you to have your decision from Försäkringskassan within three months.

How do I apply for compensation for my care costs?

Once you have received the planned medical treatment, you apply for compensation on My pages (Mina sidor). 

When you apply, you must also attach digital copies of:

  • the original receipts or final invoices
  • medical documentation in the form of medical records, surgery reports and the like

You can also submit an unpaid invoice to us, but you are responsible for ensuring it is paid on time and for paying any reminder fees.

If you do not already have the documents as files on your computer, you can take photos of them with your phone or scan them. If you cannot add the appendices when you submit your application, it is fine to submit them later. Try to do this as soon as possible.

If you cannot apply via My pages (Mina sidor), you can apply using the form and send in the appendices by post.

5422 Application – Planned medical treatment in another EU/EEA country or Switzerland (65.6 kB)PDF opens in a new window

Send your documents and the form to Försäkringskassans inläsningscentral, 839 88 Östersund.

 

What is retrospective compensation?

You can receive compensation retrospectively, even if you did not have authorisation for costs to be met or an advance decision when you received the medical care.

Can I receive compensation retrospectively?

You can receive compensation retrospectively if

  • you are insured for care benefits in Sweden. You are insured in Sweden if you live or work here or if Sweden is the authorised Member State for you. There are some exceptions from this rule.
  • the treatment you received would have been covered by the social insurance scheme if you had received the care in Sweden
  • the care was provided by qualified healthcare personnel.
  • you paid more than the standard patient fee that applies in the country of care.

You cannot receive retrospective compensation for costs in connection with planned medical treatment in Turkey or Switzerland.

What can I receive compensation for?

You can receive compensation for

  • health and medical care
  • dental care
  • medication
  • assistive devices
  • medical consumables
  • other care products

You can then receive compensation for both private and public care in another EEA country.

How much compensation will I get?

You can never receive more in compensation than what the same care would have cost in Sweden or than what you paid. This means that if the care is more expensive in the country in which care is provided than what it is in your county council, you pay the difference yourself.

How do I apply for retrospective compensation?

Once you have received the planned medical treatment, you apply for compensation on My pages (Mina sidor).

When you apply, you must also attach digital copies of

  • the original receipts or final invoices
  • medical documentation in the form of medical records, surgery reports and the like
  • medical records indicating what treatment you received or were offered in Sweden for your condition.

If you do not already have the documents as files on your computer, you can take photos of them with your phone or scan them. If you cannot add the appendices when you submit your application, it is fine to submit them later. Try to do this as soon as possible.

If you cannot apply via My pages (Mina sidor), you can apply using the form and send in the appendices by post.

5422 Application afterwards – Planned care in another EEA country (65.6)PDF opens in a new window

Send your documents and the form to Försäkringskassans inläsningscentral, 839 88 Östersund.

When will I receive my decision?

Our aim is for you to have your decision from Försäkringskassan within three months.

 

Each country has one or more national contact points that provide information on opportunities for treatment within the EU/EEA. The list of national contact points can be found here:

National contact points for cross-border healthcare (ec.europa.eu)PDF opens in a new window

 

Frequently asked questions

Authorisation for costs to be met is a certificate you take with you. With it, you only need to pay the patient fee that applies in the country of care.

An advance decision is a promise of compensation that you can receive after the treatment.

You can apply within ten years of the date you paid or should have paid the treatment cost. This rule went into effect on 1 January 2011. This means that you cannot apply for compensation for treatment costs that you paid or should have paid before this date.

Försäkringskassan cannot provide information on individual care providers outside of Sweden, but you can seek assistance from a national contact point in another EU/EEA country. The list of national contact points can be found here:

National contact points for cross-border healthcare (ec.europa.eu)PDF opens in a new window

A prescription needs to contain the following information:

  • The patient’s first name and surname (computer-printed) and date of birth
  • The issue date of the prescription
  • The doctor’s first name and surname (computer-printed), professional title, contact details, work address (including country) and signature (handwritten or electronic)
  • The generic name of the medicine (since the medicine may be sold under different trade names), dosage form (tablet, solution, etc.), quantity, strength and dose.

If you have technical issues

If your e-identification does not work or if you have other technical issues, you can get help on our technical support pages. There, you can get assistance from an administrator directly in a web meeting. You are then connected with the administrator, who can see your screen and help you. Web meetings are available during the Customer Centre’s opening hours.

Technical support

If you have a protected identity

If you have a protected identity, you cannot use all of the e-services found on My pages (Mina sidor). You can instead apply using a paper form.

If you must apply using a paper form

All forms that can be downloaded from the website can be found under Forms and certificates.

Forms and certificates

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