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European Union social security coordination enhances cooperation between member countries, and reduces the number of documents needed.
Note: This page discusses the forms needed by state pensioners relocating to another EU member state, family members of a person working abroad or when a person of any age lives in one EU country but is insured in another (e.g. cross-border workers). It is also for anyone planning a trip to a member state for the express purpose of medical treatment. This page is not aimed at EU residents who unexpectedly fall ill while travelling temporarily within the European Union. In this situation medical care can be accessed by holders of the European Health Insurance Card (EHIC).
Form S2 is for planned medical treatment, form S1 is used to register for health care.
A person living in one EU country, insured in another, can register for health care cover with the S1 form. This applies to pensioners retiring abroad, as well as families of a person working abroad. An S1 form is available from your current health coverage provider.
EU-residents are entitled to planned medical treatment in another member country. In order to benefit from European health insurance agreements, the document S2 (ex-form E112), must be obtained from the health insurance institution of the country of residence. Coverage may vary depending on the type of treatment sought and the country in which it is to be received. Health authorities can clarify which costs will be covered. However in principle, costs are only covered for treatments recognised in the country of residence.
Hospital treatment in another EU country requires prior-authorisation from the health authorities of the country of residence. The cost of the treatment is covered under the terms of the country of treatment. In some countries, this means that some of the treatment has to be paid upfront by the patient, a cost that is reimbursed later (except in Switzerland).
Without prior authorisation, there is no guarantee that the cost for hospital care will be met.
Non-hospital treatment is possible with or without authorisation.