Patient's rights in cross border health care - Free movement of patients as recipients of services - Scope

16 important questions on Patient's rights in cross border health care - Free movement of patients as recipients of services - Scope

What is prohibited in regard to the free movement rules and health care?

Restrictions on the freedoms to provide services within the EU is prohibited
  • art. 56 TFEU
  • a service must be provided for remuneration, regardless of the way in which the national health service operates

What does freedom to provide services also include?

The freedom to receive services

What is a "restriction" on the free movement rules?

It is any rule having the potential to inhibit inter-MS provision of services
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Before the 2011/24 directive, fir a long time 2 different legal schemes were applicable to cross-border medical treatments in the EU. Which ones? (approaches)

  1. Regulation-based approach: rules of the European SS Coordination regulation = 883/2004
  2. Case law-based approach: based on the relevant article of the TFEU (free movement and connected cases of CJEU)

Why was dir. 2011/24 born?

Because between the previous two, there are a lot of difference, which resulted in legal problems since the 90

How can the core concept of patient mobility be described? (2 elements)

  1. The capability of moving
  2. The necessity to obtain healthcare

What are 4 basic factors that determine why people tend to travel across borders to obtain medical treatment?

  1. Familiarity and proximity
  2. Availability
  3. Price
  4. Quality
  5. other

Which 3 main categories of European border-crossing patients are there?

  1. Temporary visiters. People who become in need of healthcare while temporarily staying abroad = staying = unplanned
  2. Long-term residence = residing = unplanned
  3. Mobile patients: chasing to travel abroad in the hope of receiving quicker, better treatment = planned

First 2 categories: the mobility element precedes the healthcare element

According to which tariffs does the reimbursement happen in the 3 categories?

  • Planned healthcare: tariffs of the state of treatment
  • staying/residing: tariffs of the state of treatment

Which tariffs should be applied according to the Patients Mobility Directive?

Tariffs of the competent state

Do people under union law have the right to receive medical treatment beyond the borders of the country they are affiliated to?

The right to cross-border patient mobility is a result of the fusion between 2 rights
  1. the right to move freely across borders
  2. the right to health(care)

In which 2 groups can action of EU be categorized?

  1. Harmonizing measures: art. 153 TFEU: actions which intend to implement the EU policy
  2. Coordination: tools that aim to ensure the freedom of movement by removing potential social disadvantages

How is harmonisation achieved?

By adopting directives which must be implemented by the states
  • differences decrease/cease
  • national law might need to be changed

How is coordination achieved?

By adopting regulations in order to adjust SSS in relation to eachother
  • directly applicable
  • national law untouched
  • differences remain

Which article defines the competence of the EU in regard to harmonizing measures?

Art. 153: the union shall support and complement the activities of the MS
  • MS have most legislative power

In which article can we fiend the competence of the EU in regard to healthcare?

Art. 168 TFEU: the competence of the EU is limited to the completion of the national health policies concerning certain issues related to public health..

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