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

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

What are the 3 main categories regulating cross-border patient mobility?

  1. Regulation-based approach: coordination scheme 883/2004
  2. Case law-case approach: CJEU & free movement
  3. Patient Mobility Directive: aiming to create a coherent legal framework

What are the exceptions on the free movement of services?

  • A treaty exception for discriminatory restrictions
    • public policy security and health
  • Court developed exception
    • objective public interest
    • justifications applied in an objective non-discriminatory manner
    • criteria known in advance
    • reasons relating to public interest
    • restriction is not disproportionate

When can a MS not refuse PA?

Art. 20 (2) regulation 883/2004, the competent MS should accord authorization
  • the requested treatment is included into the benefit package
  • the treatment cannot be provided within a medically justifiable time limit

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