Glossary

Competent Member State Member State under whose social security system the patient concerned is insured at the time of the cross-border treatment, or on behalf of whose social security system the patient concerned is insured at the time of cross-border treatment
Co-payment A set out-of-pocket amount which will not be covered by the national health service / statutory health insurance, but which the insured person will have to pay him or herself (i.e. the patient’s share of the medical costs)
Cross-border healthcare Cross-border healthcare refers to medical treatment outside the patient’s country of residence, where s/he is entitled to public healthcare (whether or not under the social security legislation of another Member State). The treatment is considered to be cross-border when received in any another EU/EEA Member State or Switzerland, without the prerequisite of sharing a geographical border with the country of residence.
Directive 95/46/EU Directive 95/46/EC of the European Parliament and of the Council of 24 October 1995 on the protection of individuals with regard to the processing of personal data and on the free movement of such data
Directive 2011/24/EU Directive 2011/24/EU of the European parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare
Directive 2012/52/EU Commission Implementing Directive 2012/52/EU of 20 December 2012 laying down measures to facilitate the recognition of medical prescriptions issued in another Member State
DRG Classification of medical treatments for the purpose of reimbursing hospitals for each case in a given category with a fixed fee
E-prescription Prescription that is electronically generated, transmitted and filled
EKAV Greek National Centre for Emergency Care – Phone line: 166
EKPY Greek Regulation of Health Benefits
EOPYY Greek National Organization for the Provision of Health Services
European Economic Area (EEA) The European Economic Area (EEA) includes, besides the 28 EU Member States, Iceland, Liechtenstein and Norway
European Health Insurance Card (EHIC) Free card, issued by the national health service authority/ health insurer, that gives the patient access to medically necessary, state-provided healthcare during a temporary stay in another EU/EEA country or Switzerland, under the same conditions and costs (free of charge in some countries) as people covered/insured under the national health services or national health insurance scheme of that country
European Reference Networks European Reference Networks (ERNs) are virtual networks involving healthcare providers across Europe, aiming to facilitate discussion on complex or rare diseases and conditions that require highly specialised treatment, and concentrated knowledge and resources (www.europa.eu/youreurope)
European Union (EU) The EU includes following 28 Member States: Austria, Belgium, Bulgaria, Croatia, Cyprus*, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom !*EU-law is not applicable in Northern Cyprus (the Turkish Republic of Northern Cyprus)
Frontier worker Person pursuing an activity as an employed or self-employed person in a Member State and who resides in another Member State to which s/he returns on a daily basis or at least once a week
Follow-up care Healthcare that may be required as a result of treatment or medical intervention with the purpose of providing aftercare or surveillance to ensure a good recovery
General population safety risk Particular risk for the population associated with the cross-border treatment, e.g. contamination risk as a result of traveling by a patient with a contagious disease
Healthcare Health services provided by health professionals to patients to assess, maintain or restore their state of health, including the prescription, dispensation and provision of medicinal products and medical devices
Healthcare provider Any natural or legal person or any other entity legally providing healthcare on the territory of a Member State
Home country The country where the patient resides and is entitled to sickness benefits, regardless of whether or not he or she is insured under the social security system of that country
ICD 10 International statistical classification of diseases and related health problems
Incoming patient Patient who is travelling from another EU/EEA country or Switzerland to the country concerned
Inpatient treatment Treatment requiring the patient to be admitted in the hospital or other health facility
Insured person Person or family member of a person who is subjected to the social security legislation of one or more of EU/EEA Member States
Law no4213/13 The Greek transposition Law of the Directive 2011/24/EU of 9 March 2011 on the application of patients’ rights in cross-border healthcare
Long-term care Services in the field of long-term care the purpose of which is to support people in need of (non-medical) assistance in carrying out routine, everyday tasks, for example nursing homes
Mechanism of compensation for sickness benefits between Member States on the basis of lump sums/ fixed amounts The Social Security Regulations also deal with the financial consequences for Member States that provide health services to a person who is entitled to sickness benefits on behalf of another Member State (e.g. the Member State of previous work activity). The costs incurred by the Member State of stay or residence has to be refunded by the institution of the State where the person is insured. Here two different mechanisms may apply, namely reimbursement of actual medical expenditures or reimbursement on the basis of fixed amounts (i.e. lump sums).
Medically necessary treatment Treatment that can’t be postponed and that must be provided in order to prevent the patient from being forced to return home before the end of the planned duration of the stay abroad
Medical records All the documents containing data, assessments and information of any kind on a patient’s state of health and medical history (art. 3 (m) Directive 2011/24/EU)
Medical treatment Treatment including medical diagnosis, medical treatment and prescription medicines and medical devices
Member State of affiliation Member State that under the Social Security Regulations is competent for granting prior authorization and issuing the S2 form (old E112 form). This will normally be the country under whose social security system the patient is covered (i.e. the competent Member State).
Member State of treatment Member State where the cross-border treatment is provided (or in the case of telemedicine: Member State where the healthcare provider is located)
National Contact Point (NCP) Under Directive 2011/24/EU all EU/EEA Member States, are obliged to install one or more National Contact Points which re assigned to provide patients with information on all aspects of cross-border healthcare
National health service National health service-type of healthcare systems are government-controlled healthcare systems that are responsible for the provision of publicly funded health services to all citizens in their country
Organ transplantation The allocation of and access to organs for the purpose of organ transplants (with the exception of the surgical act of transplantation itself)
Outgoing patient Patient who is leaving the country concerned to travel to another EU/EEA country or Switzerland
Outpatient treatment Treatment provided without the patient being admitted in the hospital or other health facility
Patient safety risk Particular risk for the patient associated with the cross-border treatment, e.g. medical contra-indications for travelling
Personal data Personal data refers to any information relating to an identified or identifiable natural person, that is one who can be identified, directly or indirectly, in particular by reference to an identification number or to one or more factors specific to his physical , physiological , mental, economic, cultural or social identity ( art. 2 (a) Directive 95/46/EU)
Planned medical treatment/ Planned care Treatment provided during a temporary stay abroad of which the explicit purpose was to receive treatment there
Prescription Prescription for a medicine or medical device issued by a member of a regulated health profession who is legally entitled to do so in the country in which the prescription is issued (art. 3 (k) Directive 2011/24/EU)
Private healthcare provider Healthcare provider who is working in the private or independent health sector and who is often not contracted or affiliated to the national health service/ statutory health insurance scheme and, as a result, not entitled to provide services covered under the social security scheme
Prior authorization Authorization patients need in advance of their travel abroad from their national health service/ health insurance provider in order to be guaranteed reimbursement for their cross-border treatment
Public healthcare provider Healthcare provider who is working within the public health sector. More specifically, a healthcare provider that is contracted or affiliated to the national health service/statutory health insurance scheme and who, as a result, is entitled to provide services covered under the social security scheme
Public vaccination programmes Public programmes of vaccination against infectious diseases which are exclusively aimed at protecting the health of the population on the territory of a Member State and which are subject to specific planning and implementation measures
Reimbursement Repayment of the patient by the national health service/ statutory health insurance provider for health services covered by the social security scheme
S1 form European document of proof that a person has social security insurance when he or she does not reside in the country under whose social security system he or she is insured (www.europa.eu/youreurope)
S2 form European document of proof of receipt of prior authorization from the patient’s national health service/ health insurance provider to have planned treatment abroad, according to the Social Security Regulations (EC) 883/2004 and 987/2009* (www.europa.eu/youreurope)
S3 form European document of proof of entitlement to healthcare in the country of previous work activity(www.europa.eu/youreurope)
Social Security Regulations (EC) 883/2004 and 987/2009 - Regulation (EC) No 883/2004 of the European Parliament and of the council of 29 April 2004 on the coordination of social security systems
- Regulation (EC) No 987/2009 of the European Parliament and of the council of 16 September 2009 laying down the procedure for implementing Regulation (EC) No 883/2004 on the coordination of social security systems
Switzerland Cross-border healthcare in Switzerland is excluded from Directive 2011/24/EU. As a result, only the Social Security Regulations (EC) 883/2004 and 987/2009 apply in case of cross- border treatment in Switzerland
Telemedicine The provision of healthcare services at a distance through the use of ICT, e.g. teleconsultation, telemonitoring, telesurgery,…
Third-party payment Third-party payment refers to the direct payment of the healthcare provider by the competent national health service/health insurer. As a result, the patient enjoys treatment free of charge and only has to pay the patient’s part of the costs (co- payment*)
Unplanned medical treatment/ Unplanned care Treatment which becomes necessary on medical grounds due to sudden illness or injury during a temporary stay in another Member State for work, study or leisure (without the initial purpose of the patients’ travel being to receive treatment there)
Upfront payment The payment of all medical costs directly to the treating healthcare provider or hospital. Possible reimbursement* will have to be filed retrospectively.
Vanbraekel supplement The Vanbraekel supplement includes an additional compensation in case the patient has actually borne all or part of the medical costs of the planned cross-border treatment, for which s/he had prior authorization (S2 form), him or herself (co-payment) and the reimbursement tariff abroad is lower than the costs that should have been reimbursed, assuming the same treatment would have taken place in the patient's own home country. In this case, the competent national health service/ statutory health insurer has to reimburse the patient, upon request, up to the amount representing the difference between both reimbursement rates (without exceeding the actual costs incurred by the patient) (art. 26(7) Regulation (EC) 987/2009).