National Contact Point for cross-border healthcare

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Before treatment in another EU country

Before you undergo treatment in another Member State, in an EEA State or in Switzerland, you should clarify some aspects with your health insurance fund in Germany and with your doctor or dentist or with the hospital in the state of treatment.

If you have statutory health insurance, you have two ways of taking up healthcare services in another EU country.

  • You can be treated as if you had statutory health insurance. In order to do so, you will always need the prior authorisation of your health insurance fund. The basis for this is the European Regulation on the coordination of social security systems and its implementing regulation, which we abbreviate below as EC Regulations.
  • However, you can also be privately treated in another Member State. You only need the authorisation of your health insurance fund for this in certain cases. Please therefore always contact them beforehand. Should approval be required, your health insurance fund is obliged to take a decision on approval within three weeks of receiving your application. In cases in which an expert report is needed, the health insurance fund has five weeks to take its decision. If the health insurance fund is unable to meet these deadlines, it will inform you accordingly in writing in good time, explaining the reasons. Should it fail to notify an adequate reason, the approval is deemed to have been granted on expiry of the respective deadline. You will receive a written notice if the health insurance fund approves your application. You can submit an objection if the health insurance fund turns down the planned treatment. Please do not hesitate to contact us should you have any questions with regard to this process. The basis for the possibility of being treated privately is the European Patient Mobility Directive – Directive 2011/24/EU. You have to pay the treatment costs upfront, but can subsequently submit them to your health insurance fund for a reimbursement. However, the health insurance fund might not reimburse all the costs which you have incurred. Public vaccination programmes, organ transplantation as well as long-term care are completely excluded from the range of the Directive. If you need information on cross-border healthcare regarding these three topics, please contact your healthcare insurer.

You will find more information on these two possibilities and on the advantages and disadvantages in the column entitled “Who pays?”.

If you only have private health insurance in Germany, your health insurance contract determines the extent to which treatment can be provided in another Member State. The same applies to any cost reimbursement.

Since the private health insurance contracts frequently differ, we recommend you to contact your health insurance company should you have any questions.

If you are looking for a healthcare provider, such as a doctor, dentist or hospital in another EU country, the National Contact Points in that country will be glad to help.

What information should I give to the doctor or dentist in the other EU country?

If you specifically enter another EU country in order to undergo medical treatment there, you will need to provide the doctor or dentist treating you there in advance with details of your treatment history. By doing so, you will help to avoid errors and ensure the success of your medical treatment.

Before undergoing any treatment, discuss with the doctor or dentist treating you whether he/she needs any documents from your medical records in Germany. It may be necessary for you to have these documents translated. Your doctor or dentist in Germany has to give you the necessary copies from your medical records. You must however meet the cost of this yourself.

If you have any questions regarding the content mentioned above, on data protection, on your medical records, etc., the National Contact Point of the state of treatment will be able to help you.

You should also enquire of the National Contact Point of the state in question before undergoing any treatment as to whether you need to provide the doctors or dentists there with more information.

Documents and Links



Pennefeldsweg 12 c
53177 Bonn

+49 228 9530-802, +49 228 9530-608/, +49 228 9530-800 (Monday to Thursday 8 a.m to 4.30 p.m, Friday 8.a.m. to 3 p.m)

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Find National Contact Points of other EU countries

You will find here a list of National Contact Points of the EU with several contact informations.

Regional sources of information

You are living in a border region and you are searching for further regional information sources. Click here for an overview of institutions that could be helpful.

National information media

You will find more national information available here if you want to find out what treatment is available for specific diseases, or if you need further information on the topic of health.


Information on treatment in another EU country at a glance

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