Dáil Éireann Debate, Tuesday - 11 July 2017
379. Deputy Aindrias Moynihan asked the Minister for Health if the HSE will facilitate treatment of a person (details supplied) in a UK hospital and recoup the costs from its health insurer that has already agreed to pay for treatment. [32203/17]
Amharc ar fhreagraThe HSE operates the Treatment Abroad Scheme (TAS) for persons entitled to treatment in another EU/EEA Member State or Switzerland under EU Regulation (EC) No. 883/2004, as per the procedures set out in EU Regulations (EC) No. 987/2009, and in accordance with Department of Health Guidelines.
Patients apply to the HSE TAS seeking access to public healthcare outside the State through model form E112. Subject to the EU Regulations and Guidelines, the TAS provides for the cost of approved treatments in another EU/EEA member state or Switzerland through the issue of form E112 (IE) where the treatment is:
- Among the benefits provided for by Irish legislation,
- Not available in Ireland,
- Not available within the time normally necessary for obtaining it in Ireland, taking account of the patient's current state of health and the probable course of the disease.
Applications to the TAS are processed and a determination given in accordance with the statutory framework prior to a patient travelling to avail of treatment. The statutory framework stipulates the patient must be a public patient and is required to have followed public patient pathways.
As the Treatment Abroad Scheme is a service matter, I have asked the HSE to examine this issue and respond to the Deputy directly.
