Spa treatment in another EU country
To be eligible for a spa treatment in another EU Member State you must meet the following conditions:
- have health insurance in Slovenia and
- have a decision of a ZZZS appointed physician prescribing you a spa treatment.
Before receiving a spa treatment in another EU Member State, you must obtain a decision of a ZZZS appointed physician. If the request of your personal physician is granted, the appointed physician will name a Slovenian spa in his decision, and you will have the right to undergo this spa treatment in another EU Member State.
You must undergo the spa treatment in another EU Member State in accordance with the decision of the appointed physician and the relevant standard as set by the appointed physician.
Coverage of costs of a spa treatment in an EU Member State based on a decision of a ZZZS appointed physician
You pay for the treatment in another EU Member State yourself, and after the spa treatment you claim cost reimbursement.
Fill out the Application for reimbursement of costs of a planned medical treatment abroad on the basis of a decision of a ZZZS appointed physician approving a spa treatment with the following data:
- personal data and data on your supplementary insurance (insurance company, insurance policy number),
- information on your bank account, to which the funds shall be transferred,
- data on the representative or proxy holder, if any,
- data on the spa treatment you received abroad.
Submit the following with the application:
- original invoice for the received spa treatment with proof of payment,
- supporting documents on the received spa treatment.
Submit the signed application for reimbursement of costs together with all annexes:
• by mail or
• by email or
• in person to regional units or offices of the ZZZS.
Amount of reimbursement of costs of a spa treatment in an EU Member State based on a decision of a ZZZS appointed physician
The ZZZS shall reimburse costs in the amount of the average price of such a treatment in Slovenia, but not more than the actual costs.
If the price of the treatment is higher in Slovenia, the actual cost of the treatment in another EU Member State shall be reimbursed.
The ZZZS shall reimburse part of the average price covered by compulsory health insurance, the rest you claim from your insurance company with which you have concluded a contract for supplementary health insurance.
Legal basis
• Directive 2011/24/EU
• Article 44(c) of the Health Care and Health Insurance Act
• Rules on compulsory health insurance
Competent authority
Health Insurance Institute of Slovenia (ZZZS)
Application
Article 44(c) of ZZVZZ - Application for reimbursement of costs of planned medical treatment in another EU Member State
