Nhs Funding For Treatment In The European Economic Area (Eea) Application Form

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FUNDING FOR TREATMENT IN THE EUROPEAN ECONOMIC AREA (EEA)
APPLICATION FORM
Guidance Notes
This form can be completed by a person other than the patient e.g. a family member or a
clinician. However, all the information provided should be about the patient. (Parts 9 and 10 of
this form require the applicant to provide details if they are applying on behalf of the patient).
We can only communicate with the patient / applicant about the application, unless we have the
written consent from the patient regarding anyone else they wish us to communicate with.
Please read the accompanying guidance, on NHS Choices, before completing this form:
Notes on the S2 application route:
• Applications must be authorised by the NHS England European Cross Border Health Care
Team before treatment.
• The treatment must be provided in the state healthcare system of the other country.
• Please note that the healthcare providers (from this point referred to as “providers”) may be
either private or state providers. However, some private providers offer treatment for the state
system and some state providers offer treatment privately.
• It is therefore very important that you check whether the provider will accept an S2 form to
fund the treatment(s) you are applying for.
• Applications for Maternity S2 funding must be made directly to the Department for Work and
Pensions (DWP), and not to this team (see NHS Choices for further information).
• S2 applications cannot cover experimental treatments or drug trials.
EU Directive application route:
• Reimbursement can only be made for treatments that would be available to you under the
NHS. If you are unsure whether a treatment would be available to you under the NHS, please
contact your local Clinical Commissioning Group (CCG) or NHS England before you receive
treatment or apply for funding. Find out more on entitlements here:
• Depending on the complexities of your individual case, it may be necessary to request further
information for your application to be assessed correctly.
• Most applications can be made either before or after treatment. However, applications for
‘specialised’ treatments require ‘prior authorisation’ and must be approved by NHS England
prior to treatment. A list of such treatments can be found on NHS Choices.
• The treatment received can be in either the state or private healthcare system
Reimbursement: Only treatment costs can be assessed for reimbursement. Travel and
accommodation will not be reimbursed, including for those who may be accompanying you on
your trip abroad. Translation costs are also not covered.
Proof of residence: You must send 2 examples of official evidence showing you are resident at
the stated address, covering the treatment period (see checklist, Part 11, 1). NHS England can
only process applications for patients ordinarily resident in England.
You are responsible for providing accurate and complete information in the application. This will
form the basis of the decision making process. Incomplete applications cannot be processed.
Please ensure that you complete the application check list before submitting the form.
10. EEA application form (04 /15)
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