3. Directive 2011/24/EU
Necessary health care under the Directive 2011/24/EU
Under the provisions of the Directive 2011/24/EU, incorporated into the Compulsory health insurance Act, the insured person shall have the right to the reimbursement of costs for the necessary healthcare utilised with private healthcare service providers in another Member State of the EU/EEA.
In the event that the necessary, or emergency healthcare had been utilised with the private healthcare services providers in another Member state, you are entitled to submit a written request for a refund of the treatment cost to the competent CHIF regional or branch office according to your place of residence. It is necessary to attach medical documentation on the healthcare services utilised and the original invoice in your name stipulating the services rendered and that the invoice had been paid in full.
Based on the submitted request and the submitted medical documentation, the CHIF will provide a medical expert report determining whether the healthcare service had really been necessary.
In case of a positive finding following your request, you will be entitled to receive a refund for the cost in the amount not exceeding the cost of the equivalent healthcare service in Croatia.
- Seeing as how Switzerland is exempted from the application of the Directive 2011/24/EU, necessary or emergency healthcare services rendered at private health care providers in that country are not eligible for a refund.