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Frequently Asked Questions Temporary ROI Cross Border scheme

Frequently Asked Questions

Temporary ROI Cross Border Healthcare Reimbursement scheme

 

1. Who is eligible to apply for this scheme?

2. What procedures can I get reimbursed for?

The scheme covers all aspects of health care except the following:

You must apply for authorisation from the HSCB for your treatment before you get it otherwise it will not be reimbursed.  At this point, it can be confirmed if your treatment is covered under the reimbursement scheme.

3. Where can I get treatment and be reimbursed?

Before you source your treatment, you must obtain prior authorisation from the HSCB so you can be reimbursed.

You can get private treatment in the Republic of Ireland, either with a state or a private provider. You will be responsible for making your own arrangements for treatment, including sourcing the provider.

4. How do I apply for this?

You will need to fill in an application form, source your own healthcare provider for the treatment you want in the Republic of Ireland and ensure you get prior approval from the HSCB before proceeding with your treatment.

5. Will I need to get prior approval before proceeding with my treatment?

Yes, you will need to get prior approval form the HSC Board before proceeding with your treatment, if you want to be reimbursed for your procedure.

6. What happens if I do not get prior approval before my treatment?

Your procedure will not be eligible for the scheme and you will not be reimbursed for your procedure.

7. Will I be reimbursed in full for the cost of my treatment?

Reimbursement under this scheme will only be up to the equivalent of the actual cost of the treatment in Northern Ireland or the HSC NI average cost (whichever is lower). It will not include travel or accommodation costs. Patients should arrange any post-operative care with his or her Northern Ireland treating Consultant or GP.