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Toolbox for Cross-Border Healthcare

The toolbox of the European Commission contains relevant information on the legal framework of cross-border healthcare - including checklists for patients, Patient Organisations and healthcare providers.

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Patient transports

What do I do if I am taken to hospital in Germany by ambulance and receive an invoice from the patient transport company?

Travel expenses are only paid by the statutory health insurance funds in Germany if the journeys are undertaken for reasons which are medically vital. Travel expenses to attend out-patient treatment are therefore only paid if they have been pre-authorised by a German health insurance fund. Persons with statutory insurance are obliged to make co-payments of up to 10.00 Euro per journey towards the travel expenses in Germany.

As persons who have health insurance in other EU countries receive exactly the same status via their European Health Insurance Card (EHIC) or Provisional Replacement Certificate (PRC) as if they had statutory health insurance in Germany, these co-payments also apply to you. If you need to be taken to hospital in Germany by ambulance during your stay, as a rule the transport company will approach the hospital and be informed by the latter of the assisting German health insurance fund to which they can address their invoice. It may sometimes happen that you personally receive the invoice from the patient transport company asking you to pay the transport costs. If the patient transport took place for reasons which are medically vital, you do not have to pay the bill, apart from the co-payments. In the case of hospital treatment ask the patient transport company to send the invoice to the assisting German health insurance fund which you selected in the "Patient’s Declaration European Health Insurance". If you no longer know which German health insurance fund you entered in the "Patient’s Declaration European Health Insurance", please contact the hospital’s accounting department, who can tell you which assisting German health insurance fund it was.

If you have already been released from hospital and need a patient transport for out-patient medical treatment, you need to obtain the prior authorisation of the assisting German health insurance fund before undergoing this treatment. You may otherwise find that the costs incurred as a result of these journeys cannot be billed via the EHIC.



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53177 Bonn

+49 228 9530-802, +49 228 9530-608/, +49 228 9530-800 (Monday to Thursday 8 a.m to 4.30 p.m, Friday 8.a.m. to 3 p.m)

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Finding healthcare providers

You will find here a list of links to search engines available on the Internet, with explanations

Regional sources of information

You are living in a border region and you are searching for further regional information sources. Click here for an overview of institutions that could be helpful.

National information media

You will find more national information available here if you want to find out what treatment is available for specific diseases, or if you need further information on the topic of health.


Information on treatment in Germany at a glance

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