Information supplied by  Department of Health  http://www.dh.gov.uk/en/

  

Health emergency checklist

Last modified date: 8 February 2007

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This checklist will help you if you need to arrange emergency medical treatment abroad.

You should talk to your doctor and travel agent, if you have one, for advice before you go. You can also get information from the tourist office, embassy or high commission of the country you're visiting about getting medical treatment while you're there.  

Make sure you've got all the documents you need: your passport, your European Health Insurance Card (EHIC) if you have one, proof of UK residence (e.g. your driving licence or NHS card), and vaccination certificates.  
Check your insurance policy, so you know what your insurers will pay for.  
Contact your travel company representative if you have one.  
Give the doctor the generic name - not just the brand name - of any medication you're taking.  
Tell the doctor if you've been to any other countries on this trip.  
Keep the names and addresses of a few friends and relatives with your passport so they can be contacted if necessary.  
Contact British Consular officials if you need to get back to the UK quickly. They may be able to arrange this for you - but, remember, you will have to pay.  
If you pay for any treatment or drugs and plan to claim on your insurance or get a refund, keep all receipts, special proofs of purchase, price tags and labels.  

The Foreign and Commonwealth Office (FCO) website has comprehensive travel advice by country, including information about UK embassies and consular offices.

 

What treatment is covered and what will I be charged for?

Doctors and dentists: make sure the practitioner you see works within the Spanish state health service. In some parts of the country, particularly the outlying islands, you may have to travel some distance to attend a state surgery ('consultorio'), health centre ('centro sanitario') or hospital clinic ('ambulatorio'). If you need to call out a doctor in an emergency, make it clear that you have an European Health Insurance Card (EHIC) and that you want to be treated under the EU arrangements. Whenever you need treatment, show your EHIC. Dental treatment is not generally provided under the state system, and the costs will not be reimbursed. In Spain, doctors, health centres and hospitals have separate surgery times for private patients and those treated under the state health service. If you are asked to pay, you are not being treated under the Spanish health service and your EHIC will not be accepted.

Prescriptions: medicines prescribed by health service practitioners can be obtained from any pharmacy ('farmacia'). You will have to pay up to 40 per cent of the cost unless you are a UK or other European Economic Area (EEA) pensioner, in which case the medicines will be free of charge. You must show proof that you are a state pensioner, otherwise you will be charged 40 per cent of the cost, which you can claim back on your return to the UK. If a hospital says you need medicines after you are discharged, you must take the medical report to a GP, who will give you a prescription.

Hospital treatment: a doctor will usually arrange any hospital treatment you may need. In an emergency, you can only get free treatment in a public ward at a public hospital. You must show your EHIC; if not, you will be charged as a private patient and will not get your money back. Under the strict terms of the Spanish health service, there are no refunds for private healthcare charges. Make sure you have private medical insurance in case you are treated in an emergency in a private hospital. Doctors in the emergency departments of state health service hospitals will prescribe medicines on the appropriate medical report, but do not issue official prescriptions. You must take the report to a primary care doctor who will issue the official prescription.

Who handles reimbursements?

There are none. However, if you are a state pensioner and are charged for your prescriptions, you can apply for a refund when you get back to the UK. Contact the Department for Work and Pensions (DWP) for more information.

What documentation do I need to claim money back?
Original receipts.

Where to get information:
Servicio Regional de Salud (Regional Health Service Offices).