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class="preamble preamble--main">You may be reimbursed from Helfo for expenses on specialised healthcare in another EU/EEA country if certain terms and conditions are met. Go through all the steps in this guide to understand your rights and what you need to do. The application form is included in Step 8. </p> </div> </div> <div id="react_0HNADANVN8JGU"><figure class="row no-gutters"><img src="https://www.helsenorge.no/4aaf70/globalassets/helfo/bilder/helfo-nov14-320.jpg?width=700&hash=B4A3000F3AC9E8991C4C0787F999ECE7DF1DBE73FAD266EF6BA3AA07FD489E65" alt="Looking through window at operating room" class="col-12 col-md-10 offset-md-1 col-lg-8 offset-lg-2"/><figcaption class="_image-caption_vq4b3_259 col-12 col-md-10 offset-md-1 col-lg-8 offset-lg-2 "><p class="_image_ame9p_3"></p><p class="_image-credit_vq4b3_264 _image__copyright_ame9p_12">Illustration: Morten Rakke / Helfo</p></figcaption></figure></div> </div> <div class="block default-block-spacing remove-block-spacing veiviserblock maincontentarea"> <div class="container default-block-spacing bg-neutral50"> <div class="row py-7"> <div class="col-12 col-md-1 offset-lg-1 text-md-center"> <span class="title1">1</span> </div> <div class="col-12 col-md-10 col-lg-8 "> <div id="react_0HNADANVN8JGV"><div><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 mb-5 pt-md-5" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Before you travel</h2><p class="paragraph">You can apply for reimbursement of your expenses on healthcare from the specialised health service in other countries within the EU/EEA if the treatment is equivalent to the healthcare you would have received in the public health service in Norway.</p><div class="mt-5"><button data-testid="read-more" data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--right-icon_1h8fe_310"><span class="_button__text_1h8fe_276"><span>Read more</span></span><svg data-analyticsid="icon" class="hnds-style-icon _button__right-icon_1h8fe_430" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg></span></button><div class="d-none"><div class="mt-6 "><p><a href="https://www.helsenorge.no/en/health-rights-in-norway/sykehus-og-spesialist/rett-til-nodvendig-helsehjelp/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">Click here for information about the specialist health service</a>.</p><p>Your entitlement to reimbursement for expenses for healthcare in the specialist health service applies both if you travel abroad for the purpose of receiving healthcare and if you are staying in another <a href="https://www.helsenorge.no/en/treatment-abroad/the-eu-eea-countries/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">EU/EEA country</a> when the need for healthcare arises.</p><p>The scheme does not apply in Switzerland or the United Kingdom, but you can be reimbursed for healthcare in the public sector in accordance with the rules for <a href="https://www.helsenorge.no/en/health-rights-tourist-abroad/the-european-health-insurance-card/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">the European Health Insurance Card</a>.</p><p>To be eligible to use this scheme, you must be a member of the Norwegian National Insurance Scheme. In many cases, the scheme also applies to family members. You are not entitled to a subsidy from Norway for treatment in an EU/EEA country you are regarded as ordinarily resident in. If you have the S1 form for the country in which you wish to receive treatment, you must contact the social security authorities there. </p><p><a href="https://www.helsenorge.no/en/treatment-abroad/persons-entitled-to-planned-treatment-in-the-eueea/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">Click here for important information on who qualifies for the scheme.</a></p><p>To reduce the financial risk, you can apply to Helfo for prior notification before you go abroad. See step 3.</p><p><a href="https://www.helsenorge.no/en/treatment-abroad/right-to-healthcare-in-the-united-kingdom/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">Are you planning to receive health care in the UK? Click here for information about the consequences of Brexit</a>.</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Referral</h3><p>If you intend to travel abroad to receive healthcare, you must first obtain a referral from a healthcare professional in Norway.</p><p>If you are already in another EU/EEA country when the need for healthcare arises, you must obtain a referral from a healthcare professional who is authorised to make referrals in the country of treatment. In such cases, the referral must be made by a healthcare professional who is comparable with one of the treatment provider categories authorised to make referrals under the Norwegian rules.</p><p>If the country you receive treatment in does not have a referrals procedure for specialised healthcare, you must enclose documentation that you consulted a healthcare professional before treatment to establish that you required the healthcare. The documentation must be from the same type of healthcare professional authorised to make referrals in Norway.</p><p>If you need urgent healthcare, no referral is required.</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Medical documentation you need to take with you</h3><p>When you consult a treatment provider abroad, it may be helpful to bring a copy of your summary patient care record, information about any medication you are taking, and any relevant test results.</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Information about other schemes</h3><h4 class="_title_tbi7q_3 _title--title4_tbi7q_53 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Exceeded waiting time</h4><p>If you have been given a maximum waiting time from a treatment provider within the specialised health service in Norway, but have not received treatment within that time, you have the right to have the Helfo Patient Referral Unit arrange for alternative treatment for you. Click this link for more information about <a href="https://www.helsenorge.no/en/health-rights-in-norway/Your-rights-in-case-of-exceeded-waiting-time/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">exceeded waiting time.</a></p><h4 class="_title_tbi7q_3 _title--title4_tbi7q_53 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Medically indefensible long waiting time</h4><p>If you have been affected by a <a href="https://www.helsenorge.no/en/treatment-abroad/treatment-within-the-eueea-in-the-event-of-medically-unacceptable-long-waiting-times-in-norway/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">medically indefensible long waiting time from a treatment provider in Norway</a> (in Norwegian), regardless of whether the guaranteed waiting time was exceeded or not, you may apply to Helfo to be covered for expenses for medical treatment abroad. If you are granted this right, you will be issued with certificate S2. This is your proof that you do not have to pay out of pocket for hospital treatment in another EEA country.</p><h4 class="_title_tbi7q_3 _title--title4_tbi7q_53 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Lack of treatment options in Norway <strong>or more effective health care abroad</strong></h4><p>If you are a patient entitled to essential healthcare in the specialist health service, you may be entitled to receive treatment abroad if the treatment in question is not available in Norway or if it can be documented that there is more effective health care available abroad than that offered by the public sector in Norway.</p><p>If you are entitled to such treatment, the cost of both your treatment and your travel expenses will be covered by your regional health trust. Send application for approval to the office for treatment abroad in the health region in which you live. Read more on the webpage <a href="https://www.helsenorge.no/en/treatment-abroad/right-to-treatment-abroad/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">"Right to treatment abroad".</a></p><p>The types of treatment that are to be available to patients in Norway are well defined. As new methods of treatment (including drugs, diagnostics and procedures) are introduced, these are assessed by <a href="https://nyemetoder.no/english" target="_blank" class="_anchorlink_fja83_15" rel="noopener noreferrer" data-analyticsid="anchor-link">The National System for the Introduction of New Health Technologies<svg data-analyticsid="icon" class="hnds-style-icon _anchorlink__icon_fja83_39" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M18.76 14.426v1.768h11.83L14.719 32.065l1.251 1.25 15.801-15.801v11.691h1.768V14.426z"></path></svg></a>.</p></div></div></div></div></div> </div> </div> <div class="row"> <div class="col-12 col-lg-10 offset-lg-1"><div class="border-bottom-1"></div></div> </div> <div class="row py-7"> <div class="col-12 col-md-1 offset-lg-1 text-md-center"> <span class="title1">2</span> </div> <div class="col-12 col-md-10 col-lg-8 "> <div id="react_0HNADANVN8JH0"><div><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 mb-5 pt-md-5" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">You must locate a treatment provider yourself</h2><p class="paragraph">You will need to find a treatment provider in another EU/EEA country and personally obtain an offer to accept you for medical treatment.</p><div class="mt-5"><button data-testid="read-more" data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--right-icon_1h8fe_310"><span class="_button__text_1h8fe_276"><span>Read more</span></span><svg data-analyticsid="icon" class="hnds-style-icon _button__right-icon_1h8fe_430" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg></span></button><div class="d-none"><div class="mt-6 "><p>You are free to consult the practitioner of your choice. Any treatment provider you choose must be licensed to practise in the country in which the treatment will be provided. While most practitioners are licensed, it is still up to you to ensure that the treatment provider holds a valid licence in the country in question. Responsibility for obtaining proof of this professional authorisation rests with you alone. </p><p><a href="https://www.helsenorge.no/en/treatment-abroad/nasjonale-kontaktpunkter-for-helsehjelp-i-eos/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">The National Contact Point in the destination country</a> (in Norwegian) will be able to provide you with a list of treatment providers in that country.</p><p>Helfo has no list of licensed practitioners. No such list exists because it would be too comprehensive.</p></div><div class="p-6 mt-6 bg-plum50 rich-text"><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Example</h3><p>Marie suffers from hip joint arthrosis. She has been referred for surgery at a hospital in Norway. Marie wants to have the procedure done in another EU/EEA country. She chooses a hospital in Germany that has available capacity to perform the hip surgery. She obtains confirmation of an offer to have the procedure done at this hospital.</p></div></div></div></div></div> </div> </div> <div class="row"> <div class="col-12 col-lg-10 offset-lg-1"><div class="border-bottom-1"></div></div> </div> <div class="row py-7"> <div class="col-12 col-md-1 offset-lg-1 text-md-center"> <span class="title1">3</span> </div> <div class="col-12 col-md-10 col-lg-8 "> <div id="react_0HNADANVN8JH1"><div><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 mb-5 pt-md-5" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Prior notification</h2><p class="paragraph">Treatment within a specialised health service abroad may prove costly. To reduce your financial risk, you have the option of applying to Helfo for prior notification.</p><div class="mt-5"><button data-testid="read-more" data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--right-icon_1h8fe_310"><span class="_button__text_1h8fe_276"><span>Read more</span></span><svg data-analyticsid="icon" class="hnds-style-icon _button__right-icon_1h8fe_430" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg></span></button><div class="d-none"><div class="mt-6 "><p>The prior notification is issued in a decision letter from Helfo granting you economic support for the healthcare you are planning. The decision letter tells you the maximum reimbursement amount you can receive for the healthcare. The prior notification is legally binding on Helfo, but is valid only for the healthcare specified in the decision letter. </p><p>Applying is voluntary, and only priority patients («rettighetspasienter») are eligible for prior notification. The status of 'priority patient' means that your referral has been assessed by the specialised health service, at a hospital for example, as warranting treatment by a specialist.</p><p>If you apply for prior notification, you must first have obtained a formal offer to provide medical treatment from another <a href="https://www.helsenorge.no/en/treatment-abroad/the-eu-eea-countries/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">EU/EEA country</a>. If you are granted prior notification, this will tell you in advance whether the cost of all or part of the desired treatment will be covered by the Norwegian health service. When considering whether to grant your application for prior notification, Helfo will decide if the treatment you are seeking abroad is equivalent to the treatment you would have received from the public health service in Norway. You must document</p><ul><li>that you are a priority patient</li><li>that you have received an offer of treatment in another EU/EEA country – this must show the type of treatment and the anticipated cost</li></ul><p>If you have been evaluated by the specialised health service in Norway, you should also send in a copy of this evaluation.</p><p>See Steps 7 and 8 for the application form and a list of the documents you are required to send in.</p><p>If you are granted a prior notification, the notification letter will state the maximum amount of reimbursement you will be eligible for, to cover the treatment you have applied for. You will need to pay for the treatment up front, and then send in an application to Helfo for the reimbursement afterwards.</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Staged prior notification</h3><p>A prior notification may be staged, meaning that it can be granted at different stages of the treatment, that is, diagnostics, treatment, follow-up care and so forth.</p><p>If you are assessed as being entitled to diagnostics because the type of treatment you require has not been clarified, you will then only receive prior notification for the diagnostic stage.</p><p>If other treatment needs are discovered along the way over and above the treatment covered by the prior notification, you have no guarantee that such treatment will be covered. You are only guaranteed cover for the treatment comprised by the prior notification, and any extra healthcare the treatment provider finds necessary will have to be evaluated after the event. The basis for evaluating whether extra treatment can be covered will be whether it would have been provided in Norway.</p></div><div class="p-6 mt-6 bg-plum50 rich-text"><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Example</h3><p>Marie is a priority patient and has obtained an offer of medical treatment from Germany. She now applies to Helfo for prior notification. Together with her application to Helfo, she encloses confirmation from the hospital in Norway that she has been booked in for hip surgery, along with her summary patient care record and discharge summary from Norway. She also encloses written proof of the offer of treatment from Germany.</p></div></div></div></div></div> </div> </div> <div class="row"> <div class="col-12 col-lg-10 offset-lg-1"><div class="border-bottom-1"></div></div> </div> <div class="row py-7"> <div class="col-12 col-md-1 offset-lg-1 text-md-center"> <span class="title1">4</span> </div> <div class="col-12 col-md-10 col-lg-8 "> <div id="react_0HNADANVN8JH2"><div><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 mb-5 pt-md-5" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Which treatments qualify for reimbursement?</h2><p class="paragraph">If you receive treatment in another EU/EEA country, you will be reimbursed according to the described rules if the treatment is equivalent to the healthcare you would have received in Norway.</p><div class="mt-5"><button data-testid="read-more" data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--right-icon_1h8fe_310"><span class="_button__text_1h8fe_276"><span>Read more</span></span><svg data-analyticsid="icon" class="hnds-style-icon _button__right-icon_1h8fe_430" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg></span></button><div class="d-none"><div class="mt-6 "><p>The healthcare you receive must be either equivalent to or comparable with the healthcare you would have received within the Norwegian public health service. In other words, you will not be eligible for any reimbursement of expenses for other treatments or more extensive treatment than the Norwegian specialised health service offers you.</p><p>Helfo's assessment of whether the healthcare is comparable with what you would have received in Norway is based on the medical documentation in your case. This will be compared with Norwegian national policy and guidance documents. If this is not available for the healthcare in question, other factors may be taken into consideration:</p><ul><li>What is the expected, documented benefit of the healthcare?</li><li>Are the anticipated costs warranted by the benefit of the intervention?</li><li>What healthcare technologies (drugs, devices, equipment) will be used?</li><li>Is it safe/riskier for you to receive the treatment abroad? </li></ul><p>The amount of reimbursement you will be entitled to for hospital treatment in another EU/EEA country is based on the estimated cost in Norway. Prices for specialised health services within the Norwegian public health service are set through the Norwegian Diagnosis-Related Group (DRG) system. The DRG system is a way of establishing prices for different patient groups. From October 2, 2023, the reimbursement amount has been changed from 80 per cent to 100 per cent of the estimated DRG cost.</p><p>If your expenses exceed the estimated cost in Norway, you must know that the reimbursement amount will be lower than what you have paid for the treatment. If your expenses are lower than the estimated cost in Norway, the reimbursement amount will be the same as your actual expenses.</p><p>Some hospitals abroad register foreign patients as private patients. This also applies to hospitals under the public health service in the country providing the treatment. This may mean higher costs for you. Examples of expenses that are not covered would be additional fees to doctors, room upgrades and the like.</p></div><div class="p-6 mt-6 bg-plum50 rich-text"><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Example</h3><p>Marie has made inquiries and found out that the hospital that will be performing the hip surgery in Germany uses the same surgical procedure as in Norway. She has been granted prior notification, and therefore knows in advance that her expenses on treatment in Germany will be authorised for reimbursement. The prior notification she received also informed her of the maximum reimbursement she can receive. She is aware that if the treatment turns out to be more expensive than what the equivalent treatment would have cost in Norway, she will have to bear the cost of the excess amount herself.</p></div></div></div></div></div> </div> </div> <div class="row"> <div class="col-12 col-lg-10 offset-lg-1"><div class="border-bottom-1"></div></div> </div> <div class="row py-7"> <div class="col-12 col-md-1 offset-lg-1 text-md-center"> <span class="title1">5</span> </div> <div class="col-12 col-md-10 col-lg-8 "> <div id="react_0HNADANVN8JH3"><div><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 mb-5 pt-md-5" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">The risks of undergoing treatment abroad</h2><p class="paragraph">The risk of being infected by bacteria that are resistant to antibiotics, such as «staph» bacteria, called MRSA, is higher if you have treatment outside Norway.</p><div class="mt-5"><button data-testid="read-more" data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--right-icon_1h8fe_310"><span class="_button__text_1h8fe_276"><span>Read more</span></span><svg data-analyticsid="icon" class="hnds-style-icon _button__right-icon_1h8fe_430" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg></span></button><div class="d-none"><div class="mt-6 "><p>The first aspect to consider is that the treatment you receive abroad must be equivalent to what you would receive in Norway, and may need to be followed up by the Norwegian specialised health service. In some cases, there may be slight differences that make it difficult to provide follow-up care in Norway.</p><p>In the event of acute complications, it may in some cases also be difficult for the hospital in Norway to provide follow-up care for treatment provided abroad. This is because the procedure and/or the devices (e.g. implants) used may be of a different type than those used in Norway.</p><p>For follow-up care in Norway, you will have to join the ordinary waiting-list system.</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Infections</h3><p><a href="https://www.helsenorge.no/en/medisiner/antibiotika-og-resistens/om-antibiotikaresistens/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">Antibiotic-resistant bacteria</a> (in Norwegian), such as the «Staph» bacteria called MRSA (methicillin-resistant Staphylococcus aureus), pose an increasing health risk in many countries. You will need to bear in mind that the risk of being infected with such bacteria is higher if you travel outside Norway for treatment.</p><p>If you have been hospitalised or received extensive outpatient care or dental care outside the Nordic region within the last 12 months, your regular GP will have to test you for strains of antibiotic-resistant bacteria before you can receive treatment from a hospital in Norway.</p><p>If you have any questions about this, please consult your GP.</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Patient injury compensation</h3><p>All forms of medical treatment carry a risk. If anything goes wrong during the medical care you receive in Norway, you can apply for compensation from the <a href="https://www.npe.no/en/information-compensation-claimants/information-making-application-patient-injury/criteria-to-qualify-for-compensation/" target="_blank" class="_anchorlink_fja83_15" rel="noopener noreferrer" data-analyticsid="anchor-link">Norwegian System of Patient Injury Compensation (NPE)<svg data-analyticsid="icon" class="hnds-style-icon _anchorlink__icon_fja83_39" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M18.76 14.426v1.768h11.83L14.719 32.065l1.251 1.25 15.801-15.801v11.691h1.768V14.426z"></path></svg></a>.</p><p>If the medical care was provided in one of the Nordic countries, you can apply for compensation through the national systems for patient injury compensation in the individual countries. The NPE can advise you on how to proceed.</p><p>If you have suffered an injury as a result of treatment abroad, the rules in the country of treatment regarding compensation prevail, and you are personally responsible for claiming compensation.</p><p>If the country has a dedicated body for patient injury compensation, you will need to contact this body yourself. <a href="https://www.helsenorge.no/en/treatment-abroad/nasjonale-kontaktpunkter-for-helsehjelp-i-eos/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">The National Contact Point in the country of treatment</a> (in Norwegian) can assist you in contacting the right body. Alternatively, you may need to claim compensation for injury sustained as a result of medical care directly from the place of treatment.</p><p>The Norwegian Patient Injury Act only applies to hospitals and doctors abroad if the Norwegian health service has concluded a prior agreement with the place of treatment in a contract for procurement of services. An example of this cover would be when patients are sent abroad as a result of a maximum waiting time guarantee.</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Returning to Norway</h3><p>If you have had a surgical procedure, you may be advised that you should wait before flying home. Any stay abroad while you wait to fly home will be at your own expense.</p><p>If you require an alternative form of transport, for example, an extra seat on a plane, this will be at your own expense. If you need a companion to assist you, the cost of companion travel is also non-reimbursable.</p><p>Generally, only a fraction of travel expenses is reimbursable.</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Death abroad</h3><p>All forms of medical treatment carry a risk, and in some cases, the worst happens. Next of kin may face the additional burden that repatriation of the deceased is not covered by the Norwegian National Insurance Scheme.</p><p>An exception is if death occurs in one of the Nordic countries, in which case <a href="https://lovdata.no/nav/folketrygdloven/kap7/%C2%A77-4" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">repatriation of the body is covered by the Norwegian National Insurance Scheme</a> (only in Norwegian).</p></div></div></div></div></div> </div> </div> <div class="row"> <div class="col-12 col-lg-10 offset-lg-1"><div class="border-bottom-1"></div></div> </div> <div class="row py-7"> <div class="col-12 col-md-1 offset-lg-1 text-md-center"> <span class="title1">6</span> </div> <div class="col-12 col-md-10 col-lg-8 "> <div id="react_0HNADANVN8JH4"><div><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 mb-5 pt-md-5" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Limited reimbursement of travel expenses</h2><p class="paragraph">You will not be reimbursed for more than you would have received if the treatment had been performed in Norway.</p><div class="mt-5"><button data-testid="read-more" data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--right-icon_1h8fe_310"><span class="_button__text_1h8fe_276"><span>Read more</span></span><svg data-analyticsid="icon" class="hnds-style-icon _button__right-icon_1h8fe_430" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg></span></button><div class="d-none"><div class="mt-6 "><p>You can be reimbursed for the proportion of your travel expenses corresponding to what you would have received in Norway.</p><p>In Norway, the main rule is that your travel expenses are reimbursed at a standard rate per kilometer regardless of which means of transport you use. You must travel to the geographically closest location at which the healthcare can be provided. In order to be reimbursable, your journey from home must be longer than ten kilometers each way and cost more than the local minimum fare by scheduled public transport.</p><p>Claims for travel expenses reimbursements must be sent to Helfo on this claim form:</p><div class="_linklistblock_1f5om_15"><div class="_linklistblock__content_1f5om_21 _linklistblock__content--neutral_1f5om_60"><ul class="_link-list_uksll_15" data-analyticsid="link-list"><li class="_link-list__list-item--line_uksll_21" data-analyticsid="link"><a class="_link-list__anchor_uksll_35 _link-list__anchor--neutral_uksll_95 _link-list__anchor--medium_uksll_61" rel="noopener noreferrer" target="_blank" href="https://www.helfo.no/skjema/Pasientreiser:Reiseregningsskjema – søknad om dekning av reiseutgifter ved behandling i et annet EØS-land?download=false"><span class="_list-header_pcv6a_15"><span class="_list-header__content_pcv6a_38 _list-header__content--string_pcv6a_44 _list-header__content--spacing_pcv6a_57"><span class="_list-header__title_pcv6a_31">Pasientreiser: Reiseregningsskjema – søknad om dekning av reiseutgifter ved behandling i et annet EØS-land Bokmål (pdf)</span></span><span class="_list-header__chevron_pcv6a_103 _list-header__chevron--for-string-content_pcv6a_108"><svg data-analyticsid="icon" class="hnds-style-icon" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="black" color="black"><path d="M17.885 32.577l1.779 1.793 10.451-10.371L19.664 13.63l-1.779 1.793 8.644 8.576z"></path></svg></span></span></a></li></ul></div></div><p>(The form is in Norwegian, but <a href="https://www.helsenorge.no/4a508c/globalassets/dokumenter/pasientreiser/veiledning_eng_ny__2_.pdf" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">click here for an English guide with instructions for filling out the form “Reiseregningsskjema"</a>.)</p><p>Send the claim form with the other documentation – see the next step. If your application for coverage of expenses from Helfo is granted, Helfo will forward your travel expenses claim to the Norwegian regional health authorities' patient-travel service <a href="https://www.helsenorge.no/en/patient-travel/about/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">(Pasientreiser)</a>. </p></div><div class="p-6 mt-6 bg-plum50 rich-text"><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Example</h3><p>Marie lives in Nesna, Norway. Her nearest place of treatment in Norway would be in Mo i Rana. Although Marie is going abroad, she will only be entitled to expenses for the return journey Nesna - Mo i Rana - Nesna at a standard rate per kilometre. She takes care to keep all her travel documents.</p></div></div></div></div></div> </div> </div> <div class="row"> <div class="col-12 col-lg-10 offset-lg-1"><div class="border-bottom-1"></div></div> </div> <div class="row py-7"> <div class="col-12 col-md-1 offset-lg-1 text-md-center"> <span class="title1">7</span> </div> <div class="col-12 col-md-10 col-lg-8 "> <div id="react_0HNADANVN8JH5"><div><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 mb-5 pt-md-5" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Don't forget the documentation!</h2><p class="paragraph">The documentation requirements differ depending on whether you are applying for prior notification or claiming reimbursement after receiving treatment in another EU/EEA country.</p><div class="mt-5"><button data-testid="read-more" data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--right-icon_1h8fe_310"><span class="_button__text_1h8fe_276"><span>Read more</span></span><svg data-analyticsid="icon" class="hnds-style-icon _button__right-icon_1h8fe_430" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg></span></button><div class="d-none"><div class="mt-6 "><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">If you are applying for prior notification:</h3><p>The following documentation must always be enclosed with an application for prior notification:</p><ul><li>Letter from the specialised health service that you are entitled to the necessary healthcare.</li><li>Confirmation that you have a formal offer of treatment abroad – you must document what treatment you are planning to receive and the estimated cost.</li><li>Copy of the foreign treatment provider's licence to practise and specialist authorisation in the country of treatment (only for treatment outside of a hospital).</li><li>If you have been seen or treated within the specialised health service in Norway for your medical condition: a copy of the specialist's opinion.</li></ul><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">If you are applying for reimbursement after treatment:</h3><p> </p><p>You must always enclose a copy of the referral: </p><ul><li>If you planned the healthcare before travelling abroad, you must enclose the referral from the healthcare professional who practises in Norway. </li><li>If the need for healthcare arose abroad, you must enclose the referral from a healthcare professional in the country where you received the healthcare. </li><li>If the need for healthcare was a medical emergency, you must attach your discharge summary from the hospital to prove that you required emergency medical care. </li><li>If you have no referral but were receiving a course of treatment from the specialised health service in Norway, you can enclose documents to prove that you required further treatment for your medical condition.</li></ul><p>The following documentation must also always be enclosed with an application for reimbursement:</p><ul><li>Summary care record/discharge summary from abroad.</li><li>Original itemised invoice showing the cost per treatment.</li><li>Original receipt or other documentation as proof of payment, such as a bank statement.</li></ul><p>The following documentation must be enclosed if relevant for your claim:</p><ul><li>a copy of the assessment if you have been assessed by the Norwegian specialised health service for your medical condition</li><li>the letter confirming your entitlement to treatment within the specialised health service or the letter advising you of the date of your appointment</li><li>a copy of the decision letter concerning that occupational injury if the treatment is for an occupational injury.</li><li>other documentation you believe to be relevant for your application</li></ul><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Translation of documentation</h3><p>In order for Helfo to consider the claim and reach a decision, the documentation must be comprehensible. This means that all documentation must initially be in Norwegian, Danish, Swedish or English. You should therefore try to get the documentation issued in one of these languages. If the documents are in another language, Helfo can, if necessary, ask you to have them translated. You must pay for the translation yourself. If you send in a translated document, you must also send in the original.</p></div><div class="p-6 mt-6 bg-plum50 rich-text"><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Example</h3><p>Marie makes sure she gets all the documentation she needs from the hospital stay in Germany before she applies for reimbursement from Helfo.</p></div></div></div></div></div> </div> </div> <div class="row"> <div class="col-12 col-lg-10 offset-lg-1"><div class="border-bottom-1"></div></div> </div> <div class="row py-7"> <div class="col-12 col-md-1 offset-lg-1 text-md-center"> <span class="title1">8</span> </div> <div class="col-12 col-md-10 col-lg-8 "> <div id="react_0HNADANVN8JH6"><div><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 mb-5 pt-md-5" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Submit your application</h2><p class="paragraph">You can apply to Helfo for prior notification before travelling abroad for treatment, or you can apply for reimbursement of expenses on treatment in another EU/EEA country after you have completed that treatment.</p><div class="mt-5"><button data-testid="read-more" data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--right-icon_1h8fe_310"><span class="_button__text_1h8fe_276"><span>Read more</span></span><svg data-analyticsid="icon" class="hnds-style-icon _button__right-icon_1h8fe_430" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg></span></button><div class="d-none"><div class="mt-6 "><div class="px-5 pt-5 pt-md-6 pb-7 pb-md-8 my-7 my-lg-8 _panel--blueberry_1qbq4_13"><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 my-0 row no-gutters align-items-center" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title"><span class="col-6 col-md-2"></span><span class="col-md-8 mt-5 mt-md-0">Log in to Helfo's digital form </span></h2><div class="row no-gutters"><div class="mt-3 mt-md-5 mb-0 col-md-8 offset-md-2">Log in to Helfo's digital form and apply for prior notification or a refund of expenses (only in Norwegian)<div class="mt-5"><a data-analyticsid="button" class="_button-wrapper_1h8fe_225" href="https://tjenester.helsenorge.no/okonomi"><span class="_button_1h8fe_225 _button--normal_1h8fe_300"><span class="_button__text_1h8fe_276"><span>Log in to Helfo's digital form</span></span></span></a></div></div></div></div><p> </p><p>For details of documentation requirements, see under «Don't forget the documentation!».</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Deadline</h3><p>You must send the application form and documentation to Helfo within 6 months of each treatment date. If you have not settled on the spot but received an invoice afterwards, we calculate the deadline from the invoice date instead of the treatment date. In this context, invoice means the first payment request issued by your treatment provider.</p><p>The normal processing time for a prior notification is up to 4 weeks from our receipt of a complete application.</p><p>The normal processing time for a treatment expenses reimbursement claim is up to 12 weeks.</p><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Paper form</h3><p>If you are unable to use our digital form, you can send us paper forms instead. Remember documentation!</p><p>To apply for prior notification, use this form:</p><div class="_linklistblock_1f5om_15"><div class="_linklistblock__content_1f5om_21 _linklistblock__content--neutral_1f5om_60"><ul class="_link-list_uksll_15" data-analyticsid="link-list"><li class="_link-list__list-item--line_uksll_21" data-analyticsid="link"><a class="_link-list__anchor_uksll_35 _link-list__anchor--neutral_uksll_95 _link-list__anchor--medium_uksll_61" rel="noopener noreferrer" target="_blank" href="https://www.helfo.no/skjema/Søknad om forhåndsgodkjenning (S2) eller forhåndstilsagn for planlagt behandling i et annet EØS-land-sykehusbehandling-05-24a.04-engelsk.pdf?download=false"><span class="_list-header_pcv6a_15"><span class="_list-header__content_pcv6a_38 _list-header__content--string_pcv6a_44 _list-header__content--spacing_pcv6a_57"><span class="_list-header__title_pcv6a_31">Application for prior authorisation (S2) or prior notification of planned treatment in an EEA country or Switzerland (05-24a.04), English (pdf)</span></span><span class="_list-header__chevron_pcv6a_103 _list-header__chevron--for-string-content_pcv6a_108"><svg data-analyticsid="icon" class="hnds-style-icon" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="black" color="black"><path d="M17.885 32.577l1.779 1.793 10.451-10.371L19.664 13.63l-1.779 1.793 8.644 8.576z"></path></svg></span></span></a></li></ul></div></div><p>To apply for reimbursement after you have received treatment, use this form:</p><div class="_linklistblock_1f5om_15"><div class="_linklistblock__content_1f5om_21 _linklistblock__content--neutral_1f5om_60"><ul class="_link-list_uksll_15" data-analyticsid="link-list"><li class="_link-list__list-item--line_uksll_21" data-analyticsid="link"><a class="_link-list__anchor_uksll_35 _link-list__anchor--neutral_uksll_95 _link-list__anchor--medium_uksll_61" rel="noopener noreferrer" target="_blank" href="https://www.helfo.no/skjema/Søknad om refusjon for helsetjenester mottatt i et annet EØS-land Sveits-05-24a.10-engelsk.pdf?download=false"><span class="_list-header_pcv6a_15"><span class="_list-header__content_pcv6a_38 _list-header__content--string_pcv6a_44 _list-header__content--spacing_pcv6a_57"><span class="_list-header__title_pcv6a_31">Application for reimbursement of healthcare services received in another EEA country/Switzerland (05-24a.10) English (pdf)</span></span><span class="_list-header__chevron_pcv6a_103 _list-header__chevron--for-string-content_pcv6a_108"><svg data-analyticsid="icon" class="hnds-style-icon" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="black" color="black"><path d="M17.885 32.577l1.779 1.793 10.451-10.371L19.664 13.63l-1.779 1.793 8.644 8.576z"></path></svg></span></span></a></li></ul></div></div><p>Send your application to: Helfo, Postboks 2415, 3104 Tønsberg.</p></div><div class="p-6 mt-6 bg-plum50 rich-text"><h3 class="_title_tbi7q_3 _title--title3_tbi7q_42 _richtext_14xsz_1" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Example</h3><p>Marie fills out the application form and sends this together with all the relevant documentation to Helfo within 6 months. Marie is entitled to reimbursement of what her treatment would have cost the Norwegian national health service.</p></div><div class="mt-6"><div class="_resource_1fmqj_15 _resource--single_1fmqj_37 _resource--normal_1fmqj_46"><div class="_resource__icon_1fmqj_99"></div><div class="_resource__body_1fmqj_63"><h3 class="_title_tbi7q_3 _title--title4_tbi7q_53 _resource__title_1fmqj_80" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Guidance Helsenorge</h3><span class="_title_tbi7q_3 _title--title4_tbi7q_53" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title"></span><div class="_resource__text_1fmqj_60"><div><p>If you have any questions, please call Guidance Helsenorge: +47 23 32 70 00</p></div></div></div></div></div></div></div></div></div> </div> </div> <div class="row"> <div class="col-12 col-lg-10 offset-lg-1"><div class="border-bottom-1"></div></div> </div> <div class="row py-7"> <div class="col-12 col-md-1 offset-lg-1 text-md-center"> <span class="title1">9</span> </div> <div class="col-12 col-md-10 col-lg-8 "> <div id="react_0HNADANVN8JH7"><div><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 mb-5 pt-md-5" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Exemption card</h2><p class="paragraph">Several types of healthcare provide entitlement to an exemption card for healthcare expenses once you have paid user fees up to a certain amount (the user-fee limit).</p><div class="mt-5"><button data-testid="read-more" data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--right-icon_1h8fe_310"><span class="_button__text_1h8fe_276"><span>Read more</span></span><svg data-analyticsid="icon" class="hnds-style-icon _button__right-icon_1h8fe_430" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg></span></button><div class="d-none"><div class="mt-6 "><p>This might also apply if the healthcare is received in another EU/EEA country. User fees that you have paid when using the European Health Insurance Card are not included in the exemption card scheme in Norway.</p><p>The user fee payable will be calculated during processing of your claim for reimbursement for treatment abroad. This user fee will be entered in the user-fee registry and will form the basis for a healthcare exemption card. If you already hold an exemption card, the user fee will be paid to you together with the reimbursement.</p><p>Once you have been issued with an exemption card by Helfo, you will no longer have to pay user fees for healthcare covered by the exemption card scheme. The exemption card is valid in Norway. In other EU/EEA countries you must pay for treatment out of pocket.</p><p>Read more about maximum user fees and which types of healthcare are <a href="https://www.helsenorge.no/en/payment-for-health-services/exemption-card-for-public-health-services/" target="" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">comprised by the exemption card system here</a> (in Norwegian).</p></div></div></div></div></div> </div> </div> </div> </div> <div class="container my-7 my-lg-8"> <div class="row border-top-1 pt-6"> <div class="col-md-10 offset-md-1 col-lg-8 offset-lg-2"> <p class="paragraph"> Content provided by <a href="/en/samarbeidspartnere/#helfo">Helfo</a></p> <div id="react_0HNADANVN8JH8"><div class="_expander_8ymtt_958"><div class=""><button data-analyticsid="expander" class="_button-wrapper_1h8fe_225" type="button" aria-expanded="false"><span class="_button_1h8fe_225 _button--normal_1h8fe_300 _button--borderless_1h8fe_547 _button--left-icon_1h8fe_300 _expander__button_8ymtt_981"><svg data-analyticsid="icon" class="hnds-style-icon _button__left-icon_1h8fe_420" role="presentation" focusable="false" aria-hidden="true" viewBox="0 0 48 48" style="min-width:38px;min-height:38px" width="38" height="38" fill="#126F87" color="#126F87"><path d="M32.577 17.885l1.793 1.779-10.371 10.451L13.63 19.664l1.793-1.779 8.576 8.644z"></path></svg><span class="_button__text_1h8fe_276 _expander__button__text_8ymtt_995"><span>How to cite this article</span></span></span></button></div><div class="_expander__content_8ymtt_1153 _expander__content--small_8ymtt_1165 _expander__content--nested-line_8ymtt_1171">Helfo. Hospital treatment and other specialised health services in EU/EEA countries. [Internet]. Oslo: The Norwegian Directorate of Health; updated Thursday, February 20, 2025 [retrieved Tuesday, February 25, 2025]. Available from: <a href="https://www.helsenorge.no/en/treatment-abroad/hospital-treatment-and-other-specialist-health-services-in-eea-countries/" target="_self" class="_anchorlink_fja83_15" data-analyticsid="anchor-link">https://www.helsenorge.no/en/treatment-abroad/hospital-treatment-and-other-specialist-health-services-in-eea-countries/</a></div></div><span class="_spacer_1dxib_2 _spacer--m_1dxib_22" data-analyticsid="spacer"></span></div> <p class="paragraph">Last updated Thursday, February 20, 2025</p> <div id="react_0HNADANVN8JH9"></div> </div> </div> </div> </main> </div> </div> </div> </div> <div class="js-personvelger-hide"> <div id="react_0HNADANVN8JHE"><aside class="_userfeedback_18qaq_15 _userfeedback--default_18qaq_20" aria-label="Did you find what you were looking for?"><div class="container"><div class="row"><div class="col-md-12 col-lg-8 offset-lg-2"><h2 class="_title_tbi7q_3 _title--title3_tbi7q_42 _userfeedback__title_18qaq_32" style="margin-top:0rem;margin-bottom:0rem" data-analyticsid="title">Did you find what you were looking for?</h2><div class="_userfeedback__buttons_18qaq_40"><button data-analyticsid="button" class="_button-wrapper_1h8fe_225 _userfeedback__primary_18qaq_44" type="button"><span class="_button_1h8fe_225 _button--normal_1h8fe_300"><span class="_button__text_1h8fe_276"><span>Yes</span></span></span></button><button data-analyticsid="button" class="_button-wrapper_1h8fe_225" type="button"><span class="_button_1h8fe_225 _button--normal_1h8fe_300"><span class="_button__text_1h8fe_276"><span>No</span></span></span></button></div></div></div></div></aside></div> </div> <div style="margin-top:-6rem"> <hn-webcomp-footer language="en"></hn-webcomp-footer> </div> <script nonce="9EV7qdh5WBDiZ1YfmN1qBxXwV+Py6fFRStb4BPTElyw=" src="/frontend/static/js/common.HAzsZG8A.js"></script> <script nonce="9EV7qdh5WBDiZ1YfmN1qBxXwV+Py6fFRStb4BPTElyw=" src="/frontend/static/js/helsenorge.DjLY-oYb.js"></script> <script crossorigin="anonymous" nonce="9EV7qdh5WBDiZ1YfmN1qBxXwV+Py6fFRStb4BPTElyw=" src="https://cdn.helsenorge.no/core/static/js/nettleservarsel.min.js?v=2025.02.25"></script> <script crossorigin="anonymous" nonce="9EV7qdh5WBDiZ1YfmN1qBxXwV+Py6fFRStb4BPTElyw=" src="https://cdn.helsenorge.no/header-footer/static/js/index.B7aq-KPH.js" type="module"></script> <script crossorigin="anonymous" nonce="9EV7qdh5WBDiZ1YfmN1qBxXwV+Py6fFRStb4BPTElyw=" src="https://cdn.helsenorge.no/personvelger/static/js/index.BwFtfgjD.js" type="module"></script> <script nonce="9EV7qdh5WBDiZ1YfmN1qBxXwV+Py6fFRStb4BPTElyw="> "use strict";(()=>{var c=e=>{let l=[];e.querySelectorAll("thead th").forEach(a=>l.push(a));let t=[];e.querySelectorAll("tbody tr").forEach(a=>t.push(a)),t.forEach(a=>{let r=[];a.querySelectorAll("td").forEach(o=>r.push(o)),r.slice(1).forEach((o,n)=>{var s;return o.setAttribute("data-title",(s=l[n+1].textContent)!=null?s:"")})})},T=e=>{let l=document.createElement("div");l.classList.add("responsive-table-wrapper"),e.parentElement&&(e.parentElement.replaceChild(l,e),l.appendChild(e))};document.addEventListener("DOMContentLoaded",()=>{let e=[];document.querySelectorAll(".responsive-table--first-row-is-header").forEach(t=>e.push(t)),e.forEach(t=>c(t));let l=[];document.querySelectorAll(".responsive-table").forEach(t=>l.push(t)),l.forEach(t=>T(t))});})(); </script> <div id="react_0HNADANVN8JHF"></div> <div id="react_0HNADANVN8JHG"></div> <script src="/external/chatPanel.js?v=d5762a70432d66c4ffc368f4009b42cbc8d37eb005297b050a5c5daf84e6c0d4"></script> <script type="module" nonce="9EV7qdh5WBDiZ1YfmN1qBxXwV+Py6fFRStb4BPTElyw=">ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JGU"), React.createElement(HelsenorgeCoreCms.ImageBlock, {"imageUrl":"https://www.helsenorge.no/4aaf70/globalassets/helfo/bilder/helfo-nov14-320.jpg?width=700&hash=B4A3000F3AC9E8991C4C0787F999ECE7DF1DBE73FAD266EF6BA3AA07FD489E65","caption":null,"copyright":"Illustration: Morten Rakke / Helfo","size":"Medium","alternativeText":"Looking through window at operating room"})); ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JGV"), React.createElement(VeiviserComponents.VeiviserTrinnBlock, {"content":[{"_type":"block","_key":"71FF179E","markDefs":[{"_key":"25CDE478","_type":"link","href":"https://www.helsenorge.no/en/health-rights-in-norway/sykehus-og-spesialist/rett-til-nodvendig-helsehjelp/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"3F472312","marks":["25CDE478"],"text":"Click here for information about the specialist health service"},{"_type":"span","_key":"AE27267","marks":[],"text":"."}]},{"_type":"block","_key":"43A47030","markDefs":[{"_key":"49CED67D","_type":"link","href":"https://www.helsenorge.no/en/treatment-abroad/the-eu-eea-countries/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"4463915B","marks":[],"text":"Your entitlement to reimbursement for expenses for healthcare in the specialist health service applies both if you travel abroad for the purpose of receiving healthcare and if you are staying in another "},{"_type":"span","_key":"163A6821","marks":["49CED67D"],"text":"EU/EEA country"},{"_type":"span","_key":"3DAF465A","marks":[],"text":" when the need for healthcare arises."}]},{"_type":"block","_key":"67BB0839","markDefs":[{"_key":"10BF4A1","_type":"link","href":"https://www.helsenorge.no/en/health-rights-tourist-abroad/the-european-health-insurance-card/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2C2460D3","marks":[],"text":"The scheme does not apply in Switzerland or the United Kingdom, but you can be reimbursed for healthcare in the public sector in accordance with the rules for "},{"_type":"span","_key":"5FC9C09A","marks":["10BF4A1"],"text":"the European Health Insurance Card"},{"_type":"span","_key":"61395F9C","marks":[],"text":"."}]},{"_type":"block","_key":"6EA1D6F3","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"5F0ECFF9","marks":[],"text":"To be eligible to use this scheme, you must be a member of the Norwegian National Insurance Scheme. In many cases, the scheme also applies to family members. You are not entitled to a subsidy from Norway for treatment in an EU/EEA country you are regarded as ordinarily resident in. If you have the S1 form for the country in which you wish to receive treatment, you must contact the social security authorities there. "}]},{"_type":"block","_key":"7D48AF84","markDefs":[{"_key":"6B7A0CF3","_type":"link","href":"https://www.helsenorge.no/en/treatment-abroad/persons-entitled-to-planned-treatment-in-the-eueea/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2949BAC2","marks":["6B7A0CF3"],"text":"Click here for important information on who qualifies for the scheme."}]},{"_type":"block","_key":"776F8260","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"1D8A22C9","marks":[],"text":"To reduce the financial risk, you can apply to Helfo for prior notification before you go abroad. See step 3."}]},{"_type":"block","_key":"4083F5D3","markDefs":[{"_key":"181B7E02","_type":"link","href":"https://www.helsenorge.no/en/treatment-abroad/right-to-healthcare-in-the-united-kingdom/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"77DFF915","marks":["181B7E02"],"text":"Are you planning to receive health care in the UK? Click here for information about the consequences of Brexit"},{"_type":"span","_key":"45B3F5B7","marks":[],"text":"."}]},{"_type":"block","_key":"36DF89D0","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"6BA393C1","marks":[],"text":"Referral"}]},{"_type":"block","_key":"2A0328F4","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"1B985EAA","marks":[],"text":"If you intend to travel abroad to receive healthcare, you must first obtain a referral from a healthcare professional in Norway."}]},{"_type":"block","_key":"45C69BC4","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"40DF25B6","marks":[],"text":"If you are already in another EU/EEA country when the need for healthcare arises, you must obtain a referral from a healthcare professional who is authorised to make referrals in the country of treatment. In such cases, the referral must be made by a healthcare professional who is comparable with one of the treatment provider categories authorised to make referrals under the Norwegian rules."}]},{"_type":"block","_key":"2C853E09","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"44CCC588","marks":[],"text":"If the country you receive treatment in does not have a referrals procedure for specialised healthcare, you must enclose documentation that you consulted a healthcare professional before treatment to establish that you required the healthcare. 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Click this link for more information about "},{"_type":"span","_key":"623A1917","marks":["5F44E2B4"],"text":"exceeded waiting time."}]},{"_type":"block","_key":"3C7EFBDE","markDefs":[],"style":"h4","level":null,"listItem":null,"children":[{"_type":"span","_key":"67972D0C","marks":[],"text":"Medically indefensible long waiting time"}]},{"_type":"block","_key":"11C0A16A","markDefs":[{"_key":"4E6274D4","_type":"link","href":"https://www.helsenorge.no/en/treatment-abroad/treatment-within-the-eueea-in-the-event-of-medically-unacceptable-long-waiting-times-in-norway/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"321CDDF9","marks":[],"text":"If you have been affected by a "},{"_type":"span","_key":"57EC7D80","marks":["4E6274D4"],"text":"medically indefensible long waiting time from a treatment provider in Norway"},{"_type":"span","_key":"31C5289F","marks":[],"text":" (in Norwegian), regardless of whether the guaranteed waiting time was exceeded or not, you may apply to Helfo to be covered for expenses for medical treatment abroad. If you are granted this right, you will be issued with certificate S2. This is your proof that you do not have to pay out of pocket for hospital treatment in another EEA country."}]},{"_type":"block","_key":"3AD35418","markDefs":[],"style":"h4","level":null,"listItem":null,"children":[{"_type":"span","_key":"3E245287","marks":[],"text":"Lack of treatment options in Norway "},{"_type":"span","_key":"73A5BD3","marks":["strong"],"text":"or more effective health care abroad"}]},{"_type":"block","_key":"32959CD5","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"5632D065","marks":[],"text":"If you are a patient entitled to essential healthcare in the specialist health service, you may be entitled to receive treatment abroad if the treatment in question is not available in Norway or if it can be documented that there is more effective health care available abroad than that offered by the public sector in Norway."}]},{"_type":"block","_key":"55F95012","markDefs":[{"_key":"75E2170E","_type":"link","href":"https://www.helsenorge.no/en/treatment-abroad/right-to-treatment-abroad/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"1A01222F","marks":[],"text":"If you are entitled to such treatment, the cost of both your treatment and your travel expenses will be covered by your regional health trust. Send application for approval to the office for treatment abroad in the health region in which you live. Read more on the webpage "},{"_type":"span","_key":"57952CF7","marks":["75E2170E"],"text":"\"Right to treatment abroad\"."}]},{"_type":"block","_key":"3C503BAF","markDefs":[{"_key":"491EBEB9","_type":"link","href":"https://nyemetoder.no/english","target":"_blank"}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"3F560DCF","marks":[],"text":"The types of treatment that are to be available to patients in Norway are well defined. As new methods of treatment (including drugs, diagnostics and procedures) are introduced, these are assessed by "},{"_type":"span","_key":"2909CAF3","marks":["491EBEB9"],"text":"The National System for the Introduction of New Health Technologies"},{"_type":"span","_key":"7D5368DA","marks":[],"text":"."}]}],"introduction":"You can apply for reimbursement of your expenses on healthcare from the specialised health service in other countries within the EU/EEA if the treatment is equivalent to the healthcare you would have received in the public health service in Norway.","openText":"Read more","closeText":"Hide","exampleText":null,"link":"","linkText":null,"linkIcon":"","title":"Before you travel","otherContent":[]})); ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JH0"), React.createElement(VeiviserComponents.VeiviserTrinnBlock, {"content":[{"_type":"block","_key":"FF29EEC","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"1BFBD837","marks":[],"text":"You are free to consult the practitioner of your choice. Any treatment provider you choose must be licensed to practise in the country in which the treatment will be provided. While most practitioners are licensed, it is still up to you to ensure that the treatment provider holds a valid licence in the country in question. Responsibility for obtaining proof of this professional authorisation rests with you alone. "}]},{"_type":"block","_key":"68E81048","markDefs":[{"_key":"78514835","_type":"link","href":"https://www.helsenorge.no/en/treatment-abroad/nasjonale-kontaktpunkter-for-helsehjelp-i-eos/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"6266A815","marks":["78514835"],"text":"The National Contact Point in the destination country"},{"_type":"span","_key":"4B577154","marks":[],"text":" (in Norwegian) will be able to provide you with a list of treatment providers in that country."}]},{"_type":"block","_key":"359FCB33","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"4DB73BFB","marks":[],"text":"Helfo has no list of licensed practitioners. No such list exists because it would be too comprehensive."}]}],"introduction":"You will need to find a treatment provider in another EU/EEA country and personally obtain an offer to accept you for medical treatment.","openText":"Read more","closeText":"Hide","exampleText":[{"_type":"block","_key":"40CC3185","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"EA253D9","marks":[],"text":"Example"}]},{"_type":"block","_key":"7261B8EE","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"60EC467C","marks":[],"text":"Marie suffers from hip joint arthrosis. She has been referred for surgery at a hospital in Norway. Marie wants to have the procedure done in another EU/EEA country. She chooses a hospital in Germany that has available capacity to perform the hip surgery. She obtains confirmation of an offer to have the procedure done at this hospital."}]}],"link":"","linkText":null,"linkIcon":"","title":"You must locate a treatment provider yourself","otherContent":[]})); ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JH1"), React.createElement(VeiviserComponents.VeiviserTrinnBlock, {"content":[{"_type":"block","_key":"228EDADF","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"394D36EB","marks":[],"text":"The prior notification is issued in a decision letter from Helfo granting you economic support for the healthcare you are planning. The decision letter tells you the maximum reimbursement amount you can receive for the healthcare. The prior notification is legally binding on Helfo, but is valid only for the healthcare specified in the decision letter. "}]},{"_type":"block","_key":"596A16CE","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"79326BF5","marks":[],"text":"Applying is voluntary, and only priority patients («rettighetspasienter») are eligible for prior notification. The status of 'priority patient' means that your referral has been assessed by the specialised health service, at a hospital for example, as warranting treatment by a specialist."}]},{"_type":"block","_key":"3424B9AC","markDefs":[{"_key":"56C68C5F","_type":"link","href":"https://www.helsenorge.no/en/treatment-abroad/the-eu-eea-countries/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"6EF84A24","marks":[],"text":"If you apply for prior notification, you must first have obtained a formal offer to provide medical treatment from another "},{"_type":"span","_key":"2DB13D4","marks":["56C68C5F"],"text":"EU/EEA country"},{"_type":"span","_key":"765BC1D0","marks":[],"text":". If you are granted prior notification, this will tell you in advance whether the cost of all or part of the desired treatment will be covered by the Norwegian health service. When considering whether to grant your application for prior notification, Helfo will decide if the treatment you are seeking abroad is equivalent to the treatment you would have received from the public health service in Norway. You must document"}]},{"_type":"block","_key":"77993FC7","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"655E4E65","marks":[],"text":"that you are a priority patient"}]},{"_type":"block","_key":"2F02129","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"5D15C053","marks":[],"text":"that you have received an offer of treatment in another EU/EEA country – this must show the type of treatment and the anticipated cost"}]},{"_type":"block","_key":"719C1A7C","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"4C7CF8F6","marks":[],"text":"If you have been evaluated by the specialised health service in Norway, you should also send in a copy of this evaluation."}]},{"_type":"block","_key":"4B328B5E","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"EAEF1C","marks":[],"text":"See Steps 7 and 8 for the application form and a list of the documents you are required to send in."}]},{"_type":"block","_key":"4295C191","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"1EFAF43D","marks":[],"text":"If you are granted a prior notification, the notification letter will state the maximum amount of reimbursement you will be eligible for, to cover the treatment you have applied for. You will need to pay for the treatment up front, and then send in an application to Helfo for the reimbursement afterwards."}]},{"_type":"block","_key":"2245B4B3","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"7DD60B37","marks":[],"text":"Staged prior notification"}]},{"_type":"block","_key":"381F47C0","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"70B2E1F7","marks":[],"text":"A prior notification may be staged, meaning that it can be granted at different stages of the treatment, that is, diagnostics, treatment, follow-up care and so forth."}]},{"_type":"block","_key":"4646D955","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"4BB9BAEA","marks":[],"text":"If you are assessed as being entitled to diagnostics because the type of treatment you require has not been clarified, you will then only receive prior notification for the diagnostic stage."}]},{"_type":"block","_key":"441C31F5","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"1E79BD21","marks":[],"text":"If other treatment needs are discovered along the way over and above the treatment covered by the prior notification, you have no guarantee that such treatment will be covered. 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She now applies to Helfo for prior notification. Together with her application to Helfo, she encloses confirmation from the hospital in Norway that she has been booked in for hip surgery, along with her summary patient care record and discharge summary from Norway. She also encloses written proof of the offer of treatment from Germany."}]}],"link":"","linkText":null,"linkIcon":"","title":"Prior notification","otherContent":[]})); ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JH2"), React.createElement(VeiviserComponents.VeiviserTrinnBlock, {"content":[{"_type":"block","_key":"7BDBF62F","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"5CB905F0","marks":[],"text":"The healthcare you receive must be either equivalent to or comparable with the healthcare you would have received within the Norwegian public health service. In other words, you will not be eligible for any reimbursement of expenses for other treatments or more extensive treatment than the Norwegian specialised health service offers you."}]},{"_type":"block","_key":"2100D01C","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"281E9D6D","marks":[],"text":"Helfo's assessment of whether the healthcare is comparable with what you would have received in Norway is based on the medical documentation in your case. This will be compared with Norwegian national policy and guidance documents. 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"}]},{"_type":"block","_key":"73B0B845","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2368B3A4","marks":[],"text":"The amount of reimbursement you will be entitled to for hospital treatment in another EU/EEA country is based on the estimated cost in Norway. Prices for specialised health services within the Norwegian public health service are set through the Norwegian Diagnosis-Related Group (DRG) system. The DRG system is a way of establishing prices for different patient groups. From October 2, 2023, the reimbursement amount has been changed from 80 per cent to 100 per cent of the estimated DRG cost."}]},{"_type":"block","_key":"7186EB7C","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"6728B428","marks":[],"text":"If your expenses exceed the estimated cost in Norway, you must know that the reimbursement amount will be lower than what you have paid for the treatment. If your expenses are lower than the estimated cost in Norway, the reimbursement amount will be the same as your actual expenses."}]},{"_type":"block","_key":"355E6357","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"410F3431","marks":[],"text":"Some hospitals abroad register foreign patients as private patients. This also applies to hospitals under the public health service in the country providing the treatment. This may mean higher costs for you. Examples of expenses that are not covered would be additional fees to doctors, room upgrades and the like."}]}],"introduction":"If you receive treatment in another EU/EEA country, you will be reimbursed according to the described rules if the treatment is equivalent to the healthcare you would have received in Norway.","openText":"Read more","closeText":"Hide","exampleText":[{"_type":"block","_key":"2A211E1E","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"62A1D51F","marks":[],"text":"Example"}]},{"_type":"block","_key":"4CB287C2","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"3E5FB076","marks":[],"text":"Marie has made inquiries and found out that the hospital that will be performing the hip surgery in Germany uses the same surgical procedure as in Norway. She has been granted prior notification, and therefore knows in advance that her expenses on treatment in Germany will be authorised for reimbursement. The prior notification she received also informed her of the maximum reimbursement she can receive. She is aware that if the treatment turns out to be more expensive than what the equivalent treatment would have cost in Norway, she will have to bear the cost of the excess amount herself."}]}],"link":"","linkText":null,"linkIcon":"","title":"Which treatments qualify for reimbursement?","otherContent":[]})); ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JH3"), React.createElement(VeiviserComponents.VeiviserTrinnBlock, {"content":[{"_type":"block","_key":"322D6CF8","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"5ED946C0","marks":[],"text":"The first aspect to consider is that the treatment you receive abroad must be equivalent to what you would receive in Norway, and may need to be followed up by the Norwegian specialised health service. In some cases, there may be slight differences that make it difficult to provide follow-up care in Norway."}]},{"_type":"block","_key":"6F836BAB","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"74A40A32","marks":[],"text":"In the event of acute complications, it may in some cases also be difficult for the hospital in Norway to provide follow-up care for treatment provided abroad. This is because the procedure and/or the devices (e.g. implants) used may be of a different type than those used in Norway."}]},{"_type":"block","_key":"4825A12D","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"3463FC9A","marks":[],"text":"For follow-up care in Norway, you will have to join the ordinary waiting-list system."}]},{"_type":"block","_key":"308CA0C0","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"24308E44","marks":[],"text":"Infections"}]},{"_type":"block","_key":"5D6F16E1","markDefs":[{"_key":"349E4EBD","_type":"link","href":"https://www.helsenorge.no/en/medisiner/antibiotika-og-resistens/om-antibiotikaresistens/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"47B23441","marks":["349E4EBD"],"text":"Antibiotic-resistant bacteria"},{"_type":"span","_key":"73975F3","marks":[],"text":" (in Norwegian), such as the «Staph» bacteria called MRSA (methicillin-resistant Staphylococcus aureus), pose an increasing health risk in many countries. You will need to bear in mind that the risk of being infected with such bacteria is higher if you travel outside Norway for treatment."}]},{"_type":"block","_key":"35D83AFB","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"692CCDC9","marks":[],"text":"If you have been hospitalised or received extensive outpatient care or dental care outside the Nordic region within the last 12 months, your regular GP will have to test you for strains of antibiotic-resistant bacteria before you can receive treatment from a hospital in Norway."}]},{"_type":"block","_key":"37B11DA3","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"3B0F3559","marks":[],"text":"If you have any questions about this, please consult your GP."}]},{"_type":"block","_key":"7B4F6F87","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"3F262EE9","marks":[],"text":"Patient injury compensation"}]},{"_type":"block","_key":"7B5017AC","markDefs":[{"_key":"79C18175","_type":"link","href":"https://www.npe.no/en/information-compensation-claimants/information-making-application-patient-injury/criteria-to-qualify-for-compensation/","target":"_blank"}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"4498B80D","marks":[],"text":"All forms of medical treatment carry a risk. If anything goes wrong during the medical care you receive in Norway, you can apply for compensation from the "},{"_type":"span","_key":"3A9E3ED3","marks":["79C18175"],"text":"Norwegian System of Patient Injury Compensation (NPE)"},{"_type":"span","_key":"6955ABDB","marks":[],"text":"."}]},{"_type":"block","_key":"3D47C7FF","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"D8EC80D","marks":[],"text":"If the medical care was provided in one of the Nordic countries, you can apply for compensation through the national systems for patient injury compensation in the individual countries. The NPE can advise you on how to proceed."}]},{"_type":"block","_key":"46E94DE5","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"6E8A62F6","marks":[],"text":"If you have suffered an injury as a result of treatment abroad, the rules in the country of treatment regarding compensation prevail, and you are personally responsible for claiming compensation."}]},{"_type":"block","_key":"1D658E0A","markDefs":[{"_key":"4F952866","_type":"link","href":"https://www.helsenorge.no/en/treatment-abroad/nasjonale-kontaktpunkter-for-helsehjelp-i-eos/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"72C33827","marks":[],"text":"If the country has a dedicated body for patient injury compensation, you will need to contact this body yourself. "},{"_type":"span","_key":"7E7DAFF0","marks":["4F952866"],"text":"The National Contact Point in the country of treatment"},{"_type":"span","_key":"5D59E389","marks":[],"text":" (in Norwegian) can assist you in contacting the right body. Alternatively, you may need to claim compensation for injury sustained as a result of medical care directly from the place of treatment."}]},{"_type":"block","_key":"18CECB85","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"146B0BE8","marks":[],"text":"The Norwegian Patient Injury Act only applies to hospitals and doctors abroad if the Norwegian health service has concluded a prior agreement with the place of treatment in a contract for procurement of services. An example of this cover would be when patients are sent abroad as a result of a maximum waiting time guarantee."}]},{"_type":"block","_key":"69AFBB8B","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"7C786E51","marks":[],"text":"Returning to Norway"}]},{"_type":"block","_key":"14C9ECB","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2650CA55","marks":[],"text":"If you have had a surgical procedure, you may be advised that you should wait before flying home. Any stay abroad while you wait to fly home will be at your own expense."}]},{"_type":"block","_key":"71283C9C","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"6E644DDB","marks":[],"text":"If you require an alternative form of transport, for example, an extra seat on a plane, this will be at your own expense. If you need a companion to assist you, the cost of companion travel is also non-reimbursable."}]},{"_type":"block","_key":"4EF11463","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"146C1A6","marks":[],"text":"Generally, only a fraction of travel expenses is reimbursable."}]},{"_type":"block","_key":"7BA50D68","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"3C60F780","marks":[],"text":"Death abroad"}]},{"_type":"block","_key":"20911CC6","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"401B1B15","marks":[],"text":"All forms of medical treatment carry a risk, and in some cases, the worst happens. Next of kin may face the additional burden that repatriation of the deceased is not covered by the Norwegian National Insurance Scheme."}]},{"_type":"block","_key":"58121964","markDefs":[{"_key":"37110467","_type":"link","href":"https://lovdata.no/nav/folketrygdloven/kap7/%C2%A77-4","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"21EDB8D9","marks":[],"text":"An exception is if death occurs in one of the Nordic countries, in which case "},{"_type":"span","_key":"26A79462","marks":["37110467"],"text":"repatriation of the body is covered by the Norwegian National Insurance Scheme"},{"_type":"span","_key":"306D4F24","marks":[],"text":" (only in Norwegian)."}]}],"introduction":"The risk of being infected by bacteria that are resistant to antibiotics, such as «staph» bacteria, called MRSA, is higher if you have treatment outside Norway.","openText":"Read more","closeText":"Hide","exampleText":null,"link":"","linkText":null,"linkIcon":"","title":"The risks of undergoing treatment abroad","otherContent":[]})); ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JH4"), React.createElement(VeiviserComponents.VeiviserTrinnBlock, {"content":[{"_type":"block","_key":"3477EEB7","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2E2797D","marks":[],"text":"You can be reimbursed for the proportion of your travel expenses corresponding to what you would have received in Norway."}]},{"_type":"block","_key":"2101AACD","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2466C75B","marks":[],"text":"In Norway, the main rule is that your travel expenses are reimbursed at a standard rate per kilometer regardless of which means of transport you use. 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In order to be reimbursable, your journey from home must be longer than ten kilometers each way and cost more than the local minimum fare by scheduled public transport."}]},{"_type":"block","_key":"6B90D024","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"59D8BF07","marks":[],"text":"Claims for travel expenses reimbursements must be sent to Helfo on this claim form:"}]},{"title":null,"titleHtmlMarkup":"h2","links":[{"text":"Pasientreiser: Reiseregningsskjema – søknad om dekning av reiseutgifter ved behandling i et annet EØS-land Bokmål (pdf)","href":"https://www.helfo.no/skjema/Pasientreiser:Reiseregningsskjema – søknad om dekning av reiseutgifter ved behandling i et annet EØS-land?download=false","target":"_blank","title":null,"iconName":""}],"additionalLinkList":null,"color":"neutral","useGridLayout":false,"search":null,"_type":"LinkListBlock","_key":"2AF7C858","markDefs":[],"style":"normal","level":null,"listItem":null,"children":null},{"_type":"block","_key":"22B6A068","markDefs":[{"_key":"103E0404","_type":"link","href":"https://www.helsenorge.no/4a508c/globalassets/dokumenter/pasientreiser/veiledning_eng_ny__2_.pdf","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"3B55328D","marks":[],"text":"(The form is in Norwegian, but "},{"_type":"span","_key":"4B26D804","marks":["103E0404"],"text":"click here for an English guide with instructions for filling out the form “Reiseregningsskjema\""},{"_type":"span","_key":"55B58591","marks":[],"text":".)"}]},{"_type":"block","_key":"6FDB4CB1","markDefs":[{"_key":"9E49D00","_type":"link","href":"https://www.helsenorge.no/en/patient-travel/about/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"7056E137","marks":[],"text":"Send the claim form with the other documentation – see the next step. If your application for coverage of expenses from Helfo is granted, Helfo will forward your travel expenses claim to the Norwegian regional health authorities' patient-travel service "},{"_type":"span","_key":"6C690789","marks":["9E49D00"],"text":"(Pasientreiser)"},{"_type":"span","_key":"3BE4D816","marks":[],"text":". "}]}],"introduction":"You will not be reimbursed for more than you would have received if the treatment had been performed in Norway.","openText":"Read more","closeText":"Hide","exampleText":[{"_type":"block","_key":"2B8AD361","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"320303A0","marks":[],"text":"Example"}]},{"_type":"block","_key":"50930D87","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"4FE3B2E7","marks":[],"text":"Marie lives in Nesna, Norway. Her nearest place of treatment in Norway would be in Mo i Rana. Although Marie is going abroad, she will only be entitled to expenses for the return journey Nesna - Mo i Rana - Nesna at a standard rate per kilometre. She takes care to keep all her travel documents."}]}],"link":"","linkText":null,"linkIcon":"","title":"Limited reimbursement of travel expenses","otherContent":[]})); ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JH5"), React.createElement(VeiviserComponents.VeiviserTrinnBlock, {"content":[{"_type":"block","_key":"2C9214D1","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"79CE92F1","marks":[],"text":"If you are applying for prior notification:"}]},{"_type":"block","_key":"7E2F3593","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"720870A9","marks":[],"text":"The following documentation must always be enclosed with an application for prior notification:"}]},{"_type":"block","_key":"6AC2CC5E","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"66920A34","marks":[],"text":"Letter from the specialised health service that you are entitled to the necessary healthcare."}]},{"_type":"block","_key":"6E5767EB","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"332B963A","marks":[],"text":"Confirmation that you have a formal offer of treatment abroad – you must document what treatment you are planning to receive and the estimated cost."}]},{"_type":"block","_key":"834977B","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"D622CD3","marks":[],"text":"Copy of the foreign treatment provider's licence to practise and specialist authorisation in the country of treatment (only for treatment outside of a hospital)."}]},{"_type":"block","_key":"374449E","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"5B6CDCC0","marks":[],"text":"If you have been seen or treated within the specialised health service in Norway for your medical condition: a copy of the specialist's opinion."}]},{"_type":"block","_key":"7ECC12B9","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"6DF9E9D3","marks":[],"text":"If you are applying for reimbursement after treatment:"}]},{"_type":"block","_key":"1CFEE97","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"371A3B99","marks":[],"text":" "}]},{"_type":"block","_key":"7596C2CE","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"524EDF18","marks":[],"text":"You must always enclose a copy of the referral: "}]},{"_type":"block","_key":"442ABE64","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"1EFD02D","marks":[],"text":"If you planned the healthcare before travelling abroad, you must enclose the referral from the healthcare professional who practises in Norway. "}]},{"_type":"block","_key":"79B1518A","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"76C7AC0C","marks":[],"text":"If the need for healthcare arose abroad, you must enclose the referral from a healthcare professional in the country where you received the healthcare. "}]},{"_type":"block","_key":"1D856F35","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"71B54B2D","marks":[],"text":"If the need for healthcare was a medical emergency, you must attach your discharge summary from the hospital to prove that you required emergency medical care. "}]},{"_type":"block","_key":"84301FB","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"4ABD6085","marks":[],"text":"If you have no referral but were receiving a course of treatment from the specialised health service in Norway, you can enclose documents to prove that you required further treatment for your medical condition."}]},{"_type":"block","_key":"3FDFECB1","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"3BE82848","marks":[],"text":"The following documentation must also always be enclosed with an application for reimbursement:"}]},{"_type":"block","_key":"162BF4C","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"3332F47E","marks":[],"text":"Summary care record/discharge summary from abroad."}]},{"_type":"block","_key":"5D6CC959","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"929C46B","marks":[],"text":"Original itemised invoice showing the cost per treatment."}]},{"_type":"block","_key":"7870CA2A","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"23DCEB94","marks":[],"text":"Original receipt or other documentation as proof of payment, such as a bank statement."}]},{"_type":"block","_key":"7A38CC65","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"3CEC68DA","marks":[],"text":"The following documentation must be enclosed if relevant for your claim:"}]},{"_type":"block","_key":"7B564A10","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"60F01BCD","marks":[],"text":"a copy of the assessment if you have been assessed by the Norwegian specialised health service for your medical condition"}]},{"_type":"block","_key":"3A064659","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"11C78064","marks":[],"text":"the letter confirming your entitlement to treatment within the specialised health service or the letter advising you of the date of your appointment"}]},{"_type":"block","_key":"5F995FB5","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"75B0198A","marks":[],"text":"a copy of the decision letter concerning that occupational injury if the treatment is for an occupational injury."}]},{"_type":"block","_key":"2979DD2B","markDefs":[],"style":"normal","level":1,"listItem":"bullet","children":[{"_type":"span","_key":"74A240AF","marks":[],"text":"other documentation you believe to be relevant for your application"}]},{"_type":"block","_key":"29AAA50D","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"31501F99","marks":[],"text":"Translation of documentation"}]},{"_type":"block","_key":"267E95E7","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"11932F41","marks":[],"text":"In order for Helfo to consider the claim and reach a decision, the documentation must be comprehensible. 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If you have not settled on the spot but received an invoice afterwards, we calculate the deadline from the invoice date instead of the treatment date. In this context, invoice means the first payment request issued by your treatment provider."}]},{"_type":"block","_key":"23571CAA","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"720019A0","marks":[],"text":"The normal processing time for a prior notification is up to 4 weeks from our receipt of a complete application."}]},{"_type":"block","_key":"42C89885","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"5D552E7F","marks":[],"text":"The normal processing time for a treatment expenses reimbursement claim is up to 12 weeks."}]},{"_type":"block","_key":"3F3C58C2","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"375BFA6F","marks":[],"text":"Paper form"}]},{"_type":"block","_key":"41C70762","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2BC7C9F5","marks":[],"text":"If you are unable to use our digital form, you can send us paper forms instead. Remember documentation!"}]},{"_type":"block","_key":"7E551E0A","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2A68AC68","marks":[],"text":"To apply for prior notification, use this form:"}]},{"title":null,"titleHtmlMarkup":"h4","links":[{"text":"Application for prior authorisation (S2) or prior notification of planned treatment in an EEA country or Switzerland (05-24a.04), English (pdf)","href":"https://www.helfo.no/skjema/Søknad om forhåndsgodkjenning (S2) eller forhåndstilsagn for planlagt behandling i et annet EØS-land-sykehusbehandling-05-24a.04-engelsk.pdf?download=false","target":"_blank","title":null,"iconName":""}],"additionalLinkList":null,"color":"neutral","useGridLayout":false,"search":null,"_type":"LinkListBlock","_key":"2B88C621","markDefs":[],"style":"normal","level":null,"listItem":null,"children":null},{"_type":"block","_key":"3C9DDC73","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"42C1D515","marks":[],"text":"To apply for reimbursement after you have received treatment, use this form:"}]},{"title":null,"titleHtmlMarkup":"h4","links":[{"text":"Application for reimbursement of healthcare services received in another EEA country/Switzerland (05-24a.10) English (pdf)","href":"https://www.helfo.no/skjema/Søknad om refusjon for helsetjenester mottatt i et annet EØS-land Sveits-05-24a.10-engelsk.pdf?download=false","target":"_blank","title":null,"iconName":""}],"additionalLinkList":null,"color":"neutral","useGridLayout":false,"search":null,"_type":"LinkListBlock","_key":"24CF3BE7","markDefs":[],"style":"normal","level":null,"listItem":null,"children":null},{"_type":"block","_key":"2B6D08BC","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"4F92D704","marks":[],"text":"Send your application to: Helfo, Postboks 2415, 3104 Tønsberg."}]}],"introduction":"You can apply to Helfo for prior notification before travelling abroad for treatment, or you can apply for reimbursement of expenses on treatment in another EU/EEA country after you have completed that treatment.","openText":"Read more","closeText":"Hide","exampleText":[{"_type":"block","_key":"7064B5FB","markDefs":[],"style":"h3","level":null,"listItem":null,"children":[{"_type":"span","_key":"6572291","marks":[],"text":"Example"}]},{"_type":"block","_key":"4EBC3E4A","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"56A5B8B0","marks":[],"text":"Marie fills out the application form and sends this together with all the relevant documentation to Helfo within 6 months. Marie is entitled to reimbursement of what her treatment would have cost the Norwegian national health service."}]}],"link":"","linkText":null,"linkIcon":"","title":"Submit your application","otherContent":[{"_type":"ResourceBlock","resource":{"type":"ResourceBlock","disableRouter":true,"mainBody":[{"_type":"block","_key":"28810F2B","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2609FA68","marks":[],"text":"If you have any questions, please call Guidance Helsenorge: +47 23 32 70 00"}]}],"title":"Guidance Helsenorge","titleHtmlMarkup":"h3","linkList":[],"phoneNumber":{"displayPhoneNumber":"","schemaPhoneNumber":"","phoneNumberPrefix":"","phoneNumberSuffix":""},"openingHoursList":[],"iconName":"Receptionist","display":"normal"}}]})); ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JH7"), React.createElement(VeiviserComponents.VeiviserTrinnBlock, {"content":[{"_type":"block","_key":"1DBB8D5A","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"2B0044AC","marks":[],"text":"This might also apply if the healthcare is received in another EU/EEA country. User fees that you have paid when using the European Health Insurance Card are not included in the exemption card scheme in Norway."}]},{"_type":"block","_key":"1387EEB","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"532E2AEC","marks":[],"text":"The user fee payable will be calculated during processing of your claim for reimbursement for treatment abroad. This user fee will be entered in the user-fee registry and will form the basis for a healthcare exemption card. If you already hold an exemption card, the user fee will be paid to you together with the reimbursement."}]},{"_type":"block","_key":"3FC40C33","markDefs":[],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"63C91F8B","marks":[],"text":"Once you have been issued with an exemption card by Helfo, you will no longer have to pay user fees for healthcare covered by the exemption card scheme. The exemption card is valid in Norway. In other EU/EEA countries you must pay for treatment out of pocket."}]},{"_type":"block","_key":"1D223C0A","markDefs":[{"_key":"5FE32CC3","_type":"link","href":"https://www.helsenorge.no/en/payment-for-health-services/exemption-card-for-public-health-services/","target":""}],"style":"normal","level":null,"listItem":null,"children":[{"_type":"span","_key":"7B16EB8F","marks":[],"text":"Read more about maximum user fees and which types of healthcare are "},{"_type":"span","_key":"E1154BD","marks":["5FE32CC3"],"text":"comprised by the exemption card system here"},{"_type":"span","_key":"757AF5BE","marks":[],"text":" (in Norwegian)."}]}],"introduction":"Several types of healthcare provide entitlement to an exemption card for healthcare expenses once you have paid user fees up to a certain amount (the user-fee limit).","openText":"Read more","closeText":"Hide","exampleText":null,"link":"","linkText":null,"linkIcon":"","title":"Exemption card","otherContent":[]})); ReactDOMClient.hydrateRoot(document.getElementById("react_0HNADANVN8JH8"), React.createElement(HowToCiteComponents.HowToCite, {"title":"How to cite this article","description":"Helfo. Hospital treatment and other specialised health services in EU/EEA countries. [Internet]. Oslo: The Norwegian Directorate of Health; updated Thursday, February 20, 2025 [retrieved Tuesday, February 25, 2025]. 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