Employees on ships
Are you a citizen of Norway or another EU/EEA country employed on a ship operating overseas? Then, you may be entitled to reimbursement of healthcare services expenses while you are overseas. The steps in this guide explain your rights and what you need to do. You will find the application form in Step 5.
Illustration: Morten Rakke / Helfo
Membership of the Norwegian National Insurance Scheme
To be entitled to reimbursement of expenses for health services during a stay abroad, you must be a member of the Norwegian National Insurance Scheme.
As a general rule, you are a mandatory member of the Norwegian National Insurance Scheme if you are a citizen of Norway or another EU/EEA country and are a resident or staying abroad as an employee on a Norwegian ship operating overseas. The ship must be registered in either the Norwegian Ordinary Ship Register (NOR) or the Norwegian International Ship Register (NIS).
If you are employed on a non-Norwegian ship, you must first clarify your membership with Nav (the Norwegian Labour and Welfare Administration).
Example
Marte is considered to be a resident of Norway. She is employed as a second engineer onboard a Norwegian ship registered in NOR. The ship operates outside Norwegian territorial waters, and Marte is eligible to receive healthcare services while she is overseas.
Healthcare rights in the EU/EEA
Suppose you are a member of the Norwegian National Insurance Scheme. In that case you will be entitled to reimbursement for your expenses relating to healthcare services that you receive in other EU/EEA countries.
If you receive healthcare during a temporary stay in another EU/EEA country, you can use your European Health Insurance Card (EHIC). If you cannot use your EHIC or you do not fulfil the conditions for obtaining the card, you can apply to Helfo for reimbursement. For more information, see the page "Overview of reimbursable healthcare in othe EU/EEA countries".
If you are a resident in another EU/EEA country and receive healthcare in Norway or your country of residence, you can find out more about your rights on the page on employees from the EU/EEA or Switzerland who work in Norway but do not live here.
Example
Marte has a fever and sees a doctor while her ship is docked in port in Marseilles, France. She is given antibiotics and told to see a doctor again if she does not get better. She shows her European Health Insurance Card and only pays a user fee.
Healthcare rights outside the EU/EEA
If you are a mandatory member of the Norwegian National Insurance Scheme, you will be entitled to reimbursement for healthcare services that you receive in countries outside the EU/EEA. The rules concerning extended benefits will then apply.
Example
Marte familiarizes herself with the rules regarding extended subsidisation and finds out that she can get healthcare services covered even outside the EU/EEA if she falls ill.
Travel expenses may be covered
Travel expenses outside the EU/EEA are reimbursable under the same rules that apply in Norway.
As in Norway, the general rule is that your travel expenses will be reimbursed at a standard rate per kilometre regardless of the means of transport that you use. You must travel to the nearest location at which the healthcare services you require can be provided. Read about user fees and rates.
If appropriate healthcare is not available where you are staying, this must be confirmed by a doctor at that location in order for your travel and accommodation expenses linked to your treatment to be reimbursed. The confirmation must include information on the medical necessity of travelling to another town or country, and the location of the nearest available appropriate healthcare.
If a companion is necessary for medical or treatment-related reasons, this person's travel expenses will also be reimbursable.
In order to be reimbursed, the journey must be longer than ten kilometres each way and cost more than the local minimum fare by scheduled public transport. You will have to pay a user fee per journey.
If you are applying for reimbursement of your travel expenses, you should use the same form as for claiming your healthcare expenses. This form is available in Step 5.
Example
Because Marte's treatment is urgent, she is flown by air ambulance to a hospital 150km from the ship. She has obtained documentation from the doctor confirming that the hospital she was taken to, was the nearest location offering appropriate healthcare and that it was necessary to use an air ambulance. She also has documentation of the location of the ship when the air ambulance picked her up. Based on the documentation, Marte's employer can be reimbursed for travel expenses in excess of the user fee.
Submit your application to Helfo
When the treatment has been completed, the application for a refund must be sent to Helfo. This must be done within 6 months.
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 paid later, we calculate the deadline from the payment date.
The application must contain
- necessary original documentation of your medical condition, examinations and any treatment
- documentation of the types of treatments provided
- original receipts for all expenses
- documentation that the expenses have been paid
If your employer has not covered your expenses, you can apply by using our digital form:
If your employer has covered your expenses, or if your employer is applying on your behalf, a paper form must be used. You can also use a paper form if you are unable to use our digital form.
Send this form, enclosing the required documentation, to Helfo:
If you send the application yourself, your employer must complete Section 4 on the application form if they covered the expenses.
You or your employer must enclose up-to-date documentation confirming the name of the ship and the term (duration) of your employment contract.
Send the application to Helfo, Postboks 2415, 3104 Tønsberg, Norway.
Example
Marte's employer submits a completed application form to Helfo. The employer makes sure that all the necessary documentation is enclosed.
Guidance Helsenorge
If you have any questions, please call Guidance Helsenorge: +47 23 32 70 00
Power of Attorney over Helfo communications
To contact Helfo on behalf of someone else, you need to have power of attorney.
Parents/guardians also require power of attorney for children over 16. This is because the age of majority for health matters is 16 years.
Health records and information are sensitive and should not be transmitted by e-mail. We therefore request that you send the power of attorney to Helfo by letter post. Remember to enclose a copy of valid identification.
Complete the power of attorney form and send it to Helfo, Postboks 2415, 3104 Tønsberg.