Dialysis treatment abroad
If you need dialysis treatment while you are temporarily staying abroad, you may be entitled to reimbursement for your expenses.
There are various ways you can claim reimbursement for the cost of dialysis treatment. This depends on whether you are staying in a country which is within or outside the EU/EEA.
Within the EU/EEA
European Health Insurance Card (EHIC)
If you intend to travel within the EU/EEA and/or Switzerland, you will normally be entitled to claim reimbursement for the cost of dialysis treatment at a public sector hospital in accordance with the legislation of the country in which you are staying. To do this, you must bring your European Health Insurance Card, and you must only pay the same user fee as citizens of the country in which you are staying. You must sign an agreement with a public healthcare provider where you can get dialysis.
If you are a citizen of a country outside the EU/EEA, but resident in Norway, you may not be entitled to a European Health Insurance Card. Nevertheless, you may be able to claim reimbursement for your expenses for dialysis treatment in another EU/EEA country by paying the bill yourself and then applying for reimbursement.
Application for reimbursement of expenses if you have not used a health insurance card
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 paid for the treatment yourself, you can retrospectively apply to Helfo for reimbursement for your expenses.
You must obtain a statement from your doctor stating that you have a long-term need for regular dialysis. In order to claim reimbursement, you must provide original itemised receipts or original itemised bills, along with documentation that you have paid for the treatment.
The documentation should be in Norwegian, Danish, Swedish or English. Wherever possible, you should therefore arrange to have the documents issued in one of these languages. If the documents are in a language other than those referred to above, Helfo may ask you to arrange to have the documents translated at your own expense.
The reimbursement is limited to the amount that would have been reimbursed had the corresponding treatment been provided in Norway. You will never be reimbursed for more than the actual cost of the treatment.
Prior authorisation – a voluntary scheme
You can apply to Helfo for prior authorisation to clarify whether you are entitled to reimbursement of your expenses for dialysis treatment at hospitals within the EU/EEA. Prior authorisation confirms that you are entitled to reimbursement for the cost of the treatment. You will also be notified of the maximum amount you can be reimbursed. You will still have to pay for the treatment and then apply to Helfo for reimbursement of your expenses. You must sign an agreement with a healthcare provider where you can receive dialysis treatment.
Outside the EU/EEA
If you are a member of the Norwegian National Insurance Scheme and intend to travel outside the EU/EEA area, you must pay for the dialysis treatment yourself and then apply to Helfo for reimbursement afterwards. You cannot apply for prior authorisation. You must sign an agreement with a healthcare provider where you can receive dialysis treatment.
You must ensure that you have a statement from a doctor confirming that you have a long-term need for regular dialysis, and you must sign an agreement with a healthcare provider where you can receive dialysis treatment.
Submitting your claim to Helfo digitally
You will find useful information about submitting digital forms here (only in Norwegian).
Applications for reimbursement of expenses for treatment must be submitted no later than six months after each dialysis treatment.
If you are unable to use our digital form, you can complete and submit the following form instead:
Send the form to Helfo, Postboks 2415, 3104 Tønsberg. Instead of issuing a medical certificate, the doctor can state in the application form that you have a medical need for dialysis treatment.
In order to receive reimbursement, you must also provide the original itemised invoice and confirmation of payment for the treatment. The reimbursement is limited to the amount that would have been reimbursed had the corresponding treatment been provided in Norway. You will never be reimbursed for more than the actual cost of the treatment.
Power of attorney in connection with enquiries to Helfo
If you contact Helfo on behalf of anyone else, you must have power of attorney for them.
Parents/guardians must also have power of attorney from any children aged 18 or over. In the case of health information, you must have power of attorney from any children aged 16 or over. This is because the age of majority under health law is 16.
Health information is sensitive information and should not be sent by e-mail. You should therefore send the power of attorney to Helfo as an attachment to a digital form, or by letter post to Helfo, Postboks 2415, 3104 Tønsberg. Remember to enclose a copy of valid identification.