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HEALTH

CEAM: How to get a French European health insurance card

Before Brexit, many UK nationals living in France relied on their European Health Insurance Card (EHIC) to cover their healthcare. But since January, things have changed - here's what you need to know.

CEAM: How to get a French European health insurance card
The card covers you if you need medical treatment while abroad. Photo: AFP

What is an EHIC?

The European Health Insurance Card basically means EU countries picking up the tab for medical costs of each other's citizens while they are visiting.

It's intended for emergency or unplanned medical treatments and there's plenty that it doesn't cover, including cruises and the cost of repatriation so you should always have travel insurance as well for trips away.

What changes?

Since the UK left the EU its citizens are no longer covered by the scheme – however the trade deal published on Christmas Eve 2020 did contain some good news about EHICs.

UK nationals living in the UK and just visiting the EU can continue to use their existing EHIC cards until they expire. They then need to apply for a new card known as a GHIC – applications can be made online HERE.

UK nationals living in France can continue to use an EHIC only if they fall into one of the following groups;

  • a UK State Pensioner or receiving some other exportable benefits, and you have a registered S1 form or E121
  • a frontier worker (someone who works in one state and lives in another) and you've been one since before 1 January 2021, for as long as you continue to be a frontier worker in the host state, and you’re eligible for an S1 form or E106
  • a worker posted to work in another EU country, Norway, Iceland, Liechtenstein or Switzerland by your UK employer, and you've been there since before 1 January 2021, where the country has agreed to let the posting continue
  • an eligible family member or dependant of one of the above
  • a UK student studying in the EU, Norway, Iceland, Liechtenstein or Switzerland, and you've been there since before 1 January 2021

These groups will all have to apply for a new card that specifies their right to it under the Withdrawal Agreement – more on how to do that HERE.

UK nationals living in France who do not fall into one of those groups need to apply for a French card, the carte européen d'assurance maladie or CEAM.

How to apply

First you need to be registered within the French healthcare system. Hopefully people who are full time residents in France are already registered within the system and have a carte vitale, but if not you can find out how to do it HERE.

Once registered within the system you can create an account on the online portal ameli.fr. This is useful for all sorts of things including keeping track of your claims, getting the latest health bulletins and downloading the attestation that shows you have up-to-date health cover in France. 

Once registered on the site, head to the mes informations section. You will see the Carte européen d'assurance maladie section which, if you do not have one, gives you the option to order one. It will then be sent by post to the address you have registered.

The cards only last for two years, so you can also use this site to check the expiry date on yours and order another one if necessary.

This card will cover you for all trips within the EU, the EEA and Switzerland. It will also cover you should you need medical treatment on trips back to the UK – although as with the EHIC it doesn't cover everything and shouldn't be regarded as a substitute for travel insurance.

 

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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