IKA and over 65's

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alansmithnl
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IKA and over 65's

Postby alansmithnl » Wed Sep 27, 2017 5:39 pm

We are moving to Crete in March........Finally! (roll of drums now!)
My partner is Dutch, but will be registered Ukrainian, so I would imagine there is no possibility of getting a European Health Insurance card like I have. I know treatment is similar to the NHS in the UK, where I think I'm right in saying I pay for the doctor's time and prescriptions. How would my partner be registered with IKA? OR, would the doctor / or hospital accept payment using MY EHIC card - if that's understandable? Maybe you guys know a few different ways of doing this?
Alan

filippos
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Re: IKA and over 65's

Postby filippos » Wed Sep 27, 2017 6:17 pm

I suggest you look at the specific rules and intention of the EHIC card on the UK government web site. It is intended to provide medical assistance for emergency treatment (and some existing conditions, I think) for a limited period of time and is not comparable with IKA cover nor that provided by the NHS.
EHIC is intended to provide medical services for temporary visitors to countries that are members of the EHIC scheme.

As a starter you could search the forum as there are previous threads on the subject one of which was relatively recent.

Kilkis
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Re: IKA and over 65's

Postby Kilkis » Wed Sep 27, 2017 6:38 pm

I've never used an EHIC in Greece, so I am not sure exactly how it works, but I think it effectively works as though you had an IKA health book. If I am correct then that works as follows:

    1 If you go to an IKA doctor or to a public hospital you don't pay anything for the time.
    2 If you go to a private doctor or hospital you pay for their time like any other patient. Typically from €30 to €60 per consultation with one off follow up visits normally free. If the treatment requires long term repeat visits they are also usually cheaper, e.g half price.
    3 If a doctor, IKA or private, issues you with an IKA prescription you typically pay 25 % of the cost of the medication. There are some variations but every prescription I have ever had over a 20 year period has been 25 %. There is a small additional charge of €1 or so.
    4 If you don't have a prescription or the doctor gives you a non-IKA one you pay the full price of the medication. A large number of drugs that are available only on prescription in the UK can be bought without a prescription here but there are exceptions. Prescriptions for opiates can normally only be issued by an oncologist and some antibiotics that they are trying to protect from over use need a special prescription and the pharmacist sometimes has to phone the issuing doctor to confirm.

Your partner would only be entitled to an EHIC if the Ukraine joined the EU. Your EHIC should NOT be used to obtain medical treatment for your partner. I have no idea if you could get away with it but I doubt it. I think it would class as fraud. The UK would be paying for treatment for somebody who is not entitled to it. Technically you should not use your EHIC yourself if you are resident here although people do and get away with it. Effectively it is only valid if the NHS is responsible for your healthcare and the NHS is only responsible for UK residents, with the exception of UK State Pensioners who currently qualify for an IKA health book through an S1 form. Your partner will simply have to pay full medical expenses.

Warwick

Clio
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Re: IKA and over 65's

Postby Clio » Wed Sep 27, 2017 7:22 pm

it (the EHIC health card) effectively works as though you had an IKA health book
.

Sorry, Kilkis, but I think you are wrong, and Filippos is right.

The two things are not at all the same. The distinction is as Phil describes it.

It (the card) is intended to provide medical assistance for emergency treatment (and some existing conditions, I think) for a limited period of time and is not comparable with IKA cover nor that provided by the NHS.



An IKA book should provide you for example, with elective surgery and related hospitalization, or with pharmacological and surgical cancer treatments.

Would you fancy waving an EHIC card in order to get the above free of charge? I certainly wouldn’t.

Kilkis
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Re: IKA and over 65's

Postby Kilkis » Thu Sep 28, 2017 1:42 am

I was describing "how" it worked, i.e. the practicalities, Clio, not what you are entitled to. Alan seemed to have that wrong in his original post, i.e. "...I think I'm right in saying I pay for the doctor's time and prescriptions". Filippos' post, and the previous thread he referred to, describes its "purpose" and I also referred to it in my final paragraph. I was not trying to correct his post but to extend it. Filippos' post is absolutely correct. The two posts are intended to be complementary not contradictory. I am sorry if that was not clear.

Warwick

alansmithnl
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Location: Still in Hilversum as yet
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Re: IKA and over 65's

Postby alansmithnl » Thu Sep 28, 2017 7:00 am

Thank you guys, everything is a bit err.......clearer now. Well,much clearer than it was before.
Alan

Kilkis
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Re: IKA and over 65's

Postby Kilkis » Thu Sep 28, 2017 7:28 am

I am sorry if mentioning the IKA health book confused things. As Clio pointed out the EHIC and the IKA health book are NOT equivalent.

The point I was trying to make was that if you require treatment while in Greece and IF that treatment IS VALID under the terms of the EHIC, then what you might or might not have to pay would work the same as the IKA health book. There are places where I can go for treatment such as an IKA GP or a public hospital where presenting my IKA health book entitles me to free treatment. If you present an EHIC at the same places treatment would also be free, providing it is a valid treatment under the terms of the EHIC. There are places I can go, such as private GPs, specialists or a private hospital, where my IKA health book wouldn't mean diddly-squat*. The same would be true of an EHIC.

If you are permanently resident in Greece then an EHIC issued by NHS, on the basis that you are resident in the UK, is NOT VALID for treatment at all, although people do get away with using it, because nobody really knows where you are permanently resident.

UK State Pensioners, who have an IKA health book on the basis of an S1 form issued by DWP, can also obtain an EHIC, from DWP NOT NHS, and use it if travelling in other EU countries. That EHIC is also NOT VALID in Greece.

Warwick

* It is a bit more complicated than I state in that some private doctors and hospitals will carry out a certain number of procedures each month under IKA but you usually have to start phoning for an IKA appointment early on the first day of the month and when they've filled their quota there are no more IKA appointments until the following month.


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