SED S009 – Request for entitlement document - scheduled treatment outside Member State of residence

This request SED is used by an institution of the place of residence that received the request for authorisation of an appropriate (scheduled) treatment outside the Member State of residence (and outside the competent Member State if the latter Member State is mentioned in Annex IV of Regulation (EC) 883/2004) from an insured person/ pensioner. In the case, if the institution of the place of residence determines it is not competent to grant the authorization, it then forwards the request for authorization to the competent institution using this SED.

The following Member States are currently mentioned in Annex IV: Belgium, Bulgaria, Czech Republic, Germany, Greece, Spain, France, Cyprus, Luxemburg, Hungary, Netherlands, Austria, Poland, Slovenia and Sweden, as well as Iceland, Liechtenstein and Switzerland.

The institution of the place of residence examines whether the conditions to issue the authorisation in the Member State of residence are met or not, in accordance with article 20 (Statement 2) of Regulation (EC) 883/2004)) and informs the competent institution of its conclusions. In order to support the request, the institution of the place of residence needs to indicate in the "Request for authorisation for Scheduled Treatment" section of the SED the following:

Whether the above conditions are met;

The reasons why the conditions are not met, if this is the case;,

The requested period of entitlement and the date of the request;

the particular treatment;

Details regarding the provider (name and address).

The presence of an attached medical report - The institution of the place of residence is requested to attach all relevant medical data (such as medical report, treatment options, medical evaluation/examination by a

medical officer, etc.) which the competent institution may need to examine the request. The S009 SED accepts attachments.

In order to see the content and explanatory notes of the SED S009 please click here.