Coordination of Social Security Systems
S1 — Registering for healthcare cover
Information about the S1 form and its use
1. The S1 form family members) are entitled to all the benefits in kind (e.g.
healthcare, medical treatment, hospitalisation) provided for The S1 form allows you (and/or your family members) to under the legislation of your country of residence as if you register for healthcare if you live in an EU country (1) but were insured there. The institution in the country of residence you are insured in a different one. The form is delivered per is reimbursed by the institution with which you are insured. person (not per family).
5. Who will qualify for an S1 form?
2. Where and when to obtain your S1 form
This is used where a person (and his family members) is You should obtain your S1 form from the healthcare institu- resident in a country other than the one they are working tion (2) you are insured with. In cases where you are entitled in. It can also be used by members of the family of migrant to an S1 because of a change of residence, you should apply workers who have stayed in their country of origin but are for the form before leaving the country you are insured in. covered by the healthcare insurance of the country where Applying after your move can lead to delays in registration the insured person now works (provided the family mem- in your new country of residence. In cases where you are en- bers are not employed or self-employed themselves in the titled to apply for the S1 on behalf of your family members, country of origin). The S1 is also used for pensioners retiring you should make an application as soon as you become abroad or transferring their residence to another Member insured in another country. State, as well as for their family members
Examples: 3. Use of the S1 form • A Dutch pensioner retires to France. An S1 is issued by the Dutch healthcare institution and this enables him to register The S1 form should be presented to the healthcare institu- for healthcare in France. The S1 should be presented to the tion in your new country of residence, or in the country of healthcare institution in France. residence of your family members. (3) This should be done • A Polish worker goes to work in Ireland. His wife, who does without delay. A full list of institutions in both the issuing not work, and his children remain in Poland. An S1 is issued and host countries can be found at http://ec.europa.eu/ by the competent Irish healthcare institution and the worker’s social-security-directory. wife then presents it to the Polish health institution on behalf of herself and the children. The question if these family members are entitled to treatment at the expense of the Irish healthcare 4. What does the S1 cover? institution has to be decided under the Polish legislation. • A worker is posted from Malta to Italy, remaining insured When you (and/or your family members) reside in a differ- in Malta. He becomes resident in Italy and wishes to register ent country to the one you are insured in, you (and/or your for healthcare there. An S1 is issued by the Maltese health- care institution. The worker presents the S1 to the Italian (1) In the following text, the terms “EU Country” or “EU Member State” will institution and then Italy will provide healthcare cover. also refer to Iceland, Liechtenstein, Norway and Switzerland as soon as Regulations 883/2004 and 987/2009 become applicable to them.
6. Information on long-term care benefits in cash
) (2 In Gibraltar, the form is delivered by the Tax Office In Spain, the form is issued by the Provincial Head Office of the National Institute for Social Security The S1 also informs the health institution in the country of or, if appropriate, by the Social Institute for Mariners. In Portugal, the form is issued by the social security institution of the place of residence. residence if you are receiving long-term care benefits in cash. This could have an impact on your entitlement, as the value (3) Please note that the name/type of the relevant institution can be different of benefits in kind you receive in your country of residence or from one Member State to another. For Spain, Sweden and Portugal, the stay could be deducted from these benefits in cash. This is to form must be handed over to the head provincial offices of social security National Institute (Spain), the social insurance institution (Sweden) and ensure that the country issuing the form (that is the country the social security institution of the place of residence (Portugal). bearing all the costs for the healthcare) does not pay twice.
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