S014

SED S014 – Request for information if treatment is provided for by Member State of stay - scheduled treatment This SED has to be used when an insured person asks an authorization to receive an appropriate (scheduled) treatment outside the Member State of residence / competent Member State. In the Request for Information section the competent institution indicates the nature of its request for information by ticking the appropriate box(es), i.e. to know :

• To inform us if the treatment is provided for by your legislation;

• To inform us about the estimated costs of the treatment. It is possible to tick both boxes. In Treatment Specification section, the competent institution should mention additional information on:

• Description,

• Provider information (name and address,

• the name of the provider It is possible to add attachments to SED S014. In order to see the content and explanatory notes of the SED S014 please click here.