How to prove your right to treatment abroad

When you are abroad, you must prove your right to treatment with a certificate of entitlement to treatment in order obtain care at the local client fee rate within the public healthcare system of the country in question. The type of document that can be accepted as a proof of entitlement depends on the country and purpose of your stay. The certificate of entitlement must be valid at the time of provision of treatment. The certificates of entitlement issued by Kela are fee of charge.


Certificates of entitlement to treatment consist of the following:

Present your European Health Insurance Card or a certificate temporarily replacing it, your passport or ID, prior authorisation to seek treatment or financial commitment for outsourced service directly to the treatment provider. You should then receive treatment at the same client fee as the local residents in equivalent circumstances.

The E and S forms concerning residence as well as form SF/Q4 must be registered first with the country´s health insurance institution or with another authority responsible for the healthcare system of the destination country. After registering, you will be able to use the health services of the destination country in the same way as the local residents.

Without a certificate of entitlement, you are responsible for treatment costs yourself

You must prove your right to treatment abroad by presenting one of the aforementioned documents in order to be able to receive treatment at the same client fee as residents of the country. If you do not have a certificate of entitlement to treatment, you will usually be responsible for the costs of treatment yourself. The type of document that must be used depends on the circumstances and the purpose of your stay in the country. The E and S forms concerning residence and form SF/Q4 must be registered first with the health insurance institution of the country in which you are staying.