Health Systems in Transition - Hungary - World Health Organization ...

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56 Health systems in transition Hungary – a fairly poor outcome, with only Romania and Bulgaria lagging further behind (European Commission, 2007). For more details on user experience of the health system see section 7.3.1. 2.9.6 Patients and cross-border health care Cross-border care and care for non-resident citizens of other EU Member States are regulated mainly on the basis of the European Commission Regulation 883/2004, which is administered within the organizational framework of the NHIFA. Using the European Health Insurance Card (EHIC), Hungarians covered by the HIF may receive medically necessary treatment for unforeseen causes free of charge while staying abroad (1997/9). Regarding planned hospital care in other countries, a prior authorization from the NHIFA is obligatory (1997/9). The possibility for this kind of service was already available in 1988 (1988/1). The treatment of non-resident citizens of other EU Member States can be provided under separate bilateral agreements (1997/9). Patient mobility has been increasing since 2004, when Hungary joined the EU, although it is still limited both in volume and in value. In 2007 total expenditure on medical services within the framework of the patient mobility, which includes payment both for Hungarians in other countries and the prepayment to the Hungarian providers by the NHIFA for foreigners using in health care services in Hungary, was only 0.32% of total health expenditure (Lengyel, unpublished data, 2009). Since 2004, foreign third-party payers issued certification in 24 000 cases for health care costs of their members in Hungary while the NHIFA did the same for 23 600 Hungarian residents who work in other EU countries (Lengyel, unpublished data, 2009). The number of pensioners who moved to Hungary is only 5318 since Hungary’s accession. There is a decreasing trend in the number of foreign patients who pay the full cost of provided health care directly, and who come mainly from Romania, Germany and Austria (Lengyel, unpublished data, 2009) 10 . However, dental tourism is the predominant form of cross-border care in Hungary (see section 5.12 for more detail). Between 2004 and 2008, the number of the patients who received health care using the E111 form was 13 371, the vast majority being German and Austrian residents. NHIFA expenditure on Hungarians who use care provided in other EU Member States, especially in Austria, is continuously increasing (Lengyel, unpublished data, 2009). 10 Provider data collection in this field is not strictly monitored; caution during interpretation is indicated.
Health systems in transition Hungary 57 It is surprising that, although the measured satisfaction level with received care is fairly low, Hungarians’ motivation to travel to another EU Member State for medical treatment is very low compared with other EU countries, given all the motivating factors, such as reducing waiting times for medical treatment; receiving cheaper or better-quality care; receiving treatment from a renowned specialist; and receiving treatment that is not available at home (Lengyel, unpublished data, 2009).
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Health Systems in Transition Péter
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Contents Preface
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Preface The Health Systems in Trans
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Acknowledgements The Health System
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Health systems in transition Hungar
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Abstract Hungary has achieved a suc
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Executive summary Introduction Hung
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1. Introduction 1.1 Geography and s
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5.0 4.5 4.0 3.5 3.0 2.5 2.0 Health
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5. Provision of services Health car
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6. Principal health reforms 6.1 Ana
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8. Conclusions Since the mid-1990s,
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The Health Systems in Transition pr
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The European Observatory on Health
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