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Reimbursement of healthcare costs incurred abroad: INSS

Reimbursement of healthcare costs incurred abroad: INSS is filed with Instituto Nacional de la Seguridad Social (INSS). With Managora you do it 100% online: you answer a few questions, sign a digital mandato (power of representation) and we draft, sign and file your application for you. Estimated total cost: €19 to €19.

We handle your application to the INSS (National Social Security Institute) for reimbursement of healthcare received abroad. Legal framework: RD 81/2014 arts. 7-9 (transposing Directive 2011/24/EU) + Reg. (EC) 883/2004 + Reg. (EC) 987/2009 + Ley 16/2003 art. 13 + LPACAP. There are 5 scenarios: emergency treatment in the EU without a TSE (European Health Insurance Card), emergency treatment in a third country, planned treatment with prior authorisation, unplanned cross-border treatment (art. 7 RD 81/2014), and correction of a previous decision. Reimbursement is made at SNS (Spanish national health service) rates, Annex II of RD 81/2014, so it may be less than the invoice you paid.

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Estimated total cost
€19 to €19
Managora's fee
€22.99 (21% VAT incl.)
Tasa (official government fee)
No tasa payable
Processing time
Decision within 3 months (LPACAP art. 21.3 + RD 81/2014 art. 9). No reply means refusal.
Where it is filed
Instituto Nacional de la Seguridad Social (INSS) ↗
What you receive
Application

Cost breakdown: Our fee 19 €. No tasa (official fee): this is a reimbursement you receive from the INSS, not a payment you make..

Reimbursement of healthcare costs incurred abroad: INSS: how is it filed?

  1. 1Answer the questions (around 10 minutes).
  2. 2We check the scenario + the country + the prior authorisation.
  3. 3Payment 19 €.
  4. 4We deliver your application + a checklist + an estimate of the reimbursement.

Which documents do you need?

  • •DNI/NIE + NUSS (Social Security number) + health card.
  • •The provider's invoice (original or legible).
  • •Medical report (translated if not in an official language).
  • •Proof of payment.
  • •Apostilla or translation if the treatment took place in a third country with no agreement in place.
  • •Prior INSS authorisation if the treatment in the EU was planned.

Legal basis and things to bear in mind

  • Legal framework: RD 81/2014 + Reg. EC 883/2004 + Directive 2011/24/EU.
  • Reimbursement at SNS rates, Annex II (it may be less than the invoice).
  • Limitation period of 5 years (Ley 47/2003 art. 25).
  • Natural next steps: tarjeta_sanitaria, prestacion_maternidad_paternidad.

Reimbursement of healthcare costs incurred abroad: INSS: frequently asked questions

Reimbursement of healthcare costs incurred abroad: INSS: how much does it cost?

The estimated total cost (our fee + official tasas and taxes) is €19 to €19: Our fee 19 €. No tasa (official fee): this is a reimbursement you receive from the INSS, not a payment you make.. Managora's fee is €22.99, 21% VAT included (€19.00 net + €3.99 VAT). This procedure carries no official tasa.

Reimbursement of healthcare costs incurred abroad: INSS: how long does it take?

Decision within 3 months (LPACAP art. 21.3 + RD 81/2014 art. 9). No reply means refusal.

Reimbursement of healthcare costs incurred abroad: INSS: which documents do I need?

You need to have to hand: DNI/NIE + NUSS (Social Security number) + health card., The provider's invoice (original or legible)., Medical report (translated if not in an official language)., Proof of payment., Apostilla or translation if the treatment took place in a third country with no agreement in place., Prior INSS authorisation if the treatment in the EU was planned.. You do not upload them here: we collect the details through the guided chat.

Who files the procedure?

Managora files it in your name with Instituto Nacional de la Seguridad Social (INSS). You only provide the details through the chat and sign a mandato (power of representation); we prepare, sign and register it.

Can it be done online?

Yes. The whole process is online: you answer a few questions in the guided chat, sign a simple mandato on screen and receive the receipt and the official documents by email, with full legal validity.

Related procedures

Based on the legislation in force and on the official site of the competent authority: Instituto Nacional de la Seguridad Social (INSS) ↗.

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