| Chapter
4: Charges - Exemptions and Services |
Statutory/Manual
References |
| Outline |
|
| 1. The Regulations prescribe that
HBs, NHS Trusts and DMUs shall recover NHS charges for services provided to
overseas visitors except: |
|
|
i. for those services which are exempt; and
|
1989 Reg 3 |
|
ii. from those visitors who are exempt.
|
1989 Reg 4 |
| 2. No NHS charges
shall be made under the Regulations for: |
|
|
i. out patient or day patient treatment or overnight
observation at an A&E or Casualty Department (or in pre-treatment 'holding' wards
attached to these departments);
|
1989 Reg 3(a) & (b) |
|
ii. family planning services;
|
1989 Reg 3(bb) |
|
iii. treatment of listed diseases (including sexually
transmitted diseases);
|
1989 Reg 3(c) & (d) &
Schedule 1 |
|
iv. a patient who is detained or under guardianship, or
receiving treatment ordered by a Court as a condition of probation; and
|
1989 Reg 3(e) & (f) |
|
v. diagnostic test for the evidence of infection with HIV
and counselling associated with the test and its results.
|
1989 Reg 3(d) & Chapter 10 |
| Extent to which exemption from
NHS charges applies |
|
| 3. As mentioned in Chapter 2,
visitors from other EEA member states and from countries with which the UK has reciprocal
health care agreements should be exempt from NHS charge for diagnosis of
symptoms or signs which first occurred during the visit. They should also be exempt from
any other NHS treatment required promptly for a condition which arose or became acutely
exacerbated during the visit, or is later to become acutely exacerbated if not
treated. |
1989 Reg 4 (m) & (o)
1989 Reg 1(2)Chapter 2 |
| Interpretation |
|
| 4. In terms this will mean that a
overseas visitor from a EEA member state or reciprocal health care agreement country will
be entitled to NHS care free at the point of delivery for A&E treatment, the limited
exemptions set out elsewhere in the Manual and any related continuing care up to the point
that their clinician decides that it is medically safe for them to return home. |
Chapter 4 |
| 5. For those overseas visitors
from non-EEA member states or non-reciprocal health care
agreement countries the entitlement to NHS care free at the point of delivery is
restricted to A&E treatment and the limited exemptions set out elsewhere in the
Manual. |
Chapter 4 |
