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Home / Guides / Cross-Border Directive

The Cross-Border Directive: get treated in the EU and claim the cost back

The short answerIf treatment is publicly available in Ireland, you can get it in another EU or EEA country instead and the HSE will refund what it would have cost here, or the cost abroad if lower. You pay first. The UK is no longer covered, but a temporary scheme covers Northern Ireland.

It's a route round long waits here. Travel isn't refunded, and anything with an overnight stay needs HSE approval first.

Quick facts

Refund
Irish public cost, or the cost abroad if less
Travel
Not refunded
UK
Not covered
Northern Ireland
Temporary NI Planned Healthcare Scheme
Overnight stay
Needs prior authorisation
Out-patient consult
Max €130 refund

How it works

You need a referral, as you would here, from your GP, consultant or a HSE professional. You pay the provider abroad, then claim. "You will be repaid the cost of the public healthcare treatment in Ireland, or the cost of your treatment abroad, if that is less." "It does not include other costs such as travel."

It covers hospital care, dental and orthodontics, physio, psychology, mental health and disability services, among others. "Some health services are not included, for example, organ transplantation and long-term care such as nursing home care."

Prior authorisation

"If the treatment involves an overnight stay in hospital then it will need to be authorised in advance by the HSE." "Completed applications take 15 to 20 working days to process and you will be notified of the decision by letter." For anything else, check with the National Contact Point first: (056) 778 4546.

Getting your refund

Get the provider abroad to complete the HSE pro-forma invoice, and send it with their invoice and receipt. The HSE publishes refund rates by treatment code. "The maximum refund for a hospital outpatient consultation is €130."

The UK and Northern Ireland

"You can no longer use the Cross-Border Healthcare Directive to access healthcare in the UK." "The Northern Ireland Planned Healthcare Scheme is a temporary scheme that allows you to receive healthcare in Northern Ireland in a similar way to the Cross-Border Healthcare Directive." You pay and claim the cost from the HSE.

Common questions

What is the Cross-Border Healthcare Directive?

An EU rule that lets you get publicly-funded, available-in-Ireland treatment in another EU/EEA country and be repaid what it would have cost here, or the cost abroad if less.

Can I use the Cross-Border Directive in the UK?

No. But the temporary Northern Ireland Planned Healthcare Scheme works in a similar way for treatment in Northern Ireland.

Does the Cross-Border Directive pay for flights?

No. It does not include other costs such as travel.

Do I need approval before treatment abroad?

Yes, if it involves an overnight hospital stay. For other treatment, check with the National Contact Point.

Source: Citizens Information: Cross-Border Healthcare Directive, read 30 September 2026. Every figure on this page is quoted from there. If it changes, this page is wrong until we fix it — tell us and we will.

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