British ExPats Association (Spain)

E Forms - Entitlements to Health Services under E. U. Regulations

Regulations made in accordance with EU legislation outline the entitlements and eligibility to health services in E.U. and E.E.A countries.

The European Union (EU) countries are:
Austria, Belgium, Denmark, Germany, Finland, France, Greece, Ireland, Italy, Luxembourg, The Netherlands, Portugal, Spain, Sweden and the United Kingdom. (The further 10 member States are still in their embryonic stage)

Also included are the EU Islands:
Canary Islands, Majorca, Minorca, Ibiza, Madeira, Azores, Corsica, Sardinia,The Greek Islands, French Guyana, Guadeloupe and Martinique Reunion.

The member states of the European Economic Area (EEA) are:
Iceland, Liechtenstein and Norway.

Other areas:
Gibraltar is part of Britain but an E111 is required for persons going there on a temporary visit.
For further information please contact a local Community Services Office. Click here for a list of Community Services Offices.

Summary of forms used in relation to Entitlements to Health Services under EU Regulations

E001:
Form E001 is a general form used by a Member State to request general information on applications, transmit information, or to request forms from another European Economic Area country.

E101:
This is used by people who are posted to work in another Member State but continue to receive salary from their usual country of residence and to pay their social insurance contributions to the Member State that they are posted to.

E103:
This form is issued by the Department of Social, Community and Family Affairs in cases where people who are posted to work in another Member State wish to opt for the health services of that Member State.

E104:
This form is issued by the Department of Social, Community and Family Affairs to another Member State. It is a record of a person's insurance contributions in Ireland.

E105:
This form records benefits due because of incapacity for work. It is issued by the Department of Social, Community and Family Affairs outlining Social Welfare benefits that the person would be entitled to in their country of residence, i.e. another Member State.

E106:
This is a certificate of entitlement to sickness/maternity benefits in kind for persons going to live in another Member State. When the E106 is registered the person and registered dependants can receive medical treatment on the same basis as an insured person of the Member State of residence. In Ireland E106 holders and their dependants normally receive a medical card.

E107:
This is an application for a certificate of entitlement to benefits. This is normally issued by the Health Authority of the other Member State in the case of persons who become ill while on a temporary stay in another Member State and do not have form E111. Form E107 is issued by the Health Authority and is really an application for and E111 or in some cases E106 or E123.

E108:
Form E108 is issued by the relevant authority of a Member State to notify another Member State of the suspension or withdrawal of the right to benefits and cancels the previously registered "E"

form with effect from a specific date.

E109:
Form E109 is a certificate of registration for the dependants only of an employed/self-employed person who resides in a Member State. It entitles the holder to sickness/maternity benefits. In Ireland E109 holders normally receive a medical card. Form E109 is issued for a limited period, i.e. 12 months.

E111: This format has now been replaced by an community standard format form EHIC (European Health Insurance Card)
Form E111 provides entitlements to immediate necessary medical and dental treatment during a temporary stay in an EU Member State on the same basis as if the person was in insured resident of that Member State. Temporary stays are periods where the person cannot be considered "ordinarily" resident in a Member State under that country's legislation.

Whilst in Ireland E111 holders are entitled to free G. P. treatment and prescriptions and free public hospital treatment of an emergency nature. E111 holders should advise the G. P or hospital that they are seeking health services under EU regulations.

E112:
Form E112 provides for entitlement to medical treatment in another Member State if:

E113:
Form E113 is notification from a Member State that a person who is insured under Irish legislation has been admitted or discharged from hospital in another Member State. This form is used in cases where the actual cost of medical treatment is reimbursed by on Member State to another.

E114:
Form E114 is used in cases where major benefits are provided in another Member State, e.g. artificial limbs, prostheses etc. A reply must be issued by the Health Board to the relevant authority in the other Member State within 15 days of issue of the E114 form.

E115:
Claim for cash benefits for incapacity for work - Department of Social, Community and Family Affairs. (Transfer of sickness or maternity benefits from one country to another).

E116:
Medical report relating to incapacity for work - Department of Social, Community and Family Affairs. (Transfer of medical details from one country to another).

E117:
Granting of case benefits for incapacity for work - Department of Social, Community and Family Affairs. (Acknowledgement of putting sickness or maternity benefits into payment from one country to another).

E118:
Notification of non-recognition or end of incapacity for work - Department of Social, Community and Family Affairs. (Notification of a final certificate on a claim, from one country to another).

E119:
Form E119 provides income maintenance, treatment and other benefits (issued by the by the Department of Social, Community and Family Affairs) to persons and their dependants in receipt of unemployment benefit in their country of residence who go to another Member State looking for work. Form E119 holders who visit Ireland receive a medical card for the duration specified on the E119 form.

E120:
Certificate of entitlement for pension claimants and member of their family. Similar to E106 but applies to pension claimants who are awaiting a decision on the granting of a pension.

E121:
E121 is a certificate of entitlement to medical benefits for a pensioner and dependants resident in another Member State. It refers to persons living in a member state who are receiving social security pensions from another Member State.

Form E121 is also used as a certificate of registration for dependants of a pensioner who live in a Member State other than the Member State in which the pensioner is resident. If the dependants are not entitled to medical benefits under the legislation of the Member State in which they are resident, form E112 is issued in duplicate. Once registered the dependants are entitled to medical benefits under the legislation of that Member State. A separate E121 should be issued for the pensioner each dependent family member. Persons coming to Ireland with Form E121 normally receive a medical card.

E123:
Form E123 is a certificate of entitlement to treatment for industrial injury or industrial disease. It is not usually issued, as there is normally entitlement for Form E111 that gives cover for all emergency treatment not just treatment for industrial injury or industrial disease. Health Boards only issue and E123on receipt of confirmation that an E101 has been issued by the Department of Social, Community and Family Affairs.

E124:
Claim for a death grant. This is used when a person dies in a Member State other than Ireland.

E125:
Form E125 is an individual statement of the costs of the medical treatment a person has received in another Member State. It is used by the Member State to claim the costs of medical treatment where there is an agreement between Ireland and that Member State to reimburse the actual costs involved.

E126:
If a person becomes ill while on a temporary visit to another Member State and does not have Form E111, he/she is liable for the cost of any treatment received. Form E126 is a request from sickness insurance institution in that Member State to the person's normal country of residence to consider if a refund of medical expenses is appropriate to a person who was charged for treatment.

E128:
Form E128 is issued to students and posted workers and certifies entitlements to the full range of healthcare in the country of posting or study. E128 holders are entitled to full medical treatment in any European Economic Area country, for any condition, whether it is of an emergency nature or not. It covers employed and self-employed workers and family dependants accompanying the worker abroad and who are temporarily posted to another EEA member country and who continue to pay insurance contributions at home. The form also covers students and accompanying family dependants who are temporarily staying in another EEA member country to study a recognised course.

The E128 does not need to be registered in the country of posting or study but is presented at the time treatment is required. As the E128 is not a registration form, Health Boards do not, as a general rule, issue medical cards to E128 holders.

Important postscript

It must be remembered that entering into the language of interpretation of Community law, is like crossing a minefield. This is because the rules and laws are derived from a Commission and Parliament, that is made up of so many mixed backgrounds of laws, cultures and domestic administrative procedures, outside the direct control of the 'Community'.

One such example is form E106. This form is normally issued by the U. K. 'Overseas' Benefits Department for 'residual' cover purposes. The formula for it's normal issue is based upon individual circumstances. Which include, that you must have made Social Security contributions in the U. K. within 2 years prior to your departure to another EEA State. The period of validity will be shown on this form which, when being issued, will depend upon the length of period of those contributions. You then merely register this form at your nearest INSS office here in Spain. Note that, in this case, you will not be issued with a S.I.P. card. You need to present this form, with a photocopy of it,  every time you seek medical treatment.

It is a matter for you to make you own enquiry, setting out your circumstances to the DWP and requesting them to send you form BF5. Your letter should be headed 'Advanced Enquiry' .