Healthcare in EU

You can get the European health insurance card by ordering it on www.eesti.ee, by submitting an application at your local client service office of the Health Insurance Fund, or by sending an application to the Health Insurance Fund by post or by e-mail, in which case it must be digitally signed.

Persons who are at least 15 years of age can apply for the European health insurance card by presenting their passport or ID-card. A parent or representative of the child can apply for the card for the child until the child is 19 years old.

Once the European health insurance card has been ordered, it is unfortunately not possible to change the mailing address where the card is sent. If your order the card via www.eesti.ee, then you must verify your address in the portal before submitting the application. The card is sent to the address indicated in the portal. If you order the health insurance card by other means, then it is sent to the address indicated on the application.

The card is issued to persons by their country of insurance (country that receives the person’s taxes). A person can be insured in only one member state. If you work in several member states, then you should turn to the Social Insurance Board to state your country of insurance. If your taxes are received by Estonia and you are insured as an employee, then you can apply for the European health insurance card from the Estonian Health Insurance Fund. Citizenship is not a deciding factor regarding health insurance.

In order to receive a new EHIC you have to submit a new application. The new card can be ordered a month before the old card expires.

After ordering, the card will arrive at the postal address within 10 calendar days.
The card is valid for 3 years for adults or until the end of health insurance coverage.
For persons under 19 years of age, the card is valid for up to 5 years.

Necessary medical care is not free - the patient must pay self-liability fees (visitation fee, in-patient fee, co-payment, etc.) according to local rates. These costs are not refundable. EHIC does not cover transport costs or private doctor fees. 

If a person works in a number of EU member states, he/she will receive health insurance from the state where he/she pays social security contributions.

The form E104 is issued to people upon request. Firstly the health insurance should be canceled in Estonia. According to the Population Law, when living in another EU member state you have to inform the population register about your new place of residence, the health insurance fund cannot end the insurance before this.

The form E104 confirms that your health insurance in Estonia has ended. The application to obtain confirmation can be found here. A completed application can be sent by mail or by digitally signed e-mail. Contact information can be found here.
 

To do so, a person working in an EU member state must contact the competent authority in the country where he / she works and request the application form.

Since planned examinations do not qualify as necessary medical care and she does not have Estonian health insurance, she cannot have them for free.

When an Estonian pensioner receives pension from Estonia, she must apply for the form E121/S1 (application forms) from EHIF when she starts living in Finland. After the form is registered in the new country of residence she becomes entitled to all medical care equal to other pensioners of that country.

When it comes to posted workers or if the person is working in several countries at the same time, then the person firstly has to submit an application to the Social Security Office to receive the form under the A1 certificate and after that has to make an application to the health insurance fund to receive the form E106/S1. The health insurance fund proceeds from the information mentioned in the form A1 when issuing the form E106/S1. 

Once all the necessary information (the duration of the dispatch is not longer than 6 months) is available, the health insurance fund can issue the form E106/S1, which gives the person the right to register him-/herself in the dispatched country´s  health insurance institution. The form E106/S1 is sent to the employer unless it is agreed otherwise.

Moreover, addition to the posted worker, the frontier worker and person raising a child under 3 years whose employment contract has been suspended, can request the form E106/S1. They also have to submit an application to the health insurance fund.