S.L. 528.3 Art. 8Conditions for reimbursement.

(1) The costs related to cross-border healthcare shall only be reimbursed to an insured person after all the conditions laid down in these regulations have been satisfied and if the healthcare for which reimbursement is being requested forms part of the Register provided for in the Act: Provided that notwithstanding the above, for the purpose of cross-border care, organ transplants, vaccination programmes against infectious diseases, long-term and community care services are excluded. In respect of medicines, medicinal products and medical devices, reimbursement of cross-border health care shall refer only to those instances where these are provided in the context of a health service and where such products form part of the Government Formulary List.

(2) An insured person who is resident in a Member State other than in Malta, and for whom Malta is the competent Member State under Regulation (EC) No. 883/2004, shall be entitled to the services offered by the Maltese public healthcare system at the same conditions of other insured persons residing in Malta, if such a service:

(a) is not a service requiring prior authorisation in the Member State where the insured person resides; and

(b) is not provided in accordance with Chapter 1 of Title III of Regulation (EC) No 883/2004.

(3) No costs shall be reimbursed in relation to healthcare provided by local private healthcare providers.