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HSE accused of refusing or delaying repayments for essential medical treatment abroad

The Health Service Executive (HSE) is responsible for providing access to essential medical treatment to patients within Ireland. However, in situations where medical expertise or facilities may not be available in the country, the HSE provides patients with the option to receive treatment abroad. While this service is a lifeline for many, some patients who have sought treatment outside of Ireland have reported being refused or experiencing undue delays in receiving repayments from the HSE. This has left patients in dire financial straits and calling into question the HSE’s commitment to providing the best possible healthcare to those it serves.


The Irish Health Service Executive (HSE) has been accused of “refusing or delaying” repayments to some patients who went abroad for essential medical treatment. This news follows a report published by the Irish Ombudsman, which found that the HSE has an “unreasonable” approach to reimbursing patients for treatment. The Ombudsman also discovered that the HSE did not reimburse a number of legitimate claims for treatment abroad.

The report states that the HSE’s approach to patients who need to travel abroad for medical treatment is “inflexible”. It suggests that the HSE often makes it difficult for patients to access the necessary funds to cover the cost of their medical care, even if they are entitled to reimbursement. This has led to many patients accruing debts as a result of having to pay for their treatment themselves.

The report also highlighted the fact that the HSE does not have a clear and consistent strategy for dealing with patients who require overseas medical treatment. This lack of organization means that patients can be left unsure of what to expect when they approach the HSE for reimbursement. This can lead to confusion, frustration, and stress for those who are already in a vulnerable position because of their medical condition.

The Ombudsman’s report has called for significant changes to be made to the way the HSE handles reimbursements for overseas medical treatment. It has recommended that the HSE adopts a more patient-centric approach, which puts the needs and interests of patients at the forefront of its policies.

It has also recommended that the HSE develops a clear and simple system for handling reimbursement claims. This should include providing patients with clear information about what they are entitled to and how they can access the necessary funds to pay for their treatment.

The HSE has responded to the report by acknowledging that improvements need to be made. It has committed to implementing a number of changes, including reviewing its policies on overseas medical treatment and developing a new system for handling reimbursement claims.

The HSE has also stated that it will work more closely with patients to ensure that they are informed and supported throughout the reimbursement process. It recognizes that patients who require medical treatment abroad are often in a vulnerable position and that they require clear, concise, and compassionate guidance.

Overall, the Ombudsman’s report serves as an important reminder of the challenges faced by patients who require medical treatment abroad. It highlights the need for greater support, understanding, and flexibility from healthcare providers such as the HSE. Hopefully, the recommendations outlined in the report will be implemented quickly, and patients will start to receive the support they need and deserve.

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