The following table shows the amounts actually claimed to date by the United Kingdom against other European economic area (EEA) member states and the actual amounts paid to date against those claims for each of the last five calendar claim years.
The amounts are combined claims for temporary visitors (via European Health Insurance Cards (EHIC), or form E111 prior to its replacement in 2005 by the EHIC), posted workers (via form E106) and referrals for treatment in other EEA countries (via form E112). Due to the nature of the claims system between member states, it is not possible to disaggregate these data consistently for all member states by either type of claim or type of treatment. The figures in the tables reflect the fact that EEA medical costs are typically submitted by member states (including the UK) one to three, and sometimes more, years in arrears.
20041 2005 2006 2007 2008 Austria Initial claims total 101,281 14,617 — 14,673 50,750 Total paid to date 101,281 14,617 — 14,673 14,929 Belgium Initial claims total 1,295,401 1,394,748 1,369,548 6,277 36,075 Total paid to date 1,295,401 1,394,748 1,369,548 6,277 32,976 Bulgaria3 Initial claims total — — — — — Total paid to date — — — — — Cyprus2 Initial claims total — — — 382 4,515 Total paid to date — — — 0 0 Czech Republic2 Initial claims total — — — — 2,260 Total paid to date — — — — 2,260 Denmark4 Initial claims total — — — — — Total paid to date — — — — — Estonia2,6 Initial claims total — — — — — Total paid to date — — — — — Finland7 Initial claims total — — — 148 1,873 Total paid to date — — — 148 0 France Initial claims total 2,164,442 2,164,442 2,223,048 2,223,048 — Total paid to date 2,164,442 2,164,442 2,223,048 2,223,048 — Germany Initial claims total 18,431 15,265 74 12,633 53,611 Total paid to date 0 15,265 74 12,633 45,774 Greece Initial claims total 398,318 581,601 36,410 108,948 594,653 Total paid to date 274,413 489,230 0 0 0 Hungary2,7 Initial claims total — — — 10,658 8,219 Total paid to date — — — 10,658 8,219 Iceland Initial claims total — — — — 24,942 Total paid to date — — — — 24,942 Ireland8 Initial claims total 10,504,622 11,365,387 10,023,000 12,174,837 12,488,558 Total paid to date 8,633,491 9,339,096 8,092,946 9,407,794 10,370,960 Italy Initial claims total 1,804,107 912,920 131,826 147,251 708,649 Total paid to date 1,443,286 730,336 105,461 117,801 566,919 Latvia2 Initial claims total — — — — — Total paid to date — — — — — Liechtenstein Initial claims total — — — — — Total paid to date — — — — — Lithuania2 Initial claims total — — — — — Total paid to date — — — — — Luxembourg5 Initial claims total — — — — — Total paid to date — — — — — Malta2,7 Initial claims total — — — — — Total paid to date — — — — — Netherlands Initial claims total 5,414 — — 6,691 41,428 Total paid to date 0 — — 0 0 Norway7 Initial claims total — 968 — — — Total paid to date — 0 — — — Poland2 Initial claims total — — — — — Total paid to date — — — — — Portugal Initial claims total 22,773 44,614 — 12,887 172,331 Total paid to date 9,097 20,251 — 3,481 0 Romania3 Initial claims total — — — — — Total paid to date — — — — — Slovakia2 Initial claims total — — — — — Total paid to date — — — — — Slovenia2 Initial claims total 434 — — — 5,991 Total paid to date 434 — — — 5,991 Spain Initial claims total 1,762,209 2,234,214 2,489,817 65,005 85,501 Total paid to date 1,588,438 2,017,951 2,237,251 0 74,829 Sweden Initial claims total 1,334 17,710 — — 18,160 Total paid to date 1,334 17,710 — — 18,160 Switzerland Initial claims total — — — — — Total paid to date — — — — — Initial claims (all countries) 18,078,766 18,746,486 16,273,723 14,783,438 14,297,517 Total paid to date (all countries) 15,511,616 16,203,647 14,028,328 11,796,512 11,165,960 1 Under European Union regulations claims are made on a calendar year basis. Totals for each calendar year are based on actual claims submitted to date. 2 Acceded to the European Union in 2004 3 Acceded to the European Union in 2007 4 Total waiver. 5 Previous total waiver, expired on 30 June 2008. 6 Waiver, excepting Article 22.1c (patient referral) and Article 55.1c (industrial injury) claims. 7 Waiver, excepting Article 22.1c (patient referral) claims 8 Totals for Ireland for 2008 and previous years are estimated and subject to negotiations.
The Department has not yet given formal notice on the bilateral agreement between the United Kingdom and the Isle of Man but it has informed the Isle of Man of the intention to do so. Because of a perceived imbalance in the numbers of tourists being treated by both parties, under the bilateral agreement the UK has provided the Isle of Man with an annual allocation, to fund clinical referrals to the UK, of around £2.5 million in recent years. The UK will no longer provide this, once the agreement is terminated. Following the end of the agreement, UK residents will require travel insurance when visiting the Isle of Man, likewise Isle of Man residents visiting here.