How should the health care of the foreign posted worker be processed?

“ In the scope of the states belonging to the European Union, the European Economic Area, Switzerland and those with which there are bilateral agreements in which the coverage of health benefits is foreseen, no obligations may be contracted from the Social Security budget that respond to health benefits that are coincident with those derived from the application of the provisions of Regulations (EEC) 1408/71 and 574/72, of the Council or with those that are served in application of the aforementioned bilateral agreements. In cases of urgent, immediate and vital health care, the provisions of Royal Decree 1030/2006, of September 15, will apply.

In the event of a professional accident (or contingency) abroad, the health care abroad will be assimilated to that received in that same area for any other contingency in the condition of a citizen of Spain. The coverage by the Mutual of health care expenses abroad is subject to the same requirements and under the same terms as in national territory in terms of the insurance relationship, manifestation by the company of the employment relationship of the injury and acceptance of the same by the Mutual. Furthermore, acceptance will be conditional on the company and the worker having met the necessary requirements in each case and requesting assistance in establishments covered by the regulations or agreements in force.

In all cases, the worker or employer must process the General Treasury of Social Security before any Delegation href="https://www.Fraternidad.com/es-ES/download/ta300-trabajadores-desplazados"> Form TA-300 "Request for information on the Applicable Social Security Legislation" .

This model is completed when a entrepreneur sends one of his workers to carry out work activity temporarily in another country and Spanish Social Security legislation may apply and also for self-employed workers who temporarily move to carry out their activity in another country and can continue to maintain their registration in the Special Regime for Self-Employed Workers. It will also be completed in the event of carrying out activity as an employed or self-employed person, simultaneously or alternatively, in several countries of the European Union, European Economic Area and Switzerland.

A work accident suffered by a worker posted abroad requires the same requirements for its acceptance and has the same care coverage as a work accident in national territory.

The health care that the Mutua offers to its protected workers in the event of displacement abroad includes:

• Telephone guidance, at the number enabled for this purpose, 900 269 269 or (+34) 913 896 398 ( More information ).
• Emergency assistance and its continuation, with the corresponding means and extension based on the applicable regulations and existing agreements.
• Payment for medical transportation that may be required by the Mutual Fund for the continuation of treatment in national territory.

In the event of an accident at work, the worker can use the telephone number enabled for this purpose and report the event:

900 269 269

(+34) 913 896 398

A medical team will assess the situation. In mild cases you will be advised to go to the nearest public health center. If necessary and depending on the severity, transfer to a public health center will be activated, leaving the worker to depend on the health of the country where they are displaced.

In serious cases in which hospital admission is required, the telephone service will be in charge of collecting the medical information that will be sent to Fraternidad-Muprespa to carry out the monitoring of the process.

The worker must receive assistance, through public or subsidized health services, who will carry out the billing process through the corresponding official organizations (the INSS in Spain and analogous organization in the country of destination).

In the case of using private health centers outside the public health system of the country of destination, the worker or company must assume the cost of the health care received without the possibility of reimbursement of expenses, except in cases of vital urgency.

Countries with Bilateral Agreement:

• With Inclusion of healthcare : Andorra, Brazil, Chile, Morocco, Peru and Tunisia
• Without inclusion of healthcare : Argentina, Australia, Canada, Cape Verde, Colombia, Korea, Dominican Republic, Ecuador, United States and Puerto Rico, Philippines, Japan, Morocco (except workers of said nationality), Mexico, Paraguay, Peru, Russia, Tunisia (except workers of Tunisian nationality), Ukraine, Uruguay, Venezuela, Isles of Man or Jersey of the United Kingdom and Switzerland for non-EU nationals.

In these situations, the company must complete the TA-300 application form and, in addition, the corresponding form according to the country of transfer.

For all trips, it is advisable for the company or worker to arrange private insurance with common illness coverage to assume the cost of health care in case of non-work pathologies, which are not covered by Fraternidad-Muprespa and, therefore, without the possibility of reimbursement by the mutual insurance company.

Health care in countries with a bilateral agreement without including health care and the rest of the countries of the world.

Injured workers must also use public health services, paying, in this case, the amounts of the health care received. These amounts will be reimbursed by the mutual insurance company, as long as it is a work accident, upon presentation of the appropriate supporting documentation.

The payment or compensation of repatriation expenses will be limited to evacuations directly organized by or at the request of the Mutua or those previously authorized by it, being the medical service of the who will assess the convenience of transfer or repatriation of the patients.

medical condition and the clinical situation allows it.

In the event that the worker can receive the initial or complete treatment abroad and/or there is no medical reason that recommends the return of the patient (even if he is on medical leave and wants to return home while the healing process lasts), the Mutual Fund will not be able to legally assume the expenses of this transfer, which must be borne by the company since it would be a non-health repatriation.