European union forms

Please note!

When filling in the application, please use the file formats (pdf, doc or odt) on the EHIF website, documents sent as links will not be accepted. When submitting an application electronically, it is important to save the application form first on a computer, then fill it in with the necessary data and save it as a new document. Please provide the application submitted electronically with digital signature. Adobe Acrobat Reader is required to view and print PDF forms. You can download it on the Adobe website.

EU-related applications are also available at the EHIF’s customer service offices.

Required documents can be submitted:

by bringing them to the regional EHIF office;
by regular mail
by e-mailing in digitally signed form to info [at] haigekassa.ee (info[at]haigekassa[dot]ee).

Application for the European health insurance card e-service Ordering the European health insurance card	pdf	doc	odt
Application for prior authorisation for planned treatment abroad		doc	odt
Prior authorization for planned treatment abroad - medical council protocol form		doc
Application form for reimbursement of costs of health care service in the European Union Please note! This application cannot be sent by email. The application together with original documents must be taken to the EHIF’s customer service office or sent by regular mail to the address Lastekodu 48, Tallinn, 10113.	pdf	doc,	odt
Application form for reimbursement of the cost of a prescription drugs purchased in the European Union with an Estonian digital prescription	pdf	doc	odt
Application for an E104 form	pdf	doc	odt
Application form for Medical examination response NB: from 01.01.2021, form E116 will be replaced by a medical examination response. The medical examination response compliance guide can be found here. The response to the medical examination can also be opened from the guide. If you do not open this file in Chromes, please open it with Internet Explorer (available for download at https://www.microsoft.com/en-us/download/internet-explorer.aspx Adobe Reader can be downloaded here https://get.adobe.com/reader/) However, if you are unable to open and complete the medical examination response, you can issue the following document to the person to prove temporary incapacity for work here. In case of problems with the download, please contact the customer service of the Estonian Health Insurance Fund.	pdf
Application for S1 certificate		doc	odt
Application for termination of form E121/S1 and restoration of insurance with EHIF	pdf	doc	odt
Application for registration of an insured person and/or his/her family members in another EU member state Please note! The application together with original documents must be taken to the EHIF’s customer service office or sent by regular mail to the address Lastekodu 48, Tallinn, 10113.	pdf	doc	odt

Pane tähele!

Palume avalduse täitmisel kasutada Tervisekassa kodulehel olevaid failivorminguid (pdf, doc või odt), linkidena saadetud dokumente vastu ei võeta. Elektrooniliselt esitatud avalduse puhul on oluline see kõigepealt arvutisse salvestada, seejärel täita vajalike andmetega ning üle salvestada. Elektrooniliselt esitatud avalduse palume digitaalselt allkirjastada. PDF-vormingus blankettide vaatamiseks ning väljatrükkimiseks on vajalik vabavara Adobe Acrobat Reader. Selle leiab Adobe kodulehelt.

Euroopa Liidu seotud avaldusi väljastavad ka Tervisekassa klienditeenindusbürood.

Vajalikud dokumendid võib:

tuua kohale piirkondlikku Tervisekassasse;
saata postiga
saata digitaalselt allkirjastatult elektronpostiga aadressil info [at] tervisekassa.ee (info[at]tervisekassa[dot]ee).

● Euroopa ravikindlustuskaardi avaldus e-teenus Ravikindlustuskaardi tellimine	e-avaldus odt
● Taotlus plaanilise välisravi eelloa saamiseks	odt
● Eelluba plaaniliseks välisraviks - konsiiliumi protokolli vorm	odt
● Avaldus Euroopa Liidu tervishoiuteenuse kulu tagasimakseks NB! Seda avaldust ei saa saata e-posti teel. Avaldus koos originaaldokumentidega tuleb tuua Tervisekassa klienditeenindusse või saata posti teel aadressile Lastekodu 48, Tallinn, 10113.	odt
● Avaldus Eesti digiretseptiga Euroopa Liidus ostetud retseptiravimi kulu tagasimakseks	odt
● Avaldus vormi E104 saamiseks	odt
● Avaldus töövõimetushüvitise dokumentide edastamiseks teise EL liikmesriigi kindlustusasutusele Avaldus tuleb esitada koos Arstliku läbivaatuse vastusega. Avaldus koos originaaldokumentidega tuleb tuua Tervisekassa klienditeenindusse või saata posti teel aadressile Lastekodu 48, Tallinn, 10113.	odt
● Taotlus tõendi S1 saamiseks	odt
● Avaldus vormi E121/S1 katkestamiseks ja kindlustuse taastamiseks Tervisekassas	odt
● Avaldus teises EL-i liikmesriigis kindlustatud isiku ja/või tema pereliikmete registreerimiseks NB! Avaldus koos originaaldokumentidega tuleb tuua Tervisekassa klienditeenindusse või saata posti teel aadressile Lastekodu 48, Tallinn 10113.	odt

European union forms

Please note!

Pane tähele!

Did you find what you were looking for?