What it is
Knee Replacement abroad with HSE reimbursement support
If you are waiting for knee replacement in Ireland, you may be able to access private treatment abroad and apply for reimbursement under certain schemes.
Who this is for
- You have a referral or can obtain one
- You are able to travel, or prefer Northern Ireland
- Your procedure is planned rather than urgent
Reimbursement pathways
Cross-Border Healthcare Directive
Allows reimbursement for private treatment in another EU country, up to the Irish public equivalent cost.
Northern Ireland Planned Healthcare Scheme
Allows reimbursement for eligible procedures carried out in Northern Ireland.
Treatment Abroad Scheme
Applies in limited cases where treatment is not available in Ireland and requires prior approval.
Documents typically required
- GP referral or consultant letter
- Invoice from the provider
- Proof of payment
- Discharge summary after surgery
Exact requirements vary by scheme.
Typical timeline (example)
- Eligibility check: same day
- Document gathering: 1 to 7 days
- Booking: 1 to 3 weeks (varies by provider)
- Reimbursement submission: after treatment
Check if you may be eligible for reimbursement.
HSE equivalent: Total knee arthroplasty (public hospital equivalent)
Typical HSE cap: Case-by-case (typical cap aligned to HSE DRG rates)
Most relevant scheme: Cross-Border Directive
Who this is for
Patients with advanced knee arthritis or injury and a clinical referral for planned surgery.
How reimbursement works under each scheme
Reimbursement is based on the HSE cost of an equivalent knee replacement in Ireland.
Travel costs: Travel and accommodation are generally not reimbursed by the HSE.
Document checklist
- Referral letter
- Clinical notes and diagnosis
- Imaging reports (if available)
- Treatment plan and estimate
- Proof of residency and ID
Typical timeline
- Eligibility review
- Documentation submission
- Provider confirmation
- Treatment and claim submission
FAQs
Is pre-approval required?
Some cases require prior authorisation; we will confirm.
Can I choose the hospital?
Yes, we can help you select an approved EU provider.
