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HEALTH

Applying for residency in Denmark: Why you might need health insurance during processing period

Extended processing times for residence permits due to a Covid-19 backlog have left many waiting in Denmark for months without access to the public health programme. Here's what to expect on accessing – and paying for – medical care without a personal registration (CPR) number.

Applying for residency in Denmark: Why you might need health insurance during processing period
Access to Denmark's public health system can be difficult for people who are awaiting procedure of residence applications Several of The Local's readers have reported extended waiting times. File photo: Henning Bagger/Ritzau Scanpix

Readers of The Local Denmark report little assistance understanding their access to healthcare from SIRI, the Danish Agency for International Recruitment and Integration that processes residence permit applications. SIRI press officers told The Local Denmark they weren’t certain about applicants’ eligibility for free medical care while awaiting their personal registration or CPR number. 

Foreign residents with questions regarding your personal circumstances can contact a patient advisor at local hospitals. These are listed on the borger.dk website

Contacted by The Local’s reporter, a patient representative at Rigshospitalet in Copenhagen didn’t mince words explaining what people without a CPR can expect.  

“If you have applied for a residence permit when you already are in the country, then you are entitled to stay here, but that doesn’t mean you have any rights at all, to be frank,” the advisor said.

Emergency care 

While you are eligible to receive emergency care in Denmark, you will be required to pay for it. “They will not deny you the emergency care, but they will charge you,” the Rigshospitalet patient representative said. 

This is a policy change that was initiated in the last few years, they noted. Emergency care in Denmark was free of charge even without a CPR number until 2019.

Non-urgent care 

Access to routine medical care, referrals to specialists, and hospital admission is usually handled by your general practitioner, who is assigned to you by the Danish government when you receive your CPR number and yellow health insurance card. But for those awaiting residency permits, things are a little more complicated. 

“If you are a citizen from [a non-European country], then you are only entitled to emergency treatment and all emergency treatment is against payment,” a patient advisor at Rigshospitalet-Glostrup stated.

“Then if you have relatives [who are EU citizens] during the lack of insurance, you are also entitled to treatment which is not emergency – like planned operation or examination at hospitals, but still it’s against payment,” they added. 

The Local’s reporter contacted the patient advice lines with health insurance queries after being referred to them by SIRI’s press service.

“I have various health conditions that I want to get checked but can’t because it’s not an ’emergency,'” one reader, who waited months without receiving her residence permit, told The Local.

“The insurance situation in the US is abysmal, but if I was there, I could at least sign up for insurance and be able to use it right away,” she added. 

Patient advisors say the best bet is to reach out to several local general practitioners and ask if they’re willing to see patients who don’t have a CPR on a pay-for-service basis. (It may take several tries: one reporter at the Local Denmark found that two GPs hung up the phone when she spoke English, and one said they do not accept patients without a CPR.) 

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If you successfully recruit a willing GP, they’re able to refer you to specialists within the public health system, again on a pay-for-service basis, or get you admitted into a hospital. 

Your other option is to reach out directly to specialists at private hospitals that don’t require referrals. Care through private hospitals is likely to be more expensive. 

Do I need insurance? 

The short answer is that yes, if you don’t want to get stuck with a surprise bill if you get hit by a car or need to be hospitalised with Covid-19, you’ll need private insurance. 

But be careful – “Danish private health insurance” is something of a red herring. Many Danes do have access to private health insurance plans through their employer or pension group, but those are only a supplement to the national health programme (so that PFA health insurance on its own wouldn’t cover treatment for your hypothetical bike crash concussion at a public hospital.) 

When choosing an international plan – usually offered by the major health and travel insurance companies – be certain to read what’s included since it’s likely to differ from the standards in your home country. For example, many providers of international insurance won’t cover pre-existing conditions at all, or will only do so for a (substantial) additional fee. Others consider medications an extra. 

Also be vigilant for whether their network makes sense for where you live in Denmark, specifically. Some providers that say they have an extensive network only cover a handful of Denmark’s private hospitals. 

Member comments

  1. British nationals taking up residence in Denmark after 1st January 2021 (and therefore not covered by the Brexit Withdrawal Agreement) are able to use the new GHIC card to get access to emergency healthcare. If someone is legally resident here but has not yet been issued with a yellow card, they can still access healthcare by being given an emergency CPR number. Any Brits who are waiting for their CPR to come through who need medical treatment should contact the British Embassy if they are having problems.

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HEALTH

How to get an influenza vaccine in Denmark

Target groups for an influenza vaccine for the 2022 season, including children, can obtain free vaccination across Denmark.

How to get an influenza vaccine in Denmark

Starting next week, vaccination centres will be available to give influenza vaccines to children between the ages of two and six.

The offer is expected to make vaccinations easier on parents, since ‘flu shots were previously only available through a limited number of general practitioners — meaning parents often had to call several doctors before making an appointment. 

To date, less than ten percent of eligible kids have been vaccinated for the flu since it became available October 1st, far below the Danish Health Authority target of 75 percent, according to broadcaster DR

Children between the ages of two and six years have been eligible for a vaccination against influenza since October 1st.

The Danish Health Authority says it is offering the vaccination to children because they can easily pass the infection on when they have influenza. As such, vaccinating them can prevent spread to vulnerable people including the elderly.

Because 2020 and 2021 saw low influenza spread due to Covid-19 restrictions, lower natural immunity has built up in the community. The Danish Health Authority is therefore “concerned we will experience a tough influenza season in which we will see many people infected with influenza,” it said in a letter sent to parents of children eligible for vaccination.

“That’s why it is important that we prevent as much illness as we can,” it said.

How are children vaccinated?

The influenza vaccine given to children aged 2-6 is in the form of a nasal spray (not an injection).

It is given in two separate doses four weeks apart, unless the child was vaccinated last year, in which case only one dose is needed.

Children can access the vaccination at their GP’s clinic (they must be accompanied by a parent or guardian). Some clinics offer walk-in vaccination, while appointments must be made at others. Contact your GP for more information.

From October 14th, children can also get the ‘flu vaccine at vaccination centres (the centres where adults are also vaccinated against influenza and Covid-19). An appointment should not be necessary, but check the information provided by the individual centre.

You can find the vaccination centre closest to you via this map on the Danish Health Authority website (click the green “Vaccinationscentre” filter and the light blue “Influenzavaccination af børn (2-6 år)” filters). 

You can also call a dedicated helpline in your local health authority Region to receive information about options near you. The relevant phone numbers are listed here.

The Health Authority has also issued a letter in English on influenza vaccination for children. The letter is a replication of the circular sent to parents. It can be found here.

How do adults get the influenza vaccine?

The free influenza vaccine is offered to adults in a number of specified groups. These are, broadly, people over 65 years old, pregnant women in their second or third trimester, and people with certain chronic illnesses and other health indications.

Health sector staff and household close contacts to children in high-risk groups can also be given the free vaccine.

An exhaustive list of the chronic illnesses and general health conditions for which the influenza vaccine is recommended can be found on the Danish Health Authority website.

Vaccination can be given at GP clinics, vaccination centres (where Covid-19 vaccines are also given) and some pharmacies. The options available vary locally.

You can use this map (the same map mentioned in the section for children above) to search locally for vaccination options close to you. The map can be filtered to show only vaccination centre, GP clinics, pharmacies or private clinics, and you should click the “Influenzavaccine” button to specify for the ‘flu jab.

If you have been offered an influenza vaccine based on your age, you can book an appointment at a vaccination centre via the vacciner.dk website. You’ll need your MitID or NemID digital ID. If you need help with this, you can call a Regional helpline. The relevant phone numbers are listed here.

If you have been offered the vaccine due to health or work reasons, you can follow a similar procedure. You will be asked to sign a declaration before booking an appointment.

If you are unsure about being vaccinated or whether you fall into the target group, the Health Authority recommends discussing the options with your doctor.

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