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READER QUESTIONS

READER QUESTION: Can I access the Danish public health service as an EU citizen based in the US?

Residents of EU countries who visit Denmark are able to use the Danish public health service if they have an EHIC card, but what if you are a non-resident citizen of an EU country?

READER QUESTION: Can I access the Danish public health service as an EU citizen based in the US?
Can you access Denmark's health service as a citizen of another EU country who lives in a third country? Photo by Lindsay Martin on Unsplash

Question: I am a German citizen residing in the US. I have US medical insurance but none in Germany. What are my options of obtaining health insurance in Denmark? 

The answer to this question changes depending on whether you will be in Denmark as a visitor, for example on holiday, or whether you plan to relocate from a non-EU country, in this case the United States, to Denmark – which you have the right to do as a citizen of an EU member state under the EU’s free movement provisions.

We’ll tackle the former situation first.

Visiting Denmark as a German national who resides in the US 

The health cover option taken by most residents of EU member states who visit other EU member states is to apply for an EHIC (European Health Insurance Card).

However, the key word here is ‘resident’, rather than citizen, of an EU country.

That is because, as stated on the European Commission website, to be eligible for an EHIC you must be “insured by or covered by a state social security system in any Member State of the European Union, Iceland, Liechtenstein, Norway or Switzerland.”

Therefore, despite holding German nationality, you cannot successfully apply for an EHIC if you are not covered by Germany’s national health insurance system by virtue of not being a resident of Germany.

If we flip the situation to a US national who lives in Germany, unfortunately Danish rules would also present an obstacle here.

Although EU rules generally extend social security coordination rules to nationals of non-EU countries legally resident in the EU, this does not apply in Denmark. In other words, nationals from non-EU countries cannot use their EHIC for medical treatment in Denmark.

EU nationals who live outside of the EU and plan to visit Denmark should therefore take out private travel insurance to cover healthcare they might need during their visit.

READ ALSO: How long do non-EU citizens have to be present in EU to avoid losing residency status?

Moving to Denmark as a German national currently based in the US 

All citizens of EU member states have the right to move to Denmark under the EU’s free movement provisions, but some rules do apply.

There are a number of reasons you might move to Denmark – to work, study, to run your own business, to join a family member being just a few of these.

You may also wish to retire to Denmark. In this case, you can apply to live in Denmark as a person with sufficient funds, meaning that “that you are self-supporting and thus have access to funds or income that can be used to maintain yourself and your family to such a degree that it can be assumed that you will not become a public burden” according to the Danish Agency for Recruitment and Integration (SIRI), the agency which processes residence applications.

Individual assessments are made as to what constitutes “sufficient funds” based on age, marital status, dependent children and other factors like this.

The various ways in which you can apply for residence in Denmark under EU free movement rules, and the application processes for each, are outlined on SIRI’s website. There is no application fee.

Successful application will result in you being granted an EU residence document, which you can then present to the municipality where you live to be granted a Danish personal registration (CPR) number, which takes the form of a yellow plastic card with your personal details on it.

This doubles as a health insurance card: once you have a CPR number, you are covered by Denmark’s public health insurance system.

After five years’ uninterrupted, legal residence in Denmark under free movement, you become eligible for permanent residency.

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TRAVEL NEWS

How do the EU’s new EES passport checks affect the 90-day rule?

As European travellers prepare for the introduction of enhanced passport checks known as the Entry & Exit System (EES), many readers have asked us what this means for the '90-day rule' for non-EU citizens.

How do the EU's new EES passport checks affect the 90-day rule?

From the start date to the situation for dual nationals and non-EU residents living in the EU, it’s fair to say that readers of The Local have a lot of questions about the EU’s new biometric passport check system known as EES.

You can find our full Q&A on how the new system will work HERE, or leave us your questions HERE.

And one of the most commonly-asked questions was what the new system changes with regards to the 90-day rule – the rule that allows citizens of certain non-EU countries (including the UK, USA, Canada, Australia and New Zealand) to spend up to 90 days in every 180 in the EU without needing a visa.

And the short answer is – nothing. The key thing to remember about EES is that it doesn’t actually change any rules on immigration, visas etc.

Therefore the 90-day rule continues as it is – but what EES does change is the enforcement of the rule.

90 days 

The 90-day rule applies to citizens of a select group of non-EU countries;

Albania, Andorra, Antigua and Barbuda, Argentina, Australia, Bahamas, Barbados, Bosnia and Herzegovina, Brazil, Brunei, Canada, Chile, Colombia, Costa Rica, Dominica, El Salvador, Georgia, Grenada, Guatemala, Honduras, Hong Kong, Israel, Japan, Kiribati, Kosovo, Macau, Malaysia, Marshall Islands, Mauritius, Mexico, Micronesia, Moldova, Monaco, Montenegro, New Zealand, Nicaragua, North Macedonia, Palau, Panama, Paraguay, Peru, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Samoa, San Marino, Serbia, Seychelles, Singapore, Solomon Islands, South Korea, Taiwan, Timor-Leste, Tonga, Trinidad and Tobago, Tuvalu, Ukraine, United Arab Emirates, United Kingdom, United States, Uruguay, Vatican City and Venezuela.

Citizens of these countries can spend up to 90 days in every 180 within the EU or Schengen zone without needing a visa or residency permit.

People who are citizens of neither the EU/Schengen zone nor the above listed countries need a visa even for short trips into the EU – eg an Indian or Chinese tourist coming for a two-week holiday would require a visa. 

In total, beneficiaries of the 90-day rule can spend up to six months in the EU, but not all in one go. They must limit their visits so that in any 180-day (six month) period they have spent less than 90 days (three months) in the Bloc.

READ ALSO How does the 90-day rule work?

The 90 days are calculated according to a rolling calendar so that at any point in the year you must be able to count backwards to the last 180 days, and show that you have spent less than 90 of them in the EU/Schengen zone.

You can find full details on how to count your days HERE.

If you wish to spend more than 90 days at a time you will have to leave the EU and apply for a visa for a longer stay. Applications must be done from your home country, or via the consulate of your home country if you are living abroad.

Under EES 90-day rule beneficiaries will still be able to travel visa free (although ETIAS will introduce extra changes, more on that below).

EES does not change either the rule or how the days are calculated, but what it does change is the enforcement.

Enforcement

One of the stated aims of the new system is to tighten up enforcement of ‘over-stayers’ – that is people who have either overstayed the time allowed on their visa or over-stayed their visa-free 90 day period.

At present border officials keep track of your time within the Bloc via manually stamping passports with the date of each entry and exit to the Bloc. These stamps can then be examined and the days counted up to ensure that you have not over-stayed.

The system works up to a point – stamps are frequently not checked, sometimes border guards incorrectly stamp a passport or forget to stamp it as you leave the EU, and the stamps themselves are not always easy to read.

What EES does is computerise this, so that each time your passport is scanned as you enter or leave the EU/Schengen zone, the number of days you have spent in the Bloc is automatically tallied – and over-stayers will be flagged.

For people who stick to the limits the system should – if it works correctly – actually be better, as it will replace the sometimes haphazard manual stamping system.

But it will make it virtually impossible to over-stay your 90-day limit without being detected.

The penalties for overstaying remain as they are now – a fine, a warning or a ban on re-entering the EU for a specified period. The penalties are at the discretion of each EU member state and will vary depending on your personal circumstances (eg how long you over-stayed for and whether you were working or claiming benefits during that time).

ETIAS 

It’s worth mentioning ETIAS at this point, even though it is a completely separate system to EES, because it will have a bigger impact on travel for many people.

ETIAS is a different EU rule change, due to be introduced some time after EES has gone live (probably in 2025, but the timetable for ETIAS is still somewhat unclear).

It will have a big impact on beneficiaries of the 90-day rule, effectively ending the days of paperwork-free travel for them.

Under ETIAS, beneficiaries of the 90-rule will need to apply online for a visa waiver before they travel. Technically this is a visa waiver rather than a visa, but it still spells the end of an era when 90-day beneficiaries can travel without doing any kind of immigration paperwork.

If you have travelled to the US in recent years you will find the ETIAS system very similar to the ESTA visa waiver – you apply online in advance, fill in a form and answer some questions and are sent your visa waiver within a couple of days.

ETIAS will cost €7 (with an exemption for under 18s and over 70s) and will last for three years.

Find full details HERE

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