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Categories: Tips for travelling
Tips for travelling | Universal tips for diabetics on travals |

Part 3: Sweden



There are at least 350.000 diabetics in sweden. 50.000 of them have got type 1 and 300.000 type 2.

All citizens (even foreigners ,including asylum seekers) of Sweden are entitled to health care and nursing care. Sweden belongs to the eu-countries with a nationalized, decentralised health system. For the control of the swedish health care system are 3 ranks responsible for: state, region and commune. The state carries the responsibility for the certification / authorization of new medication and arrangements by law, it even contains the agency for national social insurance, that is responsible for the handling of payments at the case of illness. The local provincival parlament are authorized for nursing care and the health system, that are within the legal requirements and independent as far as possible. These are financed by the direct taxes on income.The 289 swedish communes are mostly responsible for the home care for older people and disabled persons. They are financed by tax receipts and subsidies.

Swedish people are insured with health insurance (sjukförsäkring), that constitutes (darstellen) a basis insurance for everyone. Further there are accident insurances and other. Employees in Sweden are often insured in specific (occupation-)groups, that varies depneding on the employer. Even diabetics are divides in these groups. In addition to the basis insurance, the patient can insure him/herself privately. This raises the assurance benefits, but costs higher dues of course. In comparison to the insurances that implicate the basis insurance, private insurer don´t have to pick every person. That is why often people with disability or chronically illnesses are are denied. Admittedly have these humans with limitations the possibility to propose for a “handicap-refund” at their insurance. If the diabetes disease is accepted by the insurance, all medication and medical prescribed tools are for free.

Doctor and visits to the doctor

Lack of doctors in Sweden is a problem when you want an appointment quickly, especially at specialists. But in the last years there was work on it to shorten the waiting period. Patients can visit also hospitals that are out of their region. But for this an assignment is needed. General practitioners are called family docots in sweden. They are often organized in health care centers. These doctors are employed at the provincial parlaments and obtain a fixed salary. Another option are doctor´s offices that concluded agreements with th eprovincial parlament. private docotrs without that contracts are decreasing, because they get very rarely authorization for an establishment.
Charges for the patients
At a visit to the doctor you have to pay a due, that height varies.
In which heigth the patient has to participate, define the provincial landtage(?). If it is a target date the patient it´s cheaper and costs about 8 €. At an unplanned visit (acutely case) it´s possible to pay up to 33€. The maximum payment per nursing day in hospital is about 9€. For visits to a doctor the charges limit is about 100€ / 12 months. The period of the 12 months begins with the first consultation, so it isn´t bound to the calendar year. With medication there are like in Germany additional payments: up to a amount of 100€ per purchase and maximal 180€ per 12 months accepts the patient the costs, additional are taken by the insurance.

Children and teenager under 20 are completely free of dues.

After all it´s different in some way at the visit to a dentist. The charges for this have to be taken by patients over 20 largely on their own.

(c) Kathrin Kießling and translated by Sabrina Aust

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