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Reimbursement of health care costs abroad (Social Action REM) < Go back

This service allows you to apply for Reimbursement of Medical Assistance Expenses for workers on board in the Special Scheme for Seafarers, when the vessel is in a foreign port.

About this procedure

Who it is for

For companies registered in the REM, as a result of Medical Assistance for REM workers on board, when the vessel is in a foreign port, pursuant to the Order of 19 November 1997, which establishes the maximum and minimum amounts to be reimbursed (BOE 285, 28.11.1997).

What you can do

  • Complete an Electronic Register application for the reimbursement of expenses paid by the employer for medical assistance of REM workers on board, when the vessel is in a foreign port, in the following cases:
    • Medical assistance for common contingencies.
    • Work-related injury and occupational disease when these contingencies are covered by the Social Marine Institute.
  • Attach documentation.


What you need to do it

  • Submit the application and a certified copy of the documents supporting the expense within 6 months after the assistance ends. The Provincial Directorate of the ISM will require the original documents.
    • Supporting documents according to the reimbursement requested: Invoice for evacuation to port, invoice of the Hospital or Clinic, invoices for other services or treatments, prescriptions issued by pharmacies indicating the products dispensed, schedules of Fees paid to doctors, airline ticket invoices, others.
  • Company details: Company name, social security no., address, vessel name and its list/registration/folio. Details of the legal representative, where applicable: Full name, DNI/NIE/Passport.
  • Details of the worker attended: Full name, date of birth, address, social security affiliation no.. Details of the Medical Assistance provided for which reimbursement has been requested: Assistance start and end date, town/city and country where it was provided, amount paid for the assistance, currency.

Please note

The total size of the documents to be attached may not exceed 5 Mb.

The medical assistance object of reimbursement must be included in Royal Decree 1030/2006, of 15 September.

Expenses will not be reimbursed in the following cases:

  • When mandatory requirements are not met.
  • When the company uses services other than those assigned, whether because the Social Marine Institute has sufficient own or contracted services, or because the assistance is included in the scope of application of International Social Security Conventions.

Next steps

Once you have completed the procedure you will receive "proof of receipt" (zip) comprising the application receipt in PDF format and the server signature that guarantees that the transaction was completed correctly.
If you do not receive the confirmation message, or if you receive an error or failed sending message, you should  resubmit the application at another time or use other means.

Resolution of the application with a reasoned report from the Health at Sea Centre (in the case of repatriation). Notification of the interested party by post with proof of receipt.

Payment of the reimbursement of the expenses in the account included in the application, if appropriate.

The interested party may get information on the status of the application by calling the Provincial Directorate of the Social Marine Institute processing the case.

To access this service check you have the necessary technical requirements.

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