Cross Border Directive

The Cross Border Directive (CBD) allows people living in Ireland to receive financial reimbursement for treatment received in other countries within the European Union (EU) and European Economic Area (EEA), when that treatment is publicly available in Ireland. With the CBD, you apply for and are reimbursed after your treatment. At times where treatment such as top surgery, also known as a Double Mastectomy, have been available in Ireland, transgender people have been able to use the CBD scheme to fund surgery outside of Ireland. You can find more information about the CBD directly from the HSE here.

If a treatment is not available in Ireland, people can instead avail of the Treatment Abroad Scheme (TAS).