natgillin/translations-raw huggingface dataset:
V tem primeru ji ta nosilec neposredno povrne znesek stroškov, ki ustreza zadevnim storitvam v mejah in pod pogoji stopenj povračil , ki jih določa njegova zakonodaja.
In that case, that institution shall reimburse directly to that person the amount of the costs corresponding to these benefits within the limits and under the conditions of the reimbursement rates in its legislation.
Člen 25 – točka B – odstavek 6
Article 25 – point B – paragraph 6
Če zahtevek za povračilo teh stroškov ni bil neposredno naslovljen na nosilca kraja začasnega prebivališča, nastale stroške zadevni osebi povrne pristojni nosilec po stopnjah povračil, ki jih uporablja nosilec kraja začasnega prebivališča.
If the reimbursement of these expenses has not been requested directly from the institution of the place of stay, the charges incurred shall be reimbursed to the person concerned by the competent institution at the reimbursement rates applied by the institution of the place of stay.
Če zahtevek za povračilo teh stroškov ni bil neposredno naslovljen na nosilca v kraju začasnega prebivališča, nastale stroške zadevni osebi povrne pristojni nosilec v skladu s stopnjami povračil, ki jih uporablja nosilec v kraju začasnega prebivališča, ali zneski, ki bi se povrnili nosilcu v kraju začasnega prebivališča, če bi se v zadevnem primeru uporabil člen 61 izvedbene uredbe.
If the reimbursement of these costs has not been requested directly from the institution of the place of stay, the costs incurred shall be reimbursed to the person concerned by the competent institution in accordance with the reimbursement rates administered by the institution of the place of stay or the amounts which would have been subject to reimbursement to the institution of the place of stay, if Article 61 of the implementing Regulation had applied in the case concerned .
Nosilec kraja začasnega prebivališča je pristojnemu nosilcu, ki to zahteva, dolžan zagotoviti potrebne podatke o teh stopnjah.
The institution of the place of stay shall be obliged to provide the competent institution with all necessary information about these rates upon request.
Nosilec v kraju začasnega prebivališča je pristojnemu nosilcu, ki to zahteva, dolžan zagotoviti potrebne podatke o teh stopnjah ali zneskih .
The institution of the place of stay shall be obliged to provide the competent institution , upon request, with all necessary information about these rates or amounts .
Če zakonodaja države članice začasnega prebivališča ne določa stopenj povračila stroškov, lahko pristojni nosilec povračilo izvede v skladu s stopnjami, ki jih uporablja sam, ne da bi bilo za to potrebno soglasje zavarovane osebe.
If the legislation of the Member State of stay does not provide for reimbursement rates, the competent institution may undertake the reimbursement in accordance with the rates that it applies, without the need for the agreement of the insured person.
Člen 25 – točka B – odstavek 7
Article 25 – point B – paragraph 7
Z odstopanjem od prvega pododstavka odstavka 6 lahko pristojni nosilec izvede povračilo nastalih stroškov po stopnjah za povračila, ki jih uporablja sam, pod pogojem, da se je zavarovana oseba strinjala z uporabo te določbe in da zakonodaja dopušča povračilo takšnih stroškov .
By way of derogation from Paragraph 6(1) , the competent institution may undertake the reimbursement of the charges incurred at the reimbursement rates that it applies , provided that the insured person has agreed to this provision being applied to him/her and that the legislation allows for the reimbursement of such charges .
Z odstopanjem od odstavka 6 lahko pristojni nosilec nastale stroške povrne v mejah in pod pogoji stopenj, ki jih določa njegova zakonodaja, in sicer pod pogojem, da se zavarovana oseba strinja , da se zanjo uporabi ta določba .
By way of derogation from paragraph 6 , the competent institution may undertake the reimbursement of the costs incurred within the limits and under the conditions of the rates of its legislation, provided that the insured person has agreed to this provision being applied to him/her.
Člen 25 – točka B – odstavek 7 a (novo)
Article 25 – point B – paragraph 7 a (new)
Povračilo, ki ga prejme zavarovana oseba, v nobenem primeru ne sme presegati zneska stroškov, ki jih je ta oseba dejansko imela.
The reimbursement to the insured person shall, in any event, not exceed the amount of costs actually incurred by him/her.
Člen 25 – točka B a (novo)
Article 25 – point B a (new)
Ba) Družinski člani
Ba) Family Members
Odstavki 1–8 se smiselno uporabljajo za družinske člane zavarovane osebe.
Paragraphs 1-8 shall apply mutatis mutandis to the members of the family of the insured person.
Ta odstavek povzema določbe iz odstavka 25(4) besedila Komisije.
This paragraph takes up the provisions of paragraph 25(4) of the Commission text.
Člen 26 – točka A – odstavek 1
Article 26 - point A – paragraph 1
Za upokojence in njihove družinske člane, ki niso člani, navedeni v členu 27(5) Uredbe (ES) št. 883/2004 , se nosilec države članice, ki krije stroške storitev, zagotovljenih v državi članici stalnega prebivališča, upošteva kot pristojni nosilec za izdajo dovoljenja iz člena 20(1) Uredbe (ES) št. 883/2004.
For pensioners and the members of their family other than those referred to in Article 27(5) of Regulation (EC) No. 883/2004, the institution of the Member State responsible for expenses related to the benefits in kind provided in the Member State of residence shall be considered to be the competent institution for granting the authorisation referred to in Article 20(1) of Regulation (EC) No. 883/2004 .
Za namene uporabe člena 20(1) osnovne uredbe zavarovana oseba nosilcu v kraju začasnega prebivališča predloži dokument, ki ga izda pristojni nosilec.
For the purposes of the application of Article 20(1) of the basic Regulation, the insured person shall present a document issued by the competent institution to the institution of the place of stay.
V tem členu pristojni nosilec pomeni nosilca, ki krije stroške načrtovanega zdravljenja; v primerih iz člena 20(4) in člena 27(5) osnovne uredbe, v katerih se stroški zdravstvenih storitev, ki se zagotovijo v državi članici stalnega prebivališča, povrnejo v pavšalnih zneskih, za pristojnega nosilca velja nosilec v kraju stalnega prebivališča.
For the purposes of this Article , the competent institution shall mean the institution which bears the cost of the scheduled treatment; in the cases referred to in Article 20(4) and 27(5) of the basic Regulation, in which the benefits in kind provided in the Member State of residence are reimbursed on the basis of fixed amounts, the competent institution shall mean the institution of the place of residence .
Člen 26 – točka A – odstavek 2
Article 26 – point A – paragraph 2
Za uporabo členov 20(1) in 27(3) Uredbe (ES) št. 883/2004, kadar zadevna oseba ne prebiva stalno na ozemlju pristojne države članice , zahtevek za dovoljenje iz člena 20(1) Uredbe (ES) št. 883/2004 pri pristojnem nosilcu vloži nosilec kraja stalnega prebivališča.
For the purposes of the application of Article 20(1) and Article 27(3) of Regulation (EC) No. 883/2004, if the person does not reside on the territory of the competent Member State, the authorisation referred to in Article 20(1) of Regulation (EC) No.883/2004 shall be requested from the competent institution by the institution of the place of residence .
Nosilec kraja stalnega prebivališča navede razloge, zaradi katerih zahteva to dovoljenje za zadevno osebo, in sicer zlasti tiste, ki so navedeni v členu 20(2) Uredbe (ES) št. 883/2004.
The institution of the place of residence shall state the reasons why it is requesting this authorisation for the person concerned, in particular those mentioned in Article 20(2) of Regulation (EC) No. 883/2004 .
Če zavarovana oseba v pristojni državi članici nima stalnega prebivališča , za dovoljenje zaprosi nosilca iz kraja stalnega prebivališča , ki ga nemudoma posreduje pristojnemu nosilcu.
If an insured person does not reside in the competent Member State, he/she shall request authorisation from the institution of the place of residence , which shall forward it to the competent institution without delay .
Če odgovor ne prispe v petnajstih „koledarskih dneh“ od datuma pošiljanja, se šteje, da je pristojni nosilec dovoljenje izdal.
In the absence of a reply within fifteen “calendar days” of the date on which the request was sent, the authorisation shall be considered to have been granted by the competent institution.
V tem primeru nosilec v kraju stalnega prebivališča z izjavo potrdi, da so pogoji iz drugega stavka člena 20(2) osnovne uredbe v državi stalnega prebivališča izpolnjeni.
In that event, the institution of the place of residence shall certify in a statement whether the conditions set out in the second sentence of Article 20(2) of the basic Regulation are met in the Member State of residence.
Nosilec kraja stalnega prebivališča izda dovoljenje zadevni osebi v imenu pristojnega nosilca.
The institution of the place of residence shall grant the authorisation to the person concerned on behalf of the competent institution.
Pristojni nosilec lahko izdajo dovoljenja zavrne le, če v skladu z oceno nosilca v kraju stalnega prebivališča pogoji iz drugega stavka člena 20(2) osnovne uredbe v državi članici stalnega prebivališča zavarovane osebe niso izpolnjeni, ali če se lahko enako zdravljenje zagotovi v pristojni državi članici, in sicer v roku, ki je sprejemljiv z zdravniškega vidika, ob upoštevanju trenutnega zdravstvenega stanja in verjetnega poteka bolezni zadevne osebe.
The competent institution may refuse to grant the requested authorisation only if, in accordance with the assessment of the institution of the place of residence, the conditions set out in the second sentence of Article 20(2) of the basic Regulation are not met in the Member State of residence of the insured person, or if the same treatment can be provided in the competent Member State itself, within a time-limit which is medically justifiable, taking into account the current state of health and the probable course of illness of the person concerned.
Med celotnim potekom postopka za izdajo dovoljenja si pristojni nosilec pridržuje možnost, da zadevno osebo napoti na zdravniški pregled, ki ga opravi zdravnik po njegovi izbiri v državi članici začasnega ali stalnega prebivališča.
At any time during the procedure of the granting of the authorisation, the competent institution shall retain the right to have the person concerned examined by a doctor of its choice in the Member State of stay or residence.
Pristojni nosilec obvesti nosilca v državi članici stalnega prebivališča o sprejeti odločitvi.
The competent institution shall inform the institution of the Member State of residence of its decision.
S tem se določi postopek za odločanje o predhodnem dovoljenju in se ohrani rok za sklep.
This sets out the procedure for decision on prior authorisation and keeps a reserve deadline for decisions.
Člen 26 – točka A – odstavek 3
Article 26 – point A – paragraph 3
Postopek iz odstavka 2 se ne uporablja, kadar so zadevne zdravstvene storitve življenjskega pomena.
The procedure referred to in Paragraph 2 shall not apply if the benefits in kind concerned are vitally necessary treatment .
V tem primeru predhodno dovoljenje iz člena 20(2) Uredbe (ES) št. 883/2004 izda nosilec kraja stalnega prebivališča v imenu pristojnega nosilca, ki ga o tem nemudoma obvesti nosilec države stalnega prebivališča .
The prior authorisation referred to in Article 20(2) of Regulation (EC) No. 883/2004 shall be granted by the institution of the place of residence on behalf of the competent institution, which shall be immediately informed by the institution of the State of the place of residence.
Če zavarovana oseba, ki nima stalnega prebivališča v pristojni državi članici, nujno potrebuje zdravljenje življenjskega pomena, dovoljenja ni mogoče zavrniti v skladu z drugim stavkom člena 20(2) osnovne uredbe.
If an insured person who does not reside in the competent Member State is in need of an urgent and vitally necessary treatment , the authorisation cannot be refused in accordance with the second sentence of Article 20(2) of the basic Regulation.
V takih okoliščinah dovoljenje v imenu pristojnega nosilca izda nosilec v kraju stalnega prebivališča , ki o tem nemudoma obvesti pristojnega nosilca.
In such circumstances, the authorisation shall be granted by the institution of the place of residence on behalf of the competent institution, which shall be immediately informed by the institution of the place of residence.
Pristojni nosilec je dolžan sprejeti ugotovitve in možnosti zdravljenja v zvezi s nujnostjo zdravstvenih storitev življenjskega pomena, ki jih določijo zdravniki, ki jih pooblasti nosilec kraja stalnega prebivališča, ki dovoljenje izda .
The competent institution shall be obliged to accept the findings and the treatment options concerning the need for vitally necessary treatment that is decided by the doctors approved by the institution of the place of residence that issues the authorisation.
Pristojni nosilec je dolžan sprejeti ugotovitve in možnosti zdravljenja v primeru potrebe po nujnem zdravljenju življenjskega pomena, ki jih opredelijo zdravniki, ki jih pooblasti nosilec iz kraja stalnega prebivališča, ki izda dovoljenje .
The competent institution shall be obliged to accept the findings and the treatment options concerning the need for urgent and vitally necessary treatment that is decided by the doctors approved by the institution of the place of residence that issues the authorisation.
S tem se poudari vrsta zdravstvenih meril.
This stresses the nature of the medical criteria.
Člen 26 – točka A – odstavek 3 a (novo)
Article 26 – point A – paragraph 3a (new)
Med celotnim potekom postopka za izdajo dovoljenja si pristojni nosilec pridržuje pravico, da zavarovano osebo napoti na zdravniški pregled, ki ga opravi zdravnik po njegovi lastni izbiri v državi članici začasnega ali stalnega prebivališča.
At any time during the procedure granting the authorisation, the competent institution shall reserve the right to have the insured person examined by a doctor of its own choice in the Member State of stay or residence.
(Besedilo je več ali manj enako pododstavku 4 člena 26(2) predloga Komisije.)
(Text practically identical to subparagraph 4 of Article 26(2) of the Commission proposal)
Člen 26 – točka A – odstavek 4
Article 26 – point A – paragraph 4
Zadevna oseba pošlje dovoljenje nosilcu kraja začasnega prebivališča.
The person concerned shall send the authorisation to the institution of the place of stay .
Ta mora nosilca kraja stalnega prebivališča zavarovane osebe obveščati o razvoju zdravstvenega stanja te osebe, kadar je z zdravstvenega vidika potrebno dodatno zdravljenje.
The latter shall be obliged to inform the institution of the insured person’s place of residence of the development of the state of health of the insured person when it appears medically necessary to supplement the treatment .
Nosilec kraja stalnega prebivališča te podatke nemudoma sporoči pristojnemu nosilcu.
The institution of the place of residence shall immediately forward this information to the competent institution .
Nosilec v kraju začasnega prebivališča brez poseganja v odločitev glede dovoljenja obvesti pristojnega nosilca, če je z zdravstvenega vidika primerno dodatno zdravljenje , ki ga zajema obstoječe dovoljenje .
The institution of the place of stay shall , without prejudice to any decision regarding authorisation, inform the competent institution if it appears medically appropriate to supplement the treatment covered by the existing authorisation .
S tem se razjasni dolžnost obveščanja pristojnega nosilca.
This clarifies the duty to keep the competent institutions apprised.
Člen 26 – točka B – naslov
Article 26 – point B – title
B) Kritje stroškov zdravstvenih storitev v okviru načrtovanega zdravljenja .
B) Meeting the cost of benefits in kind as part of scheduled treatment
B) Kritje stroškov zdravstvenih storitev , ki jih je imela zavarovana oseba
B) Meeting the cost of benefits in kind incurred by the insured person
Člen 26 – točka B – odstavek 4 a (novo)
Article 26 – point B – paragraph 4 a (new)
Brez poseganja v odstavek 5 se smiselno uporablja člen 25(5) in (6) izvedbene uredbe.
Without prejudice to paragraph 5, Article 25(5) and (6) of the implementing Regulation shall apply mutatis mutandis.
Člen 26 – točka B – odstavek 5
Article 26 – point B – paragraph 5
Kadar se izda dovoljenje, pristojni nosilec zagotovi kritje stroškov po najvišji stopnji.
When an authorisation in granted, the competent institution shall meet the costs of the expenses at the highest rate.
Če so za zdravstvene storitve stopnje nosilca v kraju začasnega prebivališča nižje od stopenj pristojnega nosilca, lahko zato zavarovana oseba od pristojnega nosilca zahteva, da ji ta v mejah svojih stopenj izplača dodatek.
Consequently, if the rates of the institution of the place of stay for the benefits in kind concerned are lower than those of the competent institution, the insured person may ask the competent institution to pay him/her the additional amount within the limit of its rates .
Če je zavarovana oseba dejansko sama krila stroške ali del stroškov za dovoljene zdravstvene storitve in je znesek stroškov, ki ga je pristojni nosilec obvezan povrniti nosilcu v kraju začasnega prebivališča ali zavarovani osebi v skladu s prejšnjim odstavkom (dejanski stroški), nižji od zneska stroškov, ki bi ga moral prevzeti za enako zdravljenje v pristojni državi članici (teoretični stroški), pristojni nosilec na zahtevo zavarovani osebi povrne stroške zdravljenja, ki jih je ta imela, do višine razlike, za katero teoretični stroški presegajo dejanske stroške.
If the insured person has actually borne all or part of the costs for the authorised medical treatment him or herself and the amount of costs which the competent institution is obliged to reimburse to the institution of the place of stay or to the insured person according to paragraph 4a (actual cost) is lower than the amount of cost which it would have had to assume for the same treatment in the competent Member State (notional cost), the competent institution shall reimburse him/her, upon request, the cost of treatment incurred by the insured person up to the amount of the difference by which the notional cost exceeds the actual cost.
Vendar znesek povračila ne sme presegati zneska stroškov, ki jih je zavarovana oseba dejansko imela; lahko se upošteva znesek, ki bi ga zavarovana oseba morala plačati, če bi bila zdravstvena storitev opravljena v pristojni državi članici.
The amount of reimbursement may, however, not exceed the amount of expenses actually incurred by the insured person and may take account of the amount which the insured person would have had to pay if the treatment had been delivered in the competent Member State .
Člen 26 – točka C – odstavek 6
Article 26 – point C – paragraph 6
Kadar pristojni nosilec izda dovoljenje , se potni stroški in stroški bivanja, ki so neločljivo povezani z zdravljenjem zadevne osebe, krijejo po zakonodaji, ki jo uporablja pristojni nosilec za zadevno osebo in po potrebi tudi za osebo, ki jo mora spremljati.
Where the competent institution grants an authorisation, the costs of travel and stay that are inseparable from the treatment of the person shall be met in accordance with the legislation applied by the competent institution , for the person concerned and, if necessary, for a person who must accompany him/her.
Potne stroške in stroške bivanja, ki so neločljivo povezani z zdravljenjem zavarovane osebe, in po potrebi stroške za osebo, ki ga/jo spremlja , krije ta nosilec, kadar je dano dovoljenje v primeru zdravljenja v drugi državi članici.
The costs of travel and stay that are inseparable from the treatment of the insured person and, if necessary, for a person who must accompany him/her, shall be assumed by this institution when an authorisation is granted in the case of treatment in another Member State.
V primeru, da je zavarovanec invalid, bodo za potrebne veljali potni stroški in stroški bivanja za njegovega spremljevalca.
In the event of the insured person being a person with disabilities, the travel and stay of an accompanying person shall be considered necessary.
Ni realistično pričakovati, da bi posameznik, ki resnično potrebuje zdravljenje, lahko kril z njim povezane potne stroške.
It is unrealistic to assume that a person in real medical need should cover their own travel costs when obtaining treatmen .
Razumno je tudi pričakovati, da bo posameznik v ranljivem stanju potreboval spremstvo.
It is also reasonable to assume that they will need to be accompanied as they will be in a vulnerable state.
Podpora za osebno pomoč invalidom je ključni element, da se zagotovi, da invalidi ne bodo žrtve diskriminacije v zvezi s sistemi socialne varnosti in dajatvami za vse državljane.
The support for disabled people personal assistance is a key element to ensure that people with disabilities do not face discrimination regarding coordination of social security systems and the benefits for all citizens.
Elemente občutljivosti za osebe, ki se zdravijo, bi lahko razširili na občutljivost nekaterih invalidov pri dostopanju do sistemov socialne varnosti.
The elements of vulnerability for a person facing a treatment could be extended to the vulnerability of some disabled people when accessing social security systems.
Člen 27 – točka A – odstavek 1
Article 27 – point A – paragraph 1
Da bi bila zavarovana oseba upravičena do denarnih dajatev za nezmožnost za delo v skladu s členom 21(1) Uredbe (ES) št 883/2004 , poskrbi, da zdravnik države članice stalnega prebivališča, ki je ugotovil njeno zdravstveno stanje, izpolni dokumenti, ki potrjuje njeno nezmožnost za delo.
In order to be entitled to the cash benefits relating to incapacity for work pursuant to Article 21(1) of Regulation (EC) No. 883/2004 , the insured person shall ask the doctor of the Member State of residence who established his/her state of health to fill in the document designed to certify his/her incapacity for work.
Če zakonodaja pristojne države članice zahteva, da zavarovana oseba predloži potrdilo , da bi se ji priznale denarne dajatve v zvezi z nezmožnostjo za delo na podlagi člena 21(1) osnovne uredbe, zavarovana oseba zdravnika v državi članici stalnega prebivališča, ki je ugotovil njeno zdravstveno stanje, zaprosi za potrditev njene nezmožnosti za delo in verjetno trajanje nezmožnosti.
If the legislation of the competent Member State requires that the insured person present a certificate in order to be entitled to cash benefits relating to incapacity for work pursuant to Article 21(1) of the basic Regulation, the insured person shall ask the doctor of the Member State of residence who established his/her state of health to certify his/her incapacity for work and its probable duration .
Člen 27 – točka A – odstavek 2
Article 27 – point A – paragraph 2
Zavarovana oseba izpolnjeni dokument v treh delovnih dneh po ugotovitvi zdravstvenega stanja pošlje:
The insured person shall send the completed document within three working days of the determination of his/her medical condition:
Zavarovana oseba pošlje potrdilo pristojnemu nosilcu v roku, ki ga določa zakonodaja pristojne države članice.
The insured person shall send the certificate to the competent institution within the time limit fixed by the legislation of the competent Member State .
a) nosilcu v kraju stalnega prebivališča, če zadevna oseba tam izvaja svojo poklicno dejavnost;
a) to the institution of the place of residence if the person pursues his/her occupational activity there;
b) pristojnemu nosilcu v drugih primerih .
b) to the competent institution in the other cases .
Člen 27 – točka A – odstavek 2 a (novo)
Article 27 – point A – paragraph 2 a (new)