If the proper procedure for referral has been followed and approval by the Treatment Abroad Committee was granted the patient is not required to pay for treatment.

If patients whilst overseas are informed that they are being administered treatment different from that they had been referred for or are sent to a private hospital, they must inform either the Malta High Commission or the Treatment Abroad Office immediately, as approval must be sought to cover any additional costs that this treatment will bring about. Any treatment which forms part of Malta’s formulary list will be covered by the Health Department. Additionally approval on a named patient basis for treatment may also be granted in line with the exceptional treatment policy;https://deputyprimeminister.gov.mt/en/pharmaceutical/Pages/EMT.aspx​