It depends on the country. Different languages could be a problem, but If both countries have an agreement, is basically painless. The healthcare system in the

It depends on the country. Different languages could be a problem, but If both countries have an agreement, is basically painless. The healthcare system in the country that provided the service will bill directly to the healthcare system where the patient has the citizenship. In some cases tourists are required to pay a small fee for minor interventions or treatments, and the major ones are covered. In a third group the patient will be billed in advance and then can pass the bill to his/her own healthcare system to recover the money.