Visitors to England

Further Information Available

Unplanned treatment on a temporary visit to England

The NHS in England is a residence-based system, unlike many other countries, which have insurance-based healthcare systems. This means that all visitors to England may have to pay for NHS healthcare, depending on their circumstances.

If you are a visitor from the European Economic Area (EEA) and you fall ill or have a medical emergency during your temporary stay in England, then you'll need a valid European Health Insurance Card (EHIC) issued by your home country. If you can't show a valid EHIC, you may be charged for your treatment.

The EEA is a free trade zone between countries of the European Union (EU), Iceland, Norway and Liechtenstein. The regulations on access to healthcare in the EEA also apply to Switzerland.

Your EHIC will cover you for treatment that becomes necessary during a visit to England, until you return to your country. It also covers you for the treatment of pre-existing medical conditions and for routine maternity care, providing the reason for your visit is not specifically to give birth.

Bear in mind that the healthcare system in England may be different from that in your home country. The EHIC might not cover everything you would expect to get for free back home.

The EHIC is not an alternative to travel insurance. It will not cover any private medical healthcare, being flown back home, or lost or stolen property. Therefore, it is important to have both an EHIC and a valid private travel insurance policy.

If your EHIC has been lost or stolen during your visit in England and you need a replacement, then you'll have to contact the relevant organisation in your home country to request a Provisional Replacement Certificate (PRC).

If you do not have an EHIC and cannot obtain a PRC, you may have to pay for treatment at the standard NHS rate.

Get the EHIC smartphone app

The European Commission (EC) has developed a useful multi-language free phone app, which explains how to use the EHIC in different countries within the European Union (EU). It summarises the treatments, costs, procedure for reimbursement and emergency numbers.

• • EHIC app for iPhone

  • EHIC app for Android

  • EHIC app for Windows Smartphone

If you are coming to England specifically for planned treatment, you will need to make all necessary arrangements yourself in advance. Planned treatment is not covered by the EHIC. If you do not have valid documentation, you may be charged for treatment.

There are currently two potential routes available for people for the EEA wishing to have planned treatment in England.

Seeking planned treatment in England

The S2 route

You will need to arrange an S2 form from the relevant organisation in your home country before you travel to England. The S2 only relates to state-provided treatment and you will not be required to pay anything yourself, except any mandatory patient contributions that patients in England would have to pay, such as prescription costs.

The EU Directive route

You are able to purchase state or private healthcare in England and seek reimbursement for this treatment from your country of residence. Reimbursements can be up to the amount the treatment would have cost in your country. If you come to England via the EU Directive route, it is advised that you seek prior authorisation from the relevant organisation in your country first, as this is often a requirement.

Note: the EU Directive route does not apply to visitors from Switzerland.