UK Citizens

UK Citizens: Getting Healthcare in the EU

Even after Brexit you can still rely on public healthcare when you’re visiting the EU. Pack a free UK Global Health Insurance Card (GHIC).

Note that the existing UK EHICs are only valid for certain groups (like those covered by the EU-UK Withdrawal Agreement) and most UK citizens must now apply for GHIC.

Both cards let you receive any medically necessary state-provided treatment that “can’t wait until you get home”, on the same terms (and at the same cost) as locals. The GHIC is free, lasts five years and can be ordered online through the NHS.

Show your GHIC/EHIC at public hospitals, clinics or pharmacies to access that coverage. 

Remember, the card isn’t a substitute for travel insurance: it won’t pay for private care, mountain rescue, lost belongings or medical repatriation, so always travel with comprehensive insurance too.

Planned Treatment Abroad

Your GHIC/EHIC does not cover treatment you have deliberately arranged in advance.

To get NHS funding for planned surgery, maternity care or another scheduled procedure in the EU you must secure an S2 certificate (this used to be referred to as the “E112” form) before you travel.

The S2 route is a direct payment deal between the NHS and the overseas public hospital:

• • the care must be available through the other country’s state system (private clinics are excluded);

• • the same or equivalent treatment must be available on the NHS, but only after an undue delay; and

• • a clinician must confirm your diagnosis, need and timetable for care.

Complete the S2 application form and send it, with supporting medical letters and a cost estimate from the foreign provider, to NHS England’s European Cross-Border Healthcare Team.

Allow at least 20 working days for approval and confirm the hospital accepts S2 patients before you book. However, it is advisable to apply well in advance as complex cases can take longer.

Note that some countries may still charge a local co-payment.

Important Note: The old EU Directive reimbursement route—where you paid up-front and reclaimed the cost later—closed for new cases after 31 December 2020. All new requests must go through the S2 process.

If you’re moving, working or retiring in an EU country, register with the local health system using an S1 form or arrange private cover instead of relying on a GHIC.

Check our individual country pages—and the UK Government’s healthcare guides—for the exact steps and any local charges before you travel.

Last updated on 28 May 2025