Skip to navigation Skip to content Skip to footer

NHS charges for people from abroad

This advice applies to England

Some NHS treatment is free and available to anyone who needs it. This includes:

  • treatment in a hospital Accident and Emergency department
  • seeing a GP - as an NHS or temporary patient
  • family planning services
  • treatment for some infectious diseases
  • compulsory psychiatric treatment

Whether you can get other free NHS services depends on the length and purpose of your residence in the UK, not your nationality. Check if you're entitled to free NHS healthcare on GOV.UK.

You have access to free NHS treatment if you're a citizen of:

  • a country in the European Economic Area (EEA) or Switzerland
  • another country, and you've got permission to stay in the UK for more than 6 months - for example, a work visa

After 31 December 2020, EEA and Swiss citizens will also need to have status under the EU Settlement Scheme. 

The EEA includes EU countries and Iceland, Liechtenstein and Norway.

You will still have access to free NHS healthcare even if you have no recourse to public funds

Even if you’re entitled to free NHS healthcare, you might be charged for some NHS services, like dental treatment, prescriptions and glasses. You might not have to pay for these services if you can get certain benefits like Income Support. 

You might be able to get help to pay - check if you can get help with health costs

Any free NHS treatment you receive, or any help with NHS costs, won’t affect your immigration status. 

Getting healthcare after Brexit if you’re from the EU, EEA or Switzerland

You can keep using the NHS if you normally live in the UK. The EEA includes EU countries and Norway, Iceland and Liechtenstein. 

After 31 December 2020, you'll need to have 'pre-settled status' or 'settled status' to keep using the NHS for free. You should apply to the EU Settlement Scheme to get pre-settled or settled status.  

You only need to prove your status to get treatment after 31 December 2020. If someone asks you to prove your status before then, it could be discrimination. Check if you're being discriminated against in health and care services. 

Using your European Health Insurance Card (EHIC)

You can use your European Health Insurance Card (EHIC) up to 31 December 2020, as long as it was issued in an EU country, but not the UK. The EHIC will only cover treatment for a health issue that started while you were in the UK. 

After 31 December 2020, you won’t be able to use your EHIC in the UK. You’ll be able to get free healthcare if you have pre-settled or settled status. If you don’t have this status, you’ll need to use private health insurance as you'll have to pay for NHS treatment. 

Accessing treatment

If you're entitled to free treatment, you can get it immediately. You don’t need to have been here for a certain amount of time.

If you don’t meet the conditions for free treatment, you must be given clear information about charges in a way you understand. This could include providing information in your own language or through an interpreter. 

If you don’t get clear information, it could be discrimination. Find out how to complain about discrimination

For more information about making a complaint about the NHS, see Dealing with NHS problems - where to start.  

NHS hospital treatment

You can find out about accessing NHS services if you're visiting from abroad on the NHS Choices website. 

Paying for hospital treatment

If you have to pay, you'll usually have to pay before you have the treatment.

You won't have to pay before if you need urgent treatment but you might still have to pay after.

If your treatment is urgent

If you’re not entitled to free NHS hospital treatment, you'll still get medical treatment that stabilises a life-threatening condition, like renal failure. You’ll get treatment to deal with the emergency, but you’ll have to return home to complete the treatment once the emergency is over.

If your treatment is not urgent 

If it’s not an emergency, but treatment has to start immediately, you might be asked to sign an undertaking to pay. 

In these circumstances, it’s very important to find out the likely cost. If the treatment is not urgent, you can refuse it if you can’t afford it. You can delay your treatment until you can raise the money. If you can’t raise the money, you’ll be refused treatment. 

If you're entitled to free hospital treatment, but have been told you’ll be charged, you should contact the NHS organisation that’s charging you and explain why you’re entitled to free treatment.

If you're entitled to free hospital treatment, but have been told that you'll be charged, you should contact the Health Authority

GPs and dentists

It’s up to the GP or dentist whether they accept you onto their list of NHS patients.

There are some exceptions to these rules though, for example if you need emergency treatment.

A patient doesn’t need to be “ordinarily resident” in the country to be eligible for NHS primary medical care – this only applies to secondary (hospital) care.

A GP practice may be flexible in deciding whether to accept you as a registered patient and if you're visiting the UK for less than 3 months, they might accept you as a temporary resident. However, there are certain services you might have to pay a fee for. Your residency status is not a determining factor in whether or not to accept you as a registered patient. 

If you have difficulty finding a GP or a dentist who is prepared to register you, contact NHS England. You can also get help to find a doctor from the NHS 111 service.

Charges

Even if you are accepted onto a GP or dentist's list of NHS patients, you have to pay charges for some things like prescription charges and dental treatment.

For more information about charges and the help you might get to pay for them, see Help with health costs.

Did this advice help?
Why wasn't this advice helpful?

Please tell us more about why our advice didn't help.

Did this advice help?

Thank you, your feedback has been submitted.