European Health Insurance Card

Free EHIC Card 4m due to expire, check yours now

The EHIC, or European Health Insurance Card, doesn't cost a penny. It can get you free or discounted medical care in all 27 EU countries, plus a few others. Yet over half the UK population don't have one, plus nearly four million will expire in 2012, so urgently check yours.

What's an EHIC?

The free European Health Insurance Card (EHIC) entitles the holder to free or discounted medical treatment at state-run hospitals and GPs in any European Union country, plus Iceland, Liechtenstein, Norway, and Switzerland.

If you're in Europe and you've got an EHIC you’ll be entitled the same treatment that local citizens are entitled to, which is extremely useful in emergencies. It’s completely free and valid for five years; all UK residents are eligible, though residents of the Channel Islands and Isle of Man aren't.

Does it make treatment free?

No. You get treated the same way as a citizen of that country, so if they get free medical treatment you do too; if they pay, you pay the same rates. As this is a reciprocal agreement across Europe, it also means EU citizens can use the NHS in the same way.

It’s also worth noting that the EHIC doesn’t cover you if you're going abroad specifically to get treatment, see more info.

Martin's quick tale:

My own EHIC was a godsend at an Italian friend’s wedding. I was due to make a speech and lost my voice, so I nipped to the local GP at no cost.

Who needs one?

Everybody who is travelling to Europe needs an EHIC. Even if you've already got travel insurance, it's valuable extra protection, even if just for visiting the local GP with a query while away. There are a few important facts to note:

• Check yours hasn't expired.
  
  Nearly four million EHICs are due to expire in 2012, so ensure yours is valid before you go away. The expiry date is on the bottom right. If it's already expired, or is about to, renew it now.
• 
  The EHIC replaced the E111 form in 2005, and until March 06 some three year and some five year cards were issued to spread expiry dates. As you can apply for a new card up to six months before the current one ends, it’s worth doing this in advance so you don’t forget.
• Kids must have their own cards.
  
  Though you must be over 16 to apply, every family member requires a card. To apply on behalf of a child, just include them as a 'dependant' in the relevant section of the application and you'll each receive a separate EHIC.
• Keep the card with you at all times.
  
  Absurdly, the terms stipulate you won't be covered if you haven’t got it on you. Don’t leave it behind at the hotel if you’re out and about, and even take it to the beach if you have to.
• You may need to pay and claim later.
  
  Though the EHIC allows you instant free treatment in some countries, in others you'll need to pay and reclaim the money while you're there, or when you get back to the UK. Use the Country by country guide below to find out which applies to you, and call the NHS Overseas Healthcare Team on 0191 218 1999 if you need to make a claim.

Is it a substitute for travel insurance?

No. While very useful, it’s only about medical cover. It only gives you access to state-run hospitals which, depending on where you travel to, can be few or far between, and more limited.

The EHIC gives valuable protection but should never be seen as a substitute for travel insurance.

Travel insurance has a much wider level of cover than the EHIC. For example:

• Using the EHIC doesn’t always mean free treatment.
  
  You may still have to pay a substantial amount in some countries, even in a state hospital. Travel insurance should cover this, though using an EHIC may mean you won't need to pay the excess.
• State hospitals mightn’t be available.
  
  While in the UK emergency treatment tends to be in the NHS, don’t assume this type of coverage will always be available as you may be taken to a private hospital.
• Cancellation, delay, repatriation, baggage loss and theft aren’t covered.
  
  The EHIC is purely a medical policy, yet travel insurance covers many other areas.
  
  
  
  

It's possible to cover a year's holidays for less than £20.

Country by country guide

The EHIC's usable in the EU’s 27 member states, plus a few others. Show your card before treatment, and keep any receipts. The NHS site has detailed country-by-country information on what’s covered in each, see below for a quick summary:

• Austria. Treatment will be free if the doctor's contracted with one of Austria's regional health insurance offices, though you'll be charged if not. However, you can claim up to 80% of this back. 
• Belgium. Though the majority of doctors in Belgium provide private healthcare, some offer both. You'll have to pay for healthcare, but you may be able to claim back up to 75% of the charge.
• Bulgaria. Check before making an appointment whether the doctor is registered with the National Insurance Fund. There's a small charge to see a doctor but you may be able to get this back in the UK. 
• Cyprus. Treatment is available from doctors in state healthcare centres. It'll cost two euros for each visit, but you may be able to claim this back in the UK. 
• Czech Republic. Make sure the doctor's registered with the CMU. You'll need to pay a small patient contribution, though watch out as you'll have to pay the full cost if the doctor isn't registered.
• Denmark. Doctor consultations are covered, though check whether the doctor's registered with the Danish public health service. If you're charged, you can claim back the full amount. 
• Estonia. You'll need to pay some of the fee for any medical treatment, and this includes home visits. You might be able to claim for this when you arrive back in the UK.
• Finland. Visit a municipal health centre for assessment - some medical services are free, though health centres may charge for others.
• France. Make sure the doctor or dentist is registered with France's state healthcare provider before making an appointment. You should be able to claim back approximately 70% of the treatment fees.
• Germany. Check the doctor provides treatment under the state scheme; there's a standard charge of ten euros for nearly all services, though this may be refundable back in the UK.
• Greece. See an IKA-ETAM doctor or dentist to get reduced-price or free treatment. Consult a private doctor and you'll need to pay charges up front, though you can then claim them from the Greek authorities. 
• Hungary. You'll need to go to surgeries contracted with the OEP, though there's a fee of HUF 600 for each visit, or HUF 1,000 if it's out of normal treatment hours. These may be refundable in the UK. 
• Iceland. Its health centres provide treatment from 8am to 4pm, and are in all districts of Iceland. There's a charge of IKR 1,000, or IKR 500 if you're on a state pension, which may be refundable in the UK.
• Ireland. Visit doctors working under the Primary Care Reimbursement Service scheme to get free treatment. To find your nearest, go to your local Health Service Executive office.
• Italy. Make sure the doctor's registered with the Italian national health service, the SSN, and treatment should usually be free. Surgeries are generally open Monday - Friday, though opening times vary.
• Latvia. Charges apply to see a doctor, though pregnant women receiving treatment to do with their pregnancy won't be charged. Those under 18 also avoid the fees, which may be refundable in the UK.
• Liechtenstein. Visit a doctor covered by the public health scheme and you'll pay CHF 67, or CHF 33.50 for pensioners and children.
• Lithunania. Visit a doctor who works with one of the territorial patient funds to get free treatment. Any private healthcare fees are sadly non-refundable.
• Luxembourg. You'll need to pay and then claim the cash back from the CMO, the Sickness Insurance Fund for Manual Workers. Hospital stays and medicines are fully funded by the CMO.
• Malta. Go to public health centres to see a doctor. State-provided emergency dental treatment is free, though isn't widely available as most dentists have private practices.
• Netherlands. See a doctor covered by the AGIS Zorgverzekeringen scheme and treatment will normally be free. Children can also receive state-provided dental care, though others will have to pay.
• Norway. You'll have to pay a fee. Make sure you see a doctor with a reimbursement arrangment with the NAV. Though the cost is non-refundable in Norway, you may be able to get it back in the UK.
• Poland. The NFZ logo indicates those working under the state healthcare scheme. You'll be able to visit doctors surgeries Monday - Friday, 8am - 6pm; outside these hours a 24-hour medical service is provided by NFZ-contracted health units.
• Portugal. There's no charge for state doctors, dentists or hospitals. If you need a pharmacy, you'll find them across Portugal, open Monday - Friday. These can also provide lists of pharmacies with 24-hour service.
• Romania. Check the doctor, dentist, pharmacist or hospital is working with the Casa Nationala de Asiguarari de Sanatate. There's normally no charge for a medical consultation, though you'll be charged part of the cost for any tests.
• Slovakia. Make sure the doctor or dentist is covered by the Slovakian health insurance system. You'll need to pay a contribution if you see a doctor, but emergency dental treatment is free.
• Slovenia. Check the doctor's registered with the Health Insurance Institute. You may need to pay a standard contribution, though this may be refundable in the UK.
• Spain. State healthcare is free, but check they accept your EHIC first as some hospitals and health centres also offer private healthcare.
• Sweden. Under 20s receive free treatment, though others will be charged between £8 - £12 per treatment. Make sure you see a doctor working under the public insurance scheme. Switzerland. Check that the doctor's registered with the Swiss public health service. Usually, you'll need to pay in full for treatment and claim a refund later. 

How do I get one?

There are several ways to register for a card:

• Apply on the EHIC website, or find more info on the NHS website.
• Call 0845 606 2030.

Generally, it'll take about seven to ten days for it to come through, though it's worth applying early so you get it in good time for your holiday. If you’ve lost your card or it’s been stolen call 0845 606 2030, or from abroad call 0044 (0)191 218 1999. For more emergency info, it’s also worth taking the free, printable Little Lifesaver travel guide with you when you’re away.

Beware unofficial websites

Watch out for websites demanding a fee for the EHIC. Search on the internet for ‘EHIC’ and you’ll find sites that describe themselves as ‘reviewing’ or ‘forwarding’ services, charging about £10-£15 to process your application. They often look official, but scroll to the bottom and you’ll find a tick box asking for cash.

One site’s form requires you to tick, “I agree to pay the sum of £9.90 for the review and forwarding service”. A quick check on the site’s Terms and Conditions reveals this as “non-refundable charges for the provision of the Service”.

ALWAYS use the official site, www.ehic.org.uk, to get yours for free. A Department of Health spokesperson told us: