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How does GHIC, the EHIC replacement EU travel insurance card, work?

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Brexit meant the end of the European Health Insurance Card for UK citizens. It was replaced by a new Global Health Insurance Card or GHIC.

The good news is that existing EHIC cards will continue to work until the expiry date shown on your card, even if that is many years away.

Moving forward, any new cards for UK citizens are being issued under the GHIC scheme. Any EU citizens living in the UK will have continued access to the EHIC scheme.

EHIC card

In this article we will look at how your health insurance coverage changes and how you can apply for the new GHIC.

What is the difference between EHIC and GHIC?

Not much, to be honest.

Within the EU, the EHIC card entitled you to medical treatment at state-run hospitals and surgeries at the same cost that locals were charged.

If locals had free healthcare then you would, too. All you had to do was flash your EHIC card.

The new GHIC provides exactly the same coverage. The only difference is the name and the fact that it no longer covers non-EU countries such as Lichtenstein, Iceland and Norway that were previously part of the EHIC scheme.

Ironically, despite being called the Global Health Insurance Card, it only covers EU countries and Switzerland.

Do I need to replace my EHIC?

You can continue using your EHIC card in the EU providing it is valid and in-date.

You do not need to re-apply for a GHIC until your current card expires although you can apply up to six months before your existing EHIC expires.

How do I get a GHIC?

Just like EHIC, the new Global Health Insurance Card is being administered by the NHS.

You can apply on this page of the NHS website.

Applying for a GHIC card is FREE. Do not apply via any other website as it is likely to be a scam, either by charging you for the card or for delivery or using your personal information for fraudulent purposes.

If you are travelling, need treatment but do not have your card, you can get a Provisional Replacement Certificate to prove your entitlement to medically necessary healthcare. This gives you the same coverage as an EHIC / GHIC.

Do I still need travel insurance?

Carrying an GHIC or EHIC card is not an adequate replacement for comprehensive travel insurance. Your GHIC will only give you access to state-run health care. It does not cover holiday cancellation or curtailment, repatriation or other potential costs.

It is also important to remember that you only receive free care which is equivalent to what a local resident would receive. You may find that you need to pay for certain treatments which, had you needed the treatment in the UK, would have been free.

You should make sure you take out adequate travel insurance before travelling both inside and outside the EU.

You can find out more on the NHS website here.

Comments (88)

This article is closed to new comments. Feel free to ask your question in the HfP forums.

  • Tony1 says:

    I do not think that the “old” card and the new card cover Andorra – but its a very quick 20 min dash to Spain and the Hospitals there – as we found out 10 years ago ( broken toe from falling in shower ) Hotel sympathetic and helped by providing a cup of lukewarm coffee for the trip ….

  • Michael Jennings says:

    Although the GHIC is not valid in Norway, there is a reciprocal agreement in place with Norway – this existed before the existence of EHICs, and came back into force after Brexit. So you can get free emergency healthcare in Norway, but you have to show your passport rather than the GHIC.

    At least, in theory. A friend of mine was asked to show her GHIC anyway when this happened.

    • abc says:

      This only works for UK citizens, though (while all UK residents get the GHIC).

      • Michael Jennings says:

        Yes – fair point. It’s good to know if you are a British citizen though.

  • SamG says:

    Only ever used it once in France for A&E when I randomly ended up with excruciating pain in my neck and shoulder. Though you have to pay for A&E there so I got a bill for ~€25 a little while later. Not sure if they billed the UK for the rest?!

    Interesting experience actually, not sure if they have an issue with anti social behaviour in Cherbourg but took a while on an intercom phone to persuade them to even let me in the building! But once I’d satisfied the “dragon” I was in fact actually unwell she warmed up, got me registered and a Dr very quickly decided I hadn’t catastrophically injured myself eating too many baguettes sent me off to a pharmacy with a prescription for some anti inflammatory tablets which did the trick. All in far better English than my French!

    • Rui N. says:

      Yes, they bill the UK for the rest. The UK is also supposed to bill EU countries when EU citizens use the NHS here, but apparently they don’t most of the time!

      • Dan says:

        Aparently, it costs more for the UK to bill them with red tape and paperwork so we don’t bother. Plus, you would need staff to do that which the NHS lacks.

        This was from my grumpy uncle so don’t take my word for it! But it sounds about right.

        • Londonsteve says:

          It’s a huge amount of money the UK is leaving on the table and has been doing so for a long time through ignorance/laziness/poor organisation. It typifies the UK’s whole approach to EU membership. Also I’d wager that most UK citizens living in the EU aren’t handing over their EHIC when they get treated in the UK during a visit back. There just isn’t a European-style arrangement within the NHS of individual treatment requiring the need to be charged back to something, even if that’s just to a government health insurance fund for the low paid and unemployed. The mere mention of the word ‘insurance’ in the UK raises howls of anguish and complaints about cost and warning of how 20% of the US is uninsured when it’s the European model they should be examining.

          • Michael Jennings says:

            An American friend spent a night in a public hospital in the UK when she was visiting me due to a pre-existing condition that became aggravated. The hospital sent her a bill when she was back in the US. Her insurer in the US asked for the bill to be itemised. She sent that request back to the British hospital. She never heard from them again.

    • Michael Jennings says:

      I went to A&E in a public hospital in Spain after getting bitten by a dog. I had an expired EHIC on my but not a current GHIC. I was treated, and sent a bill a month or so later. I called the relevant department of the NHS and they sent an e-mail to the hospital saying I was covered, and presumably payment was sent later. Everything was fine, anyway. I have had very good experiences of public healthcare in Spain.

  • GREYGOOSE says:

    Rhys, your para re Provisional Replacement Cert. is missing a “not”

  • J says:

    I should be eligible for a new EHIC, as my wife is an EU citizen, but there doesn’t seem a way to get there on the application form. Anyone found a route to make this work?

  • John says:

    “Fun fact: apply for a GHIC from a Northern Ireland address to unlock the secret option to remove the obnoxious flag on the front of it.”

    Can mainlanders get a naked card too?! One that looks slightly less like Grant Shapps doing a tv interview from his broom cupboard in Hatfield.

    • gerjomarty says:

      I tried with my address in England and they don’t even show you the option. I’m not sure if you can even get away with a N Irish friend’s house, as I think they technically ask for your own address, I’m afraid. Anecdata: I used my parents address (where I used to live) and it was instantly accepted.

    • RussellH says:

      I agree – but it could be worse – they might have put a photo of Grant Shapps doing a TV interview from his broom cupboard in Hatfield on the front of the card!
      Or a photo of the former MP for Uxbridge.
      🙂

  • brian says:

    Had no idea I was entitled to an EHIC given my settled status. From my reading my son is only entitled to the GHIC. Will have to see if both can be requested in the same online application.

  • Gavin says:

    I wish the new GHIC didn’t have a big stylised waving flag on the front. It’s unnecessary and tacky. The EHIC looks just right for something boring like an insurance card.

    • AlastairB says:

      I 99% sure they are re-printed EHIC stock that they had to cover up with colours that make it look different without letting the EHIC design show through.

    • Londonsteve says:

      Have you seen the livery commissioned by Boris Johnson on the government aircraft? Now that’s tacky. 70% of the food packaging these days seems to have a Union Flag on it, to be honest I’m sick of seeing it pasted everywhere. I have no problem seeing the flag on a town hall or on a ceremonial flag pole in a town square, I don’t however want to see it on my butter just because it’s made from British milk.

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