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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.

  • TomH says:

    I hadn’t realised you could still apply for an EHIC from Britain if you were an EU national.

    Would this also be true for my son, who has a Swedish passport but has only ever lived in the UK?

    • gerjomarty says:

      The NHS site has a step by step application process with many questions around citizenship. If your son is also a UK national and has been since birth it *might* mean they’re notb eligible, but it’s easy to check.

    • Sandgrounder says:

      Yes. My wife has one, and I have one too via my connection to her.

      • Sandgrounder says:

        ‘you may not be covered if you‘re also a UK national or if you were born in the UK’
        Maybe not??
        More research required

        • Sandgrounder says:

          ‘If you were born in the UK to British parents or parents who were settled in the UK and have lived in the UK from before 1 January 2021, you’re not normally eligible for a new UK EHIC even if you’re an EU, Swiss, Norwegian, Icelandic or Liechtenstein citizen.’
          That’s a no then?

          • Bagoly says:

            Just ot clarify: that means you are entitled to a GHIC, so you are not left without anything.

    • Gosia44 says:

      I am both UK and EU citizen and have recently applied for a new EHIC card when the old one expired. Not all dual or EU citizens can apply for EHIC, only those who exercised EU treaty rights in the UK before Brexit. This means that if you were born British and also carry an EU passport you are unlikely to qualify but if you were born EU (not British) and later naturalised to become British then you are likely to qualify for the old style EHIC.

  • Paul says:

    The card is a national embarrassment! A political stunt that is wholly misleading. It’s not a gobal insurance card. Simply a reminder every time I pick mine up of what was lost.
    I’d say a lot more but it would be deleted.

    • AJA says:

      If it’s such an embarrassment, would you prefer it that the GHIC didn’t exist?

      As the UK is no longer an EU country it doesn’t have to do any deal to allow reciprocal emergency treatment of UK citizens anywhere in the EU or Switzerland.

      We could’ve been forced to just take out travel insurance. That would save the NHS the costs of running the GHIC and being charged for emergency treatment of UK citizens inside the EU.

      • Paul says:

        Brexit is the embarrassment as is the look of the card. I particularly object to the image of Johnson’s underwear as a background.

        I would never dream of going anywhere without insurance as I have used it too often. Of course some may feel this card affords some protection but from painful family experience it’s often is not accepted (as indeed the EHIC card was not accepted.

  • gerjomarty says:

    Sorry, my example is wrong. Replace Switzerland with Iceland. Obviously this isn’t a massive headache in the grand scheme of things.

    • Lady London says:

      It’s actually possible to have both EHIC and GHIC – some people do have both entitlements. Each is applied for separately.

  • Nick Burch says:

    It’s not just EU citizens who can continue to get a full EHIC, their immediate family can too

    • NFH says:

      Not if those family are British-born, unfortunately.

      • George K says:

        Not sure if that’s true. If it is, then my British-born kid got one too by mistake…

  • Matt says:

    As per another comment, UK citizens who are the immediate family of an EU citizen with settled status can apply for then EHIC. I’m a UK citizen married to an EU citizen living in the UK, so eligible for the EHIC.

    • TomH says:

      How would you unlock that option on the web form? It didn’t ask me any questions about relatives.

      • John says:

        I think the EU citizen applies and they can add details of their family (who can be British and/or not British)

    • NFH says:

      If their family are British born, then they can’t have an EHIC.

  • mzb says:

    EHIC is also available to dual nationals (EU/UK) residing in the UK and their immediate families.

  • TimM says:

    1) In some countries the state provision is very poor. In Greece there is minimal nursing care, basic personal toiletries such as toilet paper and soap are not provided – relatives are expected to provide all these.
    2) Many travel insurance policies require the traveller to hold an EHIC/GHIC when visiting Europe.

    In short make sure you have both an EHIC/GHIC and travel insurance.

  • LittleNick says:

    So Eu Citizens in the UK can get an EHIC issued by the UK? If so, EU citizens are treated better than Brits by the UK Gov, ironic. Crazy the UK gov would agree to something like that

    • Barry says:

      EU citizens who have settled status. The principle being that nothing should have changed for them from pre to post Brexit

    • John says:

      One of the many ironies of Brexit.

    • J says:

      Wait until you find out about freedom of movement…

      • AlastairB says:

        Or the ‘Surrinder Singh’ route for bringing over relatives (although I guess that has become irrelevant now). Interestingly this leads to some raised eyebrows in my adoptive EU country of residence. Third country nationals who have now become citizens here have _fewer_ rights to bring over their family members than I do.

    • Bagoly says:

      UK citizens resident in the EU since before Brexit also get EHICs, which cover treatment in the UK when visiting.

      • abc says:

        Everyone legally residing in the EU gets an EHIC independent of their nationality or whether they moved there before or after Brexit, that’s the whole point of the scheme. And all EHICs are valid in the UK based on the reciprocal agreement that allows the GHIC.

    • John says:

      When we were in the EU, EU citizens also had more rights than solely British citizens, in terms of their family being able to live in the UK with them.

      • His Holyness says:

        Plus tuition fees in Scotland, Wales…

      • Rob says:

        I keep telling my kids that a key attraction to future partners will be their EU passports (and the London property we’ll buy them to get shot of them!) Should hopefully outweigh some of their annoying habits 🙂

        • Paul says:

          There is a simpler way. Live in Ireland for 5 years. Sadly I tried but my wife was having none of it. So Scotland and prayers for independence and a long life!!

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