Healthcare after Brexit: living in the EU, Norway, Iceland, Liechtenstein or Switzerland
How healthcare access might change for UK nationals after the UK leaves the EU.
There might be a gap or permanent change in how you access healthcare after Brexit if there is no arrangement in place with the country you live in.
How you can prepare
Check now how you’ll access healthcare after the UK leaves the EU. You need to make the best decisions for your circumstances.
Consider registering for healthcare under the local rules and legislation to get healthcare access in the country you live in.
You may need to be a long-term legal resident or pay social security contributions. This depends on the country you live in.
You can find out more about registering locally for healthcare by:
- checking the guidance for the country you live in
- contacting the government healthcare department in the country you live in
Make sure all your documentation is up to date.
You may want to consider buying comprehensive health insurance while you are applying for local healthcare schemes, or if you’re not eligible to join one.
Check the guidance for the country you live in for the latest information on healthcare after Brexit.
Get help paying for medical treatment after Brexit
During the first 6 months after Brexit, if you need medical treatment and you’re being asked to pay for it, the UK can help.
This may be through arrangements with the country you live in, or by paying your healthcare provider directly.
To organise a payment, you’ll need to give your healthcare provider’s details to the NHS Business Services Authority’s Overseas Healthcare Services.
Call the NHS Business Services Authority on +44 (0)191 218 1999 for more information. Lines are open Monday to Friday 8am to 6pm, and Saturday 9am to 3pm (UK time).
Living in Ireland
British citizens living in Ireland will be able to access healthcare in Ireland in the same way as before Brexit.
They will also continue to have access to free, urgent treatment when they visit the UK.
Irish citizens
Irish citizens living in the UK will continue to be able to access healthcare in the UK in the same way as before Brexit.
Irish citizens living in Ireland will continue to have access to free, urgent treatment when they visit the UK.
Living in Norway, Iceland, Liechtenstein or Switzerland
Your healthcare entitlements will be protected if you are a resident in one of these countries before Brexit.
Healthcare paid for by the UK - S1 certificate
An S1 certificate helps you and your dependants to access healthcare in the EU.
You may be able to get an S1 certificate if you:
- receive certain UK benefits, such as a UK State Pension
- are employed by a UK body or firm, for example if you are a posted worker or frontier worker
- are a dependant of someone who has an S1 certificate
You can still apply for an S1 until the UK leaves the EU.
Living in an EU country
Your S1 certificate may not be valid after Brexit if there is no deal.
Check regularly for the latest information in the country guides.
Living in Norway, Iceland, Liechtenstein or Switzerland
If you are living in one of these countries before Brexit, your S1 will still be valid after Brexit.
How to apply for an S1
You can apply for an S1 through the NHS Business Services Authority on 0044 (0)191 218 1999 (option 5). Make sure you have all the right documentation and that it’s up to date. You can get a copy of your S1 certificate through the NHS Business Services Authority.
Posted workers can find out more from HM Revenue and Customs (HMRC):
- Contact HMRC about health cover abroad (UK residents)
- Contact HMRC about health cover abroad (non-UK residents)
Information for students
Read the guidance about studying in the EU, Norway, Iceland, Liechtenstein or Switzerland after Brexit.
Updates to this page
Last updated 23 September 2019 + show all updates
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Added new section on how to get help paying for medical treatment after Brexit.
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Increased visibility of calls to actions. Highlighted guidance on what to do to prepare for Brexit, agreements with EFTA states (Norway, Iceland, Liechtenstein and Switzerland), studying in the EU and how to apply for an S1 certificate.
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We have updated the information for students about EHIC rights when studying in Norway, Iceland, Liechtenstein or Switzerland.
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Updated with information about health insurance.
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First published.