If you're thinking about having medical treatment in another country, it's important to understand how it works and the risks involved.
If you do not follow the correct procedures, you may have to pay the full costs of your treatment.
You should discuss your plans with a GP before making any final decisions about travel or medical arrangements.
Your European Health Insurance Card (EHIC) or UK Global Health Insurance Card (GHIC) does not cover going abroad for planned medical treatments.
An EHIC or GHIC is for "necessary healthcare" from state services when you're visiting the EU and Switzerland. Necessary healthcare means healthcare that becomes medically necessary during your stay, and you cannot reasonably wait until you're back in the UK to get it.
You should also ensure you have adequate travel insurance.
UK-funded treatment in Europe from 1 January 2021
The UK has left the EU and access to treatment in Europe has changed.
Make sure you read the relevant funding route pages:
Before planning a trip abroad, check the GOV.UK guidance for travelling overseas during the coronavirus (COVID-19) pandemic.
How the NHS can fund your treatment
You may be able to access NHS-funded healthcare in the EU, Norway, Iceland, Liechtenstein or Switzerland if you fulfil certain eligibility criteria.
The criteria vary depending on the access route. There are 2 possible routes.
The S2 (planned treatment) route
This is a direct funding arrangement between the NHS and the state healthcare provider in the country of your choice.
Even with the S2 route, some countries may require you to pay a proportion of the costs.
If you wish to use this route, you must get prior authorisation from NHS England before receiving treatment.
The EU directive on cross-border healthcare: the EU directive route
This arrangement is between you and the NHS. Using this route means you'll have to pay the cost of your treatment abroad upfront and then claim eligible costs from the NHS when you return.
You can only apply for reimbursement for treatment that started or was approved before 11pm on 31 December 2020.
Do your research
Going for medical treatment abroad is not easy and a GP or NHS England can only do so much to help you.
You'll have to make the arrangements yourself, including finding a healthcare provider and making all the travel arrangements.
This means it's important to do some research and gather enough information to make an informed choice.
You should consider:
- any language barriers
- whether you know enough about the people who'll treat you and the facilities available
- communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home
- how to make a complaint if things go wrong – the NHS is not liable for negligence or failure of treatment
You'll need to be aware of how your aftercare will be provided when you return home and understand the conditions under which you'll be treated abroad.
You should also ensure you have adequate insurance. Most travel insurance policies will not cover you for planned treatment abroad, so you may need specialist cover.
We have created a checklist for treatment abroad that should help you get organised and provide you with information about the risks involved.
How to contact the relevant health commissioner
- England – contact NHS England on 0300 311 2233 or email@example.com
- Wales – contact your local health board
- Scotland – contact your local NHS board
- Northern Ireland – contact the health and social care board
Going outside Europe for treatment
Neither the S2 route nor the EU directive route applies to treatment outside Europe.
If you want to have treatment in a non-European country, such as in Canada or the US, speak to your local clinical commissioning group (CCG).
Important contacts in England
For all general enquiries relating to healthcare in Europe or accessing NHS treatment within England, contact NHS England on 0300 311 2233 or firstname.lastname@example.org.
For specific questions on the progress of your application for planned treatment in a European country, contact the European Team on 0113 824 9653 or email@example.com.
For questions on giving birth abroad, refunds of co-payments, or about the EHIC, contact Overseas Healthcare Services on 0191 218 1999.
Information for Northern Ireland, Scotland and Wales
Page last reviewed: 14 January 2021
Next review due: 14 January 2024