EHIC cards
Reason..... i have been refused twice - once here in Cyprus and another in Malta.... despite paying into the UKs NI system for over 35 yrs - we are not resident in Uk and we dont pay in to the NI system, similarly i was resident in Malta but we have the RHA (Reciprocal Healthcare Agreement) card there and just haVing that prevented us from having an ehic issued there too...... So it seems we fall into a black hole which the EU commission dont seem to be able to answer.... so why can one not have a card issued by my home state... after all if i stilL lived there id have one....
so basically i have to use and pay for private travel insurance and yes i know its not a replacement for it.
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its a very strange black hole聽 - i neither fall into paying contributions nor residency in my homeland state - nor do I fall into the contributions in my present member state although i am resident but have never paid into it here in Cyprus...
Thank you for contacting Your Europe Advice.
1. Your Healthcare Rights Before Receipt of Your Pension
As we understand that you are considering becoming resident is Cyprus.
Under Article 11(3)(e) of Regulation 883/2004 on social security coordination, you would be subject t to the Cypriot rules on social security and healthcare.
Regrettably, since you would not be working in Cyprus (and not yet in receipt of a pension), you would not be automatically affiliated to the Cypriot social security system and therefore you would not have a right to obtain free healthcare.
When residing in another EU country and not employed, under Directive 2004/38, you must have comprehensive sickness insurance cover in the host Member State . There is no requirement that healthcare insurance needs to be private cover or that it needs to be in place prior to your arrival in Cyprus.
However, we understand that the conditions for cover by the Cypriot public health scheme requires you to have contributed at least three years into the Cypriot system. However when calculating this three-year period, we consider that regard should be had to the contributions you have made in the UK in order to count then as assimilated periods :
Further information can be found here:
If you do not meet the conditions, you and your wife would therefore need to arrange for separate healthcare cover until you start receiving your pension.
However, if before receiving a pension, you have acquired permanent residence after living continuously for a period of 5 years in Cyprus, we consider that you should be able to obtain healthcare benefits in the same way as all other Cypriot citizens who are not economically active.
This is because the Directive gives you an unconditional right to equal treatment with all resident Cypriot citizens in a comparable situation.
You may therefore want to shop around for international healthcare until age 65 by contacting an insurance broker.
By way of example, the following companies provide international healthcare cover:
2. Your Healthcare Rights After Receipt of Your Pension
If you have a right to sickness benefits in Cyprus before being in receipt of a pension, then you would continue to be covered by the Cypriot system from the time you start receiving a pension. Note that social security contributions are not payable by persons aged over 65 in Cyprus. You should also be issued with a European Health Insurance Card (EHIC) by the Cypriot authorities
According to Article 24 of the Regulation on social security, where you and your wife start receiving a pension from one or more countries (in your case the UK) and you have no right to obtain sickness benefits in kind under the legislation of the country where you reside (Cyprus), you should be entitled to receive healthcare (termed sickness benefits in kind ) in Cyprus insofar as if you would have been entitled to obtain such healthcare in the UK were he living in the UK. Healthcare will be provided to your uncle in Cyprus at the expense of the social security institution of the country from which you receives your pension (Article 24(2)(a) applies). Therefore, you will remain subject to social security in the UK and your healthcare will be provided to him in Cyprus at the expense of the UK authorities. Once you receiving you UK state pension, you will have a right to register with the Cypriot healthcare system using Form S-1 (previosuly Form E-121). You should also be issued with a European Health Insurance Card (EHIC) by the UK authorities.
You can get the forms from The Pension Service at the following address:
The Pension Service
International Pension Centre
Tyneview Park
Newcastle-upon-Tyne NE98 1BA
Tel: 0191 21 87777
TVP-IPC-Customer-Care@thepensionservice.gsi.gov.uk
Once you have obtained form S-1, you should use it to register with the Cyprus health service:
You can find out more how the Cypriot system works on the UK s DoH website:
We hope this answers your query.
reply from the DWP
We have provided, in our previous email, information on the various healthcare forms available.聽 If you do not have entitlement to one of the forms (S1, E121, E106, E109), then we cannot issue you with a European Health Insurance Card.
It appears that, as yet, you do not have entitlement to a healthcare form issued by the United Kingdom (UK) and therefore do not have entitlement to the EHIC issued by the UK.聽 聽The UK only issues European Health Insurance cards to those persons who are either resident in the UK or covered by one of the healthcare forms.聽 National Insurance contributions are not taken into consideration.
The EHIC is issued by the Business Services Authority (BSA) upon receipt of a completed EHIC application form. This form is issued by the Overseas Healthcare Team to those persons who hold a registered healthcare form in the European Economic Area (EEA) member state or Switzerland.
In order to issue an EHIC application form to you, we must have confirmation from your country of residence that you are registered for state healthcare via one of the following forms: S1, E121, E106, and E109.聽 Below is a summary of the forms available so that you may determine if you are entitled to one of the healthcare forms mentioned.
Form S1 / E121
Form S1 / E121 can be considered for people who are in receipt of a United Kingdom (UK) state Retirement Pension, Incapacity Benefit, Employment聽 support Allowance, Severe Disablement Allowance, Widows Benefit or Bereavement Benefit when they go to live in another EEA member state or Switzerland.
The S1 / E121 is issued, if entitlement exists, when the benefit or pension is awarded and the transfer of residence is known.
Form S1 / E121 is issued by the office responsible for paying your benefit or pension.
Form S1 / E106 Residual
Form S1 / E106 Residual can be considered for people who are moving to another EEA member state or Switzerland and do not intend to work there. Entitlement to form S1 / E106 is based on contributions paid in the United Kingdom within the last 2 tax years.
Form S1 / E106 is issued by the Overseas Healthcare Team, you can apply by telephone on 0044 191 2181999 up to 4 weeks before you move.
Form S1 / E106 Workers
Form S1 / E106 Workers can be considered for people who are posted to work in another EEA member state or Switzerland for their UK employer and are paying UK National Insurance contributions.
Form S1 / E106 Workers is issued by the International Case Workers(ICW) at Her Majesty鈥檚 Revenue and Customs (HMRC), you can contact them by telephone on 0044 191 2037010.
Form S1 / E109
Form S1 / E109 can be considered for the dependent family members of a UK insured person, where the insured person lives in the UK and the dependants live in another EEA member state or Switzerland. The S1 / E109 does not provide cover to the insured person.
Form S1 / E109 Workers is issued by ICW at HMRC, you can contact them by telephone on 0044 191 2037010.
If you are issued with one of the above forms you should take it to your local Social Security / Sickness Office. They will register the form and return one copy to us as confirmation of registration. Once we have received the correctly registered form we will issue the EHIC application form to you.
i wil take this to the top - as i think its wrong....
llp wrote:Any updates on this?
You can only get the card from the country you are resident in. If not you have pay for private insurance. The EHIC is only for temporary stays and for emergency treatment. It was never to be an alternative to regular healthcare.
So nothing has changed.
and could all change dependant on what happens with brexit聽 - unlikely but who knows what may happen.. lots of things can be affected
UK NHS International have advised I need an EHIC if I visit the UK and or Health Insurance as I am no longer entitled to UK health care.
I have the EHIC card application to have this from Cyprus but I cannot see where to send the completed documents! Has anyone obtained the Cyprus EHIC and where was the application sent.
UK NHS International have advised I need an EHIC if I visit the UK and or Health Insurance as I am no longer entitled to UK health care.
I have the EHIC card application to have this from Cyprus but I cannot see where to send the completed documents! Has anyone obtained the Cyprus EHIC and where was the application sent. - @phildraper
Where did you get the form from? Cyprus or the UK?
Downloaded from the Cypriot site
Downloaded from the Cypriot site - @phildraper
It's actually written on the website......
The application for an EHIC should be submitted at any Citizen Service Centre or any Citizens Center of the Cyprus Post
I obtained a UK Global Health Insurance Card on-line , and also one for my partner
A UK Global Health Insurance Card (GHIC) is valid for five years from the date it's issued.
You can apply for a new card up to nine months before your current card expires.
Ours expire in 2028
As we are both retired will these be of any use to us if we move to Cyprus and become tax residents ?
A UK Global Health Insurance Card (GHIC) is essentially the same as a European Health Insurance Card (EHIC), but it has replaced the EHIC for UK residents following Brexit, meaning if you are a UK citizen applying for a new card, you will receive a GHIC instead of an EHIC; however, if you already have a valid EHIC, you can continue using it until it expires.
Key points about the GHIC and EHIC:
Function: Both cards allow access to necessary state-provided healthcare in European Union countries at a reduced cost or for free.
Who can use it: UK residents can use a GHIC to access healthcare in EU countries.
Replacement: For new applications, a GHIC is issued instead of an EHIC for UK residents.
@SimCityAT
Thanks for the details. I will make the trip and see how it goes
We got the GHIC last year from the UK authorities.聽 I haven't tried to use it, but if it's anything like the EHIC which was first supplied to us back in the 1980's (it was an A4 piece of paper back then) while serving in Germany with HM Forces, these things are for emergency treatment only and our experience of actually trying to use it when one of our kids had an asthma attack while we were on holiday in Holland, was a blank look, and bluntly told we would have to pay up front, then claim it back from the UK authorities, which we did.聽 When my wife inquired via the back door (she's a Dutch nurse), the doctor's secretary told her that the Brits were poor at paying their bills.
Luckily, never needed to use it since.
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