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Accessing UK NHS as a UK citizen with Spanish residencia - Page 2

Cheryl

Posted: Tue Jan 11, 2022 11:06pm

Cheryl

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Posted: Tue Jan 11, 2022 11:06pm

https://www.gov.uk/guidance/healthcare-in-spain-including-the-balearic-and-canary-islands#getting-treatment-in-the-uk 

According to this, you cannot use your EHIC for NHS treatment in the UK as free NHS care is residency based and you are no longer a UK resident. You will have to use travel insurance.

Also, within the first 5 years of residency in Spain you are limited with the amount of time you can spend outside of Spain. It is 6 months in any one year and a maximum of 12 months overall otherwise your residency will be cancelled.

https://www.immigrationspain.es/en/maximum-time-outside-spain-without-losing-residency/ 

colin4457

Posted: Tue Jan 11, 2022 11:19pm

colin4457

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Posts: 62

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Posted: Tue Jan 11, 2022 11:19pm

tebo53 wrote on Tue Jan 11, 2022 10:57pm:

Hi Colin,

When you reach pension age and are entitled to UK government pension you will also be entitled to apply for healthcare via the S1 healthcare scheme which is paid by the UK government. The S1 scheme will entitle you to use the Spanish Healthcare services. 

Having the S1 forms, which entitles you to healthcare in Spain paid for by the UK government will also entitle you to use the UK NHS When you visit the UK. 

You will be sent two copies of the original S1 forms, 1 set for the Spanish authorities and the other set for your use, I.e. to access the NHS in the UK

Steve 

Thanks for that - it confirms my understanding that we will be able to continue accessing the UK NHS foc!

colin4457

Posted: Tue Jan 11, 2022 11:24pm

colin4457

Original Poster

Posts: 62

17 helpful points

Location: Pedreguer

Joined: 3 Jun 2018

Posted: Tue Jan 11, 2022 11:24pm

Cheryl wrote on Tue Jan 11, 2022 11:06pm:

https://www.gov.uk/guidance/healthcare-in-spain-including-the-balearic-and-canary-islands#getting-treatment-in-the-uk 

According to this, you cannot use your EHIC for NHS treatment in the UK as free NHS care is residency based and you are no longer a UK resident. You will have to use travel insurance.

Also, within the first 5 years of residency in Spain you are limited with the amount of time you can spend...

... outside of Spain. It is 6 months in any one year and a maximum of 12 months overall otherwise your residency will be cancelled.

https://www.immigrationspain.es/en/maximum-time-outside-spain-without-losing-residency/ 

Hi Cheryl,

Thanks for the info. However, the article you included on healthcare clearly states that you can get access to free healthcare if you have a current EHIC card, which we both have. The cards expire after we reach UK state pension age so we can either renew them or obtain S1 forms which will also ensure free access to the NHS and Spanish health system.

Regarding duration of stay, our intention is to comply with the residency requirement of 6 months. However, we have been advised by our accountant that the Spanish authorities are reasonably relaxed about staying less than 6 months so long as you pay your Spanish taxes. The counter to that is that the UK HMRC may also want to tax those that stay in the UK for longer than 183 days in any tax year. A tricky balancing act thanks to the gift that keeps on giving (i.e. Brexit!)

Colin

Peter3473

Posted: Wed Jan 12, 2022 9:26am

Peter3473

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Posted: Wed Jan 12, 2022 9:26am

Again, it has always been on my understanding that persons under the uk state pension age who are no longer a UK resident, the Ehic card is not valid for use in the Uk or Spain, but would like to point out that before brexit, some people used their Ehic card to gain Spanish residency and were successful. 

Cheryl

Posted: Wed Jan 12, 2022 10:47am

Cheryl

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Posts: 2973

3538 helpful points

Location: Albatera

Joined: 8 Jun 2017

Posted: Wed Jan 12, 2022 10:47am

colin4457 wrote on Tue Jan 11, 2022 11:24pm:

Hi Cheryl,

Thanks for the info. However, the article you included on healthcare clearly states that you can get access to free healthcare if you have a current EHIC card, which we both have. The cards expire after we reach UK state pension age so we can either renew them or obtain S1 forms which will also e...

...nsure free access to the NHS and Spanish health system.

Regarding duration of stay, our intention is to comply with the residency requirement of 6 months. However, we have been advised by our accountant that the Spanish authorities are reasonably relaxed about staying less than 6 months so long as you pay your Spanish taxes. The counter to that is that the UK HMRC may also want to tax those that stay in the UK for longer than 183 days in any tax year. A tricky balancing act thanks to the gift that keeps on giving (i.e. Brexit!)

Colin

"If you are a UK national and move to the EU, you should not expect to be able to use NHS services for free when visiting the UK unless you have an EHIC, PRC or S2 to show your healthcare costs are funded by the EU country in which you now live, or another exemption applies."

Unfortunately a UK issued EHIC does not show that your health costs are being met by Spain, it shows they are being met by the UK which you are no longer entitled to because you are no longer resident in the UK.
Once you reach UK state retirement age you will be covered under the S1.

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Jan1961

Posted: Wed Jan 12, 2022 11:04am

Jan1961

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Posts: 244

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Joined: 21 Jul 2016

Posted: Wed Jan 12, 2022 11:04am

Peter3473 wrote on Wed Jan 12, 2022 9:26am:

Again, it has always been on my understanding that persons under the uk state pension age who are no longer a UK resident, the Ehic card is not valid for use in the Uk or Spain, but would like to point out that before brexit, some people used their Ehic card to gain Spanish residency and were suc...

...cessful. 

Hi,I was told when I obtained Spanish residency in 2019 that once a month the Spanish authorities send a list of new Spanish residents to the NHS so that they can be deleted from the UK health system. Therefore I have always assumed I am not entitled to NHS care. I was also told to scrap my UK EHIC and apply for a Spanish EHIC card (which I did) if I needed medical treatment on holiday in other European countries. Of course at the time the UK was in Europe. 
Now I would expect to pay for any treatment etc if I found myself in the UK.

I am not saying this is correct it is just what I was told.

Peter3473

Posted: Wed Jan 12, 2022 12:38pm

Peter3473

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Posts: 989

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Joined: 21 Oct 2019

Posted: Wed Jan 12, 2022 12:38pm

Jan1961 wrote on Wed Jan 12, 2022 11:04am:

Hi,I was told when I obtained Spanish residency in 2019 that once a month the Spanish authorities send a list of new Spanish residents to the NHS so that they can be deleted from the UK health system. Therefore I have always assumed I am not entitled to NHS care. I was also told to scrap my UK EH...

...IC and apply for a Spanish EHIC card (which I did) if I needed medical treatment on holiday in other European countries. Of course at the time the UK was in Europe. 
Now I would expect to pay for any treatment etc if I found myself in the UK.

I am not saying this is correct it is just what I was told.

Basically the same information given to me, re deregistration, as I was not entitled to renew my EHIC card as I am a early retired resident in Spain, If however I had a UK address like some other persons I could have taken a chance and got a EHIC. So my decision is to apply to the Spanish Health service (CONVENIO  ESPECIAL) = 60 euro a month for under 65 years of age as being a early retired person living of my own means, resident in Spain for over a year to date (paying 100 euro a month for private health insurance) Then if and when accepted I then can apply for the Spanish EHIC = TARJETA SANITARIO EUROPEA (TSE).

Gloria68

Posted: Wed Jan 12, 2022 12:39pm

Gloria68

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Posts: 238

107 helpful points

Location: Torrevieja

Joined: 7 Oct 2020

Posted: Wed Jan 12, 2022 12:39pm

colin4457 wrote on Tue Jan 11, 2022 6:08pm:

My wife and I obtained residencia in 2020 under the Brexit withdrawal agreement. We currently share our time between the UK and Spain as we have an elderly parent who benefits from our ongoing support. Neither of us are yet at pension age  but have taken out private health insurance - as req...

...uired to obtain residencia. We also have UK issued EHIC cards which expire in 2025.

What isn't clear to us is whether we are still able to access the UK NHS in the same way we could before obtaining residencia. The NHS web site doesn't make it clear so I have submitted an online query to them asking for clarification. Given that they are rather busy at the moment, a reply may be a long time coming.

Is anyone else in the same position and, if so, what is your opinion and can you point me to something official?

Thanks in advance!

Colin

Hi

We live in the UK, home in Spain, we have just got our new GHIC cards,  and they have the Union Jack on them, just thpught I would let you now

colin4457

Posted: Wed Jan 12, 2022 5:44pm

colin4457

Original Poster

Posts: 62

17 helpful points

Location: Pedreguer

Joined: 3 Jun 2018

Posted: Wed Jan 12, 2022 5:44pm

Cheryl wrote on Wed Jan 12, 2022 10:47am:

"If you are a UK national and move to the EU, you should not expect to be able to use NHS services for free when visiting the UK unless you have an EHIC, PRC or S2 to show your healthcare costs are funded by the EU country in which you now live, or another exemption applies."

Unfortun...

...ately a UK issued EHIC does not show that your health costs are being met by Spain, it shows they are being met by the UK which you are no longer entitled to because you are no longer resident in the UK.
Once you reach UK state retirement age you will be covered under the S1.

Unfortunately it appears you may well be right Cheryl. I'm still digging in the withdrawal; agreement and various other sources and will revert once I've exhausted the research (and had a reply from the NHS).

Thanks,

Colin

colin4457

Posted: Wed Jan 12, 2022 5:45pm

colin4457

Original Poster

Posts: 62

17 helpful points

Location: Pedreguer

Joined: 3 Jun 2018

Posted: Wed Jan 12, 2022 5:45pm

Jan1961 wrote on Wed Jan 12, 2022 11:04am:

Hi,I was told when I obtained Spanish residency in 2019 that once a month the Spanish authorities send a list of new Spanish residents to the NHS so that they can be deleted from the UK health system. Therefore I have always assumed I am not entitled to NHS care. I was also told to scrap my UK EH...

...IC and apply for a Spanish EHIC card (which I did) if I needed medical treatment on holiday in other European countries. Of course at the time the UK was in Europe. 
Now I would expect to pay for any treatment etc if I found myself in the UK.

I am not saying this is correct it is just what I was told.

Thanks for the info. It will be interesting to see what happens later this year when I try to pick up a prescription for an asthma inhaler via our local GP!

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