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Healthcare - For UK Citizens (Spanish Residents) back in the UK

Posted: Sun Apr 7, 2019 12:29pm
10 replies403 views8 members subscribed
Kelvin1960

Kelvin1960

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Hi

My wife and I gained Residency in the second half of 2018. The advice of our gestor/tax adviser is that we are due to pay tax in Spain for 2019, and that we will complete the formalities early in 2020. We plan to do this.

I recall, a few months ago, a robust discussion on this forum about the continuing rights of British Citizens (Resident in Spain) to healthcare in the UK. My own assumption was that these rights would end once registered and paying tax in Spain. But I remember opposing views, quoting a UK Government website, arguing that the rights would continue. Of course, I cannot now find that thread.

My interest in this topic has been rekindled, as my wife has recently been diagnosed with cancer. We do not qualify for public healthcare in Spain (we are too young), but have received excellent support from our private healthcare insurer and medical service providers here. My wife is in the early stages of a year or so of treatment.

So this rude awakening has brought me back to the question .... do UK Citizens (Resident in Spain, and paying tax in Spain) continue to have rights of access to the UK NHS ?    My wife will be staying in Spain for the foreseeable future, but at some point she will want to visit friends and family back in the UK, once her treatment plan has been completed.

I've looked at Jim's Gudes, but they do not appear to address this question.

Any advice welcomed

Thanks in advance

Kelvin

Movingon

Posted: Sun Apr 7, 2019 1:40pm

Movingon

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Posted: Sun Apr 7, 2019 1:40pm

The thing to bear in mind is that the NHS is a residency based service meaning that as Spanish residents you are no longer entitled to the same range of services as you would be if you still lived in UK. 

Not a perfect analogy but you might broadly equate your entitlements to those of a Spanish citizen visiting UK and accessing emergency or necessary treatment via their EHIC. 

If at some time in the future you decided that you preferred the NHS to the Spanish system then you would have to move back and formally re-establish UK residency.

Kelvin1960

Posted: Sun Apr 7, 2019 1:50pm

Kelvin1960

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Posted: Sun Apr 7, 2019 1:50pm

Thanks. That was my expectation, but others argued alternative views last time this topic was aired.

In addition, I don't think we will have Spanish EHIC cards, as we're not part of the Spanish public healthcare system ?

Then, of course, there is the Brexit/EHIC issue.

Kelvin1960

Posted: Sun Apr 7, 2019 2:05pm

Kelvin1960

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Posted: Sun Apr 7, 2019 2:05pm

This post that was quoted has been deleted.

Thanks. Those links confirm my assumptions.

LeckyLes

Posted: Sun Apr 7, 2019 2:21pm

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Posted: Sun Apr 7, 2019 2:21pm

Kelvin,

Firstly, can say I am sorry to hear of your wife's diagnosis and hope her treatment has a very successful outcome .

I am not certain of the exact rules and regulations concerning the provision of entitlement of Health Care Services in the UK for persons resident in another EU country. I too have read discussions on the issue and was of the opinion that NHS Walk in Centres and Hospital A&E are available at the point of use , however any further treatment  including admission for treatment or consultation is not . In addition I believe local G.P services can be available at the discretion of the particular Practice concerned .

LeckyLes.

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jimtaylor

Posted: Sun Apr 7, 2019 4:14pm

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Posted: Sun Apr 7, 2019 4:14pm

All I can add to the good information given above is that I know people in the Spanish health system who have been given routine treatment by practices in the UK without questions being asked.

And for emergency treatment in the UK, this is covered by the EHIC-E card for those of us who are not in the Spanish social security system.

Kelvin1960

Posted: Sun Apr 7, 2019 4:31pm

Kelvin1960

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Posted: Sun Apr 7, 2019 4:31pm

jimtaylor wrote on Sun Apr 7, 2019 4:14pm:

All I can add to the good information given above is that I know people in the Spanish health system who have been given routine treatment by practices in the UK without questions being asked.

And for emergency treatment in the UK, this is covered by the EHIC-E card for those of us who are not in the Spanish social security system....

...

Thanks Jim. I hope you don't think I was being critical when I said that your guides don't address this question. Your guides are super-helpful and widely appreciated. I should have said, more accurately, that my question was outside of your scope.

Kelvin1960

Posted: Sun Apr 7, 2019 4:31pm

Kelvin1960

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Posted: Sun Apr 7, 2019 4:31pm

LeckyLes wrote on Sun Apr 7, 2019 2:21pm:

Kelvin,

Firstly, can say I am sorry to hear of your wife's diagnosis and hope her treatment has a very successful outcome .

I am not certain of the exact rules and regulations concerning the provision of entitlement of Health Care Services in the UK for persons resident in another EU country. I too have read discussions on the issue and was of the opinion that NHS Walk in Centres and Hospital A&E are available at the point of use , however any further treatment  including admission for treatment or consultation is not . In addition I believe local G.P services can be available at the discretion of the particular Practice concerned .

LeckyLes.

Thanks Les.

jimtaylor

Posted: Sun Apr 7, 2019 4:41pm

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Posted: Sun Apr 7, 2019 4:41pm

Thanks Kelvin. I have a long list of guides I'd like to do, but must admit my priorities are either those which will be useful to most people, those that are easiest to do, or those that particularly interest me.

Health is such a complex topic that it's on the back burner, and the only one I've done is that related to paying into the Spanish health system, and that was only because it may work out cheaper than PHI for some people, or be better than those who have PHI which excludes existing conditions.

Movingon

Posted: Mon Apr 8, 2019 5:23pm

Movingon

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Posted: Mon Apr 8, 2019 5:23pm

This post that was quoted has been deleted.

Worth noting that at the foot of the Planning Your Healthcare document it says:

Page last reviewed: 29/04/2015
Next review due: 29/04/2019

The second document Overseas Visitor Charging is dated today would you believe !

While we're on the subject, since the NHS IS a residency based service caveats by Spain (and other countries) that continued healthcare for UK immigrants will be dependent on UK reciprocating would appear to demonstrate a complete lack of understanding of how the NHS actually works !

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