Eu Health Insurance Card Application Form

Alternatively you can download a european health insurance card application form pdf. The european health insurance card ehic is the passport to free or reduced emergency necessary cost for medical treatment in public hospitals needed during temporary visits in european economic area eea. National insurance ni number or nhs number chi number in scotland or health and care number in northern ireland temporary ni numbers cannot be used to apply for an ehic.

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Ehic Application Form

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Download the application for a european health insurance card pdf 754kb.

Eu health insurance card application form. Copies of the application form for a european health insurance card are also available from your local health office. An approved a1 s1 e101 e106 or e109 form check to see if you re eligible before you apply. A guide to the european health insurance card. The european health insurance card ehic lets you get healthcare in another eu or european economic area eea state for free or at a reduced cost.

A separate application form is needed for each person. The ehic card replaced the e11 card in 2005 although there are still many people who are unaware of its existence and benefits it provides. Apply online if you already have either a medical card or a drugs payment scheme dps card 2. Apply in person by completing the application form below or find one at your local health office 3.

In this area one can find information about the european health insurance card ehic the maltese citizens passport to free or reduced cost emergency care in most other european countries and european economic area this area also contains advice for travellers about planning ahead staying healthy and getting treatment elsewhere in the world. You should send the completed form to your local health office at least 1 month before you leave ireland. How to apply for your european health insurance card 1. The european health insurance card ehic was first introduced within the european union in 2004.

European health insurance card ehic application form how we use your information 1. How to get a european health insurance card ehic there will be no changes to healthcare access for uk nationals visiting or living in the eu iceland liechtenstein norway and switzerland before 31 december 2020. Declaration read before signing i understand that should the main applicant have a change to residency status move abroad to live or work on a long term basis then he or she may no longer be entitled to a uk ehic. A temporary ni number uses the prefix tn the person s date of birth and m or f to denote gender for example tn131160m.

It covers you if you are on holiday or on a short term stay.