NHS for Expats
#31
BE Forum Addict
Joined: Mar 2013
Location: central Portugal
Posts: 4,111
Re: NHS for Expats
Mike
I don't know who's right or wrong on this but in our case, my wife & I are both in our late 50s so not claiming any UK state pension, are both claiming private pensions, are both UK passport holders, both lived in Africa for about 12 years before moving from Africa to Portugal, now both have 5 year resedencias here and FWIW, are registered for UK taxes etc.
The UK tell us we're not entitled to EHIC cards but we are now both registered with the PT NHS and have both received treatment on the PT NHS that we were more or less not billed for.
If you're right, surely we would have been entitled to UK EHICs?
I don't know who's right or wrong on this but in our case, my wife & I are both in our late 50s so not claiming any UK state pension, are both claiming private pensions, are both UK passport holders, both lived in Africa for about 12 years before moving from Africa to Portugal, now both have 5 year resedencias here and FWIW, are registered for UK taxes etc.
The UK tell us we're not entitled to EHIC cards but we are now both registered with the PT NHS and have both received treatment on the PT NHS that we were more or less not billed for.
If you're right, surely we would have been entitled to UK EHICs?
#32
Forum Regular
Joined: Sep 2008
Location: Carnforth UK
Posts: 76
Re: NHS for Expats
as i said, i wasn't sure so i stand corrected
jeff
jeff
#33
Re: NHS for Expats
Mike
I don't know who's right or wrong on this but in our case, my wife & I are both in our late 50s so not claiming any UK state pension, are both claiming private pensions, are both UK passport holders, both lived in Africa for about 12 years before moving from Africa to Portugal, now both have 5 year resedencias here and FWIW, are registered for UK taxes etc.
The UK tell us we're not entitled to EHIC cards but we are now both registered with the PT NHS and have both received treatment on the PT NHS that we were more or less not billed for.
If you're right, surely we would have been entitled to UK EHICs?
I don't know who's right or wrong on this but in our case, my wife & I are both in our late 50s so not claiming any UK state pension, are both claiming private pensions, are both UK passport holders, both lived in Africa for about 12 years before moving from Africa to Portugal, now both have 5 year resedencias here and FWIW, are registered for UK taxes etc.
The UK tell us we're not entitled to EHIC cards but we are now both registered with the PT NHS and have both received treatment on the PT NHS that we were more or less not billed for.
If you're right, surely we would have been entitled to UK EHICs?
#34
Forum Regular
Joined: Sep 2008
Location: Carnforth UK
Posts: 76
Re: NHS for Expats
as i may well be moving over to PT full time in the near future and i will be 57 (so well below pension age) this situation may well affect me in the very near future so have just spoken to the overseas healthcare team in Newcastle. this is what they told me. this applies to the EEA and also includes other benefits apart from pensions that are defined as exportable (these are listed on the NHS website)
on achieving pension age and drawing a UK age based pension, healthcare costs are covered by the UK as they are classed as an exportable benefit. before that age, you may get up to 2.5 years UK paid healthcare in PT depending on what NI contributions you have made in the 3 years prior to your applying. presuming this 2.5 years expires before you reach pension age, they expect you to be registered with the PT health system and the UK no longer assumes responsibilty for your healthcare costs including the issue of the EHIC (the UK EHIC is no longer valid after that time). the EHIC should then be issued by the PT authorities. once you hit pension age and start drawing your pension, you can (if you wish) reapply to Newcastle for another S1 which will then transfer the costs of healthcare back to the UK and they will provide a UK based EHIC
the exception to this is if your spouse is receiving a UK age based pension - the partner would be treated as if they were receiving the pension as they are classed as the spouses dependant in these circumstances.
the changes mentioned by Mikelincs were made regarding people of pension age only - for those, the issuing of EHIC is the responsibility of the country paying the pension. prior to the change, the place of residence was where the EHIC came from. as the payment of healthcare costs is a 'benefit' it has nothing to do with citizenship. it is related to age, contributions made and residency.
so, mfesharne would not be able to get a UK EHIC unless he had made UK NI contributions in full for the last 3 years (which i presume he hasn't but if he has then all well and good) and even if he had the benefit would only last for 2.5 years as he is nowhere near pension age. presuming he will receive a UK age based pension then obviously all that changes when he reaches that age if he so wishes.
jeff
on achieving pension age and drawing a UK age based pension, healthcare costs are covered by the UK as they are classed as an exportable benefit. before that age, you may get up to 2.5 years UK paid healthcare in PT depending on what NI contributions you have made in the 3 years prior to your applying. presuming this 2.5 years expires before you reach pension age, they expect you to be registered with the PT health system and the UK no longer assumes responsibilty for your healthcare costs including the issue of the EHIC (the UK EHIC is no longer valid after that time). the EHIC should then be issued by the PT authorities. once you hit pension age and start drawing your pension, you can (if you wish) reapply to Newcastle for another S1 which will then transfer the costs of healthcare back to the UK and they will provide a UK based EHIC
the exception to this is if your spouse is receiving a UK age based pension - the partner would be treated as if they were receiving the pension as they are classed as the spouses dependant in these circumstances.
the changes mentioned by Mikelincs were made regarding people of pension age only - for those, the issuing of EHIC is the responsibility of the country paying the pension. prior to the change, the place of residence was where the EHIC came from. as the payment of healthcare costs is a 'benefit' it has nothing to do with citizenship. it is related to age, contributions made and residency.
so, mfesharne would not be able to get a UK EHIC unless he had made UK NI contributions in full for the last 3 years (which i presume he hasn't but if he has then all well and good) and even if he had the benefit would only last for 2.5 years as he is nowhere near pension age. presuming he will receive a UK age based pension then obviously all that changes when he reaches that age if he so wishes.
jeff
#35
BE Forum Addict
Joined: Mar 2013
Location: central Portugal
Posts: 4,111
Re: NHS for Expats
FWIW, we recently checked our UK NI status and we need to pay about 2 years more to be fully paid up so we'll do that at some stage just for peace of mind but we tried on several occasions to get EHIC cards and were told each time that we're not entitled to them.
To be honest, I rather get the impression that no-one, in either country, really knows what we're entitled to or indeed, which way is up.
To be honest, I rather get the impression that no-one, in either country, really knows what we're entitled to or indeed, which way is up.
#37
Re: NHS for Expats
#38
Forum Regular
Joined: Jul 2012
Posts: 102
Re: NHS for Expats
There was a sparky debate on this forum about WFA and the word "entitled" cropped up a few times, I like the dictionary definition "qualified for by right according to law". The law says you have to pay in to the Ponzi scheme called NI.
Difficult area when it comes to having paid for something & then losing access because of where you choose to live, after all is said it remains a fact that NI contributions are not voluntary when you are resident. I don't see why spending the last few years of your life in a warmer climate should negate access to something you have paid for.
Difficult area when it comes to having paid for something & then losing access because of where you choose to live, after all is said it remains a fact that NI contributions are not voluntary when you are resident. I don't see why spending the last few years of your life in a warmer climate should negate access to something you have paid for.
#40
BE Enthusiast
Joined: Sep 2007
Location: Woodbridge (x Tavira)
Posts: 817
Re: NHS for Expats
You will probably have to book and it will cost you, then you will more than likely need to see a doctor to get him to give you the results
Joao
Joao
#41
Re: NHS for Expats
Believe me and we have good experience with PT Health (care)?
Search on my recent posts.
If you have serious concerns then head for Faro Airport and get a flight out.
Do not delay.
regards
#42
Just Joined
Joined: Aug 2013
Posts: 1
Re: NHS for Expats
I've just got off a shift working with the most arrogant expat I've ever met. She's 55 and has spent over 20 years living in Spain. She now needs medical treatment, but does she pay for medical insurance? Nope, she has a little holiday to the UK and gets treatment for all her ailments. I've got nothing against expats who have retired abroad. If you've spent most of your life paying into the system,then it doesn't matter where you live,you deserve to be treated for free by the NHS. It's the scroungers who have paid next to nothing that get my goat. I probably wouldn't be on this board if she'd been pleasant,but she looked down on everyone even though she was on the bum.
#43
Forum Regular
Joined: Mar 2008
Posts: 59
Re: NHS for Expats
Hi Loonytoon
I am in a similar situation. If we have not paid PT contributions are we entitled to EHIC from Portugal, for the years between UK EHIC ending and UK pension age? This will be around 4 years for us.
Thanks
I am in a similar situation. If we have not paid PT contributions are we entitled to EHIC from Portugal, for the years between UK EHIC ending and UK pension age? This will be around 4 years for us.
Thanks
#44
Banned
Joined: Oct 2012
Posts: 26,724
Re: NHS for Expats
If you are PT resident and not paying PT NI then I think you fall between two stools.
EHIC cover is not intended for those who leave the UK.
I would check with the UK Government web sites.
EHIC cover is not intended for those who leave the UK.
I would check with the UK Government web sites.
#45
Re: NHS for Expats
We are PT residents, not paying Portuguese national insurance [neither of us work or have business here].
We buy private health insurance [Alianz from Medal in Portimao], which has been good so far.
We buy private health insurance [Alianz from Medal in Portimao], which has been good so far.