British Expats

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-   -   NHS- do you lose the entitlement when you leave UK? (https://britishexpats.com/forum/australia-54/nhs-do-you-lose-entitlement-when-you-leave-uk-422499/)

soonbethere Jan 30th 2007 11:58 am

NHS- do you lose the entitlement when you leave UK?
 
My Mum has just phoned me from sunny ;) Manchester and said she watched a programme about expats returning from Spain after not being able to get health cover in spain, they apparently sold up their properties and had returned to the UK, to be told that they are not covered by the NHS anymore because they left the country over 2 yrs ago. Can anyone tell me if this is the case for ALL expats who may have to return. Apparently if your over retirement age then your ok, but these people wern't and so had to pay for an opperation in the UK. Then they found huge problems getting medical insurance cover in UK because they had illness that made the insurance premium to high.
Any input would be great, its a bit worrying to think that if we HAD to return for some unforseen reason, (not medically) that we could end up with a huge bill for medicine.

nickyblonde Jan 30th 2007 1:10 pm

Re: NHS- do you lose the entitlement when you leave UK?
 
Try the following link, it should answer your questions

http://www.dh.gov.uk/PolicyAndGuidan...516&chk=uhB/w0

Re the programme that was on last night, i was amazed at the fact that people thought they could live in another counrty and still be entitled to free care in the UK when they have not lived there for years.

Hope the link is useful.

nurselindsey Jan 30th 2007 1:20 pm

Re: NHS- do you lose the entitlement when you leave UK?
 
But then if you so come back to live - for good are you not then deemed as resident? Also australian residents get free health care over here due to the reciprocal agreement - just as you would as a Brit in Oz - or am I reading it wrong?:confused:

Lindsey

dollface Jan 30th 2007 1:27 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by nurselindsey (Post 4341607)
But then if you so come back to live - for good are you not then deemed as resident? Also australian residents get free health care over here due to the reciprocal agreement - just as you would as a Brit in Oz - or am I reading it wrong?:confused:

Lindsey

if you were returning to the UK on a permanent basis then you would again be eligable for NHS,..............................

Under the current Regulations, anyone who is taking up or resuming permanent residence in the UK is entitled to free National Health Service (NHS) hospital treatment in England. If your intention is to live permanently in the UK you will be exempt from hospital charges from the date of your arrival in the country but you should expect to be asked to prove your intention and that you are legally entitled to live here. This exemption applies to your spouse and children (under the age of 16, or 19 if in further education) if they are living here with you on a permanent basis

nickyblonde Jan 30th 2007 1:33 pm

Re: NHS- do you lose the entitlement when you leave UK?
 
Not sure as i know the following is asked of people when trying to access NHS care :
'Have you resided in the UK for the last 12 months?'. There was also talk of asking patients who had to attend hospital for appointments etc to bring proof of residence e.g. utility bills not sure if this is something that is being practiced though.

dollface Jan 30th 2007 1:45 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by nickyblonde (Post 4341664)
Not sure as i know the following is asked of people when trying to access NHS care :
'Have you resided in the UK for the last 12 months?'. There was also talk of asking patients who had to attend hospital for appointments etc to bring proof of residence e.g. utility bills not sure if this is something that is being practiced though.



mmmmm bummer ...... if I ever return, I could have a problem - lets hope I don't get sick until i've had my first lecky bill!:D

OzzieNurse Jan 30th 2007 1:49 pm

Re: NHS- do you lose the entitlement when you leave UK?
 
I must admit as a nurse in the UK it did get peoples backs up when expats just took so called 'NHS Holidays' to get operations done and medical treatment free of charge. I think this is why the policies have changed and quite rightly too.
If you are returning as a resident however then I think you should once again be entitled to NHS treatment.

dollface Jan 30th 2007 2:16 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by Rachie241 (Post 4341720)
I must admit as a nurse in the UK it did get peoples backs up when expats just took so called 'NHS Holidays' to get operations done and medical treatment free of charge. I think this is why the policies have changed and quite rightly too.
If you are returning as a resident however then I think you should once again be entitled to NHS treatment.

yep, I can see why - fair do's- paying your taxes to another country then taking advantage of the heavily put upon NHS.......

soonbethere Jan 30th 2007 11:29 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by Rachie241 (Post 4341720)
I must admit as a nurse in the UK it did get peoples backs up when expats just took so called 'NHS Holidays' to get operations done and medical treatment free of charge. I think this is why the policies have changed and quite rightly too.
If you are returning as a resident however then I think you should once again be entitled to NHS treatment.

I probably didn't make myself clear, i meant if we had to return to the uk permantly. If we were on holiday and fell ill in the uk i would presume that holiday insurance would cover that eventuality?
If we do get NHS treatment should we return to the UK for good, then we (personally) don't have anything to worry about.

pogsy Jan 31st 2007 12:04 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by nurselindsey (Post 4341607)
But then if you so come back to live - for good are you not then deemed as resident? Also australian residents get free health care over here due to the reciprocal agreement - just as you would as a Brit in Oz - or am I reading it wrong?:confused:

Lindsey

When you leave the UK for good to live in another country you could have been out of the UK for up to 5 years, then if you were to die it has been known that the Inland Revenue have succesfully chased the beneficeries of the deceased estate and claimed inheritance tax on the estate even though that person had been living in another country. It seems to me as if the British Government can do this then people will continue to go to the UK for treatment on the NHS exactly the same as some people who move overseas and still claim family allowance for their kids. All wrong really aint it.

dollface Jan 31st 2007 12:19 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by pogsy (Post 4343840)
When you leave the UK for good to live in another country you could have been out of the UK for up to 5 years, then if you were to die it has been known that the Inland Revenue have succesfully chased the beneficeries of the deceased estate and claimed inheritance tax on the estate even though that person had been living in another country. It seems to me as if the British Government can do this then people will continue to go to the UK for treatment on the NHS exactly the same as some people who move overseas and still claim family allowance for their kids. All wrong really aint it.

How aould you claim family allowance for your kids if you no longer have a current British address??? just curious:huh:

pogsy Jan 31st 2007 12:39 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by dollface (Post 4343866)
How aould you claim family allowance for your kids if you no longer have a current British address??? just curious:huh:

Apparently people tend to use parents address and keep a british bank account open.

Mrs JFW Jan 31st 2007 12:49 am

Re: NHS- do you lose the entitlement when you leave UK?
 
I thought the NHS was a free for all. We've certainly had our fair share of illegal immigrants havin surgery...no questions asked! :ohmy:

soonbethere Jan 31st 2007 1:04 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by Mrs JFW (Post 4343946)
I thought the NHS was a free for all. We've certainly had our fair share of illegal immigrants havin surgery...no questions asked! :ohmy:

My thoughts exactly!

JAJ Jan 31st 2007 2:11 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by pogsy (Post 4343840)
When you leave the UK for good to live in another country you could have been out of the UK for up to 5 years, then if you were to die it has been known that the Inland Revenue have succesfully chased the beneficeries of the deceased estate and claimed inheritance tax on the estate even though that person had been living in another country.

And how exactly can they legally levy tax on non-UK assets probated in a foreign country?

Barring an agreement with that foreign country to collect such tax.

pogsy Jan 31st 2007 2:13 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by JAJ (Post 4344176)
And how exactly can they legally levy tax on non-UK assets probated in a foreign country?

Barring an agreement with that foreign country to collect such tax.

Don't know without contacting my old UK accountant who told me.

JAJ Jan 31st 2007 2:13 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by Rachie241 (Post 4341720)
If you are returning as a resident however then I think you should once again be entitled to NHS treatment.

You are. Immediately. Unlike in most Canadian provinces, for example, where there is a 3 month waiting period.

And in Australia, Australians returning from overseas, and New Zealanders moving to Australia, must provided evidence to Medicare that they have really *moved* back to Australia and are not just visiting, in order to get new Medicare cards.

British citizens outside the UK do not generally pay UK income taxes or VAT, so why should they be eligible to use the taxpayer funded NHS?

JAJ Jan 31st 2007 2:15 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by pogsy (Post 4344179)
Don't know without contacting my old UK accountant who told me.

If someone has left the UK permanently, all assets are overseas, and the will is probated overseas, then by any sensible definition of the term the person was no longer UK domiciled and Inheritance Tax wouldn't be chargeable in any case.

Things are completely different if assets (eg a house) are left in the UK.

pogsy Jan 31st 2007 2:18 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by JAJ (Post 4344184)
If someone has left the UK permanently, all assets are overseas, and the will is probated overseas, then by any sensible definition of the term the person was no longer UK domiciled and Inheritance Tax wouldn't be chargeable in any case.

Things are completely different if assets (eg a house) are left in the UK.

If that is the case and say a house was left in the UK, does this mean that the owners would be entitled to use the NHS services. Does it also mean that if someone were to die whilst in ownership of a property/assetts in the UK would the beneficeries of the will be liable to UK inheritance tax if they were living outside the UK.

JAJ Jan 31st 2007 2:21 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by pogsy (Post 4344194)
If that is the case and say a house was left in the UK, does this mean that the owners would be entitled to use the NHS services.

No.


Does it also mean that if someone were to die whilst in ownership of a property/assetts in the UK would the beneficeries of the will be liable to UK inheritance tax if they were living outside the UK.
Inheritance tax is charged on the estate, primarily. It's not a capital receipt tax.


What I can't understand is why anyone in Australia should care about using the NHS. With Medicare available, why on earth would you want to fly to the other side of the world for medical treatment?

BettyBoop Jan 31st 2007 6:18 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by JAJ (Post 4344200)
No.



Inheritance tax is charged on the estate, primarily. It's not a capital receipt tax.


What I can't understand is why anyone in Australia should care about using the NHS. With Medicare available, why on earth would you want to fly to the other side of the world for medical treatment?

Not everyone receives Medicare. Also dental work is far cheaper in the UK than Oz. People could incorporate some dental work whilst returning for a short holiday.

nurselindsey Jan 31st 2007 8:16 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by BettyBoop (Post 4347147)
Not everyone receives Medicare. Also dental work is far cheaper in the UK than Oz. People could incorporate some dental work whilst returning for a short holiday.


Yes but dentists are rarer than rocking horse poo!

I would like to know too - How often do the NHS actually chase for payment of services rendered to those that have been in the country two minutes and then end up in the NHS system - There are lots!

Lindsey

Vash the Stampede Jan 31st 2007 8:21 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by BettyBoop (Post 4347147)
Not everyone receives Medicare.

British citizens are automatically entitled to Medicare via the UK/AU reciprocal agreement.

The RHCA between Australia and the UK enables travellers to access public health medical care systems in each country.

In the case of Australian visitors to the UK, the National Health Service provides a range of medical and hospital services.

British visitors to Australia have access to public hospital care, the Pharmaceutical Benefits Scheme and Medicare rebates for visits to doctors.
DFAT.

JAJ Feb 1st 2007 2:08 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by Vash the Stampede (Post 4347597)
British citizens are automatically entitled to Medicare via the UK/AU reciprocal agreement.

Only to a limited extent. And not all British citizens are covered in the first place, eg if formerly resident outside the UK.

Those who are permanent residents automatically get cover anyway.

BettyBoop Feb 1st 2007 5:35 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by Vash the Stampede (Post 4347597)
British citizens are automatically entitled to Medicare via the UK/AU reciprocal agreement.

The RHCA between Australia and the UK enables travellers to access public health medical care systems in each country.

In the case of Australian visitors to the UK, the National Health Service provides a range of medical and hospital services.

British visitors to Australia have access to public hospital care, the Pharmaceutical Benefits Scheme and Medicare rebates for visits to doctors.
DFAT.

Temp.visa holders are only entitled to emergency medicare if they are British citizens....i shoud know i am in Oz. But thanks for the info.
BB

BettyBoop Feb 1st 2007 5:36 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by nurselindsey (Post 4347568)
Yes but dentists are rarer than rocking horse poo!

I would like to know too - How often do the NHS actually chase for payment of services rendered to those that have been in the country two minutes and then end up in the NHS system - There are lots!

Lindsey

Try cotland we have no shortage of good NHS dentists. As for your other question why don't you research it?
BB

HJAMES Feb 1st 2007 1:49 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by Mrs JFW (Post 4343946)
I thought the NHS was a free for all. We've certainly had our fair share of illegal immigrants havin surgery...no questions asked! :ohmy:

Yes, and I know people living in Libya who come and visit their family (Dad being a surgeon) and tie it in with their operations and hospital check up but they are not UK residents!!!!!!

Rule for 1 rule for another!!!!!

(Just like anything I suppose)

preetsangha Feb 10th 2007 10:06 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by nickyblonde (Post 4341582)
Try the following link, it should answer your questions

http://www.dh.gov.uk/PolicyAndGuidan...516&chk=uhB/w0

Re the programme that was on last night, i was amazed at the fact that people thought they could live in another counrty and still be entitled to free care in the UK when they have not lived there for years.

Hope the link is useful.

Can I update your link please :
http://www.dh.gov.uk/PolicyAndGuidan...Visitors/fs/en

liverpool girl Feb 11th 2007 8:59 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by BettyBoop (Post 4349255)
Temp.visa holders are only entitled to emergency medicare if they are British citizens....i shoud know i am in Oz. But thanks for the info.
BB

We are on a 457 visa with reciprocal medicare and we are entitled to immediately neccessary treatment - this does not neccessarily mean only emergency treatment (according tothe guidelines from medicare). In fact I had my teeth x rayed the other week and medicare refunded me the normal amount. It wasn't an emergency by any means - just that the dentist wanted to see the root detail on one of my teeth.

soonbethere Feb 11th 2007 10:40 am

Re: NHS- do you lose the entitlement when you leave UK?
 
hi, this thread has kind of moved off from my original question, ;) asking if we are no longer residents of UK, and if we were to return PERMANENTLY(- not for a holiday) would we get free treatment if we needed it, or is there a 2 year or so period where we would have to wait?
Anyhow as we are off the subject:D can anyone explain how it works here in Oz with regards to medicare etc, i had to get to emergency dept on friday after pulling my ligaments in my arm, i saw a Dr (very quickly in and out!) and the Dr prescribed me some anti inflam tabs and told me to go and see him at his surgery in a week.
Does anyone know if I will have to pay for this treatment, i didn't ask at the time because- well the pain was so bad it wouldn't have been an issue anyway, but now i am wondering if i will get a bill, and will i need to pay the Dr when i go and see him this friday? its all quite confusing...i am told that getting medical insurance is a good idea, then i am told that you still pay for many treatments (such as dental, chiropractor, ladies things! etc....) after Friday at the hosp i am even more confused whether or not we need to get insurance cover?

BAY Feb 11th 2007 11:12 am

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by Mrs JFW (Post 4343946)
I thought the NHS was a free for all. We've certainly had our fair share of illegal immigrants havin surgery...no questions asked! :ohmy:

Yes another example of how President Bliar has ruined the UK.

You can be sure that he has top notch private medical insurance, all part of his job package, paid for by us tax payers.:mad:

JAJ Feb 11th 2007 3:51 pm

Re: NHS- do you lose the entitlement when you leave UK?
 

Originally Posted by soonbethere (Post 4389547)
hi, this thread has kind of moved off from my original question, ;) asking if we are no longer residents of UK, and if we were to return PERMANENTLY(- not for a holiday) would we get free treatment if we needed it, or is there a 2 year or so period where we would have to wait?

No waiting period in that case.


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