British Expats

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-   -   Leaving UK and NHS (https://britishexpats.com/forum/usa-57/leaving-uk-nhs-912204/)

Twinkle0927 Apr 27th 2018 6:39 am

Re: Leaving UK and NHS
 
The company needs to make the move and uprooting of your family as attractive as possible and part of the negotiations will be good healthcare coverage for all of you. And even if you could use the NHS, there would still be the cost of 2 flights (assuming the son is a minor and would need a parent to travel with him), x weeks off work (would that all be on full pay?) and other ancillary costs such as bed and board for the accompanying parent. My husband’s most recent surgery was billed to the insurance company at $75,000 - of which we paid $823. NHS often has to cancel or postpone elective procedures - this happened three times with me back in the UK for the same procedure. Imagine you’d already purchased the flights and then you got the call?

BritInParis Apr 27th 2018 6:54 am

Re: Leaving UK and NHS
 

Originally Posted by durham_lad (Post 12490457)
Fortunately I didn’t need the hospital until I had been here more than 6 months otherwise I would have found out what the follow up questions would have been :regular_smile:

When I registered at our local Doctor’s within the first week of arriving there was no question on residency even though I didn’t have an NHS number.

You don't need to be resident to visit your GP or A&E as that's primary care which is free for everyone; you do need to be for secondary care.

durham_lad Apr 27th 2018 6:56 am

Re: Leaving UK and NHS
 

Originally Posted by BritInParis (Post 12490475)
You don't need to be resident to visit your GP or A&E as that's primary care which is free for everyone; you do need to be for secondary care.

Gotcha, that makes sense.

petitefrancaise Apr 27th 2018 5:22 pm

Re: Leaving UK and NHS
 

Originally Posted by karenkaren1 (Post 12490248)
Just wondered if anyone can clarify something for me. It is stated on NHS website that if you are moving abroad on a permanent basis, you are no longer eligible for NHS, however it is unclear re moving abroad on a temporary work visa.
Technically, my family is moving on 12 month L1 and L2 visas, would it be possible to come back and make use of NHS during this time? reason I am asking is my son needs a followup surgery in the next 6-12 months and although I am exploring American health insurance options also, I wanted to check if he could still be eligible to come back to England for it (and have dental check up at same time), especially as still paying NI contributions

Thanks so much

I understand that you might want the same team to look after your son. I had a similar issue and had no choice but to get the surgery done here. It is really nice to choose your own doctor (insurance permitting!), choose the date that suits you and be in a really nice hospital with an excellent dr. Give yourself time to ask for recommendations.

Advice given to me many years ago by someone who had moved almost as many times as I have now was to "live where you are". ie find drs, dentists etc here in the US. It will help your children to settle better than if you are looking back to the UK for whatever it is. Mind you, I still get M&S and Boden deliveries!

karenkaren1 Apr 27th 2018 9:56 pm

Re: Leaving UK and NHS
 

Originally Posted by petitefrancaise (Post 12490696)
I understand that you might want the same team to look after your son. I had a similar issue and had no choice but to get the surgery done here. It is really nice to choose your own doctor (insurance permitting!), choose the date that suits you and be in a really nice hospital with an excellent dr. Give yourself time to ask for recommendations.

Advice given to me many years ago by someone who had moved almost as many times as I have now was to "live where you are". ie find drs, dentists etc here in the US. It will help your children to settle better than if you are looking back to the UK for whatever it is. Mind you, I still get M&S and Boden deliveries!

great advice!! and yes you are spot on that we preferred the continuity of the same surgeon. As to happens we were even considering keeping our UK health insurance concurrently for a year (which is a drop in the ocean compared to price of US insurance) but I think that makes a lot of sense about 'living' where u r based...
thank you

scrubbedexpat099 Apr 28th 2018 2:47 am

Re: Leaving UK and NHS
 
There was a n article in the Guardian a month or so ago where the Labour spokesperson said if you had paid taxes etc in the UK then you should be entitled to use the NHS so this may be an issue to look out for.

Twinkle0927 Apr 28th 2018 5:05 am

Re: Leaving UK and NHS
 

Originally Posted by Boiler (Post 12490914)
There was a n article in the Guardian a month or so ago where the Labour spokesperson said if you had paid taxes etc in the UK then you should be entitled to use the NHS so this may be an issue to look out for.

I'm tempted to agree with that - you are still contributing to the system so why shouldn't you be able to use it? The biggest misconception with ex-pats is they think NI contributions make one eligible for the NHS, regardless of residency.

karenkaren1 Apr 28th 2018 5:12 am

Re: Leaving UK and NHS
 

Originally Posted by Twinkle0927 (Post 12490960)
I'm tempted to agree with that - you are still contributing to the system so why shouldn't you be able to use it? The biggest misconception with ex-pats is they think NI contributions make one eligible for the NHS, regardless of residency.

I agree - My husband will still be a business owner in UK and paying taxes. My son has a nut allergy so being able just to get epi pens would be a godsend but doesnt look like we can. oh well, u don't ask..u don't get! (im scared to even ask how much epi pens are in USA)

Jerseygirl Apr 28th 2018 5:53 am

Re: Leaving UK and NHS
 

Originally Posted by karenkaren1 (Post 12490964)
I agree - My husband will still be a business owner in UK and paying taxes. My son has a nut allergy so being able just to get epi pens would be a godsend but doesnt look like we can. oh well, u don't ask..u don't get! (im scared to even ask how much epi pens are in USA)

If you have health care insurance which includes meds it shouldn’t cost too much. Think we paid $10 for epipens.

Ask your UK GP to give you scripts and get them filled before you leave. Think they can give you 3 months supply.

GeoffM Apr 28th 2018 5:59 am

Re: Leaving UK and NHS
 

Originally Posted by karenkaren1 (Post 12490964)
I agree - My husband will still be a business owner in UK and paying taxes. My son has a nut allergy so being able just to get epi pens would be a godsend but doesnt look like we can. oh well, u don't ask..u don't get! (im scared to even ask how much epi pens are in USA)

https://www.goodrx.com/blog/generic-...-you-can-save/

Some people seem to think that since they paid into NI and/or taxes for X years, they get NHS for life. :blink: Can you imagine that here? "Hi Anthem/Kaiser/Aetna, I paid you $25k last couple of years, can I get benefits for life now?" :huh:

Twinkle0927 Apr 28th 2018 6:08 am

Re: Leaving UK and NHS
 

Originally Posted by karenkaren1 (Post 12490964)
I agree - My husband will still be a business owner in UK and paying taxes. My son has a nut allergy so being able just to get epi pens would be a godsend but doesnt look like we can. oh well, u don't ask..u don't get! (im scared to even ask how much epi pens are in USA)

I don't have experience personally of epi pens but from what I've heard at work they are much cheaper in Canada. We live 100 miles from Canada and I know colleagues go to Canada for certain medicines. They would probably be able to post them to you?

Jerseygirl Apr 28th 2018 6:11 am

Re: Leaving UK and NHS
 

Originally Posted by Twinkle0927 (Post 12490983)
I don't have experience personally of epi pens but from what I've heard at work they are much cheaper in Canada. We live 100 miles from Canada and I know colleagues go to Canada for certain medicines. They would probably be able to post them to you?

https://www.theglobeandmail.com/news...ticle31570003/

karenkaren1 Apr 28th 2018 7:23 am

Re: Leaving UK and NHS
 

Originally Posted by GeoffM (Post 12490977)
https://www.goodrx.com/blog/generic-...-you-can-save/

Some people seem to think that since they paid into NI and/or taxes for X years, they get NHS for life. :blink: Can you imagine that here? "Hi Anthem/Kaiser/Aetna, I paid you $25k last couple of years, can I get benefits for life now?" :huh:

I never referred to past tense, I am referring to present tense and ongoing so moot point (thanks for the link tho)

karenkaren1 Apr 28th 2018 7:26 am

Re: Leaving UK and NHS
 

Originally Posted by Jerseygirl (Post 12490990)

thank you. Im stock piling right now so fine for the first year :thumbsup:

scrubbedexpat099 Apr 28th 2018 8:15 am

Re: Leaving UK and NHS
 

Originally Posted by GeoffM (Post 12490977)
https://www.goodrx.com/blog/generic-...-you-can-save/

Some people seem to think that since they paid into NI and/or taxes for X years, they get NHS for life. :blink: Can you imagine that here? "Hi Anthem/Kaiser/Aetna, I paid you $25k last couple of years, can I get benefits for life now?" :huh:

Medicaid might be a better comparison, Or VA.


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