Changes in healthcare from 1st of July 2014

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Changes in healthcare from 1st of July 2014


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Old 30th April 2014, 10:27 AM
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Default Changes in healthcare from 1st of July 2014 - Early retirees

The Department of Health has announced that as of the 1st July 2014, early retirees will no longer be able to apply for a residual S1 form to cover them for healthcare when they move abroad to another EEA country, such as Spain. These changes only affect new applications received on or after 1st July. They do not affect those who already have an S1 form, nor State Pensioners who are entitled to cover under the European Regulations. For further information please visit NHS Choices
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Last edited by UKinSpain; 30th April 2014 at 10:35 AM.
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Old 30th April 2014, 10:32 AM
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Default Changes in healthcare from 1st of July 2014

The Department of Health has announced that as of the 1st July 2014, visitors to another EEA country will no longer be able to claim reimbursements where they pay part of the cost of their treatment. Under EU law, visitors with EHIC cards travelling to an EEA country, like Spain, should be treated under the same conditions as people who live in that country. So, if a Spanish state pensioner would normally pay part of the cost of their treatment, then the same would apply to a UK state pensioner. For further information please visit NHS Choices
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Old 30th April 2014, 10:54 AM
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so this is the changes we've been talking about for some months - no more S1s for early retirees

Quote:
What will be changing?

From July 1 2014 you will no longer be able to apply for a residual S1 (formerly residual E106) under which you could currently be entitled to up to 30 months of UK-funded healthcare if you retire early to another EEA country.
What does this mean for me?

Before moving to live abroad, it is important that you check how the healthcare system works in that country and what your entitlement will be if you intend not to work, as this varies from country to country. This means that you will have to access that country’s health system under their rules.
If you are moving abroad on a permanent basis, you will no longer be entitled to medical treatment in the UK under normal NHS rules. This is because the NHS is a residence-based healthcare system. Most people will also not be entitled to use a UK-issued EHIC card to access healthcare abroad.
What if I already have a residual S1?

If you already have a residual S1 this will not affect you – it will continue to be valid until its original expiry date.
What about state pensioners?

If you are a UK state pensioner this will not affect you – S1 forms will still be issued to state pensioners.

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Old 30th April 2014, 11:54 AM
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This affects far more of us though:

Quote:
If you are moving abroad on a permanent basis, you will no longer be entitled to medical treatment in the UK under normal NHS rules. This is because the NHS is a residence-based healthcare system. Most people will also not be entitled to use a UK-issued EHIC card to access healthcare abroad.
The link to the relevant section on the NHS website isn't working. What are the "normal rules", anyone? What's changed?

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Last edited by Alcalaina; 30th April 2014 at 11:59 AM.
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Old 30th April 2014, 12:15 PM
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I find this very confusing and seemingly contradictory:
Quote:
If you are moving abroad on a permanent basis, you will no longer be entitled to medical treatment in the UK under normal NHS rules. This is because the NHS is a residence-based healthcare system. Most people will also not be entitled to use a UK-issued EHIC card to access healthcare abroad.
As a boring OLD f*rt who has the pensioners' EHIC which is issued by the UK what use is the EHIC to me if I can't use it, say in France, etc.?
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Old 30th April 2014, 12:40 PM
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Quote:
Originally Posted by baldilocks View Post
I find this very confusing and seemingly contradictory:


As a boring OLD f*rt who has the pensioners' EHIC which is issued by the UK what use is the EHIC to me if I can't use it, say in France, etc.?
read the quoted bit in my post - none of that has changed

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Last edited by xabiaxica; 30th April 2014 at 04:33 PM.
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Old 30th April 2014, 01:21 PM
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Quote:
Originally Posted by xabiachica View Post
read the quoted bit in my post - none of that has changed
That is because it is badly worded.:
"Most people will also not be entitled to use a UK-issued EHIC card to access healthcare abroad. "

Should read:
"Most people will also not be entitled to use a UK-issued EHIC card to access healthcare in another country in which they are resident. "


Last edited by xabiaxica; 30th April 2014 at 04:34 PM. Reason: edited quote
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Old 30th April 2014, 01:29 PM
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Quote:
Originally Posted by baldilocks View Post
That is because it is badly worded.:
"Most people will also not be entitled to use a UK-issued EHIC card to access healthcare abroad. "

Should read:
"Most people will also not be entitled to use a UK-issued EHIC card to access healthcare in another country in which they are resident. "
I'm also confused now, as an OAP with a UK issued EHIC, how would you get health care in UK if you should need it?

Surely the EHIC is ONLY of any use for outside UK or are OAP's an exception?


At the point at which you show an EHIC, the 'clerk' doesn't know where you are resident. And this could be Spain or UK.

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Old 30th April 2014, 02:05 PM
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Quote:
Originally Posted by snikpoh View Post
I'm also confused now, as an OAP with a UK issued EHIC, how would you get health care in UK if you should need it?

Surely the EHIC is ONLY of any use for outside UK or are OAP's an exception?


At the point at which you show an EHIC, the 'clerk' doesn't know where you are resident. And this could be Spain or UK.
I believe that the EHIC issued to S1 holders by the UK are slightly different - maybe baldilocks can confirm that there is some indication on them that they can be used in the UK?

the UK has been issuing them in this way for ages

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Old 30th April 2014, 03:16 PM
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Quote:
Originally Posted by xabiachica View Post
I believe that the EHIC issued to S1 holders by the UK are slightly different - maybe baldilocks can confirm that there is some indication on them that they can be used in the UK?

the UK has been issuing them in this way for ages
As far as I could tell/can remember, when I got my first one post arriving in Spain as an immigrant, there appeared to be no difference other than the date of expiry. It is my understanding that when in UK you can go to any Dr and asked to be taken on as a temporary resident.

What has caused a lot of the problems are/were the cheats who while still being on the books of UK Drs and the NHS are actually resident in Spain and using their EHICs to get treatment on the Spanish health service. Too frequent use of the EHIC, especially in one location, suggests to the UK authorities that the card is being misused (i.e. not being used just for visits), leading to the UK's refusal to repay Spain and the subsequent refusal of some Spanish health authorities to refuse to accept the EHIC even of genuine cases.

Maybe our friends at UK In Spain can answer the questions.

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