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Half of British holidaymakers expect too much of the EHIC

10th August 2015 Print

According to research from travel insurance, half (50%) of UK adults who’ve travelled abroad wrongly believe that an EHIC entitles them to free emergency medical care anywhere in Europe and a further 5% believe that entitlement extends to the anywhere in the World. And 7% believe that if they’re taken seriously ill or are badly injured in Europe, an EHIC entitles them to be flown home by air ambulance.

The European Health Insurance Card (EHIC) has been around for more than 10 years, and nearly 1 in 10 (9%) UK adults who’ve been abroad have used it to get free or reduced cost medical treatment whilst travelling in Europe.

Unfortunately, although an EHIC is extremely useful, and can save you money on medical expenses in Europe, its benefits are more limited than many people think. Worryingly, 5% of survey respondents felt that having an EHIC meant they didn’t need travel insurance for holidays in Europe.

The EHIC facts – The European Health Insurance Card (EHIC) is free to most UK residents. However residents of the Channel Islands and the Isle of Man are not eligible for EHICs. Parents and guardians can apply for EHICs for those aged under 16 and each member of a travel party must have their own EHIC.

An EHIC entitles the bearer to the same level of state medical care provided to eligible nationals of the EEA country they’re in. This means that the treatment may be provided for free, or at a reduced cost, in all European Economic Area (EEA) countries including Switzerland. The EEA includes all 27 members of the European Union (EU) plus Iceland, Norway and Liechtenstein. The EHIC is not accepted in Turkey as it is not a member of the EU or the EEA.

However, the provision of state care varies from country to country and does not mean you can expect to be treated as you would if you visited your NHS doctor or hospital. Few EU countries pay the full cost of medical treatment as you’d expect from the NHS. For example, in France a patient may be expected to pay for a consultation with a doctor but will have up to 70% of the cost reimbursed later. The patient may also be expected to contribute to the cost of staying in a hospital overnight.

There are also no guarantees that an ambulance will take you to a state hospital for emergency treatment, and many of the smaller hospitals and clinics found in holiday resorts are private. If you end up at a privately run clinic or hospital your EHIC may not be accepted.

Medical repatriation

When it comes to medical repatriation, the EHIC is of no use at all. An EHIC does not cover the cost of being flown home under medical supervision from any destination and the Government generally does not pay for British holidaymakers to be flown home unless there are very unusual circumstances. The costs of a medical repatriation can be huge - according to one insurer, the cost of flying one seriously ill British holidaymaker home from the Canary Islands by jet air ambulance was nearly £23,000 – but in most cases the costs will be covered by a reasonable travel insurance policy. Without insurance, friends and family may end up footing the bill to get you home.

£49 for a free EHIC!?

Only 54% of UK adults who’ve travelled abroad know that anyone eligible can obtain an EHIC for free. That figure drops to just 32% of 18 to 24 year olds. Unfortunately there are still plenty of online companies charging a packet to assist people with their applications, despite it being a very straightforward, 10 minute job.

One such company, which advertises on Google when searching for ‘EHIC’, calls itself ‘EHIC’ and has the web address

It describes itself as an ‘Application Assistance Service’ and charges £49.00. Although it complies with marketing regulations by having a link to the free, NHS application service and stating in their terms and conditions that they are a third party and not affiliated with the NHS, they do also make some interesting claims which might suggest that applying for an EHIC is more difficult than it actually is:

“We work with all the European Embassy’s (sic) to make sure that UK residents can safely apply for their EHIC online. We employ highly trained consultants to comply with all applicable legislation.” – 

It only takes a few minutes to apply for a free EHIC on the NHS website:

Caroline Lloyd, travel insurance spokesperson at, commented: “The EHIC has been around for more than 10 years, but half of British holidaymakers still don’t understand what benefits it can and can’t provide. There’s no doubt it’s a very useful piece of plastic to take with you when travelling in Europe, but it’s no substitute for having appropriate travel insurance.”

“Having an EHIC can help you to access free or, more likely, discounted emergency medical services whilst abroad but it’s not a guarantee that you won’t have to pay a thing, and it certainly won’t be any help if you need medical repatriation to the UK, which can cost thousands of pounds.

“Having an EHIC may also mean that you don’t have to claim on your travel insurance and pay an excess for minor injuries and some insurers will even waive the policy excess for medical claims where you’ve used your EHIC, but where it doesn’t cover the full cost of your treatment.

“However, holidaymakers should always arrange suitable travel insurance to ensure they’re covered for medical treatment and medical repatriation if necessary. And an EHIC won’t cover your baggage or reimburse you in the event of a cancellation of all or part of your holiday, whereas most travel insurance policies will. Look at an EHIC as complementing your travel insurance rather than replacing it or you could end up with a hefty medical bill.

“Finally, no one has to pay for an EHIC, so don’t be fooled by websites charging good money just to check your spelling and send you a reminder in five years when your EHIC expires. The official NHS website is simple, straightforward and free.”