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NHS Rules for Tourists – Quick Guide to Getting Care in the UK

Visiting the UK and wondering if you’ll have to pay for a doctor’s visit? You’re not alone. The NHS does offer some free services to visitors, but the rules can feel confusing. Below you’ll get the basics: who qualifies, what’s free, what you’ll likely pay, and how to avoid surprise bills.

Who Can Use NHS Services as a Tourist?

If you’re from an EU country, you can still use your European Health Insurance Card (EHIC) or its UK replacement, the GHIC. With that card, most urgent care – like A&E, emergency ambulance rides, and essential treatment – is free. The same applies to visitors from countries that have a reciprocal health agreement with the UK, such as Australia, New Zealand, Switzerland, and a few others.

Travelers without an EHIC/GHIC or a reciprocal agreement are treated as private patients. That means you’ll be charged the standard NHS rates for anything you use, from a simple GP visit to a night in a hospital.

One quick tip: if you’re staying in the UK for more than six months, you can register with a local GP just like a resident. You’ll still need to pay for most services, but having a GP makes follow‑up care much easier.

Free vs. Charged Treatments – What to Expect

Free services (with EHIC/GHIC) cover:

  • Emergency department (A&E) care
  • Ambulance rides for emergencies
  • Essential treatment needed to stabilize a condition

What you’ll pay for:

  • Routine GP appointments (around £30‑£50 per visit)
  • Prescriptions (standard charge is £9.35, though you might get a discount with a pre‑payment certificate)
  • Dental care, eye tests, and most elective procedures

Even if you’re covered by EHIC, a doctor can still charge you for non‑essential services, like a cosmetic procedure or a private‑room upgrade. Always ask before any treatment starts.

Travel insurance is a smart backup. It can cover the costs you’d otherwise pay out‑of‑pocket, and many policies will reimburse you for NHS charges that aren’t free. When choosing a policy, look for “medical repatriation” and “NHS fee reimbursement” clauses.

If you end up with a bill, you can pay it directly at the hospital or GP practice, or you can claim a refund through your travel insurance. Keep all receipts – they’re the key to getting reimbursed.

Bottom line: bring a GHIC/EHIC if you have one, buy solid travel insurance, and ask about charges before any treatment. That way you’ll enjoy your UK trip without a surprise medical bill.

Healthcare Costs