Students who hold pre-settled or settled status under the EU Settlement Scheme
If you hold pre-settled or settled status in the UK then you will have full access to the National Health Service (NHS) .
Students who do not hold pre-settled or settled status under the EU Settlement Scheme
If you are coming to the UK to study a course which is longer than 6 months, you will need to apply for a Student Route visa. As part of this application you will be required to pay an Immigration Health Surcharge which will then give you access to the National Health Service (NHS) in the UK. Please see our guidance on the Student Route for more information about the Immigration Health Surcharge.
Immigration Health Surcharge reimbursement scheme
Full time EU students with an EHIC issued by a European Country will be able to claim a reimbursement of the Immigration Health Surcharge you paid for during your student visa application but only if you do not work or intend to work in the UK. If you are planning to work at any stage or are working in the UK you are not entitled to a refund.
Unpaid work does not count in this instance.
You should think very carefully before requesting a reimbursement of this fee.
Even if you hold an EHIC, this only covers ‘medically necessary’ treatment in the UK. ‘Medically necessary’ treatment is defined by the UK Government as follows:
Medically necessary healthcare can include:
- emergency treatment and visits to A&E
- treatment for a long-term or pre-existing medical condition
- routine medical care for pre-existing conditions that need monitoring
- routine maternity care, as long as you’re not going abroad to give birth
- oxygen therapy and kidney dialysis
It is important that you carefully research whether it is sensible for you to apply for a reimbursement of the IHS carefully before taking any action, especially if you have long-term health conditions. You should read the UK Government guidance on this here. You should also check with the authorities in your home country that your EHIC remains valid if you have previously paid the UK IHS.
You may also at a later stage decide that you would like to work during your studies and it is not possible to reverse the decision to apply for the IHS refund .
Coming to the UK for less than 6 months
If you are coming to the UK to study a course of less than 6 months, please ensure you have in place appropriate health insurance before you travel.
Read the UK Council for International Student Affairs' guidance