Dla Pacjenta

How to benefit from healthcare services after 31.12.2020

What changes will be made, to whom and from when?

On 1 January 2021, the mutual rules of benefiting from healthcare services from the British and Polish nationals specified in the EU provisions on coordination of social security systems will be changed. In effect:

1. You will not be able to use the following documents issued by the National Health Service (NHS) or the Polish National Health Fund (NFZ) at the territory of Poland and United Kingdom:

  • European Health Insurance Card (EHIC) and Provisional Replacement Certificate of the EHIC
  • S1
  • S2, S3 – documents entitling to planned healthcare services
  • DA1 or E123 – documents entitling to healthcare services in effect of an accident or occupational disease.

2. The existing entitlements to healthcare benefits will expire. Only a part of persons will keep them – the persons, who acquired the entitlements before 1 January 2021 and will be continuously insured:

  • in Poland and will be at the same time stay or reside in the United Kingdom,
  • in the United Kingdom and will be at the same time stay or reside in Poland.

Will you be able to treat in Poland, if you are insured in the United Kingdom and reside in Poland?

Yes, you will keep the entitlement to healthcare benefits in Poland at the cost of NHS, provided that as of 31 December 2020 you have a health insurance in the United Kingdom. You will be entitled as long as your situation won’t change. Your situation will change, if you lose insurance in the United Kingdom or no longer reside in Poland. This entitlement will cover also your family members.

In an unclear situation – request from your NFZ branch to determine your entitlements or contact the NHS.

Each change of your status may affect the rules of benefiting from services that is why you must report it to the NFZ.

What documents will confirm entitlement to healthcare benefits?

The entitlement to healthcare benefits will be confirmed by one of the documents issued by the NHS and registered in the NFZ branch:

  •  S1 issued by NHS
  • S072 sent by NHS electronically.

If your life situation remains unchanged after completion of the transitional period, confirmations issued before 31 December 2020 on the basis of S1 document or E106, E109, E120 and E121 forms – will remain valid by the date of their expiry or issuing of a new document. This document will form a basis of access to healthcare in Poland on previously applying rules.

What are your duties?

You must report each change of your life situation to the NFZ e.g. when you change a state of employment or insurance or when you lose a family member status.

Will you be able to treat in the United Kingdom, if you are insured in Poland and reside in the United Kingdom?

Yes, you will keep the entitlement to healthcare benefits in the United Kingdom at the cost of NFZ, provided that as of 31 December 2020 you have a health insurance in Poland. You will be entitled as long as your situation won’t change. Your situation will change, if you lose insurance in Poland or no longer reside in the United Kingdom. This entitlement will cover also your family members

In an unclear situation – request from your NFZ branch to determine your entitlements or contact the NHS. Each change of your status may affect the rules of benefiting from services that is why you must report it to the NFZ.

What documents will confirm entitlement to healthcare benefits?

The entitlement to healthcare benefits will be confirmed by one of the documents registered in the United Kingdom:

  •  S1 issued by regional branch of NFZ
  •  S072 sent by NFZ electronically.

What are your duties?

You must report each change of your life situation to the NFZ e.g. when you change a state of employment or insurance or when you lose a family member status.

What will be the rules of benefiting from healthcare services during a temporary stay in Poland or the United Kingdom?

Rules for emergency treatment

You will be entitled to emergency and necessary treatment under the EHIC PL or EHIC UK, if:

  • your treatment starts before 31 December 2020 and completes on a later date
  • your temporary and continuous stay in the United Kingdom or Poland starts before 1 January 2021 – provision of healthcare services may commence later.

Remember that the persons insured in the United Kingdom will receive a new EHIC UK.

Rules for planned treatment

You will keep your entitlement to planned treatment under the S2 document (S2 PL, S2 UK). You will be entitled, if you receive consent for planned treatment or apply for planned treatment before 31 December 2020. Treatment may start and complete on a later date.

How to acquire the entitlement to healthcare benefits in Poland

You reside in Poland, you are a national of Poland or the United Kingdom and lost your entitlement to healthcare benefits at the cost of the United Kingdom? If you want to benefit from healthcare in Poland, you must acquire the entitlement. You will become entitled to social insurance, if:

  1. You insure in Poland in effect of employment or self-employment.
  2. You receive British retirement or disability pension transferred to Poland via a bank operating in Poland.
  3. You receive an unemployed status in Poland.
  4. A relative registers you for insurance as a family member.
  5. You insure in the NFZ voluntarily, by submitting a relevant application in the NFZ branch.

If you intend to benefit from voluntary health insurance in the NFZ, acquire a confirmation of your earlier health insurance (E104/UK form) in the United Kingdom from the British institution (NHS) – this will relieve you of a fee for insurance break period in Poland.

Note! Some persons are entitled to healthcare insurance despite the fact that they are not insured obligatorily or voluntarily (due to low income). These include:

  • pregnant women, women at childbirth and post-partum – if they are Polish nationals and reside in Poland,
  • children up to 18 years of age – if they are Polish nationals,
  • persons meeting the income criterion laid down in the social aid regulations – on the basis of the decision of a commune head, mayor or president of the city, issued under Article 54 of the Act of healthcare benefits financed from public funds - if they are Polish nationals and reside in Poland.

Legal status as of 30 October 2020. Information will be updated.