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European Health Insurance Card

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European Health Insurance Card

The European Health Insurance Card (EHIC) is issued free of charge to anyone who is insured by or covered by a statutory social security scheme of the EEA countries or Switzerland and certain citizens and residents of the United Kingdom. It allows holders to receive medical treatment in another member state in the same way as residents of that state—i.e., free or at a reduced cost—if treatment becomes necessary during their visit (for example, due to illness or an accident), or if they have a chronic pre-existing condition which requires care such as kidney dialysis. The term of validity of the card varies according to the issuing country. The EEA countries and Switzerland have reciprocal healthcare arrangements with the United Kingdom, which issues a UK Global Health Insurance Card (GHIC) valid in the EEA countries and, in most cases, in Switzerland.

The intention of the scheme is to allow people to continue their stay in a country without having to return home for medical care, and does not cover people who have visited a country for the purpose of obtaining medical care, or non-urgent care that can be delayed until the individual returns to their home country (for example, most dental care). The costs not covered by self-liability fees are paid by the issuing country, which is usually the country of residence, but may also be the country from which the patient receives the most pension. The card only covers healthcare which is normally covered by a statutory health care system in the visited country; additional costs can be met by taking out travel insurance.

The format of the EHIC complies with the ID-1 format, i.e. the size of most banking cards and ID cards (53.98 mm high, 85.60 mm wide and 0.76 mm thick).

The card was phased in from 1 June 2004 and throughout 2005, becoming the sole healthcare entitlement document on 1 January 2006.

It replaced the following medical forms:

The card is applicable in all French overseas departments (Martinique, Guadeloupe, Réunion, and French Guiana) as they are part of the EEA, but not non-EEA dependent territories such as Aruba, or French Polynesia. However, there are agreements for the use of the EHIC in the Faroe Islands and Greenland, even though they are not in the EEA.

The card exists because the right to health care in the European Union is based on the country of legal residence, not the country of citizenship. Therefore, a passport is not enough to receive health care. It is however possible that a photo ID document is asked for, since the European Health Insurance Card does not contain a photo.

In some cases, even if a person is covered by the health insurance of an EU country, one is not eligible for a European Health Insurance Card. For instance, in Romania, a person who is currently insured has to have been insured for the previous five years to be eligible.

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