Apply for healthcare cover in the EU, European Economic Area or Switzerland (CA8454)

Who can apply

You will need to check if you are entitled to a certificate or document to continue paying National Insurance contributions in the UK. If you are and you reside in the EU, Iceland, Liechtenstein, Norway or Switzerland, then complete form CA8454 to apply for health care cover from the UK for you and your dependants.

HMRC will respond to your application with any action you need to take.

If you’re a student

You may be able to apply for healthcare abroad if you are studying in:

• the EU
• Iceland
• Liechtenstein
• Norway
• Switzerland

Find out more information about how to apply for healthcare cover abroad (GHIC and EHIC) on the NHS website.

Other ways to apply for healthcare cover

If you think you are eligible for healthcare cover and you:

• have recently left the UK
• are not working
• are retired

You should contact the NHS Business Services Authority at the following address:

Telephone: 0191 218 1999
Outside UK: +44 191 218 1999
Monday to Friday, 8am to 6pm

If this does not apply to you, find information about how to access healthcare in the EU, Iceland Liechtenstein, Norway or Switzerland.

What you will need

If you or an agent complete the application you’ll need to say if you:

• have changed your name, if so what your previous name were
• are a national of the EU, Norway, Iceland, Switzerland or Liechtenstein, and if you have an EU Settlement Scheme status
• have more than one nationality ― you’ll need to give details about how you got each one
• have a family member who is a national of the EU, Norway, Iceland, Switzerland or Liechtenstein ― you’ll need their details including their relationship with you

If you’re a mariner

If you’re a mariner you will also need to include with your application a copy of your:

• mariners’ discharge book
• latest payslip

You will need to include the unique reference you get when you submit your form online, on any additional information you send by post.

Send the form and your documents to:

How to apply

You can apply for a healthcare certificate (this includes a Portable Document S1, E106 or E109E109) in the EU, Norway,European Iceland,Economic SwitzerlandArea, orIceland, Liechtenstein, onlineNorway or by post.Switzerland.

Apply online

To apply online, you need a Government Gateway user ID and password. If you do not have a user ID, you can create one when you apply.

You will get a unique reference when you submit your form online.

To send us further information that cannot be included in your online form you will need to include the unique reference and post it to:

Apply by post

Fill in the form on screen, print it and post it to HMRC.

You’ll need to fill in the form fully before you can print it. You cannot save a partly completed form, so we suggest you gather all your information together before you begin to fill it in.

Send your completed form to:

Email HMRC to ask for this form in Welsh (Cymraeg).