Guidance

Apply for healthcare cover in the EU, EuropeanIceland, EconomicLiechtenstein, AreaNorway or Switzerland (CA8454)

UseApply the online service or postal form to apply for a healthcare entitlement certificate (this(S1) includesif ayou’re Portablepaying DocumentUK S1,National E106Insurance oras E109)a inworker thewhile EU,resident Europeanin Economican Area,EU country, Iceland, Liechtenstein, Norway or Switzerland.

From:
HM Revenue & Customs
Published
2 November 2020
Last updated
301 JuneDecember 2023 — See all updates

Who can apply

You will need to check if you are entitled to a certificate orof documentcoverage to continue paying National Insurance contributions in the UK.

If you areare, and you reside in the EU, Iceland, Liechtenstein, NorwayNorway, or Switzerland, and you have not already been issued with a healthcare entitlement certificate (also known as S1), then complete form CA8454CA8454. Use this to apply for healthhealthcare 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

IfYou youmay thinkbe youable areto eligibleapply for healthcare cover if you think you are eligible and you:

  • have recently left the UK

  • are not working

  • are retiredretired 

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

Overseas Healthcare Services
NHS Business Services Authority
Bridge House
152 Pilgrim Street
Newcastle upon Tyne
NE1 6SN

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, IcelandIceland, 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,name ― if so what your previous name werewas

  • 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 aan marineragent

If you’re aan marineragent youworking willon alsobehalf needof toyour includeclient, with your applicationclient aneeds copy of your:

  • mariners’ discharge book
  • latest payslip

You will need to includefill thein uniquean referenceauthorising you get when you submit your formagent online,(64-8) on any additional information you send by post.form.

SendYou should submit the completed form andwith your documentsCA8454 to:

ISBC,application Campaigns and Projects
HM Revenue and Customs
BX9 1QZ
form.

How to apply

You can apply for a healthcare certificate (this includes a Portable Document S1, E106 or E109) in the EU, European Economic Area, Iceland, Liechtenstein, Norway or Switzerland.

Apply online

ToYou’ll applyneed online,to youhave need a Government Gateway user ID and password. If you do not have a user ID, you can create one whenthe first time you apply.sign in.

You willdo getnot ahave uniqueto referencefill whenin youthe submitform in one go. You can save your formanswers online.and return later.

ToIf sendyou’re usan furtherindividual, informationemployer thator cannotagent:

beApply includednow in

Apply yourby onlinepost

  1. Get formall youof willyour needinformation totogether includebefore theyou uniquestart. referenceYou andwill postfill itthis to:

    PTform Operationsin Northonline Eastand England
    HMyou Revenuecannot andsave Customs
    BX9your 1ANprogress.


    United Kingdom

Apply by post

Fill in the form on screen,.

  • Print print it and post it to HMRC.HMRC, using the postal address shown on the form.

    • You’llThis needfile tomay fillnot inbe thesuitable formif fullyyou beforeuse youassistive cantechnology print(such it.as Youa cannotscreen savereader). aIf partlyyou completedneed form,a somore weaccessible suggestformat, youemail gatherdifferent.format@hmrc.gov.uk alland yourtell informationus togetherwhat beforeformat you beginneed. toIt fillwill ithelp in.

    Sendif youryou completedtell formus to:

    PTwhat Operationsassistive Northtechnology Eastyou England
    HMuse. RevenueRead andthe Customs
    BX9accessibility 1AN
    Unitedstatement Kingdom
    for HMRC forms    .

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

    Check when you can expect a reply

    You can check when you can expect a reply from HMRC about the application that you have submitted.

    Published 2 November 2020
    Last updated 301 JuneDecember 2023 + show all updates

    1. Change to the application process for applying for a certificate of coverage where you will now also receive a healthcare entitlement certificate if you qualify. Removed mariner section as an applicant does not need to provide this any longer. A new section has been included so that you can check when you can expect a reply from HMRC after you've applied.

    2. Information about applying for healthcare certificate (including a Portable Document S1, E106 or E109) in the EU, European Economic Area, Iceland, Liechtenstein, Norway or Switzerland has been added.

    3. Information about applying for healthcare cover in the EU, European Economic Area or Switzerland if you're a student or you're retired has been added.

    4. Changes have recently been made to this page under the section headed ‘How to Apply’. The changes relate to any additional information you may need to provide with your CA8454 application.

    5. More information about what you need to include has been added to the 'If you’re a mariner' section.

    6. This has been updated following the announcement of the UK’s deal with the EU. Use the online service or postal form to apply for a Portable Document S1, E106 or E109 in the EU, Norway, Iceland, Switzerland or Liechtenstein.

    Contents