Passports & family

The GHIC card: what it covers and how to renew it

The UK GHIC is free, lasts up to 5 years and arrives within 15 working days. What it covers, where it works, and how to renew — never via copycat sites.

By Semih Kavaklioglu · Last updated 26 August 2026

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The GHIC is one of the most useful free things a UK family can own — and one of the most misunderstood. It is not insurance, it doesn’t cover everything, and there’s an industry of look-alike websites charging for it. Here’s the accurate picture, with the current NHS timings.

The key numbers

£0
Cost (NHS only)
5 yrs
Valid for up to
15 days
Working days to arrive
9 mths
Renew up to this early
NHS figures, checked August 2026.

What it covers — and what it doesn’t

The UK GHIC entitles you to medically necessary state-provided healthcare during a temporary stay, on the same terms as a resident of that country. That includes emergency treatment and A&E visits, and treatment for pre-existing or chronic conditions that can’t wait until you’re home. “Same terms as a local” matters: if residents pay a contribution towards treatment, so do you.

Covered (state system)Not covered
Emergency treatment and A&EPrivate clinics or private rooms
Treatment that can’t wait until you’re homeBeing flown back to the UK (medical repatriation)
Pre-existing / chronic condition care (e.g. routine dialysis, with pre-arrangement)Mountain or ski rescue
Maternity care if the birth is unexpectedTrip cancellation, lost baggage, missed flights
Same co-payments as a local residentRefund of the co-payments a local would pay
Watch out. The gap that matters most is repatriation. An air ambulance home from Europe can cost tens of thousands of pounds, and the GHIC pays none of it. That is what travel insurance is for — and many insurers reduce or waive the excess for medical claims if you also used a GHIC. Have both. See what travel insurance actually covers.

Where it works

  • EU and EEA countries — including Norway, Iceland and Liechtenstein.
  • Montenegro and Australia (reciprocal agreements).
  • Jersey, Guernsey, the Isle of Man, St Helena, Tristan da Cunha and Ascension.
  • Switzerland — only for British or Swiss nationals, EU citizens, refugees, stateless people, or family members of those.

An older UK EHIC works in the EEA and Switzerland until the expiry date printed on it. Anywhere not listed — the USA, Turkey, Egypt, Thailand — the GHIC does nothing and insurance is your only cover.

How to get or renew one

  1. 1
    Go to the NHS website — nowhere elseSearch “NHS GHIC” and check the address ends in nhs.uk. Copycat sites rank in ads and charge a fee for the same free card.
  2. 2
    Apply online with your NHS number or National Insurance numberYou need your name, date of birth, address and NHS/NI number. Add your spouse or civil partner and children to the same application.
  3. 3
    Renew earlyYou can renew up to 9 months before the card expires. The new card is posted, and it usually arrives within 15 working days.
  4. 4
    Put every card in the travel walletEach person needs their own physical card (there is no family card). Photograph the fronts so you have the details if one is lost.
Tip. Three-week delivery is the reason to renew off-season. Put the GHIC expiry date next to the passports in whatever your family uses to track dates, with a reminder 6 months before — you can renew immediately and never think about it before a trip.

Travelling before it arrives — the PRC

If your card hasn’t arrived (or is lost) and you need treatment abroad, you or someone on your behalf can phone NHS Overseas Healthcare Services and ask for a Provisional Replacement Certificate (PRC). It’s emailed to you or the hospital and gives the same entitlement as the card for that treatment. It only works once you actually need care, so it isn’t a substitute for applying in time. If you’re in that situation, read my GHIC has expired and I’m travelling soon.

Common mistakes

  • Paying for it. Any site charging for a GHIC is not the NHS.
  • Assuming one card covers the family. It doesn’t — apply for the children too.
  • Treating it as insurance. No repatriation, no private care, no cancellation.
  • Going to a private clinic. The GHIC only works in the state system; hotels and resorts often point tourists to private doctors who won’t accept it.
  • Letting it expire quietly. Five years is long enough to forget; the expiry sits on the front of the card.

In short

Free, up to 5 years, arrives within 15 working days, renewable 9 months early, one per person — apply only at nhs.uk. It gets you state healthcare like a local in the EEA (plus Montenegro, Australia, the Crown dependencies, and Switzerland in some cases), but it isn’t travel insurance and won’t fly you home. Carry both.

Frequently asked questions

Is the GHIC the same as travel insurance?

No. The GHIC gives access to state healthcare at the same cost as a local resident; it doesn’t cover private treatment, mountain or ski rescue, being flown home (medical repatriation), lost luggage or a cancelled trip. The FCDO’s advice is to have travel insurance as well.

How much does a GHIC cost?

Nothing. It’s free from the NHS. Unofficial websites charge £20–£40 ‘processing fees’ for the same free card — if a site asks for payment, it isn’t the NHS.

How long does a GHIC take to arrive?

The NHS says cards arrive within 15 working days — roughly three weeks. If you need treatment abroad before it arrives, you can get a Provisional Replacement Certificate (PRC) by phoning the NHS Overseas Healthcare Services line, which gives the same cover for that trip.

My old EHIC hasn’t expired — do I need a GHIC?

No. A UK-issued EHIC stays valid until the expiry date printed on it. Apply for a GHIC when the EHIC is due to expire (you can do it up to 9 months early).

Does one card cover the whole family?

No — each person needs their own card, including children and babies. You can add a spouse, civil partner and children to your own application so they’re all issued together.

Does the GHIC work in Switzerland, Norway or Iceland?

Norway, Iceland and Liechtenstein: yes, as EEA countries. Switzerland: only if you’re a British or Swiss national, an EU citizen, a refugee, stateless, or a family member of one of those. Check the NHS country list before you rely on it.

Sources & last checked

Last checked against official sources: 26 August 2026.