S1 (Formerly E121)

S1s and Brexit

UK-funded healthcare using an S1 from 1 January 2021

If you’re living in Spain before the end of 2020, your rights to access healthcare will stay the same from 1 January 2021 if you’re either:

  • receiving a UK State Pension
  • receiving some other ‘exportable benefits’
  • a frontier worker (someone who works in one state and lives in another)

This means that you’ll get:

  • continued access to healthcare in Spain using your UK-issued S1 form
  • a UK-issued EHIC for travel
  • planned treatments in other EU countries via the S2 route
  • access to the NHS in England, Scotland and Wales when you’re visiting the UK

EHIC if you have a registered S1

You need to get a new UK-issued EHIC that’s valid for travel from 1 January 2021.

Apply now for your new EHIC on the NHS website

Studying in Spain

If you’re in Spain on 31 December 2020 because you study there, and your course continues beyond 2020, you need to apply for a new UK-issued EHIC.

Your EHIC entitles you to medically necessary healthcare until the end of your study period in Spain.

From 1 January 2021, your EHIC will only be valid in Spain. Make sure you have travel insurance to cover the duration of your course.

Moving back to the UK

If you return to the UK you’ll be able to use the NHS like any other UK resident.

Read more about using the NHS when you return to live in the UK.

If you are living permanently in Spain and you receive an exportable UK pension, contribution-based Employment Support Allowance or another exportable benefit, you may be entitled to state healthcare in Spain paid for by the UK. You will need to apply for a certificate of entitlement known as an S1 form. If so, you may also get healthcare cover from the UK not only for yourself but also for any members of your family who depend on you and who live with you.

However, if, in addition to your UK pension, you also receive a pension from the country in which you now live, that country will be responsible for your healthcare and an S1 will not be applicable. If you receive your UK pension as well as a pension from an EU member state, but are now living in a different EU state, the country to which you paid contributions toward your pension for the longest period becomes responsible for your healthcare.

For exportable UK pensions and contribution-based Employment Support Allowance, you can apply for your form via the Overseas Healthcare Team in the Department for Work and Pensions on 0191 218 1999 or talk to

  • The International Pension Centre
    Tyneview Park
    Whitley Road
    Newcastle upon Tyne
    NE98 1BA +44 (0)191 218 1999. (Monday to Friday 8am-3pm)

You may need to liaise with different teams, depending on the exportable benefit. GOV.UK has more information on Claiming benefits if you live, move or travel abroad. You may also wish to speak to the Exportability Team. Please note that different exportable benefits can have different rules in terms of healthcare cover.

Apply as soon as possible before you leave the UK if you know your new address in Spain or as soon as you can after you arrive here. Once issued, register the S1 form with the Social Security in Spain . You need to do this before you can register for healthcare or obtain a medical card.

Once you have registered your S1 here, you will be entitled to apply for and use a UK-issued EHIC to access state-funded necessary medical treatment when you visit other EEA countries.

If your UK benefit stops for any reason, you will no longer get healthcare cover from the UK.

Once you have processed your entitlement at the Seguridad Social by way of the S1, you then have to register with a local GP to get access to non-emergency type treatment and care. You will need to be registered with your local town hall in order to prove which cachement area your place of residence falls into and therefore which GPs you may apply to register with.

Covid 19 British Consulate S1 information updated November 2020

https://www.gov.uk/guidance/healthcare-in-spain-including-the-balearic-and-canary-islands#s1

UPDATE FROM THE BRITISH CONSULATE -1. If you have been issued with an S1 form and are registered for residency, but you have not been able to register the S1 with the INSS (Spanish Social Security), then please email the Healthcare Team at healthcare.spain@fco.gov.uk They will help you process your application electronically
If you have been issued with an S1 form but you have not been able to register for residency, you can use your EHIC to access any necessary care, including prescriptions. If you don’t have a UK EHIC, please call NHS BSA 00 44 191 218 1999 for a replacement. When you call NHS BSA, you will need the email address of the closest Spanish healthcare centre. Your replacement EHIC will be emailed there.
2. I am entitled to Spanish healthcare cover because I am a permanent resident. I haven’t processed my paperwork yet.
Please email the Healthcare Team at healthcare.spain@fco.gov.uk They will help you process your application electronically.
3. I am entitled to Spanish healthcare cover because I am a dependent on someone who is registered with the social security system. I haven’t processed my paperwork yet.
Please email the Healthcare Team at healthcare.spain@fco.gov.uk They will help you process your application electronically.