Should the United Kingdom leave the European Union without a deal, then, starting from the first day after Brexit, all rights to healthcare services provided for by the EU mechanism for the coordination of social security systems and held before that date by:
This shall apply to: tourists, persons visiting their country of origin, persons visiting families residing in Poland or in the UK, employees and the self-employed, the unemployed, pensioners, persons applying for retirement pension/disability pension/etc., schoolchildren and students, as well as family members of the insured.
Persons residing in the UK will not be able to use the documents issued by the National Health Fund (NFZ) entitling to healthcare services in the United Kingdom – i.e. S1/PL form (or E106/PL, E109/PL, E120/PL, E121/PL) nor documents entitling to healthcare services in the event of accidents at work or an occupational diseases – i.e. DA1/PL or E123/PL, even if the validity period indicated in the relevant document has not yet expired.
Employed/self-employed and farmers
Persons residing in the UK who are employed or self-employed in Poland and are covered by a retirement or pension scheme in Poland under the provisions of the Act on the social insurance system or are covered by social insurance for farmers under the Act on social insurance for farmers will not lose the status of an insured person in Poland (in NFZ), but only the right to medical services financed by NFZ in the UK.
Family members of persons insured in NFZ
Family members of persons insured in Poland who reside in the UK and were previously registered for health insurance in Poland (children or grandchildren until they turn 18 or 26 if they pursue higher education, wife, husband) should be deregistered from health insurance with NFZ. Deregistration of a family member should be reported to the payer of healthcare contributions (employer, contracting party, pension authority in charge of those benefits, Social Insurance Fund, Agricultural Social Insurance Fund, etc.) Family members will lose the right to medical care financed by NFZ both in the UK and in Poland.
Pensioners and their family members
Polish pensioners and members of their families as well as pension claimants and members of their families, who reside in the UK and were registered for health insurance with NFZ, will be automatically deregistered from health insurance coverage in Poland by the Social Insurance Fund/Agricultural Social Insurance Fund/another authority in charge of pension schemes. These persons will lose the right to medical care services financed by NFZ in the UK, in Poland, as well as other EU Member States.
Note: Persons residing in the UK who will lose their insured status in Poland after Brexit, should apply to the British health insurance institution beforehand in order to obtain information concerning their rights to healthcare in the territory of the United Kingdom after Brexit.
“Attestations of healthcare coverage” issued by NFZ to persons insured in the UK who reside in Poland, based on British S1 forms (or E106, E109, E120, E121) and British documents entitling to healthcare services in the event of accidents at work or an occupational diseases – i.e. DA1 forms (or E123) – will expire.
Healthcare services entitlement
Persons residing in Poland who, prior to Brexit, were using healthcare services financed by NHS (based on relevant forms issued by this institution) will be eligible for healthcare service entitlement based on:
Persons who intend to file for voluntary insurance with NFZ after returning from the UK to Poland should first obtain a certificate from the relevant NHS, confirming their prior health insurance coverage in that country (E104/UK form), in order for the insurance gap fee in Poland to be waived;
Polish citizens returning from the UK to Poland or Polish citizens who lost the right to use healthcare services financed by the UK on account of Brexit and are not subject to mandatory health insurance or not eligible for voluntary insurance in Poland, will be allowed access to healthcare services based on:
Persons who are not subject of above mentioned mandatory health insurance or who cannot access voluntary insurance will be allowed access to healthcare services financed from public funds for beneficiaries other than insured persons. The following groups are entitled:
“Attestations of healthcare coverage” issued by NFZ to persons insured in the UK who reside in Poland, based on British S1 forms (or E106, E109, E120, E121) and DA1 forms (or E123) – will expire.
Documents issued by British institutions entitling to the use of scheduled services provided for under the Polish healthcare scheme – i.e. PD S2 (E112) – will expire.
Holders of the European Health Insurance Card (EHIC) or Provisional Replacement Certificate (PRC) issued by British institutions will lose their right to use this document to receive necessary healthcare services in Poland. Access to the healthcare services will be possible only as private patients.