Two cards, similar names, and a lot of confusion. If you’re not sure whether you need a GHIC or EHIC — or whether your old card still works — this guide clears it all up.
The One-Line Answer
The EHIC was the old European health card for UK residents when we were in the EU. The GHIC is its replacement after Brexit. Same core purpose, slightly different scope.
What Was the EHIC?
The European Health Insurance Card was issued to residents of EU member states. Before Brexit, UK residents could get one free of charge and use it to access state healthcare across Europe.
residents under the EU scheme.
What Is the GHIC?
The Global Health Insurance Card is the UK’s post-Brexit replacement, introduced under the UK-EU Trade and Cooperation Agreement. It gives UK residents the same essential healthcare access in EU countries that the EHIC provided.
Key Differences
Coverage area:
• EHIC: EU countries + Switzerland, Norway, Iceland, Liechtenstein
• GHIC: EU countries only (separate agreements cover some EEA countries)
Who it’s issued to:
• EHIC: EU residents (including UK residents pre-Brexit)
• GHIC: UK residents post-Brexit
Current status:
• EHIC: Still valid until expiry if you have one
• GHIC: The current card for new applications
Everything else — emergency cover, pre-existing conditions, maternity care, GP visits — is essentially the same.
Does My Old EHIC Still Work?
Yes. If your EHIC hasn’t expired, it’s still valid and accepted in EU countries. You don’t need to replace it until it runs out.
Once it expires, apply for a GHIC.
Which One Do I Need?
• Have a valid EHIC → keep using it, apply for GHIC before it expires
• Have an expired EHIC → apply for a GHIC now
• Never had either → apply for a GHIC