NHS Eligibility: Who’s Covered and What It Means

If you’re wondering whether you can use the NHS without paying extra, you’re not alone. The rules can feel confusing, but they’re actually pretty straightforward once you break them down. Below you’ll get the basics on who qualifies, what services are free, and where you might still face charges.

Basic Eligibility Rules

The NHS is free at the point of use for anyone who lives in the UK legally. That includes UK nationals, residents with settled status, and most people with a valid visa that allows them to stay for at least six months. If you’re an EU, EEA, or Swiss citizen, you’re covered as long as you have a settled or pre‑settled status under the UK Settlement Scheme.

Students, temporary workers, and refugees also qualify, but the proof they need can differ. A recent GP registration, a utility bill, or a council tax statement usually does the trick. The key is to show you’re genuinely living in the UK, not just visiting for a short holiday.

People without settled status, like some tourists or short‑term visitors, can still access emergency care, but most other services will require private payment or travel insurance. If you’re in doubt, call your local NHS 111 line – they’ll tell you exactly what you need.

Common Questions About NHS Coverage

Do you have to pay for prescriptions? In England, most adults pay a flat charge per item, unless you qualify for an exemption (like being over 60, pregnant, or on certain benefits). In Scotland, Wales, and Northern Ireland prescriptions are free for everyone.

What about dental care? Routine check‑ups are subsidised, but you’ll still pay a portion of the cost. Again, exemptions apply for low‑income patients, children, and pregnant women.

Eye tests and glasses are not fully free, but you can get a free test if you have a certain medical condition or receive certain benefits. It’s worth asking your GP about these nuances.

If you’re newly arrived, the quickest way to prove eligibility is to register with a GP. During registration you’ll provide proof of address and identification, and the GP practice will confirm your NHS entitlement on the spot.

Lastly, remember that eligibility isn’t static. Changes in your immigration status, employment, or benefits can affect your NHS rights, so keep your records up to date and re‑check if anything major changes in your life.

Knowing the basics saves you from unexpected bills and gives you confidence when you need care. Keep this guide handy, and you’ll navigate the NHS like a pro.