Travelling overseas? Take your Medicare card with you
Your Medicare card also provides coverage in almost a dozen countries overseas.
It’d be a safe bet that almost every Australian carries their Medicare card in their wallet or purse.
But you shouldn’t leave it behind when you head overseas – in many cases, your Medicare card should be tucked away in your passport wallet.
That’s because in addition to being your safety net for GP visits and hospital admissions within Australia, those benefits also extend to 11 countries with which Australia maintains reciprocal health care agreements.
These cover emergency care as well as “care for an illness or injury that can’t wait until you get home.”
Those countries where your Medicare card may come in handy are:
- Belgium
- Finland
- Italy
- Malta
- the Netherlands
- New Zealand
- Norway
- the Republic of Ireland
- Slovenia
- Sweden
- the United Kingdom
Up front, it's vital to understand that carrying your Medicare card is not a substitute for travel insurance.
What cover does Medicare provide overseas?
Exactly what is covered under your Australian Medicare card varies from one country to the next.
In the United Kingdom, for instance, Medicare assists with “medically necessary care that can’t wait until you get home in the National Health Service (NHS) system,” provided you have not been in the UK for more than six months.
This includes care from an NHS doctor or nurse at a GP – provided they accept NHS patients and you ask to be registered as one under the UK/Australia Reciprocal Health Care Agreement – as well as care in a public ward or as an out-patient at an NHS hospital, and necessary ambulance transport to NHS hospitals or facilities.
Prescription medicines are also covered if you’re treated as an NHS patient, although a small out-of-pocket fee may apply.
Coverage in the UK doesn’t extend to non-subsidised medicine from pharmacies, any prescription medicines if you’re not being treated as an NHS patient, or dental services of any kind.
To see exactly what’s covered in each country under Medicare’s reciprocal healthcare agreements, visit the Australian Government’s website.
Proving you’re eligible for Medicare benefits overseas
You’ll need more than an Australian passport to confirm your eligibility for discounted or fee-free healthcare abroad – you’ll also need to present your Australian Medicare card, which is why you should always bring it with you when traveling abroad.
Australian permanent residents can show a different valid passport which carries proof of their Australian permanent residency, but must still present their Medicare card.
And if your Medicare card has already expired – or will expire while you’re away from home – request a new one from the Australian Government before your trip, allowing plenty of time for it to arrive.
Some countries have additional requirements for visitors seeking Medicare benefits, such as the Netherlands, for which you’ll also need to complete and submit an eligibility form, along with a copy of your passport and Medicare card, before benefits will be paid.
You can do this either before your trip or after you arrive in the Netherlands, which gets you an “A111 certificate” as needs to be presented when accessing healthcare under these arrangements.
If you’ve not taken those steps and incur out-of-pocket medical costs during your visit, you can request a retroactive refund of those payments, but this requires additional paperwork.
It’s much easier to obtain that certificate first as a just-in-case, rather than later when you’re out of pocket.
Adding your Medicare card to Apple Wallet or Google Wallet
You can also save a digital version of your Medicare card to your smartphone: download the Express Plus Medicare app for Android or iOS, log in to your Medicare-linked MyGov account, and click the Card tab.
To add your Medicare card to your myGov app, open the myGov app, go to Wallet on the home screen, select Add to Wallet and follow the steps.
For full details of Medicare's reciprocal healthcare agreements overseas, head to the Australian Government website.
Qantas - Qantas Frequent Flyer
31 May 2019
Total posts 7
Another unhelpful thing about travel insurance is they often have a clause excluding medical coverage for treatments in countries where it would be covered by a reciprocal health agreement! Very annoying if you don't realise this till later when you go to claim from travel insurance... always look out for that clause.
Qantas - Qantas Frequent Flyer
02 Feb 2022
Total posts 3
I tend to restrict the cards I take overseas so never actually considered taking the Medicare card. And whilst always having insurance I also never considered that they may refuse should the treatment be covered under the reciprocal agreement. I just checked the last PDS for the insurer I use and yes - they will not pay for expenses "In respect of medical care that is covered under a Reciprocal Health Care Agreement". So, whilst keeping in mind Hirizer's comment, I need to find out what is covered under the agreement.
Qantas - Qantas Frequent Flyer
09 Jan 2017
Total posts 41
I have an Australian passport and became ill on a trip to the UK several years ago. I went to the GP used by my UK family, showed my Passport and Medicare card and was refused treatment point blank. My family then suggested two other local clinics, both of which also refused to recognise the "reciprocal" benefit arrangement. In the end, I used my British passport (I have dual nationality) to get treatment, virtually with no questions asked, apart from supplying a UK residential address. The catch, I glean from your article, is to find an NHS medical practice and to "register" under the Reciprocal Health Care Agreement. Is that registration done at the GP's clinic?
Qantas - Qantas Frequent Flyer
08 Jun 2018
Total posts 16
In my experience, the best procedure in the UK is to attend the local NHS hospital medical centre. These operate in a similar manner to your family doctor, but are "drop in" for all. Wait times may be long, but I have never been refused or charged for being an Australian visitor. Drop-in clinics also exist in Italy and, again, are free for all.
17 Apr 2017
Total posts 7
Yep, excellent treatment in the UK when I fell ill on a recent trip. No issues with the reciprocal agreement. Saw a GP the same morning that I attended the local medical centre and, best of all, it was free! The receptionist thought I was very strange when I stood there with my wallet after the consultation asking how much I owed them!
14 Aug 2024
Total posts 7
Very useful article. I suggest amending to include the information from pb2492 that travel insurance policies exclude medical coverage for treatments where it would be covered by a reciprocal health agreement. New information for me.
Below is from my travel policy PDS
Qantas - Qantas Frequent Flyer - Chairmans Lounge
01 Sep 2011
Total posts 429
@Hirizer has written exactly what i was about to write and what i have experienced in the UK. I explained about the agreement and continued to be flatly refused at 4 places.
17 Apr 2017
Total posts 7
Hi crosscourt - what were the 4 places please? Could you share the details?
Qantas - Qantas Frequent Flyer - Chairmans Lounge
01 Sep 2011
Total posts 429
They were at clinics in the wimbledon area where I was working during the tournament. It was not even to do with anything major. I need injections to prevent dvt for flights as i was returning for some surgery. I was even going to supply the injections, and pay, and I kept getting refusals. I didn't have opportunities to get to hospitals as none were close but these were NHS clinics as well.
28 Nov 2018
Total posts 5
It didnt work in October 2024 at Amsterdam Schipol Airport. Medicare card refused for the GP consultation.
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