Guidance

Healthcare in Liechtenstein

Healthcare information for UK nationals visiting, living in or moving to Liechtenstein.

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This content was originally published on the NHS website.

Healthcare in Liechtenstein after Brexit

If you currently live in Liechtenstein

The UK has reached an agreement with Liechtenstein on citizens’ rights. This means that if there’s a no-deal Brexit, existing healthcare entitlements will be protected.

The agreement protects the rights of UK nationals who are living in Liechtenstein, and nationals of Liechtenstein who are living in the UK, before exit day.

Current healthcare arrangements will not change for UK nationals who are resident in Liechtenstein before the UK leaves the EU, for as long as they’re living in Liechtenstein and covered by the agreement. This includes:

If you’re a posted worker with a UK-issued EHIC or S1 certificate working in Liechtenstein before exit day, read the guidance on national insurance if you go abroad.

If you move to Liechtenstein after Brexit

If you’re planning to move to Liechtenstein after Brexit, you need to make the best decisions for your circumstances and consider:

  • registering to live in Liechtenstein. There are very restrictive laws for foreign nationals wishing to live in Liechtenstein
  • buying comprehensive health insurance to cover you while you’re applying for residency or if you’re not eligible for any local schemes

Make sure you have all the right documentation and it is up to date.

S1 certificate holders

The existing healthcare entitlements of UK nationals who are living in Liechtenstein before exit day will be protected, even if there’s a no-deal Brexit. This is because of the Citizens’ Rights Agreement between the UK and Liechtenstein. This includes:

  • S1 holders who are living in Liechtenstein before exit day
  • UK nationals living in Liechtenstein before exit day who reach state pension age after Brexit

If you do not have an S1 certificate, you can continue to apply for one until the UK leaves the EU. It’s important to have all the right documentation and that it’s up to date.

Studying in Liechtenstein after Brexit

If you’re a UK resident studying, or about to study, in Liechtenstein your UK-issued student EHIC will remain valid for the duration of your course, as long as you stay on it.

Get help paying for medical treatment after Brexit

During the first 6 months after Brexit, if you need medical treatment and you’re being asked to pay for it, the UK can help.

To organise a payment, you’ll need to give your healthcare provider’s details to the NHS Business Services Authority’s Overseas Healthcare Services.

Call the NHS Business Services Authority on +44 (0)191 218 1999 for more information. Lines are open Monday to Friday, 8am to 6pm and Saturday 9am to 3pm (UK time).

Using NHS services when visiting the UK

You can use NHS services in England, Scotland and Wales without charge, when visiting the UK after exit day if you’re living in Liechtenstein before exit day and:

  • have a UK-issued S1 form
  • have a UK-issued EHIC
  • would have been eligible for the UK to fund your healthcare access, if exit day had not occurred

If you’re moving to Liechtenstein after Brexit, you should not expect to be able to use NHS services for free when visiting the UK.

You should take out appropriate travel insurance when visiting the UK, as you would when visiting any other country.

Returning to the UK permanently

If you return to the UK permanently and meet the ordinarily resident test you’ll be able to access NHS care without charge.

European Health Insurance Cards (EHIC)

If your visit starts after the UK leaves the EU, your EHIC may not be valid if there’s a no-deal Brexit.

If your visit starts before the UK leaves the EU, the Citizens’ Rights Agreement between the UK and Liechtenstein means that:

  • existing healthcare entitlements will be protected
  • your EHIC will be valid for the duration of your stay if there’s a no-deal Brexit

Make sure you have comprehensive travel insurance if you’re planning to visit Liechtenstein.

Check your travel insurance has the necessary healthcare cover to ensure you can get any treatment you might need.

If you have any pre-existing health conditions, talk to your insurer about how to get the right cover, and how this affects your travel.

Living and working in Liechtenstein

This information is about healthcare in Liechtenstein before Brexit. Find out about healthcare for UK nationals living and working in Liechtenstein after Brexit.

UK nationals living or working in Liechtenstein must follow the registration process to access the same entitlements to healthcare as Liechtenstein nationals.

Employers must register new EEA workers with the Migration and Passport Office within 10 days of them starting work. Employees then receive confirmation of their status as a cross-border commuter.

UK posted workers

You may be entitled to health cover funded by the UK in Liechtenstein if you’re a worker posted by a UK company to Liechtenstein.

You can find out more from HM Revenue and Customs:

S1 certificate

This information is about healthcare in Liechtenstein before Brexit. Find out about S1 certificates after Brexit.

You may be entitled to state healthcare paid for by the UK if you live in Liechtenstein and receive:

  • an exportable UK State Pension
  • a contribution-based Employment Support Allowance
  • another exportable benefit

If you’re eligible, apply for a certificate of entitlement known as an S1 certificate. An S1 certificate helps you and your dependants access healthcare in Liechtenstein. If you have an S1 certificate, it will be valid until the UK leaves the EU.

You may be eligible for an S1 certificate if you:

  • receive certain UK benefits, such as a UK State Pension
  • are employed by a UK body or firm (you’re a posted or frontier worker)
  • are a dependant of someone who has an S1 certificate

You can apply for an S1 certificate through the Business Services Authority.

Make sure you have all the right documentation and that it is up to date.

If you receive a UK State Pension, you can apply for your certificate via the Overseas Healthcare Service on +44 (0) 191 218 1999 (option 5).

For other exportable benefits, you may need to contact a different team depending on the exportable benefit.

You can find more information under claiming benefits if you live, move or travel abroad. Please note that different exportable benefits can have different rules in terms of healthcare cover.

Studying in Liechtenstein

This information is about healthcare in Liechtenstein before Brexit. Find out about healthcare for UK nationals studying in Liechtenstein after Brexit.

The government always advises UK nationals to take out comprehensive insurance when going overseas.

Your EHIC is not an alternative to insurance and you should have both when you travel abroad.

If you’re a UK resident studying, or about to study, in Liechtenstein your UK-issued student EHIC will remain valid for the duration of your course, as long as you stay on it.

Read the NHS guides about healthcare when studying abroad and planning your healthcare if you’re moving abroad.

Visiting Liechtenstein

This information is about healthcare in Liechtenstein before Brexit. Find out about healthcare for UK nationals visiting Liechtenstein after Brexit.

Make sure you have comprehensive travel insurance if you’re planning to visit Liechtenstein.

The government always advises UK nationals to take out comprehensive travel insurance when going overseas.

Your EHIC is not an alternative to travel insurance and you should have both when you travel abroad.

Emergency medical care is provided to anyone requiring urgent attention. You can expect to be charged in full for any care provided without an EHIC.

Your EHIC enables you to access necessary state-provided healthcare in Liechtenstein at a reduced cost, or sometimes for free if you’re staying there temporarily.

Make sure you’re treated by a healthcare provider in the state system as you’ll not be covered for private healthcare with an EHIC.

Remember to keep all receipts and any paperwork.

Pre-existing health conditions

You should buy medical travel insurance before visiting Liechtenstein if you have a pre-existing health condition.

You must tell the insurance company about any pre-existing health conditions you have, so that you can get the cover you need.

If you have a pre-existing condition that will need treatment while abroad, ask your doctor in the UK for advice before you travel.

Take any documents about your health condition or medication with you.

If you’re travelling to have planned medical treatment, read the NHS guide about going abroad for medical treatment..

Healthcare services in Liechtenstein

Finding help in an emergency

Call 112 if you have a serious or life-threatening emergency.

There’s only one hospital in Liechtenstein in Vaduz. You do not need to be referred in emergencies.

Dentists

All dental care in Liechtenstein is private and must be paid for in full.

Hospitals

There’s one hospital in Liechtenstein, the National Hospital, located in the capital city Vaduz. It runs alongside private practitioners.

You’ll need a referral from a doctor to be admitted to hospital, unless it’s in an emergency.

The Liechtenstein government also has agreements with some hospitals outside Liechtenstein, such as Austria and Switzerland, where patients are transferred for complicated or specialised treatments.

Prescriptions

Prescriptions are covered by statutory health insurance. When using your EHIC, people of working age are charged 50%, and pensioners are charged about 10%.

Pensioners will have to declare they receive a UK State Pension to pay the lower rate.

Bringing your own medicines to Liechtenstein

Some prescribed medicines contain drugs that are controlled under the Misuse of Drugs legislation in the UK. This means that additional legal controls apply to these medicines.

You may need a personal licence to take controlled medicines abroad.

Specific requirements also apply to:

  • the information that you must take with you
  • how you carry your controlled medicines

Read more information about travelling with controlled medicines.

Published 23 September 2019