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ALWAYS FRED > Travel > The cost of falling ill abroad: what British travelers could face in Spain, Portugal and more
The cost of falling ill abroad: what British travelers could face in Spain, Portugal and more
Travel

The cost of falling ill abroad: what British travelers could face in Spain, Portugal and more

June 6, 2026 10 Min Read
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Table of Contents

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  • Spain
  • Portugal
  • Outdoors the EU
  • Solutions to your journey insurance coverage questions
    • Does GHIC substitute journey insurance coverage?
    • Does journey insurance coverage cowl pre-existing medical circumstances?
    • What if I want remedy overseas?
  • Journey insurance coverage stays necessary

A giant concern is medical evacuation. When you endure a severe sickness or damage. Picture credit score: gpointstudio/Shutterstock

As many people put together for summer season journeys overseas, there’s one factor we are likely to ignore. Journey insurance coverage is commonly thought-about an optionally available further when reserving a trip. However insurance coverage trade figures present vacationers might face payments of hundreds, and even tens of hundreds of kilos, in the event that they fall sick overseas.

Knowledge launched by Spain’s insurance coverage affiliation UNESCO highlights the financial affect of medical emergencies overseas. The group experiences circumstances during which journey insurance coverage corporations paid out greater than €113,000 in remedy prices in Malawi and greater than €21,000 within the US, illustrating how rapidly prices can add up when struggling a severe sickness overseas.

For British vacationers, It’s important to know your medical prices earlier than you depart. Some international locations present entry to state well being providers by the UK International Well being Insurance coverage Card (GHIC), whereas others require guests to pay the complete value of remedy themselves.

Spain

Spain stays one of the crucial common locations for UK holidaymakers. Vacationers carrying a sound GHIC can obtain medically vital remedy by Spain’s public healthcare system on the identical phrases as Spanish residents.

Nonetheless, this card will not be appropriate for all conditions. Non-public medical prices, mountain rescue, repatriation to the UK and sure further prices are excluded.

For sufferers who require remedy in non-public services, prices can rapidly add up. A go to to a personal physician can value between 50 and 250 euros, and an emergency room go to can value between 100 and 500 euros. Hospitalization usually prices a whole bunch of euros per day, and specialist remedy can value over 2,000 euros per day.

The best monetary danger usually arises from medical repatriation. Returning critically sick sufferers to the UK underneath medical supervision can value hundreds of kilos.

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Portugal

Portugal operates a public healthcare system (SNS), which permits UK vacationers with a sound International Well being Insurance coverage Card (GHIC) to obtain medically vital remedy in state hospitals on the identical foundation as native residents.

Actually, emergency care in Portugal is mostly of normal, particularly in bigger cities resembling Lisbon, Porto and Faro. The hospital is fashionable and the medical employees is skilled in treating overseas sufferers.

Nonetheless, GHIC doesn’t cowl non-public healthcare, which is commonly utilized by vacationers who need quicker remedy. Particular person consultations sometimes value between €50 and €120, whereas diagnostic assessments resembling scans and X-rays vary from round €100 to €300. Admission to a personal hospital can value a number of hundred euros per night time, relying on the extent of care required.

Though general healthcare prices in Portugal are sometimes decrease than non-EU locations, extra severe circumstances can nonetheless considerably improve prices.

Outdoors the EU

Locations outdoors the EU embody Egypt, Morocco, and Turkey. UK vacationers will usually be answerable for the complete value of their remedy until they’ve complete journey insurance coverage.

Morocco

Morocco is an more and more common vacation spot for British vacationers, significantly for metropolis breaks and sunny winter breaks. Nonetheless, in contrast to Spain and France, it isn’t topic to the GHIC system.

Common medical consultations are sometimes cheaper than in lots of European international locations. Nonetheless, if hospital remedy is required, the associated fee will probably be considerably greater. Non-public hospitals could require proof of insurance coverage or prepayment earlier than offering non-emergency care.

The significance of sufficient protection is mirrored within the experiences of vacationers themselves. Thomas Kirkeny tells how his choice to get insurance coverage earlier than his journey made a giant distinction.

“Three years in the past I bought very sick in Morocco and because of insurance coverage I used to be in a position to obtain the most effective remedy. On the time I did not suppose I wanted insurance coverage, however I am glad I made the proper selection. The result might have been so much totally different.” he mentioned.

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A giant concern is medical evacuation. In circumstances involving severe sickness or damage, it could actually value hundreds of kilos to move a affected person to a different nation for specialist remedy.

US

The US stays one of the crucial costly international locations on the earth to deal with.

Vacationers within the UK should not have entry to auxiliary medical care and should pay for all remedy out of pocket until lined by insurance coverage. A go to to the emergency room can value a whole bunch, if not hundreds, of {dollars} earlier than remedy begins. Hospital stays sometimes value hundreds of {dollars} per day, whereas surgical procedures and specialist care may end up in payments reaching tens of hundreds of {dollars}.

Based on UNESCO knowledgeAn insurance coverage firm paid out greater than 21,000 euros in claims associated to a “minor” medical incident in america. In extreme circumstances, the full value may be a lot greater.

The Overseas, Commonwealth and Improvement Workplace at all times advises vacationers to take out complete insurance coverage earlier than touring, as medical prices may be excessive.

Solutions to your journey insurance coverage questions

Does GHIC substitute journey insurance coverage?

No, GHIC permits UK vacationers to entry medically vital state care in taking part international locations on the identical foundation as native residents. Nonetheless, it isn’t all-inclusive. Non-public medical care, mountain rescue, repatriation to the UK, misplaced or stolen baggage or journey interruption will not be included.

Does journey insurance coverage cowl pre-existing medical circumstances?

Many insurance coverage corporations provide protection for pre-existing circumstances, however vacationers should declare these medical circumstances when buying insurance coverage. Failure to reveal related medical data could invalidate your declare. Insurance coverage premiums could also be greater relying on the situation and diploma of danger.

What if I want remedy overseas?

Contact your journey insurance coverage firm as quickly as attainable, particularly in case your remedy requires hospitalization or skilled care. Insurance coverage corporations usually have emergency assist groups to direct vacationers to permitted medical services and assist coordinate remedy. Following your insurance coverage firm’s steering can even aid you keep away from sudden prices and issues when making a declare.

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Journey insurance coverage stays necessary

Medical emergencies overseas are unpredictable, however the financial affect may be extreme. Though Spain and Portugal provide some safety by reciprocal well being methods, vacationers should still face the price of private remedy, medicine, and repatriation. In Morocco, vacationers usually pay for medical care, whereas in america, even comparatively minor therapies may end up in giant payments.

Journey advisor Darren Miller says many holidaymakers misunderstand what GHIC truly affords. In response to an interview with EWN, he defined:

“Individuals neglect that GHICs solely imply you may be handled like locals, however journey insurance coverage covers far more, together with misplaced or stolen baggage, and likewise provides you entry to non-public hospitals.” he mentioned.

Miller added that vacationers ought to familiarize themselves with their insurance coverage firm’s procedures earlier than departing.

“If one thing occurs to you, we encourage you to make use of the suitable venue and comply with your insurance coverage firm’s steering. This may occasionally make the method smoother when searching for remedy overseas.”

Nonetheless, some vacationers argue that getting sufficient insurance coverage may be tough, particularly after a sure age, particularly for these with pre-existing well being circumstances.

Tony Bryce describes his ideas as an over-70s traveler visiting Spain for the primary time: “I want insurance coverage corporations would discover a higher technique to deal with pre-existing circumstances. Saying you could have a well being downside makes it much more tough to use for insurance coverage. That should not occur.”

Client teams have lengthy highlighted considerations that vacationers with medical circumstances could face greater premiums and restricted protection choices than these with out medical circumstances. For British holidaymakers, Journey insurance coverage stays one of the crucial necessary issues Bought earlier than departure. Whereas many individuals concentrate on insurance coverage premiums, consultants say the potential monetary affect of touring with out correct protection may be far higher than the worth of the insurance coverage itself.


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