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Guidance: Healthcare for UK nationals living in Malta

Department Of Health

October 14
18:14 2021

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This guidance will be updated if anything changes to how you get state healthcare in Malta.

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This information is about living in Malta. Theres different guidance if youre visiting Malta.

If youre registered for state healthcare in Malta, most services are free. You may have to pay for prescribed medicine.

UK nationals can access the Maltese healthcare system for free in one of these ways:

  • paying social security contributions
  • through entitlement to healthcare if theyre employed or self-employed and make social security contributions in Malta
  • using a European Health Insurance Card (EHIC) or UK Global Health Insurance Card (GHIC) for temporary stays when studying, or as a posted (detached) worker
  • showing a UK passport if youre staying for up to one month
  • using a Reciprocal Healthcare Agreement (RHA) Entitlement Card
  • registering a UK-issued S1 form with the Entitlement Unit in Malta (see UK-funded healthcare: getting and using an S1 form in Malta below)

Healthcare if you live and work in Malta

If you are planning on moving to Malta, see the guidance on Living in Malta for more information about visa and residency requirements.

You must show proof of healthcare cover:

  • before you can register as a resident
  • when you apply for a visa

For details about the healthcare cover required for residency applications, contact local authorities in Malta or the appropriate Maltese embassy or consulate in the UK.

You must register as a resident if youre living in Malta for more than 3 months.

Youre entitled to state healthcare as long as you meet the requirements of the Maltese Social Security system.

The Maltese state healthcare system is extensive and covers many services including specialist treatment, inpatient care, prescriptions, antenatal and postnatal care.

You may be entitled to a Maltese EHIC for travel, including visits to the UK.

You may also have the right to apply for a UK S1 if you start drawing a UK State Pension (see UK-funded healthcare: getting and using an S1 form in Malta below).

How to register for healthcare

First, register as a resident in Malta.

If youre employed or self-employed, youll pay social security contributions in Malta. These entitle you to free state healthcare.

If youre employed, your employer will pay your national insurance contributions for you. You can get a social security number from the Department of Social Security or from the District Offices.

If youre self-employed, youll need to pay your social security contributions directly to the Commissioner of Inland Revenue.

If you are not exempt from paying contributions and do not have an S1 form (see UK-funded healthcare: getting and using an S1 form in Malta below), you can apply for a Maltese RHA Entitlement Card. This entitles you to free state healthcare in Malta. You will not be covered for everything youd get if you were paying social security contributions.

Youll need to show proof that youre eligible for state healthcare services each time you go to your health centre. This can be either:

  • a copy of your last payslip or residence card if youre employed or self-employed
  • your Certificate of Entitlement
  • your RHA card
  • your EHIC or GHIC

You do not need to register with a GP in Malta. You can make an appointment or go to the health centre nearest to your home.

How to access healthcare services

Find your nearest hospital or clinic on the health.gov.mt website.

How much youll pay

If youre employed, your contributions are usually 10% of your salary before tax. Your employer pays a further 10% contribution.

If youre self-employed, your contributions are around 15% of your taxable income.

Most state healthcare services in Malta are free.

Prescribed medicine is free when youre a hospital inpatient and for 3 days after youre discharged. After that, you pay for prescriptions. How much you pay depends on the medicine and is set by the Maltese government.

If you have a low income or chronic illness, you may be able to get either a pink form or yellow card. These entitle you to free prescriptions.

Dental care is not usually free. Most dentists have private practices. You can get emergency free dental care at some health centres and state hospitals.

You may have to pay for any treatment not considered necessary.

If your UK employer has sent you to Malta temporarily (posted workers)

A posted worker, also known as a detached worker, is someone employed or self-employed in the UK, but temporarily sent to a European Economic Area (EEA) country.

UK posted workers can access healthcare in Malta using an EHIC, GHIC or S1 form.

HMRC has a helpline for National Insurance enquiries from non-UK residents. They can answer questions about posted worker status and explain which documents you will need to get healthcare while posted.

UK-funded healthcare: getting and using an S1 form in Malta

Theres different guidance if you have an S1 as a posted worker (see If your UK employer has sent you to Malta temporarily (posted workers) above).

You may be entitled to state healthcare paid for by the UK if youre a resident in Malta and receive a UK State Pension or an exportable benefit. See Planning your healthcare abroad on the NHS website for more information about eligibility.

You may also be entitled to an S1 form if youre a frontier worker (someone who works in one state and lives in another). You must contact HMRC National Insurance enquiries to find out if youre eligible.

Not all UK benefits that can be claimed while abroad entitle you to UK-funded healthcare. Read more about claiming benefits if you move abroad or contact Jobcentre Plus to ask about a benefit.

Once you have an S1 form, you must register it on the Maltese system.

This will mean you and your dependants will be entitled to healthcare in Malta on the same basis as a Maltese citizen.

Youll also get:

Dependants and family members may be classified differently in Malta than the UK.

Check with the local authorities when you register your S1 form.

If youre entitled to an S1 form as a dependant of a St

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