In the UK, the National Health Service (NHS) is responsible for public health care. This includes hospital stays, medical care and ambulance services.
Citizens from EEA states are entitled to receive NHS services. To receive these services they need to have their European Health Insurance Card. Otherwise, they may be charged for healthcare services in the UK.
Citizens from countries with a reciprocal healthcare agreement with the UK are entitled to receive hospital treatment. Typically this pertains to emergency care.
Healthcare services in the United Kingdom may be different from those provided in the home country of the au pair. Therefore, it is always advisable also for au pairs to have au pair insurance during the au pair stay.
Citizens from all other countries need to take out an individual health and accident insurance policy for the entire duration of their stay in the UK before leaving their countries. It is not possible to contact the NHS upon arrival in the United Kingdom to take out a corresponding insurance policy.
Au pairs and host families should clarify in advance whether the host family will be prepared to bear part of the international insurance costs for the au pair stay.