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  1. Home
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  3. Using a healthcare agreement for medical care

Using a healthcare agreement for medical care

Last Updated
Tuesday, 18/08/2026

 

On this page:

  • Countries with reciprocal health care agreements
  • Reciprocal health agreements versus travel insurance
  • What's covered under reciprocal health care agreements
  • What isn't covered under reciprocal health care agreements
  • Travelling to a country with a reciprocal health care agreements

Countries with reciprocal health care agreements

Australia has reciprocal health care agreements with 11 countries. These countries provide some emergency care to Australians.

Most agreements specify the care must be urgent and medically necessary. They usually need a co-payment from the patient.

Services Australia publishes details about Australia's agreements. This includes what services they cover. Australia has reciprocal health care agreements with:

  • Belgium
  • Finland
  • Italy
  • Malta
  • the Netherlands
  • New Zealand
  • Norway
  • Ireland
  • Slovenia
  • Sweden
  • United Kingdom

If you travel to a country without an agreement, you're not covered. If you need medical assistance, you or your insurer must pay the full cost of treatment. Many hospitals won't treat you until you, your family or travel insurer pay upfront.

Reciprocal health agreements versus travel insurance

A reciprocal health care agreement is not a substitute for insurance. You still need travel insurance.

Ensure your policy covers you for medical evacuations. These often cost 1000s of dollars. Evacuations aren't covered by reciprocal health care agreements. Without appropriate insurance, you or your family could be stuck with the bill.

What's covered under reciprocal health care agreements

  • Reciprocal health care agreements can cover or subsidise some emergency medical costs. This is usually for urgent treatment that can't wait until you get home.
  • Some agreements can cover other costs. This can include local medical transport, medication and specialist services.
  • Each country with an agreement decides what they'll cover or subsidise. We can't intervene in their processes or policies.
  • The treating doctor determines if your condition is a 'medical necessity'. The Australian Government can't influence the doctor's decision.
  • Subsidised care differs from free care. If you receive medical assistance under an agreement, you may need to still pay. 

What isn't covered by reciprocal health care agreements 

Reciprocal health care agreements:

  • do not cover all medical situations, they're usually for urgent care that can't wait until you get home
  • do not pay total medical costs, most expect you pay a percentage of it (a co-payment)
  • do not pay for you to get private health care, you'll have to pay the full cost
  • do not cover costs for any non-subsidised medicines or treatments
  • do not cover non-urgent medical needs, you'll have to pay
  • are not a substitute for travel insurance

You, or your travel insurer, must pay for any treatment not covered by the agreement. If you need money overseas, talk to your family and friends. The Australian Government can't pay your bill, or loan you money.

If you can't afford treatment there, you may wish to return home. At home you can seek subsidised treatment under Medicare, or your private health insurer.

Travelling to a country with a reciprocal health care agreement

  • Find out what medical services the agreement will cover.
  • Confirm what costs you'll have to cover. Often it's a percentage of the total service cost, which could still be expensive.
  • Check if there's variations in what's covered in different parts of the country.
  • Find out if they have exclusions or conditions for certain groups. This can include dual nationals and people living, working or studying there.
  • See if there's eligibility requirements. Find out how to prove you're eligible.
  • Check if there's an application process. You may have to apply for subsidised services under the agreement.

See Services Australia for more on reciprocal health care agreements.

Read more

  • Reciprocal health agreements aren't a substitute for travel insurance.
  • Find out about vaccinations and preventative health measures.
  • Learn about travelling with medications and medical equipment.
  • Find out what to do if you're overseas and need medical assistance.

See also

  • See Services Australia for more on reciprocal health care agreements.
  • Read Services Australia's information about which countries may help cover the cost of medicines.

 

Related content

Urgent medical care overseas

Getting medical assistance overseas can be challenging and expensive, especially in an emergency. Read our advice on what to do when when you need help.

View details
Managing your mental health

Learn about travelling overseas with a mental health condition. Read our advice on what you can do to reduce the risk of having problems while you're away.

View details
Travelling with a disability

Many countries don't have the same access, services or support for people with disabilities as Australia. Learn more about travelling with a disability.

View details

Main navigation

  • The essentials checklist
    • قائمة التحقّق قبل السفر (Arabic)
    • 渡航前チェックリスト (Japanese)
    • 출발 전 체크리스트 (Korean)
    • รายการสิ่งที่ควรทำก่อนเดินทาง (Thai)
    • Trước khi lên đường danh sách kiểm tra (Vietnamese)
    • 出行之前不忘检查确认 (Chinese Simplified)
    • 出發前檢查清單 (Chinese Traditional)
  • Travel insurance
    • CHOICE travel insurance buying guide
  • Getting a foreign visa
    • Travelling to Europe and the Schengen Area
  • Travel health
    • Healthcare agreements
    • Infectious diseases
    • Medical tourism
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    • Organ transplant tourism
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    • Urgent medical care
  • Following the law
    • Arrested or jailed
    • Carrying or using drugs
    • Child sex offences
    • Female Genital Mutilation
    • Modern slavery
  • Australia's biosecurity and border controls
  • Travelling safely overseas (Easy Read)

Emergency consular assistance

The Australian Government provides 24-hour consular emergency assistance.

+61 2 6261 3305 from overseas

1300 555 135 from within Australia

For how we can help you overseas see the Consular Services Charter.

Enquiries and feedback

For non-urgent enquiries, or to provide feedback on consular services that you've recently received, contact us online.

For information on notarial services, email legalisations.australia@dfat.gov.au

To report a vulnerability you’ve identified on this website or to find out more about the department’s Vulnerability Disclosure Policy visit the DFAT website

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  • Home
  • Travel essentials
    • The essentials checklist
      • قائمة التحقّق قبل السفر (Arabic)
      • 渡航前チェックリスト (Japanese)
      • 출발 전 체크리스트 (Korean)
      • รายการสิ่งที่ควรทำก่อนเดินทาง (Thai)
      • Trước khi lên đường danh sách kiểm tra (Vietnamese)
      • 出行之前不忘检查确认 (Chinese Simplified)
      • 出發前檢查清單 (Chinese Traditional)
    • Travel insurance
      • CHOICE travel insurance buying guide
    • Getting a foreign visa
      • Travelling to Europe and the Schengen Area
    • Travel health
      • Healthcare agreements
      • Infectious diseases
      • Medical tourism
      • Medicine and medical devices
      • Mental health
      • Organ transplant tourism
      • Pregnancy
      • Urgent medical care
    • Following the law
      • Arrested or jailed
      • Carrying or using drugs
      • Child sex offences
      • Female Genital Mutilation
      • Modern slavery
    • Australia's biosecurity and border controls
    • Travelling safely overseas (Easy Read)
  • Planning a trip
    • Advice for different types of traveller
      • Academics
      • Colour, race, ethnicity, or religion
      • Dual nationals
      • Journalists
      • LGBTQIA+
      • Older travellers
      • Schoolies
      • Travelling with children
      • Travelling with a disability
      • Travelling with pets
      • Women
    • Advice for your planned activities
      • Adoption
      • Antarctica and the Arctic
      • Backpacking
      • Business
      • Living, working or studying overseas
      • Marriage
      • Partying safely
      • Retiring overseas
      • Sports and adventure
      • Surrogacy
      • Volunteering
    • Going overseas for a major event
      • Cultural events
        • Anzac Day
      • Religious events
        • Ramadan
        • Hajj
      • Sporting events
    • Getting around safely
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      • Boat travel
      • Going on a cruise
      • Public transport
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      • Floods
      • Landslides, mudslides and avalanches
      • Severe hot or cold weather
      • Tornadoes
      • Volcanic eruption
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      • Lost or damaged property
      • Money problems
      • When someone is missing
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    • Protecting yourself from crime
      • Assault
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      • Kidnapping
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      • Scams
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      • ميثاق الخدمات القنصلية (Arabic)
      • 领事服务章程 (Chinese Simplified)
      • 領事服務章程 (Chinese Traditional)
      • Panduan Layanan Konsuler (Indonesian)
      • 領事サービス憲章 (Japanese)
      • 영사 서비스 헌장 (Korean)
      • กฎบัตรว่าด้วยบริการต่าง ๆ ของกงสุล (Thai)
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    • How we write our travel advice
    • What our travel advice levels mean
    • News and updates
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      • Documents we can legalise
      • Documents in Australia
      • Documents overseas
      • Certificate of No Impediment
      • Notarial forms
    • Our subscription service
    • Passport services
    • Resources
      • Insurance Council of Australia reports
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    • What we do in a crisis