I'm moving to Cyprus: how do I access the public health system (GeSY)?
Cyprus has a universal health system, GeSY (Γενικό Σύστημα Υγείας, General Healthcare System), in place since June 2019 for outpatient care and since June 2020 for hospitalisation, and open to people who habitually reside there. An EU citizen is entitled to it if they work in Cyprus, if they have permanent residence, if they are covered by an S1 form from another country or if they are a family member of a beneficiary. To benefit, you register in the beneficiaries register and on a personal doctor's list, online or directly at the doctor's. Your European Health Insurance Card (EHIC) is for a temporary stay, not once you are resident.
- Costs
- Personal doctor and hospitalisation free; small co-payments (€1 per medicine or test, €6 per specialist consultation on referral, €25 without referral, €10 at emergency), capped at €150 per year; contribution of 2.65% of salary or pension
- Timeframes
- Registration online on the beneficiaries portal or at a personal doctor; no published deadline
Steps
- First register your residence with the Migration Department (see CY-SEJOUR-TOUS-001). If you work, you must also be registered with the social insurance services (Υπηρεσίες Κοινωνικών Ασφαλίσεων). To enter the GeSY beneficiaries register, you must be registered in the Migration Department register (for an EU citizen) and, depending on your case, in that of the social insurance services (HIO).
- If you are a pensioner with a pension from another EU country, request an S1 form from the fund that pays your pension before leaving, then have it registered with GeSY on arrival.
- Register in the GeSY beneficiaries register: create an account on the Health Insurance Organisation (HIO) website, activate it, then submit your application on the beneficiaries portal, or do it at a personal doctor's (if additional documents are needed, the doctor cannot do it online for you). If the public registers are not enough to identify you, the system asks you to print your application and send the documents to the HIO.
- Choose a personal doctor (προσωπικός ιατρός) registered with GeSY and have yourself added to their patient list. The personal doctor is your entry point into the system: they refer you to specialists.
- For any question: GeSY information line, 17000 (free from Cyprus).
Documents
Official HIO list depending on your category (the system also prints the list for your application):
- S1 holder: copy of your registration certificate (ARC, or your MEU1 certificate), signed GeSY registration form, copy of the S1.
- Family member of a beneficiary: copy of your registration certificate, signed form, proof of habitual residence, ID document or certificate of the beneficiary, proof of the relationship (birth, marriage or other certificate).
- EU citizen unable to work: registration certificate, signed form, proof of residence, and proof of the incapacity: medical report, R210 (ES19) certificate from the Department of Labour or certificate of attendance at vocational courses.
- Proof of habitual residence, if the HIO asks for it (for any category): recent electricity or water bills, last tax assessment. For a foreign document, ask the HIO whether a translation or an apostille is needed: the official list does not specify.
Costs and timelines
- Personal doctor and hospitalisation: free.
- Co-payments at your expense (HIO, pages consulted on 23/10/2026; the page carries no update date): €1 per medicine, medical device or test (€10 at most per category of tests), €6 per specialist consultation on referral from your personal doctor, €6 per visit to a nurse or midwife, €10 per radiology examination, per visit to another health professional or at emergency. Nothing to pay during a hospital stay.
- Annual cap on co-payments: €150 per person; €75 for recipients of the guaranteed minimum income, low-income pensioners and children up to 21.
- Contribution: 2.65% of salary, pension or income (rents, interest, dividends), 4% for a self-employed person, on €180,000 per year at most. A non-tax-resident only contributes on their Cypriot-source income, gains and pensions, excluding dividends and interest.
- Registration time: no published deadline; online registration succeeds directly if the public registers identify you, otherwise the HIO examines your documents.
Common pitfalls
- Living in Cyprus with only your EHIC. The EHIC is made for temporary stays (holidays, travel, studies). According to the British government, it can no longer be used in Cyprus once you are resident.
- Registering with GeSY without a personal doctor. You must be registered both with GeSY and with a doctor to access public care.
- Going directly to a specialist. Without a referral from your personal doctor, you pay €25 instead of €6 (HIO). Exception: a woman aged 15 and over can consult a gynaecologist directly for €6.
- Settling without work or an S1. An inactive EU citizen, with only their MEU1 certificate and no S1, does not meet the GeSY conditions until they have permanent residence: plan for comprehensive private health insurance (it is required anyway for the MEU1 of an inactive person).
- Forgetting the residence registration step. Without it, GeSY registration is impossible.
What changes by country of origin
- EU and EEA citizens: the steps above. Take your EHIC for your temporary stays (it is requested free of charge from your health insurer before leaving) and, if you are a pensioner, request your S1 from the fund that pays your pension.
- Swiss people: the Swiss S1 comes under the same European coordination rules. The HIO has a single category "S1 holder", without distinction of the country that issued it: same registration, same documents (MEU1 certificate, signed form, copy of the S1).
- British people (including Scottish): for a temporary stay, the British GHIC card covers medically necessary public care in the EEA. To settle, you first need a third-country national residence permit (see CY-SEJOUR-TOUS-001). A British pensioner may come under an S1 issued by the United Kingdom, to be registered with GeSY.
Official sources (11) ›
- Health Insurance Organisation (HIO, GeSY), "How to find your Beneficiary's Category" (access conditions for EU citizens)
- HIO (GeSY), "Additional evidence that must be submitted per Beneficiary Eligibility Category" (documents by category, including S1 holder)
- HIO (GeSY), "Frequently Asked Questions" on beneficiary registration (online portal, personal doctor)
- HIO (GeSY), FAQ "Outpatient specialists" (€6 on referral, €25 without referral)
- HIO (GeSY), "Financing and Global Budget" (contributions, co-payments, annual cap)
- EURES (European Commission), "Living and working conditions: Cyprus", health and social security sections (updated on 11/03/2026)
- Your Europe, "Health insurance cover in your host country" (checked on 19/08/2026)
- Your Europe, "Health cover for temporary stays" (checked on 16/09/2026)
- GOV.UK, "Healthcare in Cyprus" (updated on 14/10/2021)
- NHS, "Apply for a free UK Global Health Insurance Card (GHIC)" (re-read on 12/12/2023)
- HIO (GeSY), "Implementation Timetable" (introduction of GeSY in two stages, June 2019 and June 2020)