Under the current bilateral health care agreement, no monies change hands for emergency treatment provided in the United Kingdom, or the Isle of Man. An annual allocation (currently £2.8 million) is provided by the UK Government, to the Isle of Man Government, for additional elective treatment within the national health service.
The exemptions that apply under the National Heath Service (Charges to Overseas Visitors) Regulations 1989, as amended, apply only to those accessing the national health service. As such, the exemptions do not extend to United Kingdom nationals accessing other health care systems, including the Isle of Man. Accident and emergency treatment will continue to be provided free of charge both in the UK and the Isle of Man.