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Elderly parents

Elderly person visa's expired. Any experiences?

58 replies

Katherina198819 · 03/01/2025 19:55

My husband's father is from the US and has severe dementia. He moved in with us 2 years ago as he lost his house due to signing over to his other son, and none of the relatives in the US would take care of him.

We applied twice for elderly visas based on human rights, but it's been refused (not surprised. The chances are that getting it is extremely low). Until the applications have been processed, he could stay here legally.
Now he is 91, and his dementia is much worse. He doesn't remember anything, bearly speaking or eating and only awake 4 hours a day. He goes to the doctor's private (never used NHS and not planning on), and his pention insurance covers all emergencies if he ends up in the hospital. We take care of him at home.

Now the problem is: we could keep applying for the visa so he could stay here legally, but honestly, I don't see the point. It costs over 10 thousand a year (with all the legal fees included), and we know it will be declined.
When we asked the lawyer what will happen if he stays here inlegally he said: they propably can't deport him as he is in "end of life" shape- but of course, he is keep pushing to apply for the visa.
We talked to an elderly home, in case if he gets worse (his pention will be enough to cover the costs), and they said they would take him even without a visa.
When he arrived, he didn't have a retun ticket, so we thought it would be an issue, but no one had contacted us so far.

Any experiences?
He won't be a burden on NHS. We just want him here as he hasn't got anyone else. It's very sad, but there is no way he would survive a trip home, and he's got nowhere to go.
We will probably apply again for a visa (it's already in motion with the immigration lawyer), but I'm just curious about experiences and what will happen if we are contacted before the visa application?

OP posts:
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Tlaloc999 · 05/01/2025 09:49

Soontobe60 · 04/01/2025 19:33

Medical insurance via social security in the US is Medicare. They do not pay medical bills for people overseas. https://www.medicare.gov/publications/11037-medicare-coverage-outside-the-united-states.pdf

Medicare is a government funded health insurance scheme for pensioners.

Many older Americans also have much better private health care. These schemes cover people abroad.

Falafelolive · 04/01/2025 23:00

Katherina198819 · 04/01/2025 10:15

He came on a holiday visa (6 months stay). Around 5 months, we applied for the elderly visa - it took one year to process. After that, we applied again, and it's been refused after 6 months. According to the immigration law, he is here legally as long as he has visa applications in process - even if it gets refused.

On what grounds have the elderly visas been refused?

EmotionalBlackmail · 04/01/2025 20:30

Re the private medical care here, it'll depend what circles you move in. Some jobs (usually better paid or some private companies) provide private health insurance as a staff perk. So if you and your friends have those kinds of jobs, then you'll know people who use it.

The vast majority will be NHS alone though. I know a couple of older people who used savings to pay for a private hip or knee replacement to get past
the waiting list.

Soontobe60 · 04/01/2025 19:33

Katherina198819 · 04/01/2025 19:13

No. Ambulance and hospital stay would be provided by NHS, and the insurance will pay a bill. We need to pay £50 according to the insurance policy, and the rest is on them.
We talked to the insurance company and went through with their policy with a lawyer. They both assured us that we won't have to pay: NHS will bill him, and the insurance will pay. This insurance is linked with his social security back in the US.

I'm having a hard time understanding why people think everyone will use NHS.
I know many people who use private one here in the UK, even though they could go for free. Yes, it's expensive, but it doesn't require visa.

Edited

Medical insurance via social security in the US is Medicare. They do not pay medical bills for people overseas. https://www.medicare.gov/publications/11037-medicare-coverage-outside-the-united-states.pdf

https://www.medicare.gov/publications/11037-medicare-coverage-outside-the-united-states.pdf

Autumnalmists · 04/01/2025 19:27

That is great OP. Sometimes have to go via NHS though if something needs sorting quickly, that is where NHS/A&E is useful if they decide it is urgent. We have private healthcare but the earliest the private consultant could fit us in was 3 weeks for an urgent scan etc…. Whereas NHS was quicker. Next day in fact.

DillyDallyingAllDay · 04/01/2025 19:27

So I gave up reading the debates about nhs care or not.

Re him being here legally; just do the application yourself. If the lawyers did it and failed, save the 8k and do it yourself. You'll be surprised, it might actually come through. Applying for visas is usually quite straight forward if you can read and follow the guidance. Give them all the documents they need.

Also it might be worth checking if he could be eligible for any other visa categories such as a dependant visa- he's not financially dependant on you which is usually the case for dependant visas but he is physically dependent.
Any extra information you can provide aside from
The list of documents needed to help the person deciding his case is always useful- proof of his house being signed over, no other family to help etc etc.

Katherina198819 · 04/01/2025 19:24

RedRosie · 04/01/2025 17:03

@EmotionalBlackmail A&E treatment isn't charged in my experience. When my (all) American niece broke a leg while on holiday here, she was treated for free - despite fessing up to being from the US and me supplying all her details. I specifically asked, and they said the treatment was free, as it was an emergency.

Ongoing non-acute medical treatment is probably different though.

Good luck OP. As I said earlier, he's lucky to have you and I wish him well.

Thank you so much!
In terms of emergency charges, I heard similar stories. I couldn't find a straightforward answer to it anywhere.

OP posts:
Katherina198819 · 04/01/2025 19:13

Autumnalmists · 04/01/2025 14:00

i have never heard of private ambulances taking patients as an emergency to a private A&E. Sadly had elderly relatives in care home and ambulances and emergency treatment all provided by NHS. So apologies if you can call am ambulance to arrive quickly to take to private A&E services in this country.

No. Ambulance and hospital stay would be provided by NHS, and the insurance will pay a bill. We need to pay £50 according to the insurance policy, and the rest is on them.
We talked to the insurance company and went through with their policy with a lawyer. They both assured us that we won't have to pay: NHS will bill him, and the insurance will pay. This insurance is linked with his social security back in the US.

I'm having a hard time understanding why people think everyone will use NHS.
I know many people who use private one here in the UK, even though they could go for free. Yes, it's expensive, but it doesn't require visa.

OP posts:
RedRosie · 04/01/2025 17:03

@EmotionalBlackmail A&E treatment isn't charged in my experience. When my (all) American niece broke a leg while on holiday here, she was treated for free - despite fessing up to being from the US and me supplying all her details. I specifically asked, and they said the treatment was free, as it was an emergency.

Ongoing non-acute medical treatment is probably different though.

Good luck OP. As I said earlier, he's lucky to have you and I wish him well.

Tlaloc999 · 04/01/2025 15:41

OVienna · 04/01/2025 10:39

Are you sure this person renounced the British passport?

It is very difficult to renounce British citizenship.

UK citizens who renounce their UK citizenship on paper to a foreign country in order to acquire a second citizenship are deemed to have done so under duress. They may hand in their UK passport, but the UK government does not regard this as them losing their citizenship. A passport and citizenship are two different things.

The individual remains a British citizen. The UK government can not assist them in the country of their second citizenship, but there is nothing to stop them returning to UK and reapplying for a passport.

EmotionalBlackmail · 04/01/2025 15:26

Surely if he did end up needing to use the NHS eg needing GP or nurse in a care home or an ambulance to A&E then the NHS would just bill him? As they do already where care for car accident victims is billed to the car insurance company or an overseas visitor who became ill on holiday is billed for A&E?

Autumnalmists · 04/01/2025 14:03

Care home one of my relatives was in which was a deprived area of North of country is £952 per week self funded and £1150 if have dementia. Know fees vary by area but there are annual rises as set by the home.

Autumnalmists · 04/01/2025 14:00

Katherina198819 · 04/01/2025 10:13

He doesn't. His pention is high and he is going private. His medication, vaccination, everything is paid for!
His pention insurance from the State covers all hospital stays and emergencies. Believe me, we researched the policy and double-checked everything. He does not need insurance. He also has money saved up.

i have never heard of private ambulances taking patients as an emergency to a private A&E. Sadly had elderly relatives in care home and ambulances and emergency treatment all provided by NHS. So apologies if you can call am ambulance to arrive quickly to take to private A&E services in this country.

lumpybumper · 04/01/2025 13:59

My family member used to work in immigration law. He won't be removable because of his age/illnesses. But you also won't get a visa accepted. If he did end up using the nhs then he will be charged for it. Are you sure a care home would take him without legally being in the uk? Not sure how that aspect works. You could probably pay privately for carers though.

Mrsbloggz · 04/01/2025 13:53

This sounds extremely tricky 😬

Katherina198819 · 04/01/2025 13:49

@TroysMammy

We do. We are planning on keeping him at home as long as we can.
To be honest, he is very easy to look after. He isn't aggressive, paranoid, or anything else (I know from my own family experience how difficult dementia can be). Physical he is very healthy- appart from the sleepiness and lack of mobility recently.

Care home would be the last option.

Thank you for all the replies! I definitely need to look into the care home fees, I didn't know it would go up if he gets worse. I thought if the nursing care home is £800 than it would be the same amount regardless his health.

As far as the visa application goes, I agree with the comments here. There is no point in getting immigration lawyers involved as it won't help - I would rather keep that crazy amount of money for his care later on.
We will apply for a visa so he can be here legally - we can keep applying under "change circumstances"- which we have every 6 months based on his declined help.

OP posts:
custardpyjamas · 04/01/2025 12:45

I tend to agree to just let him live his life unworried. I think the chances of him being deported are zero, they can't even deport criminals most of the time. You could try talking to the citizens advice bureau and see if they have any suggestions. If you want to try again for a visa I would do it yourself no need to waste money, but I probably wouldn't bother.

SockFluffInTheBath · 04/01/2025 12:37

OP if I were you I would get this thread deleted once you’ve read it. It won’t be long before there’s some ‘Mumsnet Vipers Aiding and Abetting Illegal Immigrants’ tosh appearing in the Daily Hate Mail.

MoveOnTheCards · 04/01/2025 12:35

I feel for you in this situation @Katherina198819 and I hope your FIL is comfortable.

I am inclined to agree with some of the others here though that the fees you’ve been quoted for the care home are unlikely to touch the sides. My DGM was in a care home for a few years, northern ‘working’ town so not at all swish. It was more than £800/week when she went in but as her dementia progressed she needed nursing level care (not just ‘care home’ level) and it soared to nearly £2,400/week. That went on for nearly 2 years before she eventually passed away there (in her late 90s).

EmmaMaria · 04/01/2025 12:20

Katherina198819 · 04/01/2025 10:28

Just repeat it again because people seem to think he will need NHS. He doesn't!
He is the last generation of America's "golden age" who has very high pension and worldwide insurance cover.
We take him every 3 months to a PRIVATE GP and every 6 months to a memory test (for his memory medication). He payes for his own medicine and health care.
His US insurance covers all hospital states, ambulance calls, and emergencies. Again, he won't cost NHS money. If anything, they will gain money from him (one day, hospital stay cost £2500 pound for the insurance, and £50 for us).
He is not here to take advantage of the system. He can afford to go private.

He's an illegal immigrant, brown, probably arrived on a boat and is a danger to women and girls everywhere. That is the only kind of immigrant MN seems to know exist.

Look, there is no point whatsoever depleting his and your financial resources on a visa application that won't be agreed. If he is concerned about it, tell him you've applied and just repeat the lie if he asks. It is disturbing him to think he's not got a visa, so don't tell him. At 91 and with dementia, it's a kind lie. Don't go to your MP right now - just leave it all and get on with your lives. If - and it is extremely unlikely - someone attempts to deport him, that is when you get the MP and news media involved. There's nothing more that they would like than a human interest story, and the powers that be will either back off and forget about him or grant him compassionate grounds. Nobody is deporting a 90+ year old with dementia - in fact I would lay bets they wouldn't even be able to find a carrier that would fly him!

PiggyPigalle · 04/01/2025 12:16

Autumnalmists · 03/01/2025 22:46

So he gave his asset away which could have funded care?
if he falls in the home etc he will need an nhs ambulance and nhs A&E etc…. So will be needing nhs. So a visa would be helpful.

Apparently a visa would be unhelpful if he needs the NHS, as undocumented people are to be treated ahead of others.
That's how crazy this country has become.

If he had "head memory issues" when the son took his house, maybe it's the US police who need to investigate, not a lawyer.

YellowPixie · 04/01/2025 11:33

Absolutely sure he did not have a British passport. Nobody looked at this elderly gent in rural Scotland and not bothering anyone.

THisbackwithavengeance · 04/01/2025 11:29

I personally wouldn't bother with immigration lawyers.

I would apply for leave outside the rules quoting human rights legislation. Form is on the gov.uk website.

Make it clear that your FIL will not be a burden on the State or NHS.

When it gets refused, stick in an appeal to the immigration courts on form IAFT5 - can be done online and forms found on Google.

Or just leave him. They won't remove him or detain him.

TroysMammy · 04/01/2025 11:14

Do you have the room for a live in carer for him?

SinisterBumFacedCat · 04/01/2025 11:10

The quote he has been given is probably for a care home, what he will more likely need is a nursing home when the time comes, given his age and dementia. This is closer to £1,600 - £2,000 a week, depending on needs. If his pension covers £8K a month indefinitely that’s fine. But when the money runs out the local authority step in. This is where they would be very interested to hear about his other son stealing his house, it would be seen as deprevation of assets and there is no time cut off for this. However I don’t know what they would do about it being in the USA.
Also care homes have weekly visits by GP’s so they might require him to be registered with a GP.
I’m very sorry you are dealing with this, the poor man has been brutally betrayed by his son, but he is very lucky to have you both. There was a news story years ago about an elderly gentleman from the USA who was flown over here by his son and literally dumped on the street and abandoned. He was placed in a home here but ultimately sent back to the US and put in a miserable care home. I think some Americans assume the the NHS covers all care including elderly, sadly this is not the case.