How much is healthcare in Spain? – The Spanish healthcare system is funded by social security contributions from working residents. If an employee is registered for public healthcare, their spouse and dependent children also receive coverage. Certain other socio-economic groups, such as students and pensioners, can make free use of the public healthcare system as well, even if they haven’t paid into the health insurance scheme.
- According to 2022 data from the Ministry of Health, Spain spends €90.3 billion a year on public healthcare (or roughly €1,907 per inhabitant).
- Around €12.8 billion of that is spent on drug prescriptions.
- Private healthcare adds another annual €32.5 billion (or €687 per inhabitant) to the total.
- That means that the healthcare system in Spain costs €122.8 billion per year (or €2,594 per inhabitant).
Most primary healthcare in Spain is free. Residents only need to pay a proportion of prescription charges as well as regular public health insurance payments, However, if they need specialized medical care, they might face additional costs. This is when private medical insurance comes in handy.
Do you have to pay for healthcare in Spain?
This guide will provide you with an overview of the healthcare system and health insurance in Spain. We go over everything from who is eligible for public healthcare coverage, to finding a doctor, what costs to expect, and an overview on giving birth in the country.
- Spanish healthcare is established widely throughout the country.
- It is public, free, and available to every Spanish resident.
- People who work pay monthly social security contributions to uphold the public healthcare system.
- These contributions guarantee that almost everyone can access healthcare for free and only has to pay a percentage on prescriptions.
There are only very few cases in which people are not eligible for public healthcare. These cases are mostly non-residents who still have their own health insurance abroad. Be advised that some health centers and hospitals offer both public and private services.
Do foreigners get free healthcare in Spain?
Eligibility For Healthcare in Spain – If you’re living and working legally in Spain, you’ll have access to state-funded Spanish healthcare. Yes, this even applies to expats, digital nomads, and those not enrolled in traditional employment! Those who are self-employed but paying social security contributions and are legal residents can qualify for eligibility.
As well, if you’re a retired senior citizen living in Spain as a permanent resident, you’ll also have access to the public healthcare program. Additionally, undocumented immigrants have the right to healthcare if they go through a public emergency room. It all sounds reasonably straightforward, but of course, there are always exceptions and rules to consider.
Any EU resident with a European Health Insurance Card (EHIC) can access the benefits of the Spanish public health insurance program. However, it is essential that you apply for your free EHIC before you travel. Visitors from Andorra, Brazil, Chile, Ecuador, and Peru are also entitled to receive basic healthcare, as these countries have reciprocal healthcare arrangements with Spain.
Are doctors free in Spain?
Who can access the doctors in Spain? – Almost everyone living and working in Spain can access free state healthcare. To receive a medical card you must first apply for your Spanish residency permit ( empadronamiento ) with the municipality ( junta ). Children, those studying, unemployed, or retired are also entitled to free healthcare, either through the Spanish state or your home country.
- The social security office – Instituto National de la Seguridad Social (INSS) – can provide more information.
- In addition, for those who have been registered in Spain for over a year, but are not entitled to cover, you may be able to join the pay-in health insurance scheme called the Convenio Especial.
As an expat, you can get free state healthcare if you are:
- a resident in Spain and work in employment or self-employment in Spain and pay social security contributions;
- living in Spain and receiving certain state benefits;
- a resident in Spain and recently divorced or separated from a partner registered with social security;
- under 18 and a resident in Spain;
- a pregnant woman who is a resident in Spain;
- under 26 and studying in Spain – you can apply for a student EHIC which entitles you to cover for longer;
- receiving a Spanish state pension
If you are in Spain temporarily, you may also be covered short term – either by your European Health Insurance (EHIC) card, or by the bilateral agreements Spain has with some other nations including Andorra, Brazil, Chile, Ecuador, and Peru. In other cases, you will need private health insurance or have to pay for medical costs yourself.
Are hospitals free in Spain for tourists?
What are the hospital costs in Spain? – Medical treatment at a public hospital is free for anyone with a Spanish health card or EHIC, However, you might be required to pay for optional vaccines and (parts of) prescription medication, If you are interested in seeing how much your treatment would cost (if it weren’t free), the Ministry of Health has an overview of hospital costs on its website,
- When it comes to treatment in private hospitals, costs will largely depend on your insurance policy and provider,
- Usually, more affordable plans will offer less coverage, and patients might have to make additional payment.
- The more expensive your insurance plan, the more it will likely cover.
- Copays will be lower or even non-existent.
Depending on your situation, you might have to pay private hospitals upfront and request reimbursement from your insurance provider.
Is healthcare free in Spain for UK?
How much you’ll pay – Once registered for healthcare, basic state services are free. There are some things that you may need to pay a percentage of the cost for, such as orthopaedic services. Spain uses a co-payment system where residents usually pay between 10% and 60% of the cost of prescription medication.
- non-urgent transportation
- orthopaedic supplies
- prostheses
- dietary supplies
Some basic dental treatment is available under the state system, but most people use private dentists. Many private insurance companies have specific dental policies.
Can you live in Spain without health insurance?
Every resident has the right to healthcare in Spain – Spain takes healthcare very seriously. The constitution guarantees the right for every resident to have access to basic universal and preventative healthcare. This includes coverage for any pre-existing conditions.
Can I go to Spain without insurance?
What travel insurance do I need to visit Spain? – Your trip to Spain doesn’t require travel insurance, but it’ll give you peace of mind that you’re covered whatever activities are on your agenda. Your policy should cover travel to Europe, your planned activities, plus unexpected or expensive situations, for example:
If you seek medical care or emergency treatment If your trip is cancelled or curtailed The stay is extended for reasons beyond your control Your luggage and possessions are lost or stolen
Where do most foreigners live in Spain?
Which city has the friendliest people in Spain? – While Spain is an expat-friendly country with its international universities and multi-national companies. Bilbao, Cordoba, Salamanca, and Toledo have some of the friendliest people in Spain. 
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Serena Fung is a Senior Content Creator at Pacific Prime, a global insurance brokerage and employee specialist serving over 1.5 million clients in 15 offices across the world. With 2+ years of experience writing about the subject, she aims to demystify the world of insurance for readers with the latest updates, guides and articles on the blog.
Serena earned her Bachelor’s Degree in Psychology from the University of British Columbia, Canada. As such, she is an avid advocate of mental health and is fascinated by all things psychology (especially if it’s cognitive psychology!). Her previous work experience includes teaching toddlers to read, writing for a travel/wellness online magazine, and then a business news blog.
These combined experiences give her the skills and insights she needs to explain complex ideas in a succinct way. Being the daughter of an immigrant and a traveler herself, she is passionate about educating expats and digital nomads on travel and international health insurance. Latest posts by Serena Fung ( see all )
Can a tourist see a doctor in Spain?
How to see a doctor in Spain without international health insurance – Travellers should check before their trip whether their health insurance covers the costs of medical treatment in Spain. If this is the case, a doctor can be consulted in one of the state health centres.
However, some Spanish health centres will still require a cash payment. In addition, dental treatment in Spain is not covered by the national health system and has to be paid for privately. The patient does not have the right to choose a doctor Patients are expected to go to their nearest health centre.
It is not usually necessary for tourists to be able to speak Spanish when they see a doctor. Doctors in private practices often speak English, especially at popular tourist resorts such as Mallorca. This is convenient for travellers, but it can be costly.
- Often, the patient has to pay in advance and then try to get the money back from their health insurance company.
- Sometimes this is only partially successful.
- Some health insurance companies are now cooperating with Spanish private doctors.
- In this case the bill is settled directly between the private doctor and the health insurance company,
In principle, Spanish hotel staff tend to refer tourists to private doctors, If you do not want to advance the costs yourself or even pay them in full, you should make sure before travelling that you know where to find a state health centre. In addition, it is advisable to clarify who will bear the costs before starting treatment,
Do I need a European health card for Spain?
What EHIC and GHIC covers – An EHIC or GHIC covers state healthcare, not private treatment. With an EHIC or GHIC you can get medically necessary treatment in Spain on the same basis as a Spanish citizen. This means that you’ll get healthcare services for free or at a reduced cost.
How much do I need to live in Spain?
Expats living in Spain report that the cost to live comfortably in a big city like Madrid is between €1,700-1850 per month for a couple. This expense is lower somewhere rural or outside of the big cities, standing at about €1,450-1,600 a month.
What happens if you don’t pay a hospital bill from Spain?
1. Re: Private medical bill Fuertuventura non payment 13 May 2022, 08:15 Presumably they took your home address details. Expect to get demands for payment from the hospital, then letters from debt collection agencies (who will put their own charges on top) then court summons with even more court fees, and if you still don’t pay presumably you could be left with a criminal record in Spain which could cause problems when you try to enter Spain again.
How much are hospital fees in Spain?
Is healthcare free in Spain?
| Medical Item | Cost in Spain |
|---|---|
| Average monthly medical premium for an individual | €50 |
| One-day hospital stay | €200 |
| Primary Care visit | €100 |
| Specialist visit | €150 |
Are there English speaking hospitals in Spain?
List of English-Speaking Hospitals in Spain – If you have fallen ill or sustained an injury while in Spain, you have several excellent options for places to receive medical attention. Many Spain hospitals serve international travelers and have staff fluent in world languages, including English.
You can feel confident going to any of these places to get the help you need to make a full recovery and return home. You are responsible for paying any medical bills you receive while getting treatment from health care facilities in Spain. Check with your insurance company before going overseas to see if you have coverage for expenses abroad.
You may need to open a new policy to cover some or all of your medical bills in Spain should you have any. Here’s a helpful list of some international hospitals in Spain:
Ramón y Cajal University Hospital: This public facility is one of the hospitals in Madrid, Spain, that is a great option for international travelers. Its research department has also earned it a positive international reputation. Quirónsalud: Quirónsalud has several facilities throughout Spain. They’re one of the most popular hospitals in Madrid that speak English, making them a common destination for travelers from the United States and other English-speaking countries. Boasting a helpful staff and advanced technology, you can get the help you need if you must visit their facility. Vithas Granada: As one of the best hospitals in Granada, Spain, for travelers, Vithas Granada is an option you can feel confident about choosing for your health care needs in Spain. They have a 24/7 helpline, so you can make calls the moment you need help. They also offer translation services to ensure every patient can communicate adequately with staff members. English Doctor Barcelona: Founded by Dr. Steven Joseph, English Doctor Barcelona is a great place to start when looking for English-speaking Barcelona hospitals. Services include virtual appointments, general medicine and diagnostic tests. The English-speaking staff ensures travelers from the United States and around the world feel welcome.
Can you live in Spain permanently?
How to get a permanent residency in Spain after Brexit – You can acquire permanent residency in Spain in two ways:
- EU long-term residence permit
- Spanish citizenship
Are universities in Spain free?
Why Study at a Public University in Spain? –
- Quality Education: Public universities in Spain are less expensive than private universities and offer a more personalized experience. You also get the added benefit of studying in Spanish at a public university. In most cases, public universities in Spain offer the same quality of education as their private counterparts.
- Extremely Affordable: Many students choose to attend public universities in Spain for international students because of the affordability and accessibility. Unlike many other countries, students in Spain are not required to pay an entrance fee to attend college. This means that in spite of your financial situation, you have the opportunity to pursue your education and achieve your educational goals. Most public universities in Spain are also relatively affordable.
- Wide Range of Programs: Public universities are funded by the government and are therefore free of charge. Public universities in Spain offer a wide range of undergraduate and graduate programs, making them a great choice for students interested in studying abroad. Best public universities in Spain for international students also offer excellent study abroad programs, which enable students to learn about the nation and its culture in a unique and immersive way. If you are thinking of studying in Spain, public universities are a great option to consider.
Suggested: Best courses to study in Spain
Is Education in Spain free?
| Ministry of Education | |
|---|---|
| Minister | Isabel Celaá |
| General details | |
| Primary languages | Spanish alongside co-official languages within respective regions, including Catalan, Basque and Galician |
| System type | Democratic Constituchy (check for accuracy) |
| Literacy (2018 literacy rank =) | |
| Total | 98.44 |
| Male | 98.93 |
| Female | 97.97 |
| Enrollment | |
| Total | 9,909,886 |
| Primary | 4,654,727 |
| Secondary | 2,730,036 |
| Post secondary | 1,633,358 (community college) |
| Attainment | |
| Secondary diploma | 80% |
| Post-secondary diploma | 41% |
Education in Spain is regulated by the Ley Orgánica 8/2013, de 9 de diciembre, para la mejora de la calidad educativa (LOMCE, Organic Law for the improvement of educational quality) that expands upon Article 27 of the Spanish Constitution of 1978, The Spanish education system is compulsory and free for all children aged between 6 and 16 years and is supported by the national government together with the governments of each of the country’s 17 autonomous communities,
- In Spain, primary school and secondary school are considered basic (obligatory) education.
- These are Primaria (6–12 years old), which is the Spanish equivalent of elementary school and the first year of middle school, and Secundaria (12–16 years old), which would be a mixture of the last two years of middle school and the first two years of High school in the United States,
Spain is working towards reforming vocational education and modernizing education to halt and reverse the rising unemployment rates. As of 2020–21, Spain has 9,909,886 students. The largest group corresponds to primary education, with 4,654,727 students followed by secondary education with 2,730,036 and university students with 1,633,358.
What tax do I pay if I live in Spain?
Spanish income tax rates – Spanish tax residents will be taxed on all worldwide income which is not included as part of the savings income. This includes income from employment (i.e. salary), pension, rent and potentially income from gambling. The Spanish income tax is made up of two parts, a national tax and a regional tax.
Spanish income tax for incomes up to €12,450: 19% Spanish income tax for incomes ranging from €12,451 to €20,200: 24% Spanish income tax for incomes ranging from €20,201 to €35,200: 30% Spanish income tax for incomes ranging from €35,201 to €60,000: 37% Spanish income tax for incomes ranging from €60,000 to €300,000: 45% Spanish income tax for incomes over €300,000: 47%
Always check with the local Comunidades Autonomas before making any assumption about the regional rate.
Can I go to Spain without insurance?
What travel insurance do I need to visit Spain? – Your trip to Spain doesn’t require travel insurance, but it’ll give you peace of mind that you’re covered whatever activities are on your agenda. Your policy should cover travel to Europe, your planned activities, plus unexpected or expensive situations, for example:
If you seek medical care or emergency treatment If your trip is cancelled or curtailed The stay is extended for reasons beyond your control Your luggage and possessions are lost or stolen
How long can you live in Spain as a non resident?
How long can I stay in Spain without becoming a resident? – You can stay in Spain for a maximum of 183 days per year (6 months) in order to not become a resident, If you spend an extra day (184 days and onwards), you will be regarded as a resident, hence paying resident taxes in the country.
This is a really important question, and different from the prior one. Because one thing is how long you can legally stay in Spain (which was answered before), and another is to determine how long can you stay in the country without becoming a resident. This last situation has important implications, especially stemming from all the tax liabilities you will gain.
But it is crucial not to confuse residency for immigration purposes and fiscal residency, which are two different things. It is also important to bear in mind that many residence permits require you to stay in Spain for longer than 183 days per year if you want to renew them,