Healthcare & Health Insurance in Spain
Summary: Digital Nomads in Spain share their experiences with health insurance, healthcare in Spain, local hospitals and specialists, quality of medical care and more.
What are healthcare services like in Spain?
When we asked expats and global nomads about the quality of medical care in Spain, they replied:
"Healthcare services in Spain are provided by both public and private institutions. The public healthcare system is funded by the government and is available to all Spanish citizens and legal residents. The quality of public healthcare is generally good, with a wide range of services available, including primary care, specialist care, hospital care, and preventive care. Foreign residents in Spain are also eligible to use the public healthcare system, provided they have a valid residence permit. Expats in Spain can use the public healthcare system by registering with the local health authority and obtaining a health card. This card allows them to access the same services as Spanish citizens, including free or discounted medical care," said one foreigner in Spain.
"I like health care here. I had a surgery, one that was formerly botched in Sweden (of all countries with reputedly good health care) and sooner or later am likely to need a heart surgery as well (yes, I had a second opinion on that). As an EU citizen I was never asked to pay for any treatment and as a retiree get all medications dirt cheap, even insulin, which makes me remember with horror prices I had to pay when I lived in the US, despite being fully insured..," remarked one member in Spain.
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What is the quality of medical care in Spain like?
When we asked expats and global nomads about the quality of medical care in Spain, they replied:
"One time I developed a very sore tooth. I was able to make an appointment for that same day, the dentist was very efficient (and spoke English). And the cost was about 12% compared to the same procedure in the U.S. I was impressed," remarked one member in Tenerife.
"In Spain, medical services are generally of a high quality. The country has a well-developed public healthcare system, which is free for Spanish citizens and legal residents. Private healthcare is also available, and is often of a higher standard than the public system. Doctors in Spain are highly trained and experienced, and the country has a wide range of modern medical facilities," explained one expat living in Spain.
Are healthcare and health insurance expensive in Spain?
"My policy costs 1017 Euros or about $1109 annually. It can also be paid monthly through a bank deduction. There is no co-pay, which is the requirement for the Spanish visa, so most treatment is included, but not prescriptions or outside consultation," explained one person living in Altea, Spain.
What are emergency services like in Spain?
When we asked about emergency services, members in Spain wrote:
"On my plan, there are two large private clinics/hospitals in Benidorm which is about a 45 minute bus ride or 20 minute car ride. I have heard and experienced both good treatment at these facilities, and also poor treatment, like a man I know who had surgery for a broken leg after being struck by a car. They botched it and he had to have multiple surgeries to correct it. I had to make multiple trips for assessment and feedback. ," explained one person living in Altea, Spain.
"Emergency services in Spain are generally reliable and efficient. In the event of an emergency, you can call 112 to request an ambulance. The operator will ask for your location and the nature of the emergency, and will then dispatch an ambulance to your location. In some cases, the operator may also provide medical advice over the phone," wrote one digital nomad living in Spain.
"We are about one kilometer from our hospital “Vithas”. It is a very good private hospital. We received excellent care during our emergency visit last year. We were in and out under two hours, which is unheard of in the US. We would call our insurance Sanitas emergency line or dial 112 for emergency," said one foreigner in Granada.
Will I need to travel to see a specialist?
"I have not had serious health problems, but did seek out a podiatry specialist for alternative treatment for foot pain from Freiberg's. The IMED doctor told me I need to have part of the second and third bone in my foot cut out. The podiatrist (who has multiple locations in this area of the Costa Blanca) used laser and made me custom orthotics and gave me exercises which helped immensely," remarked one member in Altea.
Are common prescription medications available in Spain?
"Most medications are available at pharmacies without a prescription. Bring old medication bottle or written info with name and dosage. They may have a different name. I always check via internet to make sure what I got is the correct medication and dosage. Certain prescriptions like antibiotics require a prescription. Most medications are extremely inexpensive. ," said one member in Altea.
"Yes, common prescription medications are available in Spain. Most medications can be obtained from pharmacies, either with a prescription from a doctor or without one. In some cases, a doctor's prescription is required for certain medications, such as those containing narcotics or controlled substances. In addition, some medications may require special authorization from the Spanish Ministry of Health," explained one expat in Spain.
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Do you have anything more to add about local medical facilities in Spain?
"Medical facilities and medical care in Spain are generally of a high quality. The country has a well-developed healthcare system, with many top-class hospitals and medical centers. Doctors and nurses are highly trained and experienced, and there are a range of specialist services available. The healthcare system is free at the point of care and a range of private services are also offered. The Spanish government also offers a number of preventative healthcare programs that promote public health," said one member in Spain.
As a foreigner living in Spain, will I have access to public healthcare? What is it like?
"No, not yet. We just moved to Granada eight months ago. My understanding is that after a year, we can join the public health system. Expats in my area are typically enrolled in private health insurance. We have Sanitas private health insurance and we are happy with them, It’s not difficult to enroll, We paid about €188 per month for two people with a full coverage with no copay and no deductible. There are public hospitals in our area but we have never used them because we are not yet eligible to join until after living in Spain for a year.. We used the private hospital Vithas and are very happy with them," explained one digital nomad living in Granada, Spain.
"Yes, as a foreigner living in Spain, you will have access to public healthcare. The public healthcare system in Spain is known for its high quality and is free for all citizens and legal residents. It is funded by the government and is available to everyone regardless of their income level. The public healthcare system in Spain is comprehensive and includes primary care, specialist care, hospital care, and preventive care. It also covers prescription drugs, medical tests, and treatments," said one member in Spain.
What have your experiences during the pandemic with the local healthcare system been like?
We asked expats in Spain if they have access to public healthcare in Spain. And, if they do have access, what is it like. They wrote...
"The pandemic has had a major impact on the healthcare system in Spain. During the pandemic, the healthcare system has been stretched to its limits, with hospitals and medical centers struggling to cope with the influx of patients. The government has implemented strict measures to try to contain the spread of the virus, including the closure of non-essential services and the introduction of a nationwide lockdown. Despite these measures, the healthcare system has been overwhelmed by the number of cases, leading to long waiting times for appointments and delays in treatment. Additionally, the pandemic has caused a shortage of medical supplies, such as masks and gloves, which has further hindered the healthcare system's ability to provide adequate care," said one member in Spain.
"While in the U.S. I very intentionally "self-isolated" in a remote section of southern Missouri. But, I received my 2nd Covid-19 vaccination last week, so now feel MUCH safer about traveling and moving about in the world," explained one expat in Tenerife.
About the Author
Joshua Wood, LPC is one of the Founders of Digital Nomad Exchange and serves as Co-President of Expat Exchange. Prior to Expat Exchange and Digital Nomad Exchange, Joshua worked for NBC Cable (MSNBC and CNBC Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.
Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua on LinkedIn.
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Digital Nomads in Spain offer advice about healthcare, hospital visits, emergency rooms visits, finding a doctor and buying health insurance in Spain.