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:
"Although the primary care from physicians and the local hospital/clinic are generally adequate, I recommend getting a second opinion before accepting a recommendation for major treatment like surgery, even though you will likely have to pay that out of pocket. Doctors, treatments, medications are dramatically less expensive here. Custom orthotics would have cost me approximately $300 in the US, but are $45 here. ," explained one expat living in Altea, Spain.
"I would say medical care is excellent. For chronic medical conditions, it may be difficult to get an insurance and they will have to pay more. there are other expats with chronic condtions who are able to get private insurance," said one digital nomad in Granada.
"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," commented a person living in Spain.
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With over 40 years of professional experience, Balcells Group provides legal advice on immigration, business, real estate, and tax. They help individuals, companies, investors, students, entrepreneurs, highly-qualified professionals, digital nomads, and more, to enjoy successful law processes in Spain by guiding their clients every step of the way. They speak Spanish, English, Catalan and Russian.
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With over 40 years of professional experience, Balcells Group provides legal advice on immigration, business, real estate, and tax. They help individuals, companies, investors, students, entrepreneurs, highly-qualified professionals, digital nomads, and more, to enjoy successful law processes in Spain by guiding their clients every step of the way. They speak Spanish, English, Catalan and Russian.
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Click connect to have our partner contact you via e-mail and/or phone.
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:
"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," remarked one member in Spain.
"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," explained one expat living in Tenerife, Spain.
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With over 40 years of professional experience, Balcells Group provides legal advice on immigration, business, real estate, and tax. They help individuals, companies, investors, students, entrepreneurs, highly-qualified professionals, digital nomads, and more, to enjoy successful law processes in Spain by guiding their clients every step of the way. They speak Spanish, English, Catalan and Russian.
Click connect to have our partner contact you via e-mail and/or phone.

With over 40 years of professional experience, Balcells Group provides legal advice on immigration, business, real estate, and tax. They help individuals, companies, investors, students, entrepreneurs, highly-qualified professionals, digital nomads, and more, to enjoy successful law processes in Spain by guiding their clients every step of the way. They speak Spanish, English, Catalan and Russian.
Click connect to have our partner contact you via e-mail and/or phone.
Are healthcare and health insurance expensive in Spain?
"Healthcare in Spain is generally considered to be of a high quality and is available to all citizens and legal residents. The cost of healthcare in Spain is largely dependent on the type of insurance coverage that is chosen. Public health insurance is available to all citizens and legal residents and is generally quite affordable. Private health insurance is also available and can be more expensive, but it often provides more comprehensive coverage. In general, health insurance in Spain is not overly expensive, but it is important to compare different plans to find the best coverage for your needs," commented a person living in Spain.
"We have a private health insurance with Sanitas and are happy with them. It’s acceptable at our nearest hospital. Sanitas was most well known health insurance among expats. They will take payments without a Spanish bank account, which we find very convenient because we didn’t have a Spanish bank account last year before we moved to Spain," explained one digital nomad living in Granada, 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," said one member in Altea.
What are emergency services like in Spain?
When we asked about emergency services, members in Spain wrote:
"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," said one member 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," explained one expat in Granada.
Will I need to travel to see a specialist?
"The cities of Barcelona, Madrid, and Valencia all have a wide selection of different levels of specialists. In addition, the region of Andalusia is renowned for having some of the top medical professionals in the country. Major cities within Andalusia such as Seville and Granada are especially known as excellent locations to find highly specialized care. Other regions of Spain that are home to excellent medical professionals include the Basque Country, Galicia, and the Balearic Islands," said one foreigner in Spain.
"I would not return to my home country (US) for medical care. I would stay in Spain to receive the care, it’s excellent in Spain," remarked one member in Granada.
Are common prescription medications available in Spain?
"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," said one member in Spain.
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With over 40 years of professional experience, Balcells Group provides legal advice on immigration, business, real estate, and tax. They help individuals, companies, investors, students, entrepreneurs, highly-qualified professionals, digital nomads, and more, to enjoy successful law processes in Spain by guiding their clients every step of the way. They speak Spanish, English, Catalan and Russian.
Click connect to have our partner contact you via e-mail and/or phone.

With over 40 years of professional experience, Balcells Group provides legal advice on immigration, business, real estate, and tax. They help individuals, companies, investors, students, entrepreneurs, highly-qualified professionals, digital nomads, and more, to enjoy successful law processes in Spain by guiding their clients every step of the way. They speak Spanish, English, Catalan and Russian.
Connect
Click connect to have our partner contact you via e-mail and/or phone.
Do you have anything more to add about local medical facilities in Spain?
"I'm 0.5 kilometers from the hospital. It's a very good private hospital. The quality is very good. There are both public and private hospitals. I used the emergency service once and I'm very impressed at the speed and quality of care I received. It's much better than in the US," commented a person living in Granada, Spain.
"Haven't used, but hear they are fine. Private insurance first year (about $80 per month with NO deductible), after that can get on state medical for free," explained one digital nomad living in Granada, 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," said one member in Granada.
"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," explained one expat 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...
"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," said one foreigner in Tenerife.
"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," remarked one member in Spain.
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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Balcells Group provides immigration, business, legal, and tax advice to individuals, companies, investors, students, entrepreneurs, highly-qualified professionals, digital nomads, and more. They speak English, Spanish, Catalan, and Russian.
Learn More
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Balcells Group provides immigration, business, legal, and tax advice to individuals, companies, investors, students, entrepreneurs, highly-qualified professionals, digital nomads, and more. They speak English, Spanish, Catalan, and Russian.
Learn More
Spain Forum
Talk with other digital nomads and expats in Spain on our Spain forum - meet people, get advice and help others.
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Help others in Spain by answering questions about the challenges and adventures of living in Spain.
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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.