Enrolling in the Public Healthcare System in Andorra
Summary: A primer on how to enroll in the public healthcare system in Andorra.
If you're planning to enroll in the public healthcare system in Andorra, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.
Andorra, a small principality nestled in the Pyrenees between Spain and France, is known for its high standard of living and excellent healthcare system. The public healthcare system in Andorra is called CASS (Caixa Andorrana de Seguretat Social) and is highly regarded for its quality of care.
Healthcare in Andorra is not free, but it is heavily subsidized by the government. The cost of healthcare is shared between the government, employers, and the insured individual. The government pays 75% of medical costs, with the remaining 25% being split between the employer and the employee. This makes healthcare in Andorra affordable for most residents.
Enrollment in the public healthcare system is mandatory for all residents who are employed, self-employed, or retired. Most people in Andorra use the public healthcare system, although private healthcare is also available.
Eligibility for Foreigners
Foreigners are allowed to enroll in the public healthcare system in Andorra if they are legally residing in the country and are either employed, self-employed, or retired. This means that you must have a valid work permit or residency permit to be eligible for public healthcare.
Steps for Enrolling in the Public Healthcare System
- Obtain a work or residency permit: Before you can enroll in the public healthcare system, you must first obtain a valid work or residency permit. This can be done through the Andorran Immigration Office.
- Register with CASS: Once you have a valid permit, you can register with CASS. This can be done at any CASS office. You will need to bring your permit, passport, and proof of employment or retirement.
- Pay your contributions: After registering, you will need to start paying your contributions to the healthcare system. The amount you pay will depend on your income.
- Receive your healthcare card: Once you have registered and started paying your contributions, you will receive a healthcare card. This card will allow you to access healthcare services in Andorra.
It's important to note that while the public healthcare system in Andorra is of high quality, it may not cover all health services. Some services, such as dental care and certain specialist treatments, may not be covered by the public healthcare system. Therefore, some people choose to take out private health insurance to cover these additional costs.
Overall, the process of enrolling in the public healthcare system in Andorra is straightforward and accessible to all legal residents. With its high standard of care and affordable costs, the Andorran healthcare system is one of the many benefits of living in this beautiful country.

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About the Author
Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International
and Mass Market Marketing. She graduated from Ohio Wesleyan University
with a BA in International Business and German.
Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.
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