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Healthcare and Health Insurance in Spain | Expat Exchange
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Zubizuri Bridge in Bilbao, Spain

15 Expats Talk about Health Insurance and Healthcare in Spain

By Joshua Wood, LPC

Last updated on Mar 02, 2024

Summary: The quality of medical care in Spain is generally considered to be on par with the United States. Spain has a well-developed public health system, and private health care is also available. Emergency services are generally reliable and efficient, and ambulances can be called by dialing 112.

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How are healthcare services Spain?

When we asked expats and global nomads about the quality of medical care in Spain, they replied:

"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..," mentioned one expat in Spain.

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What are medical services 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," said one expat.

"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 expat 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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Balcells Group Lawyers

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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Are healthcare and health insurance expensive 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," mentioned one expat in Granada.

"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 one expat who moved to 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.

Balcells Group LawyersBalcells Group Lawyers

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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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," commented one expat who moved to 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 expat.

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Balcells Group Lawyers

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.

Learn MoreConnect

Click connect to have our partner contact you via e-mail and/or phone.

Balcells Group Lawyers

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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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 expat in Altea.

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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 expat.

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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," commented one expat living in 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," wrote one expat.

"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 one expat who moved to Granada.

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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," remarked one expat 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," remarked one expat living 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 expat living 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," mentioned one expat in Tenerife.

What advice do you have for expats having a baby in Spain?

We asked expat moms who gave birth in Spain about their experiences and advice they have for other moms to be. They said:

"If you think you are progressing faster than they do, speak up! Also don't be afraid to ask for anything you need," wrote a person living in Barcelona.

"For expats expecting a baby in Spain, it is important to plan in advance to ensure a smooth and stress-free experience. Research Spanish childbirth and parenting practices and familiarize yourself with the local healthcare system and policies. Make sure you understand the language and cultural differences, so you are aware of the potential challenges and how to manage them. Where possible, connect with other mothers and expats who have given birth in Spain and seek their advice. Be sure to register with a healthcare provider and procure the necessary documents such as a European Health Insurance Card (EHIC) and insurance policies. Additionally, build a close relationship with a doctor or midwife and be aware of the birthing options available to you," explained one expat living in Spain.

Are healthcare services good in Spain?

We asked people if they have access to good medical care in Spain. They wrote:

"Healthcare services in Spain are generally very good; the country has some of the best healthcare systems in the world, ranking highly on various health indices. The country offers largely free healthcare for its citizens and residents, with most services provided by the public healthcare system. Patients have free access to general practitioners, hospitals and clinics, and most specialists, tests and treatments are either heavily subsidised or free. Outpatient services are also available, including expert diagnosis and treatment, advice and education. Most medical centres offer comprehensive medical equipment and skilled personnel, and they also provide mental health services and home care. Additionally, Spain offers an extensive range of private healthcare options, and insurance companies in the country often offer incentives for those wanting to invest in private health care," said one expat in Spain.

"Yes. When we were applying for our visa we purchased insurance with Sanitas Health. It costs 150 euros ($165) a month. We have only used our insurance to refill our American prescriptions," wrote a person living in Salamanca.

About the Author

Joshua Wood Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat 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.

Zubizuri Bridge in Bilbao, Spain
Balcells Group Lawyers
Balcells Group Lawyers

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

Balcells Group LawyersBalcells Group Lawyers

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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